End of Life Care

Patients and carers


Carers


Supporting carers and families who are looking after someone nearing the end of life is a crucial role of the GP. There is evidence that if the GP/Primary Care team do not provide such support carers often may not be able to access it anywhere else i.e. primary care plays a vital role. Suggestions are included in the Guidance.

 

Measures GPs can take to improve the quality of life of informal carers.Ref Simon.C (2001) Informal carers and the Primary care Team BrJ Gen Pract.51:920-3

 

  • Acknowledge carers, what they do, and the problems they have.
  • Flag the notes of informal carers so that in any consultation you are aware of their circumstances.
  • Treat carers as you would other team members and listen to their opinions.
  • Include them in discussions about the person they care for.
  • Give carers a choice about which tasks they are prepared to take upon themselves.
  • Ask after the health and welfare of the carer as well as the patient.
  • Provide information about the condition the person the carer is looking after suffers from.
  • Provide information about being a carer and support available.
  • Provide information about benefits available.
  • Provide information about local services available for both the person being cared for and the carer.
  • Be an advocate for the carer to ensure services and equipment appropriate to the circumstances provided.
  • Liaise with other services.
  • Ensure staff are informed about the needs and problems of informal carers.
  • Respond quickly and sympathetically to crisis situations.

 

NICE Quality Standards for End of Life Care Information for patients who use NHS services

The National Institute for Health and Clinical Excellence published a new quality standard for end of life care for adults in November 2011. This includes 16 statements of aspirational but achievable care for adults nearing the end of life who are expected to die in the next 12 months, their families and other carers. Areas addressed by the quality standard include physical and psychological needs, spiritual and religious support and sensitive communications.

 

The Princess Royal Trust for Carers

www.carers.org/  

 

Bereavement

 

Macmillan Cancer Support Guide for Carers by Carers
The Princess Royal Trust for Carers
National Council for Palliative Care: Palliative Care Explained

Child Bereavement Charity www.childbereavement.org.uk