Hospice at Home is a two year pilot launched as a partnership between NHS Blackpool CCG, NHS Fylde and Wyre CCG and Trinity Hospice.
The service started on September 1st 2014 and supports patients overnight in their own home, residential care or nursing home, where ever their place of residence is as they enter the final months of life. The pilot was launched in response to the call for greater patient choice; for some people their last and greatest wish is to die at home in familiar surroundings.
The hope is that fewer unplanned hospital admissions will be needed if carers have the reassurance of Hospice at Home nurses just a phone call away. Many 999 calls are made at night as families and carers worry about a loved one’s deterioration and don’t want to wait until the GP surgery opens to get advice or prescribed medication for pain and symptom control.
There are two Hospice at Home teams, each consisting of a registered nurse and a healthcare assistant. One team primarily covers the ‘north’ of the Fylde coast, the other the ‘south’. The service runs 10pm to 8am seven days a week and the length of each home visit will depend on the patient’s needs.
Hospice at Home is working closely with GPs and district nurses, patients, and their families.To make a referral to Hospice at Home, the following criteria applies.
- Patients must be 18 years and above with an advanced, progressive life limiting illness where reversible causes for deterioration have been considered.
- Patients will live at home, have family and carers in support and where possible advance care plans in place.
- A Do Not Attempt Resuscitation should be actively explored, particularly those referred to Hospice at Home e for symptom control at the end of life who’s preferred place of care and death is home.
- Patients GP is aware of the referral.
Exclusions include patients with no life limiting illness (except in the cases of frail elderly in end stages of life) and those who have had chemotherapy and or radiotherapy in the last 14 days (they should seek urgent help via oncology).
Referrals are made via a dedicated healthcare professionals line at Fylde Coast Medical Services on 01253 957819.