Palliative Care Wales
Care Decisions Tool for the Last Days of Life - documentation

Following developments in England, Scotland and Northern Ireland supporting care in the last days of life in Wales is changing to incorporate the recommendations and outcomes of the Neuberger Enquiry 2014  and the NHS Leadership Alliance for Care of Dying people 2015.

As a result new All-Wales guidance has been developed that will replace the Last Days of Life Integrated Care Priorities.

The Care Decisions guidance represents a patient-centred model of care focussing on communication, comfort and compassionate care for the patient and those important to them wherever possible.

Lead Contacts

Dr Helen Mitchell
Consultant in Palliative Medicine

Dr Marlise Poolman
Consultant in Palliative Medicine & Senior Clinical Lecturer

Ros Johnstone 
All-Wales End of life Care
Programme Manager

Care Decisions for Last Days of Life - Guidance document
The Care Decisions Guidance to be completed and filed in the patients notes (v6 July 2016)
Case review sheet
The Case Review Sheet: to be completed and returned to Rosalynd Johnstone - no photocopying needed, no patient stickers needed. (v2)
Symptom assessment sheet
Symptom Assessment Sheet to be filed in the patients notes (v7.1)
Symptom control guidance
Guidance on management of common symptoms (v6.1)
Community medication chart
An optional medication chart for use in the community (v5.1)