Adult Neuromuscular pathway (Dec 2014) (18 years onwards)

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Adult Neuromuscular pathway (Dec 2014) (18 years onwards)"

Transcription

1 Key DGH Not Specialised Commissioning CCG Funded, Neurosciences Centre activity Specialised Commissioning route funded by NHS England (NHSE) Consultant to Consultant Yorkshire and the Humber Strategic Clinical Networks Adult Neuromuscular pathway (Dec 2014) (18 years onwards) Palliative /EOLC pathway Urgent Consider referral route into services e.g. GP or A&E Timely access to results NM diagnosis excluded Refer back to GP/Referrer GP/Consultant /Specialist AHP or Nurse can refer to Neurologists as per guidelines for agreed & prescribed tests as per criteria developed by Association of British Neurologists & locally agreed by Trusts Non specialist refer into one of the regional DGH or Neurosciences Centres Neurology referral received Coordinated approach to tests and investigations based on guidelines Genetics tests/investigations Budget held currently by genetics services Remains undiagnosed with a suspected NM disorder Diagnosed with a NM disorder, pathway may vary depending on type of condition diagnosed Referred to National Centre for further opinion At risk patients remain with Neurologist Respiratory Physician or Cardiologist, under shared model (determined by risk factors) see separate pathway of Specialised conditions may need to be seen in a NSc Centre (Consultant to Consultant referral) Acute Care links ventilation/respiratory & cardiac support see acute pathway Consider using MND guidelines for screening & appropriateness of NIV Referred to Care Advisors Referred for medical follow up (NMD guidelines), MDT inclusive- consider respiratory, acute, cardiac surveillance team & research network Referred for rehabilitation and supportive as outlined below Access to urgent respiratory & cardiac throughout patient journey see separate pathway (Appendix A) NB Transition process should be considered within this pathway, see appendix 1 & 2 1

2 Key Indicates a NM disorder Diagnosed with a specific NM disorder refer into DGH Referral to Neurosciences Centre when local DGH is unable to provide specialist level of (Consultant to Consultant) Patient remains undiagnosed requiring support Maintenance, Rehabilitation & Supportive Care Referred to neuromuscular/condition specific MDT for Interventions within the DGH Neurology Consultant management Regional Care Advisors Specific Rehabilitation (PT/OT) Posture/seating/balance/mobility/self Cognitive/behavioural interventions Neuromuscular Physiotherapy Respiratory links (acute planned Psychological support Speech & Language therapy/dietician Orthotics/splints Wheelchair assessments Cardiology Same MDT activity linked to the Neurosciences Centre Neurology MDT management for some patients e.g. Outpatient clinics & home visits Neurology supervision of risk factors Rehabilitation (PT/OT) Cognitive/behavioural interventions Respiratory links (acute planned Psychological support Speech & Language therapy/dietician Wheelchair assessments/provision Cardiology Access to continuing Health Care as required Rehab & Support Referred to generic NHS community teams Rehab Wheelchairs Equipment Continuing Health Care Vocational rehab services Respite Local Respite/day Authority Local Authority Local Social support/voluntary /SW support sector as required Social Adaptations and support Adaptations/equipment Equipment Residential/nursing Residential/nursing Respite Day Voluntary support Refer to 3 rd Sector organisations for support e.g. Psychological/emotional/complementary therapies as required. Access to Palliative Care & EoLC Teams including Hospice (follow End of Life Care (Appendix B)? Outreach activity linked to Neurosciences Centre or deemed specialist 2

3 Appendix A RESPIRATORY & CARDIAC PATHWAY Access into services through one of the following routes Patient admitted to hospital via A&E with respiratory/cardiac compromise Risks identified through Neurology screening in out-patient clinic as per criteria (use screening protocol in NICE MND NIV guideline) Pts with higher level risks will be referred to Respiratory under shared model GP Identifies cardiac or respiratory risk. Other Respiratory &/or Cardiac risk factors Identified, this triggers referral to Respiratory or Cardiac Physician at local DGH or Neurosciences Centre under shared model. (A joint agreement between Physicians to ensure timely appropriate access to and information sharing between respiratory/cardiac and neurology consultants as required). Re: Patients seen at alternative hospital (out of area) the treating hospital physician should contact the patients local DGH to pass on information. Each patient across Y& H will hold their own plan with key contacts Ongoing Once cardiac or respiratory complications have occurred continue shared model with involved specialties. Refer to Palliative Care services as appropriate NB A directory of key champions in respiratory medicine, neurology and neuro- rehab will be attached to this pathway in due course SUPPORTIVE & PALLIATIVE CARE 3

4 Children s and young people s palliative A Definition Palliative for children and young people with life-limiting conditions is an active and total approach to, from the point of diagnosis or recognition, embracing physical, emotional, social and spiritual elements through to death and beyond. It focuses on enhancement of quality of life for the child/young person and support for the family and includes the management of distressing symptoms, provision of short breaks and through death and bereavement. (Together for Short Lives, The palliative pathway for some children/young people begins very early and continues for a long period of time. For others the pathway may be much shorter and end of life may come fairly quickly. It is clear that ideally there needs to be a number of different options for families when the need for palliative arises and that no two experiences will be the same. In an ideal world services would be tailored to meet the individual needs of each patient and although that is not possible, services need to fulfil the needs of children and young people as near as can be achieved with the resources available. It is therefore important that the organisation, planning and delivery of services is optimised to provide the best service possible that meets the needs of those children and young people. Appendix B 4

