This month Matt looked at dofferent service delivery models for finacing palliative care services. We heard from Mhoira Leng about refugee palliative care and the growing recognition of the palliative care need among the millions of displaced persons in our world. Katherine Sleeman introduces the IMPACT centre and its potential to improve the awareness of up to date evidence from research. Cat Sullivan summarises the learning from the Extending Frailty Care project recently completed by Hospices from across the UK. Kate Flemming's paper this month again picks up on th international theme with a review of the palliative care needs of refugees living in resettlement situations.
It is a full on ECHO. we hope you enjoy it and benefit from these amazing speakers.
Matt, Max and Kate,
This month we look at the pros and cons of advance care planning (ACP) and why it has failed to have the impact for which so many hope. Matt is an ACP sceptic and he outlines his reasons.
Kate looks at deprescribing in her journal article and how communication is central in such advance planning.
Matt Gloudeman is so passionate about the importance of emergency planning that he set up his own company to provide people with the opportunity of ACT that works.
Emma Winstanley is dedicated to improving the rates of Corneal retrieval from patients dying in Hospices and both the planning and the conversations required to make this happen. Finally we are off to Helsinki where Anita Hayes was attending the European Association of Palliative Care Conference. Anita gives an overview of the things that caught her eye amongst the 2,000 delegates from all over the world.
This is our lask ECHO before the summer break. We hope you enjoy it.
Max, Matt and Kate
Matt reviews the historical offers that Palliative services and hospices have made over the years to commissioners.
Erica Borgstorm looks at how clinicians have ethnographically coped with palliative care choosing not to intervene, test, manage or otherwise intervene in contrast to other specialties.
We get an update from Hospice UK on all that has been happening in Scotland and England in relation to Assisted dying/Suicide debates in parliaments and Anette Alcock gives an overview of some of the conversations that Hospice Uk has been having in relation to commissioners and the Hospice and Palliative Care "offer" to services.
Kate compresses her journal review to summaries of three key papers and Max concludes with another AI generated poem on managing uncertainty. We hope you will enjoy!
A full on ECHO with Matt looking at the process of decision making around assisted dying and Kate looking at a paper on terminal sedation decisoon making from Europe.
Mark Junnicer from the National Confidential Enquiry into Patient Outcome and Death summarises the NCEPOD report into UK end of life care, before Anita Hayes gives the latest update from HospiceUK activity data from across the Hospice Sector. Hope you enjoy it
For the Valentine's Clinical ECHO, Matt looks at the brain changes that effect interdependence, so often a vital part of Palliative Care.
Kate looks at a review of the patchwork of services that constitutes UK community out of hours care. Professor Keri Thomas provides an overview of the recently launched Coalition of Frontline Care and Keri Gammons describes the the model of integrated working which has been so successful across Lincolnshire.
The Christmas clinical ECHO.
A review of the Hospice UK conference in Glasgow last month.
Supportimg people with a hearing loss in the palliative care context.
Ethical understandings and approaches from a Palliative Ethicist.
A palliative Doctor from the Islamic community speaks of the tensions between her community and her chosen career
This episode looks at the impact of War and PTSD on palliative care, the lack of palliative care services in Cardiology around Ventricular assist devices, the impact of Poverty on end of life care and Assisted dying n the UK with the Bill due to go before parliament at the end of te month.
This session looks at how best to teach palliative care and different learning theories. Kate looks at a key paper from Professor Bruera on adoption of palliative care in medical systems and then we hear from Professor Fliss Murtagh on a review of 24 years of Palliative care delivery across the UK and a large survey of families of patients who have died on the experience of palliative care in the UK.
We also get an update on research in Hospice UK and an overview of Hospice Care week.
It is a Full on ECHO. with Fliss Murtagh summarizing two crucial complex reports with her consumate skill.
In this season of election manifestos and incessant political commentary Matt will be having a look at how previous crises in the NHS have been navigated, and in particular how Palliative Care has continued to grow and develop in the face of everything.
Kate will be looking at a series of articles in the Nursing Times on looking after people with palliative care needs.
