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Planning for Care

Current Events

Monthly Death Cafes

Let’s break the taboo, and talk about Death! This event is an informal space to talk with others about something which affects us all…so boil the kettle, raid the biscuit tin and come and join the conversation!

Please note that this is a discussion group rather than a grief support or counselling session.

These events are open to staff and members of the public.

Events run by the Team

Currently these events happen on MS Teams so places are limited. However, if you are a curious about what a Death Café might be like, we’d encourage you to come along and say hello!

Please keep and eye on this page or our twitter feed for dates. Click date below to book for our next session.

Online Death Cafe as part of Demystifying Death Week 2024

Death Cafes Around the Country (and world!)

Death Cafes are springing up all over the world and there are some that are local. Visit www.deathcafe.com to find your nearest cafe.

Some cafes we know of:

Glasgow Southside Death Cafe

This is an in-person cafe which usually runs the first Thursday of the month 7.30pm-9.00pm at Finns Place (Southside of Glasgow – Langside Church, 167 Ledard Road, Glasgow, G42 9QU). Free refreshments available. For more information and dates visit the Finn’s Place website.

Kali Collective Death Cafe (near Anderston, Glasgow City Centre)

This is an in-person cafe which usually runs the last Thursday of the Month, 7.15 – 8.30pm at Kali Collective Yoga Studio, Unit 203, 54 Washington St, Glasgow G3 8AZ. Free refreshments available.

Govanhill Death Cafe

This is a new cafe that has just started and running 3 sessions to see what the interest is like and if the location is suitable.

This is an in-person cafe which usually runs the third Wednesday of the month (running in Feb, Mar and April), 6.30-8.00pm at Square Park Coffee, On Maxwell Square Park, 44 Leslie Street G41 2LB. Tea/Coffee/Cake available to purchase (but there is no requirement to buy something).

Cambuslang Death Cafe

This is a new cafe which is launching in Demystifying Death Week on Sunday 12th May, 2.00pm-4.00pm at Cambuslang Parish Church, 1 Arnott Way, Cambuslang, Glasgow G72 7JQ. Future dates and times of the cafe are still to be decided. Free refreshments available.

The Whiteinch Death Cafe

This is a new cafe which is launching in Demystifying Death Week on Friday 10th May, 10.45am-1.00pm at The Whiteinch Centre, 1 Northinch Court, G14 0UG. Future dates and times of the cafe are still to be decided. Free refreshments available.

This cafe asks participants to book ahead so they know numbers. Book your place here: https://www.eventbrite.co.uk/e/880218536337?aff=oddtdtcreator

Focused Fundamentals (Bite Sized Learning)

These sessions are bite sized learning events for staff which focus on a specific topic to provide an overview. Sessions are less interactive, focusing instead on delivering information, however there is an opportunity to ask questions at the end of each session. They usually last between 30 – 45 minutes.

Current Topics Covered

  • Clinical Portal Walk Through
  • Future Care Planning Introduction
  • Rockwood Clinical Frailty Score
  • Power of Attorney

If there is a topic you would like us to consider then please email at ACPSupport@ggc.scot.nhs.uk

You can find more information including dates and registration links on our training hub pages.

If there is a topic you would like us to consider then please email at ACPSupport@ggc.scot.nhs.uk

Plan More, Stress Less Sessions

As part of our Plan More, Stress Less toolkit, we host interactive sessions which cover all you need to know about getting yourself, and those you support prepared for any unexpected event including hospital admissions.

This session last approximately 1.5 hours and includes opportunities for you to ask questions. The sessions are online.

Topics covered in the session include:

  • Helpful paperwork
  • What to bring to hospital
  • What conversations we may have whilst in hospital
  • Planning for a successful discharge from hospital
  • Post-discharge support

Dates throughout 2024 – as advertised below. Click date below to book for our next session.

If you are an organisation who who like to organise a specific session for the people you support please email at ACPSupport@ggc.scot.nhs.uk. In some cases we may be able to offer this as an in-person session.

Alongside this session we have created two resources which anyone can use to help them plan for any future hospital admission. This could be a planned admission, for example if someone is going to hospital for an operation or to have some tests. However these resources can also be useful if someone needs to go to hospital in an emergency.

If you have any questions or feedback about these resources please email ACPSupport@ggc.scot.nhs.uk.

Preparing for Hospital Checklist

This checklist will help you think about all the different forms which you can complete just now that would be useful if you were ever in hospital. This includes things like a Future Care Plan and a Power of Attorney.

A Plan to Get You Home

This resources lets you and the people who support you, think about what might need to happen in order to get you home from hospital in a safe and timely manner. This includes thinking about who could collect you from hospital and where you might need to live if you need some extra support for a short time or on a more permanent basis.

Demystifying Death Week 2024

We are thrilled to launch our programme of events for Demystifying Death Week 2024.

Monday 6th May

Pet Bereavement

Monday 6th May 2024, 6.30pm-7.30pm.

Taking place online (MS Teams)

This event is open to the public. Everyone is welcome.

For many people pets are family and so it is only natural to grieve their loss. Wendy Andrew founded the Scottish Pet Bereavement Counselling Service to help others recover from the death of animal companions. 

During this session we will be talking about everything from the wealth of emotion that accompanies a decision to euthanise a pet, to speaking to children about the death of a pet. We will discuss some of the common feelings that people may experience and highlight different places where support is available. There will also be an opportunity to ask questions to our Wendy.

This session is delivered in partnership with the Scottish Pet Bereavement Counselling Service.

Tuesday 7th May

Power of Attorney

Tuesday 7th May 2024, 12.30pm-1.00pm

Taking place online (MS Teams)

This event is open to the public. Everyone is welcome.

The legal parts of future planning can often be confusing, with lots of people not quite sure where to start. This session will explore how to get started with Power of Attorney and making a Will, and why both of these things are so important. There will also be an opportunity to put any questions you have to an expert. 

