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We support patients through a variety of services and in a range of places. Click on the boxes below for further information on how and where we can help.

 

How to make a referral:
– Use SCI Gateway
– Or print a copy of the Ardgowan Hospice Referral Form along with the In-Patient Unit Assessment Form (if applicable) scan to secure email GG-UHB.ardhosp@nhs.net

Our multi-disciplinary team will agree which service will assess your patient in the first instance based on the information you provide on the referral form. Please provide as much detail as possible on the form to assist us with this and to help avoid any possible delay.

For further support on referrals please contact our Clinical Support Team on 01475 726830 Ext 2304 or 2227 (Monday to Friday 9am to 5pm) or for referrals outside these times, call the Duty Room on 01475 726830 where the case will be referred to medical staff for a decision and must be followed up with a completed referral form as soon as possible using the recommended routes.

To assist in identifying suitable patients for referral, you can download the SPICT tool from this link. You can follow the GAEL guidance or use the SPAR tool from the following links:

SPICT Tool

GAEL

SPAR Tool

Example of how to use SPAR

Resources you may find useful:
Scottish Palliative Care Guidelines
www.palliativecareguidelines.scot.nhs.uk

To refer children and young people to our Butterfly Service for pre or post Bereavement support, print out a copy of the Butterfly Referral Form and scan to secure email GG-UHB.ardhosp@nhs.net

 

 

Which patients we can support

We support:
–  adults with an active, progressive, life limiting condition. For example: end stage heart, lung, renal, liver failure, progressive neurological conditions, malignancy.
–  adults who have Specialist Palliative Care needs: severe, complex or enduring symptoms, physical, psychological, social or spiritual, that are not responding to advice set out in the Scottish Palliative Care Guidelines.
–  family and carers supporting your patient.
–  children and young people who could benefit from additional support pre or post bereavement.

Why you should refer patients for hospice care and support

We can:
–  help you to achieve the best outcome for patients.
–  use the members of our MDT to provide holistic assessment of the patient’s needs.
–  improve patient and family understanding of the condition by spending time exploring information needs and answering questions they may have.
–  help to reduce anxiety and fear about their future.
–  help patients to feel more in control again by supporting them to plan for their future care.
–  potentially reduce inappropriate hospital admissions and emergency GP consultations.

When to refer patients

Evidence suggest patients benefit more when referred to specialist palliative care earlier:
–  patients don’t need to be dying or “at that stage”.
–  our team can work alongside other illness specific teams, even when the patient is being actively treated by them.
–  earlier referral provides patients the opportunity to familiarise themselves with Hospice support and for relationships to be established before need is overwhelming.
–  it is often easier to delay than to reverse a decline in function.

How we will support patients

We can offer:
–  flexibility in where, when and how we support each individual.
–  one to one emotional, practical and physical support from our dedicated multi-disciplinary team.
–  intervention to try to improve and maintain quality of life and functional status for as long as possible.
–  access to the multidisciplinary team earlier which has the potential to increase survival in some cases.
–  support in decision making at key points in their illness and the option to discuss preferences and to plan for future care.

Where we support patients

We support patients in a variety of settings:
–  our Access building where patients, families and carers can access a variety of services.
–  clinics in Greenock Health Centre and Port Glasgow Health Centre and at the Hospice.
–  in the patient’s own home.
–  in care homes.
–  at our In-Patient Unit in our Nelson Street building.
–  we can help patients travel to and from hospital appointments via our Patient Transport Service.
–  our consultants also provide support in Inverclyde Royal Hospital.

Managing patient expectations

There are many mis-conceptions and patients are often anxious about referral to palliative care. This can be alleviated by:
–  explaining the rationale for their referral and the potential benefits of supportive care.
–  using the more acceptable term ‘Supportive Care’ rather than Palliative Care. This is more descriptive, especially for early referral where support is the main aim.
–  reassuring the patient that they will have control over decisions made regarding their care.
–  explaining that we will look at all aspects of their issues to ensure the best outcome.
–  reassuring that the absence of a Macmillan Nurse service in Inverclyde will not compromise their care as Ardgowan Community Nurse Specialists provide a similar service assessing and supporting patients at home, and liaising with other health professionals involved.