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Community of Practice for GPs

Join our virtual community of practice for GP trainees in their final year (ST3) and GPs in their first five years post completion of training. This group has a focus on palliative and end of life care, providing opportunities for development of knowledge, including managing symptoms and challenging conversations. This group will give participants a forum to network with other professionals who have an interest in palliative care. We encourage participants to bring their own experiences and questions to each session. The community of practice will be a safe space to share learning.

We’ve been able to establish the community, thanks to the support of Dr Tyrrell Evans and his daughter Isabel. In March 2020 retired nurse, Siân Evans, Tyrrell’s wife and Isabel’s mother, died aged 69 after many months of care and support from St Christopher’s. Read their story here.

Grateful for the exceptional care the whole family received, Tyrrell and Isabel decided they wanted to create a legacy for Siân. They set up a fund to support GP and nursing education and training in palliative and end of life care.


Sessions take place monthly (except August) 12pm-2pm.

It is not too late to join this community as you will have access to all previous recordings and resources. Just email us for a list of topics that have been covered.

All session dates: 7th December 2023, 11th January, 8th February, 14th March, 11th April, 9th May, 13th June, 11th July, 12th September, 10th October, 14th November

Over the course of these monthly sessions, members of the community can expect to achieve:

  • A space to discuss issues and questions in relation to palliative and end of life care
  • Greater confidence in prescribing for palliative care patients
  • Support in relation to ethical dilemmas that may arise looking after this patient group
  • Greater resilience and a shared sense of pastoral support

What will I learn?

Topic covered will be:

  • Advance care planning
  • Pain management
  • Prescribing injectable medicines
  • Ethical dilemmas

Who is it for?

This community is aimed at GP trainees in their final year (ST3) and GPs in the first five years after completion of training.

Dr Emma Hall

Dr Emma Hall

Emma was appointed as a consultant in palliative medicine at St Christopher’s in 2003. Her current clinical practice is based in the community team. Emma is an experienced educational and clinical supervisor. Her special interests are diabetes at the end of life, medicines management (she chairs the medicines committee) and working with care homes and GPs.
Read full profile Dr Emma Hall
George Pavey

Dr George Pavey

George is an experienced salaried General Practitioner with a special interest in palliative and end of life care. He currently works two days a week with St Christopher’s Sydenham Community team. He also works with Lewisham Care Partnership, a large GP practice in South East London. During his time at St Christopher’s, George has worked on improving our website portal for GPs and on written communication to GPs. He has also supported a number of GPs in training during their attachment at St Christopher’s.
Read full profile Dr George Pavey

Dr Penny Lester

Penny is a General Practitioner. She works at Family Surgery one day a week and at St Christopher’s Hospice 2 days a week. Penny brings her general medical expertise to the patients under St Christopher’s. She also shares her 25 years experience of being a GP in Bromley to help develop a plan of care for patients.
Read full profile Dr Penny Lester

What will the course look like?

An online community of practice offering opportunities for peer support and shared learning, with a focus on palliative and end of life care.

This group will be led by its participants. Group members will be encouraged to bring their own cases and questions for discussion.

The sessions will be facilitated by Dr Emma Hall, Consultant in Palliative Medicine here at St Christopher’s, Dr George Pavey, an experienced GP with a special interest in end of life care and Dr Penny Lester who also works as a GP at St Christopher’s.

Independent Prescribers – Community of Practice

April 2023 saw the relaunch of our community of practice for prescribers. Fiona Hodson and Mary Watson, facilitators of this community, tell us about the programme and why you should join in their blog.

It is not too late to sign up for the 2024/25 community – you will have access to all session resources and recordings when you join.

Sessions take place online on Zoom and run from 2 – 3.30pm.

What will I learn?

The next session this year will be 10 September 2 – 3.30pm and the topic is Neuropathic Pain with Dr Emma Hall.

Other topics planned this year:

  • Breathlessness
  • Heart Failure

What will the Community of Practice look like?

This annual membership programme provides an online community of practice supporting Nurses and Allied Health Care Professionals who are independent prescribers working in palliative and end of life care. The community provides members with a space for reflection, discussion and sharing of best practice.

This year we have chosen to continue with last year’s format of delivery ensuring we maximise opportunities for people to learn together as a community during live sessions. This community will meet 6 times per year (alternate months). In between the live sessions ongoing learning, reflection and critical thinking will also be facilitated through on demand resources, activities and forum discussions.

The sessions, covering a wide range of end of life prescribing issues, will include opportunities to learn from clinical experts whilst being supported to consider application of learning in practice through case study discussions, reflection and Q&A.

Members of the community can access the presentations on our Online Learning Platform (OLP). The OLP will also be home to documents, reference materials and the case studies discussed in the sessions.

Who is it for?

This annual subscription will be of interest to nurse and pharmacist independent prescribers working in palliative care.

Fiona Hodson

Fiona Hodson

Consultant Nurse Fiona trained at Guy’s and St Thomas’. She initially worked at St Christopher’s Hospice with Dame Cicely Saunders. She then specialised in cardiology for 26 years including setting up cardiac rehab services, running cardiac support groups and as a valvular research nurse. She then worked as a heart failure CNS both in hospital and running clinics in GP practices. In 2005 she was part of a joint research project between palliative care and cardiology, exploring the palliative care needs of heart failure patients. She then moved to work as a community palliative care CNS at Guys. In 2017…
Read full profile Fiona Hodson
Chris Mangar

Chris Mangar

Chris is a Clinical Team Lead working for St Christopher’s in Bromley. He has worked in the community for many years and in specialist palliative care since 2011.  Chris combined holding a clinical caseload in a duel role for 5 years whilst seconded to King’s College London completing his PGCE in 2016 with FHEA accreditation, teaching post graduate nursing courses and developing a module on the foundations of palliative care taught in Singapore. He completed his Masters in service development within a palliative care setting and is an independent prescriber.
Read full profile Chris Mangar
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