5 Adult Neuro Muscular Disease Palliative/ End of Life Care (EoLC) Element of Pathway Adult 18+ NMD Patient in need of Palliative/ EoLC Care Adult/Young Adult 18yrs + previously been supported by Children s Hospice Adult/Young Adult 18yrs + not been supported in a Hospice Environment before Children s hospice with extended remit to support young dies adults18+ Supported at home in the community, in residential Supported in Hospital Acute Medical setting Follow DGH Pathway Adults hospice Young disabled person s unit/transition facility & supportive/ palliative Access to Palliative/ EoLC coordinator Provides general palliative including specialist symptom control for last hours of life Patient dies Option to use cold room facility at Children s hospice with extended remit for 18+ Funeral directors chapel of rest at funeral directors Hospitals Adult bereavement services to support family to grieve at the hospital until funeral Access to post bereavement at adult hospice Young disabled person s unit/ provides post support Post Bereavement Services Accessible anytime post bereavement 5

Rehabilitation Services within Essex Cancer Network for people with Brain & CNS tumours

Rehabilitation Services within Essex Cancer Network for people with Brain & CNS tumours Rehabilitation Services within Essex Cancer Network for people with Brain & CNS tumours The NICE IOG for people with Brain & other CNS tumours (2006) states that patients with such tumours should have

More information

Community health care services Alternatives to acute admission & Facilitated discharge options. Directory

Community health care services Alternatives to acute admission & Facilitated discharge options. Directory Community health care services Alternatives to acute admission & Facilitated discharge options Directory Introduction The purpose of this directory is to provide primary and secondary health and social

More information

What is hospice care? Answering questions about hospice care

What is hospice care? Answering questions about hospice care What is hospice care? Answering questions about hospice care Introduction If you, or someone close to you, have a life-limiting or terminal illness, you may have questions about the care you can get and

More information

SECTION B THE SERVICES COMMUNITY STROKE REHABILITATION SPECIFICATION 20XX/YY

SECTION B THE SERVICES COMMUNITY STROKE REHABILITATION SPECIFICATION 20XX/YY SECTION B THE SERVICES COMMUNITY STROKE REHABILITATION SPECIFICATION 20XX/YY SECTION B PART 1 - SERVICE SPECIFICATIONS Service specification number Service Commissioner Lead Provider Lead Period Date of

More information

Health Professionals who Support People Living with Dementia

Health Professionals who Support People Living with Dementia Clinical Access and Redesign Unit Health Professionals who Support People Living with Dementia (in alphabetical order) Health Professional Description Role in care of people with dementia Dieticians and

More information

Map 1 Statutory specialist services and organisations in England

Map 1 Statutory specialist services and organisations in England Map 1 Statutory specialist services and organisations in England Isle of Man 31 Neuro Rehab Units (YDU) Spinal Injury Centres Brain Injury Services - NHS Brain Injury Service non NHS Stroke Units Regional

More information

Southwark Clinical Commissioning Group Lambeth Clinical Commissioning Group

Southwark Clinical Commissioning Group Lambeth Clinical Commissioning Group Getting the Vision Right: A multi-disciplinary approach to providing integrated care for respiratory patients Dr Noel Baxter, GP NHS Southwark CCG Dr Irem Patel, Integrated Consultant Respiratory Physician

More information

Neurological Rehabilitation in Practice

Neurological Rehabilitation in Practice Neurological Rehabilitation in Practice Christopher Ward Professor & Consultant in Rehabilitation Medicine University of Nottingham School of Community Health Sciences Derby Hospitals Foundation Trust

More information

JOB DESCRIPTION. ellenor. Head of Adult Community Services Director of Patient Care

JOB DESCRIPTION. ellenor. Head of Adult Community Services Director of Patient Care JOB DESCRIPTION ellenor Clinical Nurse Specialist Responsible to: Accountable to: Head of Adult Community Services Director of Patient Care General ellenor is a specialist palliative care provider for

More information

Advanced Nurse Practitioner Specialist. Palliative

Advanced Nurse Practitioner Specialist. Palliative JOB DESCRIPTION ellenor Advanced Nurse Practitioner Specialist Palliative Care Responsible to Accountable to: Head of Adult Community Services Director of Patient Care General ellenor is a specialist palliative

More information

ADULT HEALTH AND WELLBEING LONG-TERM NEUROLOGICAL CONDITIONS

ADULT HEALTH AND WELLBEING LONG-TERM NEUROLOGICAL CONDITIONS ADULT HEALTH AND WELLBEING LONG-TERM NEUROLOGICAL CONDITIONS i. Summary The National Service Framework for long-term neurological conditions categorises neurological conditions as: Sudden-onset conditions

More information

Frequently Asked Questions about Pediatric Hospice and Pediatric Palliative Care

Frequently Asked Questions about Pediatric Hospice and Pediatric Palliative Care Frequently Asked Questions about Pediatric Hospice and Pediatric Palliative Care Developed by the New Jersey Hospice and Palliative Care Organization Pediatric Council Items marked with an (H) discuss

More information

The diagnosis of dementia for people living in care homes. Frequently Asked Questions by GPs

The diagnosis of dementia for people living in care homes. Frequently Asked Questions by GPs The diagnosis of dementia for people living in care homes Frequently Asked Questions by GPs A discussion document jointly prepared by Maggie Keeble, GP with special interest in palliative care and older

