'The Shifting the Balance of Care programme is already addressing the need for adequate support to be available to allow people to be cared for in their own homes at the end of their lives where feasible if that is their and their carers' wish. Implementation of Living and Dying Well will support that development, encouraging the provision of practical and emotional support for patients and carers as well as access to 24-hour community nursing for people dying from any advanced progressive condition.'
from LIVING AND DYING WELL
a national action plan for palliative and end of live care in Scotland
If your preferred place of care is at home NHS Lanarkshire has a dedicated team of palliative care health professionals and support staff in the community to give you palliative or end of life care in the comfort of your own home palliative or end of life care in the comfort of your own home.
GPs and district nurses provide general palliative care support and work with the hospice and Macmillan nursing teams when specialist palliative care is required. You will be given a yellow 'home pack' where all the information about you and your condition will be stored so that whoever is caring for you can easily see your medical history, needs and wishes. The home pack will also contain information on support that is available locally for you and your carers. The district nurses and out of hours staff will organise any medication you require out of surgery hours.
GP practices use the Gold Standards Framework which encourages multi disciplinary working and a systematic approach to end of life care. The Liverpool Care Pathway, which is a continuous quality improvement programme for care, is available to patients in the last few days of life. NHS Lanarkshire has a team of highly skilled professionals providing the Liverpool Care Pathway in the community.
Macmillan nurses are skilled in pain and symptom control and offer emotional support and practical advice to people with cancer and their families from the point of diagnosis onwards. The Macmillan nurses in the community do not provide basic practical nursing care or domestic help within the home but advise other professionals and carers who do.
The Marie Curie nurses provide specialist care in the last six months of life. It is usually provided overnight. Marie Curie is a charity and also runs a number of hospices in the UK.
St Andrew’s Hospice Care at Home
St Andrew's Hospice Care at Home offers specialist palliative care at home for the people of Airdrie and Coatbridge. Click on link above for full details.
Strathcarron Hospice Home Care
Strathcarron Hospice Home Care offers specialist palliative care at home for the people of Cumbernauld and Kilsyth. Click on link above for full details.
Palliative care home attendant schemes have been developed in partnership with Crossroads (a charity) in Blantyre, Hamilton, East Kilbride and Larkhall. They provide fast track and time limited home care support to families and carers of people who have life limiting conditions. The service is part of a package of care provision, complementing social work, Marie Curie and community nursing services.
Local authority community care
Access to local authority community care services is often an important element in palliative care for people at home in the community. Being able to arrange community care rapidly for a patient in hospital is particularly important for those with a limited life expectancy and who want to get home as soon as possible.