Videos

This audio-visual resource was developed at the request of NHS nurse educators tasked with supporting and integrating newly appointed international nurse recruits.

• Watch video
• https://www.youtube.com/watch?v=KKHqOXDgX5c&feature=youtu.be

Guidance

• https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/880274/Admission_and_Care_of_Residents_during_COVID-19_Incident_in_a_Care_Home.pdf

Documents

Advance Care Planning is a process of discussion between an individual and their care provider. Wishes and preferences are documented in an Advance Care Plan booklet which becomes a patient held record. This has been designed to be provided in the hard copy format which you can obtain from St Christopher’s bookshop. Please do not print from the website. Thank you.

Leaflet

This leaflet explains how to consider your choices and preferences for the future – if you have any other questions, we hope you will talk them over with a member of staff who will be glad to help.
(more…)

• View leaflet

Guidance

This framework has been designed to support GPs to have advance care planning conversations
with patients by phone or video, in the context of COVID-19. It is a tool to help you have honest
and open conversations.

• https://compassionindying.org.uk/wp-content/uploads/2020/04/ACP-conversations-via-Phone-or-Video-Call-v1.pdf

Helpline

If you need any advice or support during this time, please call us on 020 8768 4582

Guidance

Anticipatory prescribing refers to charts and, where appropriate, medications that are left in a person’s usual place of residence for use by visiting clinicians should problems arise with uncontrolled symptoms.

• Patients are most vulnerable to these in the last days of life and when they are no longer able to swallow
• The common ones are pain, nausea and vomiting, distress and agitation and respiratory secretions
• The guidance below covers these.

There has been controversy over the best practice for clinicians to adopt following the widely publicised Gosport Enquiry.

• General, national guidance and policies are currently under development and several members of the clinical team at St Christopher’s are closely involved with this work
• Our current guidance reflects the developing thinking, is subject to regular review and scrutiny and will be modified as further evidence emerges around the best and safest practice to adopt
• Our 24 hour specialist advice and support is there to back up this general guidance to ensure, as far as possible, that clinical decisions are individualised and safe.

DOWNLOAD ANTICIPATORY PRESCRIBING GUIDANCE FOR FRAIL ELDERLY PATIENTS (PDF)
DOWNLOAD ANTICIPATORY PRESCRIBING GUIDANCE FOR ADULTS (PDF)

Articles

Nursing Times article advising clinicians not to use the Clinical Frailty Scale (CFS) when assessing whether people with learning disabilities and other conditions should be admitted to critical care. 

• https://www.nursingtimes.net/news/policies-and-guidance/avoid-frailty-score-in-covid-19-guidance-when-assessing-ld-patients-24-03-2020/

Guidance

NHS Clinical Guide for Management of Palliative Care in Hospitals during the coronavirus pandemic

• https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/C0081-Speciality-guide-Palliative-care-and-coronavirus-FINAL-02.04.20.pdf

Guidance

A guide to end of life care symptom control when a person is dying from Covid-19 for General Practice Teams, prepared by the Royal College of General Practitioners and the Association for Palliative Medicine.

• https://elearning.rcgp.org.uk/pluginfile.php/149457/mod_page/content/22/COVID%20Community%20symptom%20control%20and%20end%20of%20life%20care%20for%20General%20Practice%20FINAL%20v2.docx.pdf

Helpline

We have had several requests from Care Homes asking if we can offer support to individual staff. This is why we have created a new staff support service called Hear For You.

What is Hear For You?

Hear For You offers confidential telephone and email support to all care home staff. It is provided by experienced staff and counsellors here at St Christopher’s. Think of this as a ‘check in’ service to support your wellbeing. You may want to talk about a difficult moment at work, worries about your family or friends or simply offload for a few minutes. Whatever you need we’ll do our best to support you – your emotional wellbeing is very important to us.

How do I access support?

Simply email us at hearforyou@stchristophers.org.uk or call us on 020 8768 4688. Let us know which CCG you work in, and where possible the care home you work for. This will remain completely confidential. We will be available between 9am and 5pm, Monday to Friday. If you want to book in a call outside of these times simply email us and we’ll do our best to fit this in for you.

Is this support confidential?

Please rest assured that everything you share will remain confidential unless we have a concern that falls within our safeguarding protocol.

Documents

Documents

Guidance

Coordinate My Care is an innovative NHS service that builds medical care around the wishes of each patient. You create the plan with your GP: then we share it with all the healthcare professionals who might treat you. So everyone looking after you knows exactly what you want.