More information

Information for Adults with Physical Disabilities and Long Term Neurological Conditions

Information for Adults with Physical Disabilities and Long Term Neurological Conditions Information for Adults with Physical Disabilities and Long Term Neurological Conditions Rehabilitation Medicine Service Community & Therapy Services Directorate of Operations This leaflet has been designed

More information

D04/ODN/a NHS STANDARD CONTRACT FOR NEUROMUSCULAR OPERATIONAL DELIVERY NETWORKS SCHEDULE 2- THE SERVICES A. SERVICE SPECIFICATIONS

D04/ODN/a NHS STANDARD CONTRACT FOR NEUROMUSCULAR OPERATIONAL DELIVERY NETWORKS SCHEDULE 2- THE SERVICES A. SERVICE SPECIFICATIONS D04/ODN/a NHS STANDARD CONTRACT FOR NEUROMUSCULAR OPERATIONAL DELIVERY NETWORKS SCHEDULE 2- THE SERVICES A. SERVICE SPECIFICATIONS Service Specification No. Service Commissioner Lead Provider Lead Period

More information

Advanced Nurse Practitioner Adult Specialist Palliative Care

Advanced Nurse Practitioner Adult Specialist Palliative Care JOB DESCRIPTION ellenor Advanced Nurse Practitioner Adult Specialist Palliative Care Responsible to Accountable to: Head of Adult Community Services Director of Patient Care General ellenor is a specialist

More information

Neurorehabilitation Strategy Briefing Document and Position Paper

Neurorehabilitation Strategy Briefing Document and Position Paper Neurorehabilitation Strategy Briefing Document and Position Paper Background What is neurorehabilitation? The World Health Organisation defines neurorehabilitation as: A problem-solving process in which

More information

Guidelines for withdrawing Non-Invasive Ventilation (NIV) at End of Life.

Guidelines for withdrawing Non-Invasive Ventilation (NIV) at End of Life. Guidelines for withdrawing Non-Invasive Ventilation (NIV) at End of Life. Background What Is NIV and what is it used for? Non- (NIV) is a method of supporting the breathing. It is administered by a cushioned

More information

Rehabilitation Medicine Service for Adults with Physical Disabilities

Rehabilitation Medicine Service for Adults with Physical Disabilities Rehabilitation Medicine Service for Adults with Physical Disabilities Information for Professionals Rehabilitation Medicine Service Community & Therapy Services Group This leaflet has been designed to

More information

Early Supported Discharge (in the context of Stroke Rehabilitation in the Community)

Early Supported Discharge (in the context of Stroke Rehabilitation in the Community) Early Supported Discharge (in the context of Stroke Rehabilitation in the Community) Gold Standard Framework This document was produced with reference to national standards for best practice (e.g. NICE

More information

Palliative Care Role Delineation Framework

Palliative Care Role Delineation Framework Director-General Palliative Care Role Delineation Framework Document Number GL2007_022 Publication date 26-Nov-2007 Functional Sub group Clinical/ Patient Services - Medical Treatment Clinical/ Patient

More information

This specification must be read along with the overarching specification which applies to all services

This specification must be read along with the overarching specification which applies to all services This specification must be read along with the overarching specification which applies to all services 1. Population Needs 1.1 National / local context and evidence base National Context Local Context

More information

REHABILITATION MEDICINE by PROFESSOR ANTHONY WARD

REHABILITATION MEDICINE by PROFESSOR ANTHONY WARD REHABILITATION MEDICINE by PROFESSOR ANTHONY WARD What is Rehabilitation Medicine? Rehabilitation Medicine (RM) is the medical specialty with rehabilitation as its primary strategy. It provides services

More information

Rehabilitation Strategy

Rehabilitation Strategy Delivering the Supportive and Palliative Care Improving Outcomes Guidance (IOG) across the East Midlands Priority 8 Rehabilitation Services Rehabilitation Strategy East Midlands Cancer Network 2010 Document

More information

The End of Life Care Strategy promoting high quality care for all adults at the end of life. Prof Mike Richards July 2008

The End of Life Care Strategy promoting high quality care for all adults at the end of life. Prof Mike Richards July 2008 The End of Life Care Strategy promoting high quality care for all adults at the end of life Prof Mike Richards July 2008 The End of Life Care Strategy: Rationale (1) Around 500,000 people die in England

More information

Main Specialty/Treatment Function Codes. Human Behavioural Guidance

Main Specialty/Treatment Function Codes. Human Behavioural Guidance Human Behavioural Guidance Version No: 0.1 Purpose of this document This document comprises the Human Behavioural Guidance for NHS Organisations in relation to the changes to the Main Specialty and Treatment

More information

ECOG 0 Fully active, able to carry on all pre-disease activities Score 0 without restriction.