We will also be hearing from Liv Warnes, from Hospice UK, about the advocacy work taking place on behalf of Hospice and Palliative Care with the political parties in the UK up to election on July 4. With suggestions of what could be done at the local level.
Prior to the holiday season we would also like to know what topics you would like your Clinical ECHO to be covering next season.
This month we focus on uncertainty in Palliative Care with Matt looking at choice and free will in the presence of constant uncertainty, and Kate looking at the uncertanties around delivering Palliative care in prison.
We are joined By Ariel Dempsey, Dr. Robert Twycross and Chris White.
Ariel will be summarising her PhD work on uncertainty, Dr. Twycross, the father of research in the modern palliative care movement will be looking at the uncertain impacts of potential changes in assisted dying legislation and Chris will be highlighting this weeks Dying Matters campaign.
The April Clinical ECHO focus is on inspiration and hope in the face of so much global fear and suffering. We have an international focus learning from, and collaborating with, palliative care teams from across the world.
Matt will be focussing on his learning from the virtual Palliative Care Congress with many international speakers but also including news about an unusual and evidence-based use of sniffing alcohol wipes to quickly counteract nausea.
Kate has been scouring the journals again to bring us her pick of the month focussing on economic impacts on dying in the UK.
We will also be hearing the thinking behind the new Hospice UK strategy which has just been launched and an update on current items from the news likely to impact Palliative Care.
Fliss Murtagh research on the real costs of delivering Palliative Care, Reviews of the UK Government report on assisted dying/suicide, tribute to Wendy Mitchel, Nursing Apprenticeships and Growing your own Consultants, and finally Rachel Clarke on her ITV drama series about Covid, "Breathtaking".
Review of all party parliamentary report on Hospice Funding, Workforce issues with Matt Dore, Fliss Murtagh and Anita Hayes and palliative care and climate change from Richard Smith former Editor of the BMJ.
If you would like to view a video of the session https://youtu.be/9MJwILxg6pk
If you would like the slides for the session or have other questions
Max, Matt and Kate
Welcome to the New Year Palliative Care update. Matt helps us understand how AI works and we look at ways that the sector could use it in 2024. Kate reviews a paper looking at the management of patients with Parkinson's disease and we get an update from Emily Pikett on the SR1 form roll out.
Our main focus of discussion follows on from Feargal Twomey explaining the Irish Government's decision to fund Hospice and Palliative care 100%! Hope you find it interesting.
Max, Matt and Kate
This month we recap the HospiceUK conference, Matt looks at economic systems and hospices and Kate's journal article highlights digital legacy issues. We learn of the radical changes in end of life care services from Fife in Scotland from Jo Bowden and are updated in the new carers leave act that comes into law next April. We finish with a poetic christmas tribute from Benjamin Zephaniah (1958-2023)
Four Palliative Doctors from across the world discuss their use of ECHO to support global palliative care in a panel at the recent MetaECHO conference in Albuquerque, New Mexico.Professor Christopher Piromalli, works with indigenous communities in New Mexico and Alaska, Professor Rajgopal the Father of Indian Palliative Care and founder of Pallium India, Dr. Megan Doherty who works across Asia with Two worlds from Canada in paediatric palliative care and Professor Max Watson, Director of Project ECHO with Hospice UK discuss the role of ECHO in reducing end of life suffering.
This Month Matt is looking at protocols and guidelines in palliative care and their merits and demerits, Max is highlighting the developments in the world wide ECHO movement, particularly in Palliative Care. Kate is focussing on a paper looking at the impacts of patients, carers and staff of seven day working and Clare Rayment from Bradford is talking about the REACT project in A&E in Bradford.
This month's podcast focuses on frailty.
We will be thinking about the increasing numbers of frail patients, working in an increasingly frail NHS and coming to terms with our own biases and frailties.
Matt, Max and Kate are joined by Anita Hayes and Catriona Sullivan talking about the Hospice UK's extending frailty care programme and by Sabrina Bajwah from King's College highlighting her research into specialist palliative care's response to ethnic minority groups and a new video resource.