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Step 1: discussions as end of life approaches








Step 1 Workshop 

Time: Half day

Aim: The domiciliary care organisation representative will identify individuals who are entering the last year of life so discussions on end of life care are supported to take place at the appropriate time.

Objectives: By the end of the session the end of life domiciliary care organisation representative will be able to:

  • Identify how the North West End of Life Care Model supports a system to help identify those who may be in the last year of life
  • Records which individuals may be approaching end of life
  • Idenify how they will support and participate in end of life care discussions considering capacity and communication barriers
  • Develop further the Domiciliary Care Organisation End of Life Policy


Attendance Register - Register.

PDI Interim - to allow you to continue to audit your practice throughout the programme.  Audit tools can be found in the Audit Section.

Route to Success in Domiciliary Care - The programme is based on the Route to Success and guides each workshop.

Presentation - Overview of Step 1 of the Six Steps programme.

The North West End of Life Care Model - model of delivery of end of life care advocated by the North West Clinical Pathways Group.

North West Model Template - learning aid which supports the education around the understanding and application of the North West End of Life Care Model.

North West Model Template facilitator guide - provides guidance to facilitators using the North West End of Life Care model.

Case Study A - learning aid providing a case study around a patient with cancer.

Case Study B - learning aid providing a case study around a patient with motor neurone disease.

Supportive Care Record - to record where each case study would be on the supportive care record.

Surprise Question - simple prompt that can be used to support prognostication.

Prognostic Indicators Guidance - aids the identification of adult patients with advanced disease in the last year/months of life who are in need of supportive palliative care.

Planning for your future care - provides a simple explanation of advance care planning and the different options open to people approaching end of life.

Mental Capacity Act Guide - a guide for people who work in health and social care; helping people who are unable to make some decisions for themselves.

Best Interests at end of life - practical guidance for best interests decision making and care planning at end of life.

Support Sheet 12 - provides information on the mental capacity act.

Support Sheet 13 - provides information on best interest decision making.

Support Sheet 17 - provides information on independent mental capacity advocates.

To Do List - provides a checklist of actions that should be completed before the next workshop.

Evaluation - provides feedback to facilitators, which will help continually develop and improve the delivery of the programme.