ECOG 0 Fully active, able to carry on all pre-disease activities Score 0 without restriction. Life Choices Program of Palliative Care PALLIATIVE CARE SCREENING TOOL (Not a permanent part of the medical record) Criteria Please consider the following criteria when determining the palliative care

More information

NCPC CANCER GROUP SUBMISSION TO THE PALLIATIVE CARE FUNDING REVIEW ON THE ROLE OF REHABILITATION IN PALLIATIVE CARE, MARCH 2011

NCPC CANCER GROUP SUBMISSION TO THE PALLIATIVE CARE FUNDING REVIEW ON THE ROLE OF REHABILITATION IN PALLIATIVE CARE, MARCH 2011 NCPC CANCER GROUP SUBMISSION TO THE PALLIATIVE CARE FUNDING REVIEW ON THE ROLE OF REHABILITATION IN PALLIATIVE CARE, MARCH 2011 1. INTRODUCTION In October 2010, NCPC submitted an initial response to the

More information

Patient Access Policy

Patient Access Policy Patient Access Policy NON-CLINICAL POLICY ACE 522 Version Number: 2 Policy Owner: Lead Director: Assistant Director of Operations Director of Operations Date Approved: Approved By: Management Executive

More information

Wandsworth Respiratory Clinical Reference Group Annual Progress Report 2014/15

Wandsworth Respiratory Clinical Reference Group Annual Progress Report 2014/15 Wandsworth Respiratory Clinical Reference Group Annual Progress Report 2014/15 April 2015 Dr Kieron Earney & Kate Symons Acknowledgements Dr Sarah Deedat Public Health Lead for Long Term Conditions 1 1.

More information

Doncaster Community Health Team for Learning Disabilities. Information for families and carers. RDaSH. Learning Disability Services

Doncaster Community Health Team for Learning Disabilities. Information for families and carers. RDaSH. Learning Disability Services Doncaster Community Health Team for Learning Disabilities. Information for families and carers RDaSH Learning Disability Services Useful contact numbers General enquiries: 01302 796467 Duty nurse number:

More information

Care Closer to Home. The Gateway, Middlesbrough: A New Integrated Health, Social Care & Housing Pathway

Care Closer to Home. The Gateway, Middlesbrough: A New Integrated Health, Social Care & Housing Pathway Case Study 111 Care Closer to Home. The Gateway, Middlesbrough: A New Integrated Health, Social Care & Housing Pathway This case study sets out the economic, health and social benefits of Keiro s service

More information

National Clinical Programmes

National Clinical Programmes National Clinical Programmes Section 3 Background information on the National Clinical Programmes Mission, Vision and Objectives July 2011 V0. 6_ 4 th July, 2011 1 National Clinical Programmes: Mission

More information

Cheshire and Merseyside Rehabilitation Network Referral Criteria

Cheshire and Merseyside Rehabilitation Network Referral Criteria Cheshire and Merseyside Rehabilitation Network Referral Criteria Date Approved: September 2014 Effective From: September 2014 Review Date: August 2015 1. Rehabilitation Definition Rehabilitation is an

More information

Hospice and Palliative Care: Help Throughout Life s Journey. John P. Langlois MD CarePartners Hospice and Palliative Care

Hospice and Palliative Care: Help Throughout Life s Journey. John P. Langlois MD CarePartners Hospice and Palliative Care Hospice and Palliative Care: Help Throughout Life s Journey John P. Langlois MD CarePartners Hospice and Palliative Care Goals Define Palliative Care and Hospice. Describe and clarify the differences and

More information

Proposal to co-locate current two-site model to a hub and spoke model based at Woking Community Hospital

Proposal to co-locate current two-site model to a hub and spoke model based at Woking Community Hospital ANNEX 1 ITEM 7a Specialist Community Neurological Rehabilitation. Proposal to co-locate current two-site model to a hub and spoke model based at Woking Community Hospital Specialist (level 2) Neurological

More information

LEEDS PALLIATIVE CARE AMBULANCE OPERATIONAL POLICY

LEEDS PALLIATIVE CARE AMBULANCE OPERATIONAL POLICY Yorkshire Ambulance Service NHS Trust LEEDS PALLIATIVE CARE AMBULANCE OPERATIONAL POLICY Author: Leeds Palliative Care Transport Working Group Date: November 2013 Version: Version 10 1 Introduction 1.1

More information

o Delivered by those with additional training and o Multi-disciplinary teams.

o Delivered by those with additional training and o Multi-disciplinary teams. BACUP/WATERFOOT DISTRICT NURSING TEAM TASK Devise a pathway for palliative care. PURPOSE To contribute to giving commissioners a clear view of the services we can provide and ultimately to enhance patient

More information

Norfolk Dementia Care Pathway. Zena Aldridge; Lesley-Ann Knox; Hilda Hayo

Norfolk Dementia Care Pathway. Zena Aldridge; Lesley-Ann Knox; Hilda Hayo Norfolk Dementia Care Pathway Zena Aldridge; Lesley-Ann Knox; Hilda Hayo Need? Growing numbers of people with dementia. Majority live in their own homes. Family members providing care estimated to save

More information

10 questions to ask if you are scrutinising end of life care for adults

10 questions to ask if you are scrutinising end of life care for adults 10 questions to ask if you are scrutinising end of life care for adults 1 Introduction This guide is one of a series designed to help Health Overview and Scrutiny Committees (OSCs) carry out their scrutiny

More information

Cancer and rehabilitation in Norway

Cancer and rehabilitation in Norway 1 Cancer and rehabilitation in Norway Jon Håvard Loge Oslo University Hospital, Oslo & University of Oslo, Oslo, Norway 2 Outline Background Politics Services not complete overview Needs for rehabilitation

More information

SERVICE FRAMEWORK FOR OLDER PEOPLE

SERVICE FRAMEWORK FOR OLDER PEOPLE SERVICE FRAMEWORK FOR OLDER PEOPLE TABLE of CONTENTS SECTION STANDARD TITLE Page No Foreword 4 Summary of Standards 6 1 Introduction to Service Frameworks 36 2 The Service Framework for Older People 42