• https://www.coordinatemycare.co.uk/

Guidance

Quick Reference Guide to CMC Urgent Care Plans

• https://coordinatemycare.co.uk/wp-content/uploads/2018/12/cmc-quick-reference-guide.pdf

Guidance

Guidance for health and social care staff who are caring for, or treating, a person who lacks the relevant mental capacity.

• https://www.gov.uk/government/publications/coronavirus-covid-19-looking-after-people-who-lack-mental-capacity

Weblinks and Resource Lists

The Royal College of GP’s coronavirus resource hub which includes a palliative care section

• https://elearning.rcgp.org.uk/mod/page/view.php?id=10537

Weblinks and Resource Lists

Learning Disability Wales guidance resources for Covid-19 

• https://www.ldw.org.uk/project/coronavirus/https://www.ldw.org.uk/project/coronavirus/

Weblinks and Resource Lists

Carers in Southampton, Covid 19 learning disability resources

• https://www.carersinsouthampton.co.uk/covid-19-learning-disability-resources

Guidance

National Institute for Health and Care Excellence, Covid 19 Guidance on supporting staff who are self-isolating, communicating with patients, remote working and reviewing and stopping critical care treatment 

• https://www.nice.org.uk/guidance/ng159

Guidance

Royal College of Psychiatrists, Community and inpatient services – COVID-19 guidance for clinicians

• https://www.rcpsych.ac.uk/about-us/responding-to-covid-19/responding-to-covid-19-guidance-for-clinicians/community-and-inpatient-services-covid-19-guidance-for-clinicians

Guidance

• https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/880094/PHE_11651_COVID-19_How_to_work_safely_in_care_homes.pdf

Guidance

Guidance

The aim of this guidance is to support clinicians and others in considering the needs of and providing high quality care for frail older people as they move towards the end of their lives. 

• https://www.bgs.org.uk/resources/resource-series/end-of-life-care-in-frailty

Articles

End of Life Journal was a free, online, peer-reviewed journal that published articles on all aspects of nursing practice relating to end-of-life care.

The journal was primarily aimed at generalist nurses working in hospital, community and care home settings. Many articles will also be of interest to the palliative care nursing audience as well as members of the wider multidisciplinary team.

The journal focused on care for patients with both malignant and non-malignant disease and their family and friends.

• https://www.stchristophers.org.uk/end-of-life-journal/

Training

Our End of Life Care webinar series launched April 16 and is free to all care homes. In this three-part weekly series, we share our expertise in practices such as Advance Care Planning, Coordinate my Care (myCMC), and Challenging Conversations – covering the important aspects of communications around death and dying during Covid-19.

• https://www.stchristophers.org.uk/stc_education_event/virtual-learning/

Documents

Videos

Alternative video (no introduction):

• Watch video

Guidance

HEE guidance: In light of the COVID-19 pandemic, HEE, Skills for Care and the Department of Health and Social Care have decided to extend the deadline for tenders for trial and evaluation partners for the Oliver McGowan Mandatory Training to 24 April at 18:00. This was communicated on 18 March, to those who had expressed an interest in bidding. The delay of one month extends the time existing bidders have left to submit from 7 to 26 working days

• https://www.hee.nhs.uk/our-work/learning-disability

Weblinks and Resource Lists

Personal protective equipment (PPE), environmental decontamination, clinical waste and aerosol generating procedures.

• https://www.england.nhs.uk/coronavirus/primary-care/infection-control/

Weblinks and Resource Lists

Documents

Leaflets

St Christopher’s has produced a range of information leaflets for patients and carers. Healthcare professionals and other organisations may use this material providing St Christopher’s is credited as author. Copyright remains with St Christopher’s Hospice. For further information regarding use of leaflet material, please contact the Communications Manager on tel: 020 8768 4585 or email: communications@stchristophers.org.uk

• http://www.stchristophers.org.uk/patients/leaflets

Weblinks and Resource Lists

A range of resources and printable materials from Oxford Health NHS

• https://www.oxfordhealth.nhs.uk/learning-disability-service/useful-stuff/

Guidance

National Association of Psychiatric Intensive Care guidance on supporting patients presenting acute disturbance

• https://napicu.org.uk/wp-content/uploads/2020/03/NAPICU-Guidance_rev1-1.pdf

Videos

A lesson for all health and care workers in measuring the blood pressure of a patient in relation to National Early Warning Score (NEWS)

• Watch video
• https://youtu.be/G8QkaAyqatE

Videos

This video shows you how to check your blood glucose level.