Wednesday 8th May

Plan More, Stress Less

Wednesday 8th May 2024, 10.00am-11.30am

Taking place online (MS Teams)

This event is open to the public. Everyone is welcome.

When you or someone you care about becomes ill, life can become very stressful. That is why we think it is so important for people to talk to each other and make plans before this happens.

As part of our Plan More, Stress Less Toolkit, is for anyone interested in getting started with planning ahead. In this session we talk about what paperwork we can complete before a crisis arises, what actually happens when someone goes into hospital and how we can all work together to plan for a safe and timely discharge.

Deathcare in the Queer Community

Wednesday 8th May 2024, 6.30pm-7.30pm

Taking place online (MS Teams)

This event is open to the public. Everyone is welcome.

Whether it is planning a funeral, or ensuring that people know your wishes and preferences when it comes to end of life care, having people and tools to help your feel empowered is vital. For members of the Queer community there can be added anxiety about some of these aspects such as what happens with legal paperwork, and how to ensure that the people you want to be involved in care and planning can be. 

This panel discussion will help to answer some of these questions and provide a space to discuss important topics including how we can create inclusive services which embrace and celebrate people’s identities.

During this session we will discuss some of the common feelings that people may experience and highlight different places where support is available. There will also be an opportunity to ask questions to our panel of experts who have backgrounds in various parts of this field.

Thursday 9th May

Having Conversations That Matter

Thursday 9th May 2024, 10.00am-11.30am

Taking place online (MS Teams)

This event is open to the public. Everyone is welcome.

This is an experiential workshop to give participants an easy way to start thinking about what’s important to them and those around them.

Paying for a Funeral – Myth Busters

Thursday 9th May 2024, 12.30pm-1.30pm

Taking place online (MS Teams)

This event is open to the public. Everyone is welcome.

With the average cost of a funeral in Scotland being over £4000*, the financial burden of death and dying can be overwhelming. Caledonia Funeral Aid aim to support people navigating this difficult time by offering advice, as well as practical and emotional support. 

During this session we will be discussing some of the help that is available such as the Funeral Support Payment as well as thinking about creative ways we can honour and celebrate those who have died. There will also be an opportunity to ask questions to our expert.

*Source: SunLife Cost of Dying Report 2024

This session is delivered in partnership with Caledonia Funeral Aid.

Anticipatory Grief

Thursday 9th May 2024, 6.30pm-7.30pm

Taking place online (MS Teams)

This event is open to the public. Everyone is welcome.

 Whilst some deaths can be sudden and unexpected, most follow a period of illness which could last months or even years. During this time everyone can experience a wealth of emotions including anticipatory grief as we realise that a loss is coming. 

This panel discussion will explore anticipatory grief from various points of view including carers of those living with Dementia and parents who have a child with a life-limiting condition.  There will also be an opportunity to ask questions to our panel of experts who have backgrounds in various parts of this journey.

Friday 10th May

Death Cafe (online)

Friday 10th May 2024, 10.00am-11.00am

Taking place online (MS Teams)

This event is open to the public. Everyone is welcome.

Let’s break the taboo, and talk about Death! This event is an informal space to talk with others about something which affects us all…so boil the kettle, raid the biscuit tin and come and join the conversation!

Please note that this is a discussion group rather than a grief support or counselling session.

Previous Events

You can read about past events below. We have also recorded some of our events so that you can watch them in your own time – the videos are available under each event description.

Past Events
Demystifying Death Week 2022

2nd – 6th May 2022

Demystifying death week is about shining a light on death, dying and bereavement in Scotland. Events throughout the week will give people knowledge, skills and opportunities to plan and support each other through death, dying, loss and care.

This year NHSGGC ran 13 events across the week. Some events were recorded and you can watch them below.

You can read our Summary Report for the week.

Additional Resources:

Demystifying Death Week 2022 – Resource List

Demystifying Death Week 2022 – Carers Resource List

Demystifying Death Week 2022 Events

Taking Care of Yourself When Looking After Someone

Supporting other people can take its toll, and whilst it may be the last thing on our minds, taking time for ourselves is really important. Come along for an informal chat about some ways to help recharge and promote self-care.

This session was not recorded.

Death Cafe

Let’s break the taboo, and talk about Death! This event is an informal space to talk with others about something which affects us all…so boil the kettle, raid the biscuit tin and come and join the conversation!

Please note that this is a discussion group rather than a grief support or counselling session.

This session was not recorded.

Having Conversations That Matter

This is an experiential workshop to give participants an easy way to start thinking about what’s important to them and those around them. This event is open to any member of staff working in Health and Social Care across the Greater Glasgow and Clyde Health Board Area. 

This session was not recorded.

Anticipatory Care Planning – An Introduction for Staff

Anticipatory Care Planning has benefits for everyone. It empowers people to tell us what really matters; it gives friends and family an opportunity to talk open and honestly; and it helps professionals to work with everyone to create the best care and treatment plans possible. During the session we will be looking at tools and resources we use across NHSGGC to help promote future planning, and how our systems work together to share information. ACP is everyone’s business, so make sure you know your role in the conversation.

You can watch the recording here:

Planning for The Future

When it comes to planning for the future, do you even know where to start? During this informal information session we will give you some ideas of things to think about and tools to help you plan, as well as telling you how this information can be shared with others so that everyone is in the know.

You can watch the recording here:

Preparing for Hospital – What You Need to Know

No one wants to go into hospital, but sometimes it is unavoidable. However there are some simple things we can do now, to try and make the experience less stressful for everyone.

Come along to learn about making “grab bags”, what paperwork to bring along and what the discharge process might look like. This event might be particularly useful for anyone supporting someone else and worried about what the future might look like.

You can watch the recording here:

What is Palliative Care?

