This purpose of this page is to provide information for Health Care Professionals:
- Wishing to refer a patient to any of the services provided by Cransley Hospice.
- Wishing to access an education programme provided by the End of Life Practice Education Team.
Referrals to the Service
Cransley Hospice accepts referrals for patients aged 18 and over who live in North Northamptonshire who have complex care needs and who are suffering from life limiting illness when cure is no longer possible.
Such care needs may be physical, emotional and spiritual. We also provide advice and expertise to other professionals who require support when caring for a patient considered to be at end of life.
Referrals are accepted from GPs, Hospital Consultants and their teams (usually in liaison with the Hospital Palliative Care Teams), Community Nursing and other Providers of domiciliary nursing care.
All referrals must have the consent of the patient.
Inpatient referrals for symptom control
We accept referrals for patients with complex symptoms that are not improving despite treatment. Symptoms may be a combination of physical, such as pain or nausea, and/or emotional/spiritual. Most patients stay less than two weeks before discharge, by which time symptoms are usually under control.
Inpatient Referrals for Last Days of Life Care
We accept referrals for care in the last days of life where a patient has expressed a wish to come to Cransley Hospice.
This service is provided for patients who have developed Lymphoedema as a result of cancer and/or its treatment. The aim treatment is to reduce as much as possible the swelling and symptoms of Lymphoedema thereby helping patients to live as normal a life as possible.
This service is provided on a outpatient setting at Cynthia Spencer Hospice between Monday and Friday 9am to 5pm.
Referrals to the Hospice at Home Team
There are three teams that provide care to support patients being able to stay at home.
Clinical Nurse Specialists
Clinical Nurse Specialists are Registered Nurses with specialist knowledge and qualifications in cancer and palliative care. We provide advice on pain control, management of difficult symptoms and emotional support for patients. We also provide information about their illness and its management, as well as plan their future care.
This service operates 7 days a week 9am to 5pm.
This team consists of Physiotherapist, and Occupational Therapists. The Therapy team is based at Cransley Hospice, however the team will offer community teams expert advice or carry out domiciliary visits if necessary with an emphasis on reducing hospital admissions in conjunction with ensuring quality of life and supporting accelerate discharge from an inpatient setting.
The emphasis of Physiotherapy is on maximising patients’ ability to function, promote independence and help patients adapt to their condition. A large part of the Physiotherapists role is to provide non-pharmacological management of symptoms i.e. fatigue, breathlessness, sweats or pain.
The Occupational Therapy Team offers assessment, identification of impact of the illness on patient’s daily occupations, analysis and problem solving, joint working with patient/carer and provision of equipment to aid daily living.
This service operates Monday to Friday 9am to 5pm.
Hospice at Home Nursing Team
This team consists of Registered Nurses and Care Assistants who are experience in end of life care. The team provide nursing care, symptom control and emotional support to facilitate care at home in conjunction with existing community services.
The aims of this service are:
- To assist with end of life care where the preferred place of care is in the home (including care homes or other long-term care facilities)
- To support rapid discharge from hospice
- Crisis intervention to avoid inappropriate admission in the last days of life
- This service operates 24 hours a day 7 days a week. Referrals are accepted between 9am and 5pm.
How do I make a referral?
If you have a patient who you think needs support from the services provided by Cransley Hospice you can make a referral using the following contact numbers.
Cransley Hospice Inpatient Unit: 01536 452019
Lymphoedema Service: 01604 678006
Clinical Nurse Specialist: 01536 452004
Therapy Team: 01536 452004
Hospice at Home Nursing Team: 01604 678051
End of Life Practice Development Team
The End of Life Practice Development Team provide formal and informal bespoke education sessions structured around the Common Core Competences and Principles for End of Life Care (DH, 2012) and use the recommended Best Practice Tools such as Advance Care Planning (ACP) Gold Standards Framework (GSF), and 5 Priorities of Care to promote, support and embed best practice.
Key partners that the Team supports include Community Nurses, GP's, Nursing and Residential Care Homes, Domiciliary Care Agencies, Voluntary Organisations, Third Sector and Specialist Palliative Care. The Team also give phone/email advice and support regarding end of life care issues.
On an inspection visit in January 2017 the Care Quality Commission rated the End of Life Practice Development Team as providing an outstanding training service to all staff across Northamptonshire Healthcare NHS Foundation Trust. The team have developed an Advanced Care Planning document which is called “Planning for your Future Care”, This document helps patients to think about, and write down their wishes, preferences, and priorities of care including how patients would want to be cared for at the end of their life.
For more information on “Planning your future care” or a downloadable version visit: www.nhft.nhs.uk/acp
You can also email any questions or comments you may have about using this document to: firstname.lastname@example.org
If you would like to book a course, discuss available courses or would like advice about an end of life care issue please email email@example.com or call 01604 678153.