More information

National Institute for Health and Care Excellence. NICE Quality Standards Consultation Idiopathic Pulmonary Fibrosis

National Institute for Health and Care Excellence. NICE Quality Standards Consultation Idiopathic Pulmonary Fibrosis National Institute for Health and Care Excellence NICE Quality Standards Consultation Idiopathic Pulmonary Fibrosis Closing date: 5pm Tuesday 23 September 2014 Organisation Title Name Job title or role

More information

Profile: Kessler Patients

Profile: Kessler Patients Profile: Kessler Patients 65 Breakthrough Years Kessler Institute has pioneered the course of medical rehabilitation since 1948. Today, as the nation s largest single rehabilitation hospital, we continue

More information

Victorian Nurse Practitioner Project Phase 4, Round 4.11 - Chronic Disease Management

Victorian Nurse Practitioner Project Phase 4, Round 4.11 - Chronic Disease Management Victorian Nurse Practitioner Project Phase 4, Round 4.11 - Chronic Disease Management Eastern Health Multiple Sclerosis Nurse Practitioner Service Model April 2014 Prepared by Jodi Haartsen and Deanna

More information

GUIDANCE AND TEMPLATE

GUIDANCE AND TEMPLATE GUIDANCE AND TEMPLATE The care pathway mapping tool is designed to be used as part of the map the care pathway stage of the eight stage workforce planning approach. The output of the tool will be the creation

More information

Who we are and what we do

Who we are and what we do Who we are and what we do What care do you provide? St Joseph s Hospice offers care to people living in North and East London. Our services include nursing and medical care, emotional support, practical

More information

HOSPICE CARE. A Consumer s Guide to Selecting a Hospice Program

HOSPICE CARE. A Consumer s Guide to Selecting a Hospice Program HOSPICE CARE A Consumer s Guide to Selecting a Hospice Program Hospice It s About How You LIVE One of our greatest fears is dying alone in a sterile, impersonal surrounding. We don t want to be hooked

More information

Care plans which are individualised and person centred

Care plans which are individualised and person centred The Right Care: creating dementia friendly hospitals Care plans which are individualised and person centred Good practice for better care 1 Care plans which are individualised and person centred Section

More information

PRACTICE FRAMEWORK AND COMPETENCY STANDARDS FOR THE PROSTATE CANCER SPECIALIST NURSE

PRACTICE FRAMEWORK AND COMPETENCY STANDARDS FOR THE PROSTATE CANCER SPECIALIST NURSE PRACTICE FRAMEWORK AND COMPETENCY STANDARDS FOR THE PROSTATE CANCER SPECIALIST NURSE MARCH 2013 MONOGRAPHS IN PROSTATE CANCER OUR VISION, MISSION AND VALUES Prostate Cancer Foundation of Australia (PCFA)

More information

NORTHUMBERLAND TYNE AND WEAR NHS FOUNDATION TRUST REHABILITATION SERVICE, NORTHUMBERLAND LOCALITY

NORTHUMBERLAND TYNE AND WEAR NHS FOUNDATION TRUST REHABILITATION SERVICE, NORTHUMBERLAND LOCALITY NORTHUMBERLAND TYNE AND WEAR NHS FOUNDATION TRUST REHABILITATION SERVICE, NORTHUMBERLAND LOCALITY Psychiatry Core Training Post (CT3) Job Description Rehabilitation and Recovery Post Base: St George s

More information

Survey to Doctors in England End of Life Care Report prepared for The National Audit Office

Survey to Doctors in England End of Life Care Report prepared for The National Audit Office Survey to Doctors in England End of Life Care Report prepared for The National Audit Office 1 2008, medeconnect Table of Contents 1 SUMMARY OF FINDINGS... 3 2 INTRODUCTION... 5 3 RESEARCH OBJECTIVES AND

More information

NHS FORTH VALLEY Multiple Sclerosis Service Management of MS Relapses

NHS FORTH VALLEY Multiple Sclerosis Service Management of MS Relapses NHS FORTH VALLEY Multiple Sclerosis Service Management of MS Relapses Approved 22/06/2010 Version Version 2 Date of First Issue 2002 Review Date 10/05/2016 Date of Issue 01/02/2010 EQIA Yes 22.06.10 Author

More information

Please see the NHS Surrey Nebulised Treatment Pathway attached below.

Please see the NHS Surrey Nebulised Treatment Pathway attached below. Surrey Primary Care Trust Cedar Court Guildford Road Leatherhead KT22 9AE Tel: 01372 201700 Fax: 01372 201706 www.surreyhealth.nhs.uk November 11 th 2010 To: NHS Surrey GP s and Walk in Centre staff Re:

More information

ACUTE STROKE PATHWAY

ACUTE STROKE PATHWAY ACUTE STROKE PATHWAY THERE IS A NEED FOR STATEWIDE STROKE SYSTEM OF CARE ALL MISSISSIPPIANS SHOULD BE ABLE TO ACCESS NEW PROTOCOLS FOR STROKE TREATMENT JOINT EFFORT WITH EMS, PHYSICIANS, HOSPITALS AND

More information

Lymphoma and palliative care services

Lymphoma and palliative care services Produced 2010 Next revision due 2012 Lymphoma and palliative care services Introduction Despite improvements in treatment, many people with lymphoma will not be cured. Death and dying are things that people