When you think about palliative care, what is the first thing that comes to mind? “Terminal illness”? “End of life”? “Comfort Care”? Whilst all these things are true, palliative care is so much more than this. It is about improving the quality of life of anyone facing a life-limiting condition and can be beneficial at lots points during someone’s health journey. During this session, we will be busting some myths when it comes to Palliative Care and also exploring the support that the NHSGGC Specialist Palliative Care Team can provide both colleagues and patients.

Recording will be available shortly.

Power of Attorney / Making a Will

The legal parts of future planning can often be confusing, with lots of people not quite sure where to start. This session will explore how to get started with Power or Attorney and making a Will, and why both of these things are so important. There will also be an opportunity to put any questions you have to an expert. 

You can watch the part of the session about Power of Attorney here:

You can watch the part of the session about Wills here:

Future Care Planning Communication Training (also known as Anticipatory Care Planning)

This is part of our usual training programme. The session helps staff reflect on the best way to incorporate Future Care Planning conversations into their everyday practice.

This session was not recorded.

For future dates please visit our ACP Training Hub

Future Care Planning and Treatment Escalation Plans

How can we help our on-call teams to do the right thing in the middle of the night – when faced with a deteriorating patient that they have never met? Sometimes intervening may be of no benefit or could cause distress but making that judgement can be very difficult. It is possible that there is a plan but accessing it may be a challenge. We will discuss the plans that may be available, how to find them, how to improve them and how to initiate them and have the conversation. Please note, this is a recording on a session which took place as part of NHSGGC’s Realistic Medicine Week in March 2022.

Recording will be available shortly.

What Happens When Someone is Dying

Dying is a normal process, but these days the process is often surrounded in mystery. Come along to learn more about what actually happens as someone approaches the end of their life and have an opportunity to talk to some experts.

This session was not recorded.

Seasons of Change – Spring Session 2022

An opportunity for staff to reflect on loss, grief and bereavement

Loss, grief, and bereavement are universal emotions.  Whilst death and dying is a natural part of life, during the past two years it is likely that many more people have been touched by experiences which may have triggered feelings associated with loss and change. 

To give staff an opportunity to reflect on both our collective and individual experiences, a new informal online event was created.  The intention was to create a space for staff to reflect and recharge.  There was no active participation necessary, rather staff are encouraged to listen and reflect on the various contemplative pieces (sessions will also have subtitles).   

Staff from across all parts of health and social care were encouraged to attend, including our colleagues in Care Homes, Primary Care and Third Sector.  

Sessions ran on MS Teams everyday during lunchtime of the week 16th-20th May 2022.

You can read our Summary Report for the session.

You can now watch the session in your own time.

Additional Resources:

Seasons of Change – Spring 2022 – Resource List

Carers Week 2022

Carers Week is an annual campaign to raise awareness of caring, highlight the challenges unpaid carers face and recognise the contribution they make to families and communities throughout the UK. It also helps people who don’t think of themselves as having caring responsibilities to identify as carers and access much-needed support.

The campaign is brought to life by thousands of individuals and organisations who come together to provide support for carers, run activities, highlight the vital role carers play in our communities and draw attention to just how important caring is.

This year NHSGGC hosted 5 events as part of Carers Week 2022. We will also be highlighting how staff can help support carers and work with them as equal partners in care. Please follow @NHSGGCCarers on Twitter for all the latest updates.

You can read our Summary Report for the week.

Additional Resources:

Carers Week 2022 – Resource List

Taking Care of Yourself When Looking After Someone

Supporting other people can take its toll, and whilst it may be the last thing on our minds, taking time for ourselves is really important. Come along for an informal chat about some ways to help recharge and promote self-care.

This session was not recorded.

Death Cafe

Let’s break the taboo, and talk about Death! This event is an informal space to talk with others about something which affects us all…so boil the kettle, raid the biscuit tin and come and join the conversation!

Please note that this is a discussion group rather than a grief support or counselling session.

This session was not recorded.

Having Conversations That Matter

This is an experiential workshop to give participants an easy way to start thinking about what’s important to them and those around them. This event is open to any member of staff working in Health and Social Care across the Greater Glasgow and Clyde Health Board Area. 

This session was not recorded.

Planning for The Future

When it comes to planning for the future, do you even know where to start? During this informal information session we will give you some ideas of things to think about and tools to help you plan, as well as telling you how this information can be shared with others so that everyone is in the know.

This was a repeat of the session run during Demystifying Death Week. You can watch it here:

Preparing for Hospital – What You Need to Know

No one wants to go into hospital, but sometimes it is unavoidable. However there are some simple things we can do now, to try and make the experience less stressful for everyone.

Come along to learn about making “grab bags”, what paperwork to bring along and what the discharge process might look like. This event might be particularly useful for anyone supporting someone else and worried about what the future might look like.

This was a repeat of the session run during Demystifying Death Week. You can watch it here:

Seasons of Change – Autumn Session, 2022

Following the success of our Spring 2022 session, Seasons of Change made a return in November 2022!

Staff had another opportunity to reflect of the loss, grief and bereavement they have experienced with a new immerse session running across lunchtimes (12pm-2pm) from 7th-11th November 2022 on MS Teams.

Staff from across all parts of health and social care were encouraged to attend, including our colleagues in Care Homes, Primary Care and Third Sector.

You can watch the session yourself below. Please be aware this session touches upon the topics of suicide and sudden death.

To Absent Friends Week (1st – 7th November 2022)

To Absent Friends gives people across Scotland an excuse to remember, to tell stories, to celebrate and to reminisce about people we love who have died. To Absent Friends, a People’s Festival of Storytelling and Remembrance is an opportunity to revive lost traditions and create new ones. The festival is supported and organised by the Scottish Partnership for Palliative Care.

The festival happens every year from 1st to 7th November.

Find out more about past events for To Absent Friends Week on their website.

Pre-Week Events

On the 12th September 2022 we held some informal sessions for community groups and care homes to come together to learn more about the week, share ideas for events and find out how the grant application process works.