• Watch video
• https://youtu.be/jg5cl2P3RRA

Weblinks and Resource Lists

NHS A to Z list of medicines

• https://www.nhs.uk/medicines/

Videos

From the book Postcards from Heaven, words and pictures to help you hear from God, but Ellie Hart.

• Watch video

Videos

(more…)

• Watch video

Guidance

Mental Capacity Assessment

• https://www.scie.org.uk/care-providers/coronavirus-covid-19/mca

Videos

Take a break from your desk to enjoy this short video on mindful breathing led by Sarah.

• Watch video

Webinar

Stirling Moorey is a Consultant Psychiatrist in CBT, South London and Maudsley NHS Trust and Visiting Senior Lecturer Institute of Psychiatry, Psychology and Neuroscience. Stirling provides weekly mindfulness sessions. To be included in the notifications for these sessions, please email Stirling on Stirling.Moorey@slam.nhs.uk

Guidance

This guide is for people who are approaching the end of their life. Some parts of it may also be useful for people who are caring for someone who is dying, or people who want to plan in advance for their own end of life care.

• https://www.nhs.uk/conditions/end-of-life-care/?tabname=planning-ahead

Videos

• Watch video
• https://www.youtube.com/watch?v=QabKghrtXps

Documents

Videos

YouTube video – Infection prevention control guidance to staff – Donning and Doffing

• Watch video
• https://www.youtube.com/watch?v=JEnuKKY04Bc&feature=youtu.be

Webinar

Important information: Both the Webinar and Q&A session were presented on 1 June 2021 by Lelly Oboh and Bethan Warner. All content was accurate at the time.

Q&A

Downloads

The webinar is presented by Bethan Warner, Integrated Care Pharmacist – Care Homes and Lelly Oboh Consultant Pharmacist, Care of Older People Guy’s & St Thomas’ NHS Foundation Trust.

Presented by

Bethan Warner Integrated Care Pharmacist

Bethan Warner is Care Home Pharmacy team lead pharmacist for Integrated Care, Guy’s & St Thomas’ NHS Trust.

The team work with nursing homes in Lambeth and Southwark, delivering person-centred medicines reviews for the residents and providing “Care Home centred care” to support the care homes with their medicines processes.

Lelly Oboh Consultant Pharmacist

Lelly Oboh is a Consultant Pharmacist (care of older people) with considerable experience working within general practice, care homes and integrated care teams in the community to optimise medicines use .

Her leadership role involves championing innovative pharmacy service developments, showcasing and driving uptake at local and national levels.

Her areas of interest include patient centred care, deprescribing, frailty, care co-ordination, transfer of care, medicines use in care homes and social care settings.

• Watch video

Documents

Documents

This new resource aims to support you to acknowledge the losses you, your colleagues and the people you support are experiencing during the Covid – 19 Pandemic. We believe Activity and Care teams can play a vital role in coordinating essential activity related to saying goodbye.

Contributors include Sarah Guyan from St Christopher’s Hospice.

• https://napa-activities.co.uk/wp-content/uploads/2020/10/Saying-Goodbye-A-Resource-for-Care-Homes.pdf

Articles, publications

Library

The Halley Stewart Library at St Christopher’s Hospice comprises an extensive collection of resources, mainly books, journal articles and various types of unpublished printed material, on hospice and specialist palliative care and allied subjects. Various publications, available from the Bookshop and Library, give a full account of the history of this hospice and of its founder Dame Cicely Saunders.

FIND OUT MORE ABOUT ST CHRISTOPHER’S HOSPICE LIBRARY

Bookshop

The Bookshop at St Christopher’s comprises a core collection of books and articles on hospice and palliative care. Publications by St Christopher’s staff are also available from the Bookshop.

VIEW ALL BOOKSHOP CATEGORIES

Guidance

Managing acute disturbance in the context of COVID-19

• https://napicu.org.uk/wp-content/uploads/2020/03/NAPICU-Guidance_rev1-1.pdf

Videos

A visual lesson for all health and care workers in measuring the temperature of a patient

• Watch video
• https://www.youtube.com/watch?v=UxE6J9YBxqs

Guidance

This guide shares lessons for civil society and public sector organisations on how to design and deliver social action programmes that are more age-inclusive and age-friendly. It outlines some of the tactics and practical approaches that worked well for the innovations NESTA have backed.

• https://media.nesta.org.uk/documents/The_Age_of_Inclusion_zEtwIhJ.pdf

Videos

The Hand Washing Rap video made with Purple All Stars 

• https://vimeo.com/134952598

Documents

Training

St Christopher’s has developed an online version of our Verification of Expected Adult Death course for registered nurses to support the urgent need for expertise in this area during this time.