Anticipatory Prescribing: information for patients and carers

This advice is sourced from Dr Ros Taylor a senior palliative physician

Q. What are the medicines that we have been given to keep at home and how do they work? 

It is essential to anticipate symptoms in advance and prescribe carefully to keep people safely at home in their final days.

Prescribing a small number of injections to cover common symptoms such as pain, nausea and vomiting, anxiety and breathing problems is important.

They are very useful if someone is unable to swallow their medicines towards the end of life.

The intention is to relieve suffering not to hasten death.

Please see the leaflet from Harlington Hospice (see downloads) for further information.

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Key clinical procedures offered to outpatients:

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  • CVC line care
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Close

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Close

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Close

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T. 01268 526259

W. https://www.stlukeshospice.com/physiotherapy-support

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Family and loved ones are also supported in their caring roles. Advice, guidance and techniques on how to safely move and handle someone when caring for them can be accessed through conversation with the Physiotherapy team.

The offer includes:

  • individual assessments to help provide appropriate equipment, e.g. mobility aids
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T. 01268 524973

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Close

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The rapid resonse team aim to visit the patient within two hours.

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Close

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Close

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Use the website address above to find your local services.

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Close

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The Hospices will assess the care needs of the patient and source care that meets the holistic needs of the patient.  This could be care in the home, on an in-patient unit, or in a Nursing Home.

Havens Hospices – havenshospices.rapidaccess@nhs.net (Southend, Castle Point and Rochford)

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St Luke’s Hospice - Stlukes.oneresponse@nhs.net (Basildon and Thurrock)

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Close

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T. 0300 300 1712

The Respiratory team provide five services:

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  • Home Oxygen service assessment and re assessment of patients in the community on oxygen therapy or that may fit criteria for oxygen therapy
  • Pulmonary Rehabilitation exercise and education for those with diagnosed respiratory disease bar asthma
  • Breathlessness and diagnostics ARTP accredited spirometry performing and interpritation for suport diagnosis of obstructive and restrictive respiratory disease
  • FeNo testing, respiratory virtual ward pathway for patient with a diagnosed respiratory conditon bar asthma using early supported discharge measures and admission avoidance for those that fit criteria and are clinically indicated
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  • Aromatherapy
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Close

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T. 01708 723593 / 01708 753319 ext. 2317

W. https://www.sfh.org.uk/the-hospice-ward

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Close

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T. 01708 753319  ext. 2220

W. https://www.sfh.org.uk/patient-therapies

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  • Physiotheraphy
  • Occupational therapy
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Close

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T. 01708 758606

W. https://www.sfh.org.uk/make-a-referral

The St Francis Hospice's referral hub can be accessed by those facing a life limiting condition. 

Please refer a patient or making a self-referral to access hospice services.

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Close

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T. 01708 758643 / 01708 758610 ext. 2266

W. https://www.sfh.org.uk/crisis-support

The team are clinical specialists that are experts in pain and symptom control.

Urgent advice ia available 24 hours, 365 days a year.

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Close

St Luke's Hospice Clinical Outpatients

T. 01268 524973 / 01268 526259

W. https://www.stlukeshospice.com/clinical-outpatients

St Luke's Hospice Clinical Outpatients team offers convenient, accessible and specialist key clinical procedures and palliative care, in a relaxed environment with appointments to meet your wellbeing and lifestyle needs. 

Key clinical procedures offered to outpatients:

  • Advance Care Planning clinics
  • Ascetic and Pleural drainage
  • Blood product transfusions
  • Clinical Nurse Specialist symptom management clinic
  • CVC line care
  • Intravenous fluids
  • IV Bisphosphonates infusions
  • IV Iron Infusions
  • Long term condition clinic – supporting heart failure, renal and liver conditions
  • Venepuncture

The service opening hours are 9.00am to 5.00pm.

St Luke's Hospice In Patient Unit
Close

St Luke's Hospice provide specialist in-patient care for symptom management and end of life care.        

There are a total of 7 beds and 1 emergency bed in Basildon.

Hospice Rapid Access Service (HRAS) with 6 Beds in Thurrock.

St Luke's Hospice Physiotherapy Support
Close

St Luke's Hospice Physiotherapy Support

T. 01268 526259

W. https://www.stlukeshospice.com/physiotherapy-support

St Luke's Hospice Physiotherapy team can help when living with a life limiting illness.  Specialist Physiotherapists and Occupational Therapists will listen and assess to support independence and aid mobility to manage symptoms and positively impact quality of life and wellbeing.

Family and loved ones are also supported in their caring roles. Advice, guidance and techniques on how to safely move and handle someone when caring for them can be accessed through conversation with the Physiotherapy team.