These were both really successful and we look forward to see what everyone plans for November!

Events During the Week

We will be hosted 4 events throughout the week – please see below for details. We also be launched our autumnal Seasons of Change on the last day of the festival.

1st and 3rd November 2022

Having Conversations That Matter

This is an experiential workshop to give participants an easy way to start thinking about what’s important to them and those around them. This event is open to any member of staff working in Health and Social Care across the Greater Glasgow and Clyde Health Board Area. 

We hope to continue running these sessions in the future.

2nd November 2022

Taking Care of Yourself When Looking After Someone

Supporting other people can take its toll, and whilst it may be the last thing on our minds, taking time for ourselves is really important. Come along for an informal chat about some ways to help recharge and promote self-care.

4th November 2022

Death Cafe

Let’s break the taboo, and talk about Death! This event is an informal space to talk with others about something which affects us all…so boil the kettle, raid the biscuit tin and come and join the conversation!

7th November 2022

Seasons of Change

The launch of our autumnal Seasons of Change was on the last day of the To Absent Friends Festival. Please see the Seasons of Change tab for more information.

Carers Rights Day 2022

In the lead up to Carers Rights Day on the 24th November 2022, we hosted events for both staff and the public to raise awareness of unpaid carers and how we can ensure everyone is supported.

Sessions of the Public

Preparing for Hospital – What You Need to Know

No one wants to go into hospital, but sometimes it is unavoidable. However there are some simple things we can do now, to try and make the experience less stressful for everyone.

Come along to learn about making “grab bags”, what paperwork to bring along and what the discharge process might look like. This event might be particularly useful for anyone supporting someone else and worried about what the future might look like.

You can watch the recording here:

Sessions for Staff

Involving and Supporting Carers

This session looked at the legal duties of staff working in acute, community and/or primary care. In particular discussed how staff can encourage carers to recognise their role, how to refer to support services and the legal duty staff have to involve carers in discharge planning. We also mentioned some of the systems which help us record information about any known carers and share this with other services.

We are hoping to re-run these session in 2023 for more staff. If you would like to organise a session for your team or service please get in touch at ACPSupport@ggc.scot.nhs.uk.

Demystifying Death Week 2023

Demystifying Death Week returned in 2023, bigger than ever! There are so many things we wanted to share with you, we decided to celebrate across two weeks instead of one. This also coincided with Dying Matters Week in England, Wales and Northern Ireland.

This year we were thrilled to have partnered up with other services and local organisation to co-deliver some of these events.

A report of the week will follow soon.

Events by Name
ACP Session for the 5 Day Palliative Care Course

We ran a session on ACP for the 5 Day Palliative Care Course which is run by the wonderful team of Macmillan Nurse Facilitators in GGC. Through this course registered nurses get a fantastic insight into the world of palliative care and can increase their knowledge and skills to be able to help those they support.

If you are interested in attending a future course please email info@palliativecareggc.org.uk for more details.

A Day in the Life of… an Anatomical Pathology Technologist

Do you know what an Anatomical Pathology Technologist does? We’ll give you a hint – they work in our hospital mortuaries!

Whilst it may not be the career everyone imagines when they are younger, it can be a hugely rewarding and privileged role to have. This session allowed us to hear from someone with first-hand experience about what it is really like to work in a mortuary.

A recording of the session will be available shortly.

A Day in the Life of…a Funeral Director and Crematorium Manager

Whilst it may not be the career everyone imagines when they are younger, it can be a hugely rewarding and privileged role to have. This session allowed us to hear from someone with first-hand experience about what it is really like to work in the funeral industry.

This event was in partnership with Battlefield Community Project, Finn’s Place and the Hurlet Crematorium.

A recording of the session will be available shortly.

Anticipatory Care Planning – An Introduction for Staff

Anticipatory Care Planning has benefits for everyone. It empowers people to tell us what really matters; it gives friends and family an opportunity to talk open and honestly; and it helps professionals to work with everyone to create the best care and treatment plans possible. During the session we looked at tools and resources we use across NHSGGC to help promote future planning, and how our systems work together to share information.

ACP is everyone’s business, so make sure you know your role in the conversation.

You can watch a similar recording from our Demystifying Death Week 2022.

Anticipatory Care Planning and Treatment Escalation Plans

How can we help our on-call teams to do the right thing in the middle of the night – when faced with a deteriorating patient that they have never met? Sometimes intervening may be of no benefit or could cause distress but making that judgement can be very difficult. It is possible that there is a plan but accessing it may be a challenge.

In this session discussed the plans that may be available, how to find them, how to improve them and how to initiate them and have the conversation.

A recording of the session will be available shortly.

Anticipatory Care Planning Communication Skills Training

This was part of our usual training programme. The session helps staff reflect on the best way to incorporate ACP conversations into their everyday practice.

Please visit our Training Hub for future dates.

Any Last Words?

How do you want to be remembered? What are the stories you want people to tell (or not tell!) about you? What is the soundtrack of your life? Funeral planning doesn’t need to be doom and gloom, especially if you can have your say when you’re still alive!

These days more and more people are creating occasions which are as unique as the person they commemorate, however it always helps in you have at least some idea of what that person would have wanted.

This was a fun workshop which will helped us all to think about some of the little (and big!) things we might want for our own send off.

This event was run in partnership with Battlefield Community Project and Finn’s Place.

If you are interested to learn more about this session please contact ACPSupport@ggc.scot.nhs.uk.

Death Café

We hosted both an online and in-person Death Cafe.

Death cafes are informal spaces to talk with others about something which affects us all. They are discussion groups rather than a grief support or counselling session.

End of Life Aid Skills for Everyone (EASE) Course

EASE Online is a five-week course which is delivered via MS Teams and the learning platform Moodle.  It is open to all staff across NHS, HSCP, Primary Care, Care Homes and third sectors and members of the public – the course is designed to enable people to be more comfortable and confident supporting family and community members with issues they face during dying, death and bereavement. The course has been developed by the Scottish Partnership for Palliative Care.

