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Advance Care Planning


Introducing My Care, My Way”, Tameside and Glossop’s new Advance Care Planning document to record the discussions with a patient about their wishes for their care if or when their condition changes. This is in partnership with Willow Wood Hospice and NHS Tameside and Glossop CCG. It is envisaged this will be used and recognised by all health and social care professionals who may come into contact with our patients.


What is Advance Care Planning?
 
Advance Care Planning is thinking about what might happen in the coming weeks, months or years and about what we would or wouldn’t want to happen. What would you like someone caring for you to know if you can’t tell them yourself? What is important to you? It ensures that your wishes and values about your life, your care and your priorities are known by those supporting you in the future.
 
The Gold Standards Framework Team describes the aim of Advance Care Planning;
“The main goal is to clarify peoples’ wishes, needs and preferences and deliver care to meet these needs.”

 
In our professional roles, we all need to be aware of the importance of offering advance care planning discussions in a sensitive and compassionate manner, and at an appropriate time for the patient.
 
The recent publication by The Royal College of Physicians in October 2018 states;
“Any professional at any time in the patient’s healthcare journey … should engage with a willing patient….. As several patients told us, the patient will choose with whom and when they are happy to talk about the future, and our job is to offer them the chance”

 
As many of our patients, due to conditions such as dementia, no longer have the mental capacity to make decisions regarding their wishes for their care, we are also pleased to introduce the document; My Advance Care Plan, Statement of Wishes’.



This allows us to capture the perceived wishes by close family or friends who know the person well and who may have had previous discussions with them about this subject. This information can then be used to support a Best Interest Decision Making Process.
 
For more information and to access our monthly training sessions about Advance Care Planning, including the communication skills involved, please contact:  
tga-tr.acptraining@nhs.net

 

Next training sessions: 5 February, 12th March, 11th April

Feedback to date has been very positive:
 
Practice Nurse: “After this training, I feel more confident to discuss (ACP) with patients”
 
Physiotherapist: “After this training I will open up the subject with patients more, to discuss future wishes”
 
GP: “After this training, I will complete more advance care plans and Advance Decision to Refuse Treatment”