End of Life Care

We take the provision of care to patients and those closest to them at end of life very seriously.

For some patients dying in hospital is their choice for others they would rather explore other options. We work very closely with community colleagues to ensure that wherever possible the co-ordination of care enables the individual to die in their place of choice.

We aim to support both the patient and their carers with respect and dignity at all times, including clear communication, excellent symptom control and provision of the best environment we can deliver.

Although every member of the multi-disciplinary team is responsible for the provision of excellent care, the hospital supportive and palliative care team will support the ward teams and will endeavour to review as many patients as possible on the Last Days of Life Personalised Care Plan.

We understand that this is a difficult time for everyone and can appear to be very confusing.

We would encourage people to ask ward staff for support and information if they feel it is lacking, as we know staff will do their best to provide the correct level of care and will ask for support from the palliative care team if the situation is beyond their skill or experience.

If further support is needed

The supportive and palliative care team are available Monday to Friday – 8.30am to 4.00pm.

To contact the team please email: esht.palliativecare@nhs.net

Helpful online information

This website is a good resource for all:

Part of palliative care is encouraging patients and carers to start planning their future care, the following websites will help with this:

This webpage helps you make advance decisions related to your care:

The Trust is about to adopt the new national process of improved communication around planning care at end of life called ReSPECT, more information here:

ReSPECT stands for Recommended Summary Plan for Emergency Care and Treatment. The ReSPECT process creates a personalised recommendation for your clinical care in emergency situations where you are not able to make decisions or express your wishes.