More information

3701-19-01 Definitions. As used in this chapter:

3701-19-01 Definitions. As used in this chapter: ACTION: Final DATE: 02/05/2015 10:15 AM 3701-19-01 Definitions. As used in this chapter: (A) "Advanced Practice Nurse" means a registered nurse authorized to practice as a certified nurse specialist, certified

More information

HOSPICE CARE. and the Medicare Hospice Benefit

HOSPICE CARE. and the Medicare Hospice Benefit For more information, or to locate a hospice in your area, contact Caring Connections: www.caringinfo.org caringinfo@nhpco.org HelpLine 800.658.8898 Multilingual Line 877.658.8896 Item #: 810002 Hospice

More information

JOB DESCRIPTION. Staff Nurse Children s Hospice at Home. Head of Children s Services. Director of Patient Care. Dartford

JOB DESCRIPTION. Staff Nurse Children s Hospice at Home. Head of Children s Services. Director of Patient Care. Dartford JOB DESCRIPTION JOB TITLE: RESPONSIBLE TO: ACCOUNTABLE TO: HOURS: BASE: Staff Nurse Children s Hospice at Home Head of Children s Services Director of Patient Care Full-time Dartford POST SPECIFICATION:

More information

Commissioning End of Life Care. to avoid. initial actions for new commissioners. June 2011

Commissioning End of Life Care. to avoid. initial actions for new commissioners. June 2011 Commissioning End of Life Care to avoid June 2011 initial actions for new commissioners Contents 4 Introduction Who, What, Why? a c t & 6 Assessment & Measurement 7 7 8 Communication & Co-ordination Transitions

More information

HOSPICE CARE: A Consumer s Guide to Selecting a Hospice Program

HOSPICE CARE: A Consumer s Guide to Selecting a Hospice Program HOSPICE CARE: A Consumer s Guide to Selecting a Hospice Program One of our greatest fears is dying alone in a sterile, impersonal surrounding. We don t want to be hooked up to tubes, and cut off from

More information

EndLink: An Internet-based End of Life Care Education Program www.endlink.rhlurie.northwestern.edu ABOUT HOSPICE CARE

EndLink: An Internet-based End of Life Care Education Program www.endlink.rhlurie.northwestern.edu ABOUT HOSPICE CARE EndLink: An Internet-based End of Life Care Education Program www.endlink.rhlurie.northwestern.edu ABOUT HOSPICE CARE What is hospice? Hospice care focuses on improving the quality of life for persons

More information

PALLIATIVE CARE SERVICES AND RESOURCES. A guide for patients and their loved ones. Living well with serious illness

PALLIATIVE CARE SERVICES AND RESOURCES. A guide for patients and their loved ones. Living well with serious illness PALLIATIVE CARE SERVICES AND RESOURCES A guide for patients and their loved ones Living well with serious illness A patient and family centered approach to living with serious illness Palliative care addresses

More information

Connection with other policy areas and (How does it fit/support wider early years work and partnerships)

Connection with other policy areas and (How does it fit/support wider early years work and partnerships) Illness such as gastroenteritis and upper respiratory tract infections, along with injuries caused by accidents in the home, are the leading causes of attendances at Accident & Emergency and hospitalisation

More information

Circle of Life: Cancer Education and Wellness for American Indian and Alaska Native Communities. Group Discussion True False Not Sure

Circle of Life: Cancer Education and Wellness for American Indian and Alaska Native Communities. Group Discussion True False Not Sure Hospice Care Group Discussion True False Not Sure 1. There is no difference between palliative care and hospice care. Palliative care is different from hospice care. Both palliative and hospice care share

More information

Six Month Pilot Analysis: Improving Rehabilitation for Men with Prostate Cancer in North East London

Six Month Pilot Analysis: Improving Rehabilitation for Men with Prostate Cancer in North East London Six Month Pilot Analysis: Improving Rehabilitation for Men with Prostate Cancer in North East London June 2015 Helen Whitney (Physiotherapist and Prostate Cancer Project Lead) Thufayel Islam (Prostate

More information

Oncology Competency- Pain, Palliative Care, and Hospice Care

Oncology Competency- Pain, Palliative Care, and Hospice Care Pain, Palliative Care, and Hospice Care Palliative medicine relieves suffering and improves the quality of life for patients with advanced illness. The goal is achievement of the best quality of life for

More information

Hospice Manual for Facility

Hospice Manual for Facility Hospice Manual for Facility Home Health & Hospice Hospice in the Facility Objectives 1. Identify the mechanism for providing government regulated care in the facility. 2. Identify the Hospice policy and

More information

Complex Outpatient. Injury. Rehab. Integrated, evidence-based rehab that supports a timely return to home, life, work or school

Complex Outpatient. Injury. Rehab. Integrated, evidence-based rehab that supports a timely return to home, life, work or school Complex Outpatient Injury Rehab Integrated, evidence-based rehab that supports a timely return to home, life, work or school Toronto Rehabilitation Institute At Toronto Rehab, our goal is to advance rehabilitation

More information

Establishing a state-wide Paediatric Palliative Care program in WA

Establishing a state-wide Paediatric Palliative Care program in WA Establishing a state-wide Paediatric Palliative Care program in WA Stephanie Dowden / Marianne Phillips Paediatric Palliative Care Princess Margaret Hospital for Children Perth, Western Australia Western