You can join the waiting list to be the first to know when new dates are released.

Please visit our Training Hub for more information.

Flower Power – remembering those we miss

Nature gives us a great opportunity to reflect and remember, especially when we can see seasons change and plants die, only to spring up again as the days grow longer and the sun comes out.

Using forget-me-not seeds, we wanted to make lots of little seed-bombs which people can use in places where they would like to remember their loved ones. This might be a favourite view point, or on a much-loved walk – the possibilities are endless.

Our workshop gave everyone a chance to come together and share stories and memories of the people we miss and was run in partnership with Battlefield Community Project.

Having Conversations That Matter

This is an experiential workshop to give participants an easy way to start thinking about what’s important to them and those around them.

We hope to run more of these sessions in the future.

How to Host a Death Café

In the future we hope that Death Cafes will be a common as supermarkets, with communities supporting one another through the ups and downs of life. But in order to do this, we need your help!

During this session we heard how we set up both online and in-person Death Cafes within Greater Glasgow and Clyde, as well as our plans for the future. We want people to learn from our mistakes, and steal our top tips and before you know it you’ll be hosting your own!

A recording of the session will be available shortly.

Let’s talk about…bereavement in the workplace

All of us will experience bereavements throughout our lives, so it is very likely that some of these events may happen whilst you are working. Whether it is a sudden loss, or illness which develop over a longer time, trying to juggle work and personal life can be a challenge.

It can also be difficult for colleagues who don’t know what to say or do when someone is dealing with these issues, or returning after the death of someone close.

During this session we explored some of the things we can do to support each other in the workplace including things we can say, places we can signpost too and some of the policies organisations have to support their staff during these incredibly difficult times.

A recording of the session will be available shortly.

Let’s talk about…donating your body to medical science

What do you want to happen to your body after you die? For most of this question makes us think about funeral, burials, cremations. But what about donating your body to help the next generation of students and researchers understand the inner workings of the human body?

During this session we heard from colleagues at the University of Glasgow to learn all about the process that takes place when someone decides to go down this road.

This is in partnership with the University of Glasgow.

A recording of the session will be available shortly.

Let’s talk about… grief

Grief is natural and something all of us will likely experience at some point. During this session we looked at some of the different models that people have used to describe the grief process and also bust some myths people might have about what is “normal”. 

This session is in partnership with the Beatson Cancer Charity.

A recording of the session will be available shortly.

Let’s talk about… hospices

Have you ever visited a hospice? Would it be somewhere you’d be afraid to go?

For many people the word “hospice” is associated with end of life care and death, however the truth is a little different. In this session we heard about all the amazing things hospices do to support people and those who matter to them, recognising that hospices are places of hope and warmth.

A recording of the session will be available shortly.

Let’s talk about…making a Power of Attorney / Making a Will

The legal parts of future planning can often be confusing, with lots of people not quite sure where to start. This session explored how to get started with Power or Attorney and making a Will, and why both of these things are so important.

You can watch a similar recording from our Demystifying Death Week 2022.

Let’s talk about…palliative care

When you think about palliative care, what is the first thing that comes to mind? “Terminal illness”? “End of life”? “Comfort Care”? Whilst all these things are true, palliative care is so much more than this.

During this panel discussion, people could ask us anything – from “how did you get into this field?” to “what does a “good death” look like?” – the floor was yours!

A recording of the session will be available shortly.

Let’s talk about… pregnancy and baby loss

Everyday people are left with the grief and trauma that often accompanies the loss of a pregnancy or baby shortly after birth. Whilst everyone’s situations are unique, as a society we can do much more to support one another in these difficult times, and that often begin with having a conversation.

During this session we discussed some of the common feelings that people may experience and highlight different places where support is available. There was also an opportunity to ask questions to our panel of experts who have backgrounds in various parts of this bereavement journey.

This session is delivered in partnership with Sands and Antenatal Results and Choices (ARC).

A recording of the session will be available shortly.

Let’s talk about… spiritual care considerations at the end of life

We were delighted to be presenting at NHSGGC Grand Rounds on the topic of spiritual care considerations at the end of life. We are lucky to live in a multi-cultural country, with people coming from all walks of life and bringing their own beliefs and views with them. However sometimes it can be difficult to remember all the different things that we can do to support someone, especially as they approach death.

During this session, colleagues from the spiritual care team explored some of the common, yet simple things we can do as staff to support patients as well as their friends and family, and also highlight some of the resources available to support staff deliver this person-centred care. 

You can watch this on the Grand Rounds Stream Channel. Please note there may be restricted access to this video.

Let’s talk about… what happens when someone is dying

Dying is a normal process, but these days the process is often surrounded in mystery. During this sessions we learned more about what actually happens as someone approaches the end of their life and had an opportunity to talk to some experts.

A recording of the session will be available shortly.

Planning for The Future

When it comes to planning for the future, do you even know where to start? During this informal information session we gave you some ideas of things to think about and tools to help you plan, as well as telling you how this information can be shared with others so that everyone is in the know.

You can watch a similar recording from our Demystifying Death Week 2022.

Preparing for Hospital – What You Need to Know

No one wants to go into hospital, but sometimes it is unavoidable. However there are some simple things we can do now, to try and make the experience less stressful for everyone.

This session talks about making “grab bags”, what paperwork to bring along and what the discharge process might look like.

You can watch a similar recording from our Demystifying Death Week 2022.

Values Based Reflective Practice and Mindfulness Session: managing transitions within our work

This is a session that provided a space for practitioners to reflect on their past experiences of coping with the emotional elements of their work, and explore how we might use the idea of transition practices to support us manage the impact of death, loss and bereavement within our work.

