Discussions as End of Life Approaches
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 can take place at the appropriate time

Objectives: By the end of the session the 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
Record which individuals may be approaching end of life
Identify 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 Care Policy

Handouts and Leaflets
North West Model Template
A learning aid which supports the education around the understanding and application of the North West End of Life Care Model
Download: North West Model Template
Case Study - Jenny
A learning aid providing a case study around a service user with cancer
Download: Case Study - Jenny
Case Study - Michael
A learning aid providing a case study around a service user with Motor Neurone Disease
Download: Case Study - Michael
Supportive Care Record
A record for the domiciliary care organisation to record and monitor care
Download: Supportive Care Record
Proactive Identification Guidance
Aids the identification of adult patients with advanced disease in the last year/months of life who are in need of advanced supportive and palliative care
Download: Proactive Identification Guidance
The Surprise Question
A simple prompt that can be used to support prognostication
Download: The Surprise Question
Support Sheet - MCA
Information on the Mental Capacity Act
Download: Support Sheet - MCA
Support Sheet - BID
Information on Best Interest Decision Making
Download: Support Sheet - BID
Support Sheet - IMCA
Information on Independent Mental Capacity Advocates
Download: Support Sheet - IMCA
Specific Guidance for Facilitators
North West Model Template - Facilitator's Guide
Provides guidance to facilitators using the North West End of Life Care Model
Download: North West Model - Facilitators Guide
Audits
Post Death Information Audit Ongoing
Allows the domiciliary care organisation to collect data to monitor practice throughout the Six Steps Programme
Download: Post Death Information Audit Tool Ongoing
Other Supporting Materials
Attendance Register
A register that can be used at any events and workshops
Download: Attendance Register
Step 1 Workshop PowerPoint Presentation
An overview of workshop 1
Download: Step 1 Workshop PowerPoint Presentation
The Route to Success
The programme is based on The Route to Success and guides each workshop
Download: The Route to Success in Domiciliary Care
North West Model and Good Practice Guide
The model of delivery of end of life care advocated by the North West Clinical Pathways Group
Download: North West Model and Good Practice Guide
Planning for Your Future Care
A simple guide to Advance Care Planning and the different options open to people approaching end of life
Download: Planning for Your Future Care
Mental Capacity Act Guide
A guide on the Mental Capacity Act for those working in Heath and Social Care
Download: Mental Capacity Act Guide
Best Interests at End of Life
A guide that provides information on the Mental Capacity Act for those working in Heath and Social Care
Download: Best Interests at End of Life
Step 1 To Do List
Provides a checklist of actions that should be completed before the next workshop
Download: Step 1 To Do List
Workshop Evaluation Form
Provides feedback to the facilitators, which will help continually develop and improve the delivery of the programme
Download: Workshop Evaluation Form