Palliative and End of Life Hospice at Home Services

Hospice at Home care is a service provided for patients in their own home or their preferred place of residence by Registered Nurses and Hospice Support Workers with additional skills and expertise in End of Life care . Care is free at the point of care delivery.

Care can be provided during the day, at night,  and at weekends depending on the individual needs of the patient and their carer(s)  Our Registered Nurses will fully initially assess the patient following detailed discussion with community and hospital teams to develop an individualised nursing care package . The care package can be delivered entirely by our Registered Nurses or will involve care delivered by our experienced team of Hospice Support Workers. The care spells and episodes  are not time limited ensuring that the patient and carer receive individualised care, support and symptom control as required.

Regular contact is made with Community colleagues during care delivery to ensure that any deterioration in the patients condition is  communicated to our community colleagues to ensure that patient comfort at end of life is not compromised.

Referral Criteria for H@H Provision:

• Additional holistic needs of patients that are not able to be met by other agencies

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• The patient must meet Fast track criteria

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• Referral via health care professional

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• Patients and their families understand and agree to the service

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• Patients should be identified on the Gold Standards Framework register

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• Agreement for essential equipment to be in place/on order to ensure patient and staff safety

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• To facilitate rapid discharge from secondary care for EoLc or to prevent hospital admission if appropriate​

Additional Information from Referrer

• Risks in Household

• Lone working considerations

• Equipment in the Home

• Prescribed Anticipatory Medications

• Valid DNA/CPR decision document

• EHCP located in the Home.