The session included values based reflective practice (VBRP) which allowed time out to reflect on the challenges face in our roles, and reconnects us with the reasons we chose healthcare. The session also gave us an opportunity to share experiences and self-care techniques such as mindfulness and breath work to create calming transitions as we move from one care episode to another.

We hope to run more of these sessions in the future.

Other events across Glasgow and the rest of Scotland

Demystifying Death Week is a national awareness week with events happening across the whole of Scotland. For the full list of events across the week visit the Good Life, Good Death, Good Grief website.

Carers Week 2023

Carers Week is an annual campaign to raise awareness of caring, highlight the challenges unpaid carers face and recognise the contribution they make to families and communities throughout the UK. It also helps people who don’t think of themselves as having caring responsibilities to identify as carers and access much-needed support.

The campaign is brought to life by thousands of individuals and organisations who come together to provide support for carers, run activities, highlight the vital role carers play in our communities and draw attention to just how important caring is.

This year we took part in 6 events across the week and partnering with some amazing organisations and different team. We also highlighted how staff can help support carers and work with them as equal partners in care.

What Matters To You Sessions

This year Carers Week coincided with What Matters To You Day celebrations and we were delighted to be take part in their lunchtime webinar series.

Understanding and Supporting Unpaid Carers

This session looked at the legal duties of staff working in acute, community and/or primary care. In particular discussed how staff can encourage carers to recognise their role, how to refer to support services and the legal duty staff have to involve carers in discharge planning. We also mentioned some of the systems which help us record information about any known carers and share this with other services.

Anticipatory Care Planning

Anticipatory Care Planning has benefits for everyone. It empowers people to tell us what really matters; it gives friends and family an opportunity to talk open and honestly; and it helps professionals to work with everyone to create the best care and treatment plans possible. During the session we looked at tools and resources we use across NHSGGC to help promote future planning, and how our systems work together to share information. ACP is everyone’s business, so make sure you know your role in the conversation.

A recording of these sessions will be available soon.

How To Slow Down When Someone Dies

Monday 5th June 6.30pm-7.45pm and Friday 9th June 10.30am-11.45am

This year we partnered with Pushing Up The Daises, Caledonia Funeral Aid and Social Security Scotland to host sessions which aimed to shine a light on how people can attend to their own wellbeing following the death of a significant person, especially one they may have cared for. During the event we discussed

  • ideas for helping you to start your grieving process in a way that best serves you and the people around you,
  • the pros and cons of being actively involved yourself with arrangements for burial or cremation and also perhaps the person’s body,
  • practical information about the Funeral Support Payment which help people with certain benefits and tax credits to pay for a funeral,
  • the laws around death and funerals, and
  • why your choices are really important to help your grieving and for your long term well-being.

A recording of the session will be available soon.

Preparing for Hospital – What You Need to Know

No one wants to go into hospital, but sometimes it is unavoidable. However there are some simple things we can do now, to try and make the experience less stressful for everyone.

Come along to learn about making “grab bags”, what paperwork to bring along and what the discharge process might look like. This event might be particularly useful for anyone supporting someone else and worried about what the future might look like.

You can watch a recording of a previous session here:

Carers Engagement Session – Preparing For Hospital Checklist

During this event we heard from staff, carers and members of the public about the development of a new hospital checklist based on the information provided in our “Preparing for Hospital” session. We hope to launch this resource soon.

To Absent Friends Week (1st – 7th November 2023)

We were delighted to be celebrating To Absent Friends again this year!

We hosted some events:

Death Cafe

It was great to be able to share stories with colleagues and support one another. If you would like to attend one of our Death Cafes sign up to our mailing list to hear about new dates.

Let’s Talk About…Bereavement Through Suicide

Stories From 88 Days on a Tandem Around the British Coastline

In January 2022, Xani lost his sister, Alice, to suicide. Since then he and his family have been navigating their own grief journey, supported by a number of different charities including SOBS (Survivors of Bereavement by Suicide).

In the summer of 2023, Xani decided to embark on a mammoth cycling expedition as a tribute to Alice and a way to reach out to others who have been affected by suicide, whilst also raising money for some great organisations. Over 88 days he covered over 3500 miles on a tandem around the British coastline, each day joined by a new person affected by suicide. Together as they pedalled, they shared the story of their experience and the wisdom they had gained. Not only this, he has also managed to raise over £36,000 for both SOBS and PAPYRUS.

From his time on the tandem, Xani has some incredible memories but has also gained a wealth of knowledge about the impact of grief and the different ways people begin to rebuild their lives after tragedy. During this session Xani shared his own story and reflections – from the importance of conversations to meaningful ways to honour those who have died.

A recording of the session will be available soon.

This session dealt with themes that some people may find upsetting. Please look after yourself and reach out to support if you need it.

Samaritan’s Helpline – 116 123 (24 hours a day, 7 days a week.)

Cruse Scotland Helpline (Bereavement Support) – 0808 802 6161 (Monday to Friday 9am – 8pm, weekends 10am – 2pm.)

If you need immediate help please call 999.

EASE Course

During this week we finished cohort 2 of our End of Life Aid Skills for Everyone (EASE) course and began cohort 3. If you are interested in talking part in a future course then please visit our training hub for more information.

Other Events Across Scotland

There were lost of other events happening across the country including Death Cafes, Remembrance Teas and sessions looking to reimagine the final days and hours we spend with people who have died.

This year there were lots of online events too – check out the Full National Programme here

Carers Rights Day 2023

We are delighted to celebrate Carers Rights Day once again and we have planned events for both staff and the public to raise awareness of unpaid carers and how we can ensure everyone is supported.

Plan More, Stress Less

Thinking about the future can be daunting, however if we leave these conversations until the last minute we can cause even more stress! Come along to learn some simple things we can do now, to try and prepare for any future crisis.

In this session we will be talking about everything from thinking about who could make decisions on your behalf, what paperwork we might need and also what creature comforts would you want if you had to go into hospital. Whether you are worried that a hospital admission may be likely in the near future, or are someone who likes to be in control, this session is for you! This event might be particularly useful for anyone supporting someone else and worried about what the future might look like.