More information

Inquiry into palliative care services and home and community care services in Queensland. Submission to the Health and Community Services Committee

Inquiry into palliative care services and home and community care services in Queensland. Submission to the Health and Community Services Committee Inquiry into palliative care services and home and community care services in Queensland Submission to the Health and Community Services Committee August, 2012 1 Introduction The Queensland Nurses Union

More information

Health and Social Care Board

Health and Social Care Board Health and Social Care Board Regional Acquired Brain Injury Implementation Group (RABIIG) Acquired Brain Injury Pathway for Children & Young People Contents Page 1.0 Introduction 1 1.1 Background 1 1.2

More information

Pulmonary Rehab Definitions Framework Self-Assessment Tool outpatient/ambulatory care Rehab Survey for Pulmonary Rehab

Pulmonary Rehab Definitions Framework Self-Assessment Tool outpatient/ambulatory care Rehab Survey for Pulmonary Rehab Pulmonary Rehab s Framework Self-Assessment Tool outpatient/ambulatory care Rehab Survey for Pulmonary Rehab INTRODUCTION: In response to a changing rehab landscape in which rehabilitation is offered in

More information

NHS outcomes framework and CCG outcomes indicators: Data availability table

NHS outcomes framework and CCG outcomes indicators: Data availability table NHS outcomes framework and CCG outcomes indicators: Data availability table December 2012 NHS OF objectives Preventing people from dying prematurely DOMAIN 1: preventing people from dying prematurely Potential

More information

Manifesto for Acquired Brain Injury Rehabilitation

Manifesto for Acquired Brain Injury Rehabilitation Manifesto for Acquired Brain Injury Rehabilitation For further information please contact: Chloë Hayward UKABIF Executive Director PO Box 355 Plymouth PL3 4WD Tel: 01752 601318 Email: ukabif@btconnect.com

More information

3152 Registered Nurses

3152 Registered Nurses 3152 Registered Nurses This unit group includes registered nurses, nurse practitioners, registered psychiatric nurses and graduates of a nursing program who are awaiting registration (graduate nurses).

More information

ASCOT REHAB NEUROREHABILITATION SERVICES

ASCOT REHAB NEUROREHABILITATION SERVICES ASCOT REHAB NEUROREHABILITATION SERVICES ASCOT REHAB NEUROREHABILITATION SERVICES WELCOME TO ASCOT REHAB At Ascot Rehab, we specialise in rehabilitation for patients diagnosed with neurological conditions,

More information

Hospice Care. To Make a No Obligation No Cost Referral Contact our Admissions office at: Phone: 541-512-5049 Fax: 888-611-8233

Hospice Care. To Make a No Obligation No Cost Referral Contact our Admissions office at: Phone: 541-512-5049 Fax: 888-611-8233 To Make a No Obligation No Cost Referral Contact our Admissions office at: Compliments of: Phone: 541-512-5049 Fax: 888-611-8233 Office Locations 29984 Ellensburg Ave. Gold Beach, OR 97444 541-247-7084

More information

Specialist Children s Service

Specialist Children s Service Specialist Children s Service Information and Guidelines for Referrers March 2009, Version 3.0 Contents CONTENTS... 2 INTRODUCTION... 3 TEAMS BASED AT THE WOOD STREET HEALTH CENTRE:... 3 TEAMS BASED ELSEWHERE

More information

Private treatment. What private treatments are available for stroke? What is private treatment? Why would I consider private treatment?

Private treatment. What private treatments are available for stroke? What is private treatment? Why would I consider private treatment? Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Private treatment You can choose private health treatment for all medical conditions, including stroke. If you are considering private treatment this

More information

Adult Home Oxygen Therapy. Purpose To provide guidance on the requirements for and procedures relating to domiciliary oxygen therapy.

Adult Home Oxygen Therapy. Purpose To provide guidance on the requirements for and procedures relating to domiciliary oxygen therapy. Contents Purpose... 1 Scope/Audience... 1 Categories for Home Oxygen Therapy... 2 Assessment for Home Oxygen Therapy... 3 Investigations... 3 Requests for home oxygen... 3 Provision of Home Oxygen... 4

More information

JOB DESCRIPTION. Job Title: Macmillan Integrated Palliative Social Worker. Day Therapy department, Outpatient Service & Community

JOB DESCRIPTION. Job Title: Macmillan Integrated Palliative Social Worker. Day Therapy department, Outpatient Service & Community JOB DESCRIPTION Job Title: Macmillan Integrated Palliative Social Worker Reports to: Day Unit Therapy Lead Location: Salary: Hours of work Annual Leave: Day Therapy department, Outpatient Service & Community

More information

Guildford and Waverley Programme NHS Surrey Board 4 August 2009

Guildford and Waverley Programme NHS Surrey Board 4 August 2009 Guildford and Waverley Programme NHS Surrey Board 4 August 2009 Agenda The proposed consultant led clinical model of care Mr Edward Palfrey, Medical Director, Frimley Park Investment in Cranleigh, then

More information

Good Samaritan Inpatient Rehabilitation Program

Good Samaritan Inpatient Rehabilitation Program Good Samaritan Inpatient Rehabilitation Program Living at your full potential. Welcome When people are sick or injured, our goal is their maximum recovery. We help people live to their full potential.

