Integrated Community Specialist Palliative Care service

The Integrated Community Specialist Palliative Care service is a team of nurses and HCAs from LPT and LOROS. The team look after patients with life-limiting illnesses, including cancer, who have complex palliative care needs, especially pain and symptom management, as well as patients who are in the last days of life. This can include when appropriate intervention has failed to control symptoms; when symptoms are escalating and there is incomplete symptom control; when patients or families/carers require psychological and spiritual care or if there are any other problems that other healthcare professionals are unable to manage.

The team offers different levels of support to patients, families/carers, including; telephone advice, one-off assessments, on-going management and personal care.

Working in partnership with other professionals, including community nurses, GPs, palliative care medical teams, and social services. They offer advice and support to other members of the community health service about their patients.

The Integrated Community Specialist Palliative Care service is a team of nurses and HCAs from LPT and LOROS. The team look after patients with life-limiting illnesses, including cancer, who have complex palliative care needs, especially pain and symptom management, as well as patients who are in the last days of life. This can include when appropriate intervention has failed to control symptoms; when symptoms are escalating and there is incomplete symptom control; when patients or families/carers require psychological and spiritual care or if there are any other problems that other healthcare professionals are unable to manage.

The team offers different levels of support to patients, families/carers, including; telephone advice, one-off assessments, on-going management and personal care.

Working in partnership with other professionals, including community nurses, GPs, palliative care medical teams, and social services. They offer advice and support to other members of the community health service about their patients.

Referral criteria

Professionals working for LPT: E-refer to us on SystmOne.

GP Practices: Refer via PRISM.

Professionals working outside of LPT: Please email a completed referral form to llr.icspc@nhs.net. (If you do not have a copy of our referral form please call us on, 0300 5555 255.)

The referrer needs to highlight on the referral form if an interpreter is required at appointments.

CRITERIA FOR REFERRAL:

For admittance to the service the patient will need to meet the following referral criteria:

  • Patient should be 18 or over.
  • The referring clinician has identified the patient meets one or more of list below:
  • Rapidly deteriorating with changing needs requiring a specialist opinion and/or wrap around end-of-life personal care (within contracted HCA capacity)
  • Last Days of life personal care (within contracted HCA capacity)
  • Complex unstable with symptoms
  • Patient/Family crisis with specialist palliative needs
  • To facilitate home death on discharge from hospital or step up and at risk of unnecessary admission
  • Last days of life if patient symptoms are uncontrolled
  • Specialist follow up from acute sector, hospice or community referral
  • Assessment required as unstable symptoms predicting risk of escalating to red status
  • Patient/carer complex psychological issues
  • Green GSF patients who are unstable and have complex needs
  • Requiring infrequent but appropriate specialist care input
  • Follow up from previous visits to check symptoms have resolved
  • Specialist Nursing advice for patients in nursing homes

The Service does not accept referrals for the below reasons:

  • Bereavement support
  • Benefit advice
  • Patients who are under 18 years of age
  • Patients with chronic stable disease or a disability with a life expectancy of several years unless complex symptoms
  • Patients with chronic pain problems not associated with a progressive terminal disease
  • Personal Care for patients who are in a nursing or residential home
  • Personal Care with a life expectancy of more than 2 weeks

Criteria exclusion

None stated.

How to access this service

Access is by referral from a Healthcare Professional.

What conditions do you cover

Palliative Care.

End of life care.

Contact info

0300 300 7777

Referrals

  • healthcare professional
  • Advanced Nurse Practitioners
  • community healthcare professional
  • Community hospitals
  • community nurse
  • consultant
  • GP
  • healthcare professional at University Hospitals of Leicester
  • healthcare professionals (via SPA)
  • Healthcare professionals at University Hospitals of Leicester
  • hospital healthcare professional
  • inpatient service
  • inpatient staff at University Hospitals of Leicester
  • LOROS
  • LPT healthcare professional
  • nurse
  • out of area healthcare professional
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