Solent NHS TrustHigh quality community and mental health services

Specialist Palliative Care Team

What is palliative Care? Palliative care aims to improve the quality of life for patients who are living with a life shortening illness. It also helps their carers and those close to them. Palliative care is available at any point during a life shortening illness, not just when patients are nearing the end of their life. The palliative care approach is used for all on-going life-shortening conditions, not just cancer. Palliative care is provided at two distinct levels of care: - those providing the day to day care to patients and carers, such as General Practitioners (GP) and Community Nurses - those who specialise in palliative care, such as the specialist palliative care team. The Specialist Palliative Care Team (SPCT) aims to provide advice and support to patients, family, friends and carers. They also provide advice and speak directly with the GP and district nurse. The multidisciplinary team, who all have advanced or specialist palliative care skills, consists of: - clinical nurse specialists (CNS) - consultants in palliative medicine - specialist physiotherapists - specialist occupational therapists - psychologists - re-enablement social worker

Referral Criteria

Referral to the service can be made for any discipline within the team, according to the following criteria:

Those with persistent symptoms not responding to routine therapy.

Those and their carers having difficulties in adjusting to their disease, including the need for psychological assessment for high levels of depression and anxiety.

Those having difficulty with completing their normal activities of daily living, for example transfers, who may benefit from assessment; aids; equipment; and minor adaptations.

Patients with complex symptoms who require more in-depth mobility assessment or moving and handling review; palliative rehabilitation; physiotherapy treatment and advice for symptom management such as pain, respiratory issues and acupuncture.

When health care professionals require specialist advice and support with case management.

When newly diagnosed as palliative, patients can be referred or self-refer to the Early Palliative Care clinic. This will enable early assessment and sign posting to appropriate services in order to facilitate advanced planning for future needs i.e. Day-Care, Living Well Centre, and carer support services.

Referrals are accepted with patient’s consent, from GPs, hospital consultants and other community staff acting on their behalf.

All referrals must have the consent from their GP.

Contact with the patient cannot be made until a written referral has been completed.  However, where an urgent referral is required, telephone advice can be sought by professionals at any time (by contacting the telephone number below).

Health care professionals will review and assist with:

Pain management and other symptoms

Help the patient, their family and carer cope with any emotional upset caused by the illness

Provide advice about practical problems relating to the illness, including financial, physical and environmental  problems.

Help patients deal with spiritual questions which may arise from the illness

Support, discuss and communicate any preferences the patient may have about their care

Assess family members and carers for support through bereavement.

Referrals to the team may take different forms.  The referral form guides the level of information that we need so that we can triage accurately and efficiently.

Community referrals should be faxed to the team secretary  Cate Marshall-Murrant on: 0300 123 7771; sent via SNHS.SpecialistPalliativeCareTeam@nhs.net or given verbally through Single Point of Access by phoning: 0300 300 2011

Where referral is for hospice admission a member of the team will usually make contact with the referrer by phone and make an assessment. Emergency admissions may be admitted unseen.

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Contact Information

Contact Cate Marshall-Murrant
Phone 0300 300 2012
Fax 023 92 386523
E-mail SNHS.SpecialistPalliativeCareTeam@nhs.net
Address 1st Floor - Jubilee House, Medina Road, Cosham, Portsmouth, Hampshire, PO6 3NH
 

Opening Hours

Monday 8:30 am - 5:00 pm
Tuesday 8:30 am - 5:00 pm
Wednesday 8:30 am - 5:00 pm
Thursday 8:30 am - 5:00 pm
Friday 8:30 am - 5:00 pm


Additional opening hours information
Weekends and Bank Holidays: Clinical Nurse Specialists are available for consultation between 10.00am – 2.00pm. Call 023 92 250001 (Rowans Hospice) There is a Consultant in Palliative Medicine on-call for advice and support 24 hours per day via the Rowans Hospice (023 9225 0002)