You can choose to attend our day session or evening session. Both of these sessions are online. Click on your preferred date and time to book.

This event is open to staff and members of the public.

Involving and Supporting Carers

This session looks at the legal duties of staff working in acute, community and/or primary care. In particular we discuss how staff can encourage carers to recognise their role, how to refer to support services and the legal duty staff have to involve carers in discharge planning. We also mention some of the systems which help us record information about any known carers and share this with other services.

This session will take place on Thursday 23rd November, 12.30pm-1.30pm on MS Teams.

We are hoping to re-run these session in 2024 for more staff. If you would like to organise a session for your team or service please get in touch at ACPSupport@ggc.scot.nhs.uk

National Power of Attorney Day

We are launching our brand new Power of Attorney Lunch & Learn Session as part of the national celebrations and awareness raising activity.

Power of Attorney is a topic which can confuse both staff and the public, with no one quite sure where to start. This session will explore how to get started with Power or Attorney and why this is so important.

This session will take place on Monday 27th November 12 noon – 12.30pm and is open to both staff and members of the public.

We are hoping to re-run this session in 2024. If you would like to organise a session for your team or service please get in touch at ACPSupport@ggc.scot.nhs.uk

These guidance notes refer to different parts of the ACP Summary on Clinical Portal.

“Anticipatory Care Planning” becoming “Future Care Planning”

In relation to the recent letter from the CMO regarding the name change from “Anticipatory Care Planning” to “Future Care Planning” on 20th September 2023, we wanted to remind all staff of the current process by which people can share their views and wishes when it comes to future care and treatment within NHSGGC. We also wish to highlight the resources available to support both staff and the public.

Within the Board, we believe future care planning is everyone’s responsibility. This is one of the reasons that we have chosen the Clinical Portal system to store future care planning information as it is accessible by Acute, Community and Primary Care as well as Social Work. This means that the majority of health and social care professionals can access and update this information.

We acknowledge that different services will have different conversations based on the roles and remits of the team, however by bringing this information into a central location we can easily share information and help to create person-centred care plans which reflect the wants and needs of people. Therefore our ACP Summary should not be viewed as the responsibility of one individual or service, but rather a dynamic document with many people contributing information.

It is also worth re-iterating that conversations about future care should not just be limited to people at or nearing the end of their life. These conversations can be useful for people at any age and stage of their life and the level of planning required will depend on where someone is in their life journey. We are also encouraging all staff to consider whether someone could benefit from a Frailty Assessment using the Rockwood Clinical Frailty Scale, the results of which can be recorded on the online summary. Early identification and monitoring of frailty is important to help create plans which can slow decline or in some cases reverse frailty. From more information about the Clinical Frailty Scale staff can attend a Lunch & Learn session – more details available on the ACP Training Hub.

The Anticipatory Care Programme, which launched in April 2020, is available to support all staff across the Board with information and training. There is an eModule and a variety of virtual training delivered by the ACP Team and Realistic Medicine Teams including walkthroughs of Clinical Portal and communication skills with case studies to discuss. All training is open to all staff in any role and at any level. For more details please visit the ACP Training Hub

The ACP Team have also created a wealth of resources for the public including webpages which explain many different aspects of future care planning. They have leaflets which can be printed off with further information (these can be found on the Useful Documents and Resources section of the webpages) and also regularly host events covering various topics – these are open to both staff and the public.

Over the coming months we will be working closely with members of the Scottish Government to ensure that the work that has already taken place in GGC can be shared with other Health Boards and that we continue to align with any national programmes and messaging. We will also continue to work with colleagues in various services and programmes including the Realistic Medicine Team and Unscheduled Care.

We will also begin to change some of the language we use, particularly in public facing areas, to reflect the new term “Future Care Planning”, however during this transition period the phrase “anticipatory care planning” and “ACP” may still be used. The form on Clinical Portal will continue to be called the “Anticipatory Care Plan Summary” until further notice.

Full details of the approach to Anticipatory Care Planning/Future Care Planning within NHSGGC can be found in the Guidance/Standard Operating Procedure Document. Please note this will be updated to reflect the new terminology in coming months.

You can contact the ACP Team at ACPSupport@ggc.scot.nhs.uk with any questions or for further information.

Consent

We do not require explicit consent to share the information contained within the Future Care Plan. Therefore the Future Care Plan Summary no longer records if someone has given consent to have a Future Care Plan.

A Future Care Plan is a document brings many pieces of information together into a shareable format. Therefore by engaging in a Future Care Plan conversation, the individual (or legal guardian) is agreeing to share this information.

Article 6(1)(e) of the UKGDPR in conjunction with the Intra NHS Scotland Sharing Accord allow the information contained within this document to be shared with Primary Care and other NHS Boards including NHS 24 and Scottish Ambulance, without the need for explicit consent. We are sharing this information for routine patient care as part of our Board’s duty to provide healthcare to our patients. It is best practice for staff to make sure the individual and/or their legal proxy is aware this information will be shared when conducting ACP conversations. If the patient would like further information about how the Board uses their data it can be found in our Privacy Notice here – https://www.nhsggc.org.uk/patients-and-visitors/faqs/data-protection-privacy/#

Recording whether someone would like to share information via Future Care Planning

Although we no longer record consent on the Future Care Plan Summary, the summary does include a question about whether or not an individual (or their legal guardian) wishes to have an Future Care Plan.

By asking this question we hope to enable staff to evidence when a conversation takes place, but the offer of a Future Care Plan is declined. We will monitor this data.

If a Future Care Plan is refused, staff have the opportunity to record the reason for this. We would ask all staff to complete this in order to provide context to their colleagues who may wish to revisit the conversation at a later date.