More information

Palliative Care for Children. Support for the Whole Family When Your Child Is Living with a Serious Illness

Palliative Care for Children. Support for the Whole Family When Your Child Is Living with a Serious Illness Palliative Care for Children Support for the Whole Family When Your Child Is Living with a Serious Illness Palliative care provides comfort and support to your child and family. When a child is seriously

More information

NATIONAL PROFILES FOR PHYSIOTHERAPY CONTENTS

NATIONAL PROFILES FOR PHYSIOTHERAPY CONTENTS NATIONAL PROFILES FOR PHYSIOTHERAPY CONTENTS Profile Title AfC Banding Page Clinical Support Worker (Physiotherapy) 2 2 Clinical Support Worker Higher Level (physiotherapy) 3 3 Physiotherapist 5 Physiotherapist

More information

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic. bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed to be used online. They are updated regularly as new NICE guidance is published.

More information

Ambitions for Palliative and End of Life Care:

Ambitions for Palliative and End of Life Care: Ambitions for Palliative and End of Life Care: A national framework for local action 2015-2020 National Palliative and End of Life Care Partnership Association for Palliative Medicine; Association of Ambulance

More information

Together for Health Delivering End of Life Care A Delivery Plan up to 2016 for NHS Wales and its Partners

Together for Health Delivering End of Life Care A Delivery Plan up to 2016 for NHS Wales and its Partners Together for Health Delivering End of Life Care A Delivery Plan up to 2016 for NHS Wales and its Partners The highest standard of care for everyone at the end of life Digital ISBN 978 0 7504 8708 5 Crown

More information

Multidisciplinary Approach to Symptom Management in MS

Multidisciplinary Approach to Symptom Management in MS Multidisciplinary Approach to Symptom Management in MS Emily Cade, M.S., CCM, CRC, CLCP Program Manager Andrew C. Carlos MS Institute Shepherd Center Atlanta, Georgia A Complex Disease A Comprehensive

More information

Local Offer: Community Paediatrics (West Lancashire)

Local Offer: Community Paediatrics (West Lancashire) Local Offer: Community Paediatrics (West Lancashire) Service Provider Nominated Individual Ormskirk & District General Hospital Southport and Ormskirk NHS Trust Dr Anthony Asakpa Speciality Doctor Community

More information

Comprehensive Care for Duchenne Muscular Dystrophy

Comprehensive Care for Duchenne Muscular Dystrophy Comprehensive Care for Duchenne Muscular Dystrophy Brenda Wong, MD Cincinnati Children s Hospital Medical Center PPMD Annual Conference 2008 17 July 2008 Comprehensive Care for DMD Historical Perspective

More information

Freedom of Information request & West Norfolk CCG response

Freedom of Information request & West Norfolk CCG response Freedom of Information request & West Norfolk CCG response WN279 - Community Palliative Services Please note, tables are documented below 1. Do you commission a 24/7 dedicated and clinically staffed palliative

More information

SSNAP s Acute Organisational Audit Report 2012: Performance Summary for South London

SSNAP s Acute Organisational Audit Report 2012: Performance Summary for South London SSNAP s Acute Organisational Audit Report 2012: Performance Summary for South London The Sentinel Stroke National Audit Programme (SSNAP) s Acute Organisational Audit looks at how stroke services across

More information

Ann Hablitzel, RN, BSN, MBA Hospice Care of California

Ann Hablitzel, RN, BSN, MBA Hospice Care of California Ann Hablitzel, RN, BSN, MBA Hospice Care of California Objectives Describe the creations of new community based palliative care programs Identify criteria for admission Discuss philosophy and goals Analyze

More information

Evaluation of Community Rehabilitation Service Delivery in Long-Term Neurological Conditions Diana Jackson Senior Research Fellow

Evaluation of Community Rehabilitation Service Delivery in Long-Term Neurological Conditions Diana Jackson Senior Research Fellow Evaluation of Community Rehabilitation Service Delivery in Long-Term Neurological Conditions Diana Jackson Senior Research Fellow Department of Palliative Care, Policy & Rehabilitation King s College London

More information

End of Life Care - It Takes a Team

End of Life Care - It Takes a Team End of Life Care - It Takes a Team ROME New England August 16, 2015 Christina E. Fitch, DO, MPH, DTM&H Objectives "At the conclusion of the presentation, the learner will be able to:..." *Explain the difference

More information

Everyone counts Ambitions for GCCG for 7 key outcome measures

Everyone counts Ambitions for GCCG for 7 key outcome measures Everyone counts s for GCCG for 7 key outcome measures Outcome ambition Outcome framework measure Baseline 2014/15 Potential years of life lost to 1. Securing additional years of conditions amenable to

More information

POLICY FOR NON OXYGEN SPECIALIST PRIMARY CARE ORDERING OF HOME OXYGEN

POLICY FOR NON OXYGEN SPECIALIST PRIMARY CARE ORDERING OF HOME OXYGEN POLICY FOR N OXYGEN SPECIALIST PRIMARY CARE ORDERING OF HOME OXYGEN Authors: LOUISA BANFIELD KAREN GARROD Version: Draft 2 Approved: 08.05.12 Review Date:01.02.13 Acknowledgements Miriam Johnson, Reader

More information

TREATMENT MODALITIES. May, 2013

TREATMENT MODALITIES. May, 2013 TREATMENT MODALITIES May, 2013 Treatment Modalities New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) regulates the addiction treatment modalities offered in New York State.

More information