The offer includes:

  • individual assessments to help provide appropriate equipment, e.g. mobility aids
  • personalised treatment plans including non-drug pain relief treatments and exercises to improve mobility, independence and balance
  • treatments to assist with shortness of breath, fatigue or insomnia
  • group exercise classes and confidence building

Rehabilitative care is also provided by our Occupational Therapy team. 

St Luke's Hospice South Essex Lymphoedema Service (SELS)
Close

St Luke's Hospice South Essex Lymphoedema Service (SELS)

T. 01268 524973

W. https://www.stlukeshospice.com/lymphoedema-support

St Luke's Hospice provides the specialist Lymphoedema care team could provide care to you if you are living with primary Lymphoedema, secondary Lymphoedema and Lipoedema. The team can provide clinical expertise, support and practical help for those with any these conditions and live across South Essex.

Thurrock Integrated Care Team
Close

This community palliative care team delivers specialist care for palliative and end of life care at home, complex care at home e.g. chemotherapy management of Hickman/PICC lines and support to those who are housebound within their own home including residential homes.

Tissue Viability Service: North East London Foundation Trust
Close

Tissue Viability Service: North East London Foundation Trust

T. 0300 300 1831 ext. 52798

This service is for any persons over the age of 18 and supports the management of complex wound care, via clinic based appointments, or homevisits depending on the need of the service user.

Pharmacies

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Close

The support group is a way to learn more about living with a lung condition and share your experiences and stories with others.

British Lymphology Society
Close

The British Lymphology Society provides a directory of Lymphoedema treatment services.

Use the website address above to find your local services.

Hospice Rapid Access Service (HRAS)
Close

The Hospice Rapid Access Service team is a 24 hour services for people with a primary health need, who are rapidly deteriorating, and likely to be entering the terminal/palliative care phase of their illness. 

Havens Hospices, St Lukes Hospice and Farleigh Hospice work together as a collaborative to ensure consistency of care across all of Mid and South Essex.

The Hospices will assess the care needs of the patient and source care that meets the holistic needs of the patient.  This could be care in the home, on an in-patient unit, or in a Nursing Home.

Havens Hospices – havenshospices.rapidaccess@nhs.net (Southend, Castle Point and Rochford)

Farleigh Hospice -  contactteam.fh@nhs.net (Chelmsford, Maldon and the Dengie, Braintree and the surrounding areas)

St Luke’s Hospice - Stlukes.oneresponse@nhs.net (Basildon and Thurrock)

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Close

Hospice UK can help find a hospice, provide infromation and support about end of life care and guidance to plan ahead.

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Close

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T. 0300 300 1712

The Respiratory team provide five services:

  • chronic case management of complex COPD patients,
  • Home Oxygen service assessment and re assessment of patients in the community on oxygen therapy or that may fit criteria for oxygen therapy
  • Pulmonary Rehabilitation exercise and education for those with diagnosed respiratory disease bar asthma
  • Breathlessness and diagnostics ARTP accredited spirometry performing and interpritation for suport diagnosis of obstructive and restrictive respiratory disease
  • FeNo testing, respiratory virtual ward pathway for patient with a diagnosed respiratory conditon bar asthma using early supported discharge measures and admission avoidance for those that fit criteria and are clinically indicated
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Close

Little Havens provides specialist care and support for babies, children and young people requiring specialist in-patient care for symptom management, respite and end of life care.

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Close

LymphConnect is an online platform developed to help manage lymphoedema or lipoedema, understand more about the condition, share experiences and get support and advice.

 

St Francis Hospice at Home
Close

St Francis Hospice at Home

T. 01708 758603 / 01708 753319 Ext: 2342

W. https://www.sfh.org.uk/hospice-at-home

The Hospice at Home team offers blocks of care to people in their last few weeks of life. The blocks are usually between two and four hours and in some circumstances the blocks can run sequentially to provide a dying person with almost 24 hour care. The Hospice at Home team offers care for 7 days a week. 

St Francis Hospice Complementary Therapy
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St Francis Hospice Complementary Therapy

T. 01708 753319 ext. 2268

W. https://www.sfh.org.uk/patient-therapies

Complementary therapies can help control symptoms and help to deal with day-to-day life.

The therapies available are:

  • Aromatherapy
  • Massage
  • Reflexology
  • Mindfulness
  • Reiki
St Francis Hospice Inpatient Unit
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St Francis Hospice Inpatient Unit

T. 01708 723593 / 01708 753319 ext. 2317

W. https://www.sfh.org.uk/the-hospice-ward

For patients requiring specialist in-patient care for symptom management and end of life care.

St Francis Hospice Patient Therapies
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St Francis Hospice Patient Therapies

T. 01708 753319  ext. 2220

W. https://www.sfh.org.uk/patient-therapies

The patient therapies team help with a range of symptoms through groups and individual sessions to help managing pain and symptoms.