Additional Information for Health Professional

Full service description

The Specialist palliative Care Team aims to provide advice and support to patients, family, friends and carers. They also provide advice and speak directly with the GP and district nurse. The team, who all have palliative care skills, consists of –

Health care professionals will -

  • Control pain and other symptoms
  • Help the patient, their family and carer cope with any emotional upset caused by the illness
  • Provide advice about practical problems relating to the illness, including financial problems – this is facilitated by our Re-enablement Social Worker.
  • Help patients deal with spiritual questions which may arise from the illness
  • Support, discuss and communicate any preferences the patient may have about their care
  • Assess family members and carers for support through bereavement.

Referral Criteria

Referral to the service can be made for any discipline within the team, according to the following criteria:

Those with persistent symptoms not responding to routine therapy.

Those and their carers having difficulties in adjusting to their disease, including the need for psychological assessment for high levels of depression and anxiety.

Those having difficulty with completing their normal activities of daily living, for example transfers, who may benefit from assessment; aids; equipment; and minor adaptations.

Patients with complex symptoms who require more in-depth mobility assessment or moving and handling review; palliative rehabilitation; physiotherapy treatment and advice for symptom management such as pain, respiratory issues and acupuncture.

When health care professionals require specialist advice and support with case management.

When newly diagnosed as palliative, patients can be referred or self-refer to the Early Palliative Care clinic. This will enable early assessment and sign posting to appropriate services in order to facilitate advanced planning for future needs i.e. Day-Care, Living Well Centre, and carer support services.

Referrals are accepted with patient’s consent, from GPs, hospital consultants and other community staff acting on their behalf.

All referrals must have the consent from their GP.

Contact with the patient cannot be made until a written referral has been completed.  However, where an urgent referral is required, telephone advice can be sought by professionals at any time (by contacting the telephone number below).

Health care professionals will review and assist with:

Pain management and other symptoms

Help the patient, their family and carer cope with any emotional upset caused by the illness

Provide advice about practical problems relating to the illness, including financial, physical and environmental  problems.

Help patients deal with spiritual questions which may arise from the illness

Support, discuss and communicate any preferences the patient may have about their care

Assess family members and carers for support through bereavement.

Referrals to the team may take different forms.  The referral form guides the level of information that we need so that we can triage accurately and efficiently.

Community referrals should be faxed to the team secretary  Cate Marshall-Murrant on: 0300 123 7771; sent via SNHS.SpecialistPalliativeCareTeam@nhs.net or given verbally through Single Point of Access by phoning: 0300 300 2011

Where referral is for hospice admission a member of the team will usually make contact with the referrer by phone and make an assessment. Emergency admissions may be admitted unseen.

Other information & documentation

The SPCT is based at Jubilee House in Cosham. However, we are unable to see patients there. We will telephone to arrange an appointment to be seen at home at a convenient time. For some patients early in the disease journey an appointment may be made for the Early Palliative Care Clinic which  takes place at St James Hospital. Again we will contact patients by phone to discuss arrangements.

Other information:

The team works closely with Rowans Hospice services including Day Care, Living Well and Bereavement.

The GP is still responsible for the patient’s medical care

The district nurse continues to manage day to day nursing care

Clinical Lead Contact Info

Clinical Lead Mark Roberts
Clinical Lead Title Service Lead
Clinical Lead Phone 023 92 683460
Clinical Lead Address Management Team 3rd Floor Civic Offices Portsmouth
Clinical Lead Postcode PO1 2GJ
Clinical Lead e-mail mark.roberts@solent.nhs.uk

Service Manager Contact Info

Service Manager Lisa Lee
Service Manager Title Operations Manager
Service Manager Phone 023 9268 3425
Service Manager Address Management Team 3rd Floor Civic Offices Portsmouth
Service Manager Postcode PO1 2GJ
Service Manager e-mail lisa.lee@solent.nhs.uk
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