16.1 Specialist palliative care services and resources

Northern Devon Locality

Monday-Friday 09:00-17:00 (except bank holidays)

Available for symptom control advice during working hours

Contact Hospital Specialist Palliative Care Team on:

  • External: 01271 311642
  • Internal extension: 3642
  • Fax: 01271 311728 (internal 3728)

For more urgent advice during these times, you can page a member of the team via the switchboard on 01271 32257, or contact the hospice 24 hour advice line.

Hospice 24 hour advice line

Available for symptom control advice at any time on: 01271 347214

For health professional information and advice on referral please see the North Devon Hospice website

Eastern Locality (Exeter, East and Mid-Devon)

For Palliative Care advice from a doctor and Hospice based clinical nurse specialist:

Advice available 24 hours a day:

  • 8am – 8pm Phone 01392 688040/041 and ask to speak to a clinical nurse specialist or the doctor on call that day
  • From an internal RD&E phone use extension 2586

Hospital based Specialist Palliative Care nurses:

Monday-Friday 09:00-17:00 (except bank holidays)

  • Contact on 01392 402578 or via RD&E switchboard 01392 411611 and ask for bleep 606

Hospiscare out of hours advice line for patients, relatives and professionals:

After 8pm and before 8.30am, seven days per week:

  • 01392 688044

If ward staff cannot immediately resolve your query, then you will be contacted by an experienced Palliative Care Community clinical nurse specialist or Doctor on call.

For health professional information and advice on referral please see the Hospiscare website

Advanced Care Planning and Treatment Escalation Plans

Advance Care Planning (ACP) can help the patients and those close to them prepare for the future. It gives an opportunity to think about, talk about and write down preferences and priorities for future care, including how they want to receive care towards the end of life.

The Advanced Care Planning booklet can be downloaded from the NHS Devon CCG website, along with resources for healthcare workers around treatment escalation plans (TEP).

Product license

Some of the drug usages recommended are outside of product licence, either by way of indication, dose or route of administration. However, the approaches described are recognised as reasonable practice within palliative medicine in the UK. If you are concerned about prescribing in such areas, the Specialist Palliative Care Teams are available to provide further information and support.

Resources

North Devon online guidance

Northern Devon Healthcare NHS Trust have written best practice guidelines for symptom management in palliative care which can be accessed here: www.northdevonhealth.nhs.uk/gp/end-of-life-care

Palliative Care Formulary

www.palliativedrugs.com

This website supports the hard copy version of the “Palliative Care Formulary". Registration for the website is free and provides free access to a syringe driver drug compatibility database, general information and a bulletin board. Paid access is required to use the detailed formulary information.

NICE guidance

NICE CG 140: Opioids in palliative care: safe and effective prescribing of strong opioids for pain in palliative care of adults (May 2012)

Enhanced Service for the Availability of Specialist Medicines

Details of the Enhanced Service for the Availability of Specialist Medicines, including a list of medications designed to meet the urgent needs of patients and the community pharmacies in Devon providing the service can be found here.

 

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