The team consistes of:

  • Physiotheraphy
  • Occupational therapy
  • Complementary therapy
St Francis Hospice Referral Hub
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St Francis Hospice Referral Hub

T. 01708 758606

W. https://www.sfh.org.uk/make-a-referral

The St Francis Hospice's referral hub can be accessed by those facing a life limiting condition. 

Please refer a patient or making a self-referral to access hospice services.

St Francis Hospice Specialist Community and Crisis Support
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St Francis Hospice Specialist Community and Crisis Support

T. 01708 758643 / 01708 758610 ext. 2266

W. https://www.sfh.org.uk/crisis-support

The team are clinical specialists that are experts in pain and symptom control.

Urgent advice ia available 24 hours, 365 days a year.

St Luke's Hospice Clinical Outpatients
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St Luke's Hospice Clinical Outpatients

T. 01268 524973 / 01268 526259

W. https://www.stlukeshospice.com/clinical-outpatients

St Luke's Hospice Clinical Outpatients team offers convenient, accessible and specialist key clinical procedures and palliative care, in a relaxed environment with appointments to meet your wellbeing and lifestyle needs. 

Key clinical procedures offered to outpatients:

  • Advance Care Planning clinics
  • Ascetic and Pleural drainage
  • Blood product transfusions
  • Clinical Nurse Specialist symptom management clinic
  • CVC line care
  • Intravenous fluids
  • IV Bisphosphonates infusions
  • IV Iron Infusions
  • Long term condition clinic – supporting heart failure, renal and liver conditions
  • Venepuncture

The service opening hours are 9.00am to 5.00pm.

St Luke's Hospice Community Service
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St Luke's Hospice community service provides assessment, support advice and care for people wishing to be cared  and supported in their locality community setting. The team also provide support in care homes, the hospice's rapid access service and there is the provision of clinical nurse specialists.

St Luke's Hospice In Patient Unit
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St Luke's Hospice provide specialist in-patient care for symptom management and end of life care.        

There are a total of 7 beds and 1 emergency bed in Basildon.

Hospice Rapid Access Service (HRAS) with 6 Beds in Thurrock.

St Luke's Hospice Physiotherapy Support
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St Luke's Hospice Physiotherapy Support

T. 01268 526259

W. https://www.stlukeshospice.com/physiotherapy-support

St Luke's Hospice Physiotherapy team can help when living with a life limiting illness.  Specialist Physiotherapists and Occupational Therapists will listen and assess to support independence and aid mobility to manage symptoms and positively impact quality of life and wellbeing.

Family and loved ones are also supported in their caring roles. Advice, guidance and techniques on how to safely move and handle someone when caring for them can be accessed through conversation with the Physiotherapy team.

The offer includes:

  • individual assessments to help provide appropriate equipment, e.g. mobility aids
  • personalised treatment plans including non-drug pain relief treatments and exercises to improve mobility, independence and balance
  • treatments to assist with shortness of breath, fatigue or insomnia
  • group exercise classes and confidence building

Rehabilitative care is also provided by our Occupational Therapy team. 

St Luke's Hospice Pre & Post Bereavement Support
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St Luke's Hospice Pre & Post Bereavement Support

T. 01268 526259

W. https://www.stlukeshospice.com/bereavement-support

The Dove Community Counselling Service team at St Luke's Hospice offer bereavement support to adults living with a life limiting illness, from diagnosis through to end of life or into survivorship. 

Bereavement support is also available to those who may have experienced a bereavement from suicide, sudden, traumatic or accidental deaths, or within the last 5 years due to a life limiting illness.

St Luke's Hospice South Essex Lymphoedema Service (SELS)
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St Luke's Hospice South Essex Lymphoedema Service (SELS)

T. 01268 524973

W. https://www.stlukeshospice.com/lymphoedema-support

St Luke's Hospice provides the specialist Lymphoedema care team could provide care to you if you are living with primary Lymphoedema, secondary Lymphoedema and Lipoedema. The team can provide clinical expertise, support and practical help for those with any these conditions and live across South Essex.

Thurrock Integrated Care Team
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This community palliative care team delivers specialist care for palliative and end of life care at home, complex care at home e.g. chemotherapy management of Hickman/PICC lines and support to those who are housebound within their own home including residential homes.

Tissue Viability Service: North East London Foundation Trust
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Tissue Viability Service: North East London Foundation Trust

T. 0300 300 1831 ext. 52798

This service is for any persons over the age of 18 and supports the management of complex wound care, via clinic based appointments, or homevisits depending on the need of the service user.

Urgent Community Response Team
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All calls are answered by a senior triage nurse in the Single Point of Access, who will assess the case and advise if the service is able to stabilise and manage the patient.

The rapid resonse team aim to visit the patient within two hours.

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