Clinical Frailty Score (Rockwood)

We would encourage all staff to consider carrying out a Rockwood Frailty Assessment and select the appropriate score in the Future Care Plan Summary.

If a frailty assessment is not applicable please select “0 – Not Applicable”.

Frailty Score Guidance (you can also download an app – Clinical Frailty Scale (CFS) – to help with the assessment – download for apple or android).

Diagram of Clinical Frailty Scale
Special Notes / What is important to the individual?

Overview of person including family circumstances, accommodation information, health goals, what matters to them, emergency planning information etc. If person is a carer, or has informal carers please state too.

If person lacks capacity ensure this is recorded alongside who has been present during any discussions.

If a person declines a Future Care Plan, staff are encouraged to ask permission to record this decision on the Future Care Plan Summary so that other services are aware that a Future Care Plan has been offered. It is also best practice to indicate whether the person may be willing to revisit these conversations at a later date. Please record this in the appropriate question.

Current Health Problems / Significant Diagnoses

Overview of health issues and diagnoses. Baseline functional and clinical status to help clinician identify deterioration – e.g. baseline O2%, 6-CIT score, level of mobility, current or planned treatments.

It is good practice to indicate if there are any treatments or interventions that the person would not wish. If they have an Advanced Directive this can be indicated.

My preferred place of care

Depending on the person’s own circumstance and health journey, this may include preference about:

  • long term care (e.g. nursing or residential care)
  • place of treatment. This could include short or long term treatment.
  • place of death

This section may also include the current level of care being provided by informal carers and/or any discussions which have occurred regarding on going and future care they may be able to provide.

My views about hospital admission / views about treatments and interventions / family agreement

It is best practice to give as much information as possible regarding views about hospital admission and explore with people what might happen in different scenarios. For example people may be willing to be admitted for a short period for symptom management, however would be unwilling to be admitted if it was likely they would be in hospital for long periods.

For people who are frail, in residential/nursing homes or approaching the end of their lives, it may be useful to discuss the 3 following scenarios:

  1. If you had a sudden illness (such as a stroke or a heart condition), how do you think you would like
    to be cared for?
  2. If you had a serious infection that was not improving with treatments we can give in the community like antibiotic tablets or syrup, how do you think you would like to be cared for?
  3. If you were not eating or drinking because you were now very unwell, how do you think you would like to be cared for?

Over the coming months we will be changing some of the language we use to talk about planning for care. We are changing the term “Anticipatory Care Planning” to “Future Care Planning” to help show how broad these conversations can be, and encourage more people to take part. You can read our full statement about the change here.

If you have any questions please get in touch at ACPSupport@ggc.scot.nhs.uk

You can keep up to date with all the latest news via our Twitter account @NHSGGC_FCP

Please get in touch if you need any further information or to report any broken links on these pages. You can email ACPSupport@ggc.scot.nhs.uk.

Here you will find links to various documents and websites which we hope will be useful.

Resources have been grouped into themes. To view resources and hyperlinks please click on them.

If you are having difficulty accessing any document please contact ACPSupport@ggc.scot.nhs.uk and we will provide the most up to date version.

The ACP Summary was updated in July 2022. All guidance documents have now been updated to reflect these changes.

We are changing the term “Anticipatory Care Planning” to “Future Care Planning” to help show how broad these conversations can be, and encourage more people to take part. You can read our full statement about the change here.

Future Care Planning (ACP) Standing Operating Procedure
DISCUSS Guides
Plan More, Stress Less Toolkit

We have created some resources which help people think about all the different documents which could help them to be more prepared is an emergency happened or someone was admitted to hospital.

Plan More, Stress Less Online Session

We run online sessions which look at all the different documents which can help us prepare for the future. This includes thinking about Power of Attorney and Future Care Planning. We also discuss what might happen if someone is admitted to hospital including who you might meet and what conversations we may need to have.

Check our Events Page for future dates of sessions.

Preparing for Hospital Checklist

This checklist will help you think about all the different forms which you can complete just now that would be useful if you were ever in hospital. This includes things like a Future Care Plan and a Power of Attorney.

A Plan To Get You Home

This resources lets you and the people who support you, think about what might need to happen in order to get you home from hospital in a safe and timely manner. This includes thinking about who could collect you from hospital and where you might need to live if you need some extra support for a short time or on a more permanent basis.

Preparation Guides For The Public
Preparation Guides For Staff
ACP Documents (Person-Held Booklets)
ACP Summary Guides
Winter Planning Toolkits For Staff and Services

By ensuring we know what people’s wishes and preferences are, we can make the right decisions if emergency situations arise. This includes whether or not they would wish to be admitted to hospital or prefer to receive treatment elsewhere if possible.

Future Care Planning and Winter Planning – Information for Staff and Services – PDF

We know that many staff have been identified as a close contact by the Test and Protect process and as a result are now required to isolate. Whilst this means many services are under extreme pressure to continue to provide face to face support, there is now extra capacity in the system for staff to carry out tasks which can be completed remotely e.g. beginning to engage with people and their families about future planning.

Having ACP Telephone Conversations – Information for Staff – PDF

Library of Good Practice (Example ACP Summaries)

Click on the names to read their Future Care Plan:

Alan Fulton – An older man who cares for his wife.

Monica Hill – A lady with breast cancer receiving support from a local hospice. 

Elizabeth MacDonald – An older lady with COPD.

Ali Malik – A young adult transitioning between child and adult palliative care services. You can also view an example of a Child and Young People Acute Deterioration Management (CYPADM) form

Charles Menzies – An older widow who is living independently with no known conditions.

Duncan Moore – A middle-aged man with a new diagnosis of Diabetes Type 2.

Jacqueline Morrow – A parent carer with a daughter on the autistic spectrum.

Sophie Morrow – A young woman with autism.

Margaret Quinn – An older lady living with dementia.

Sarah Rosenshine – An older lady living with osteoporosis.

Cathy Steel – An older frail lady receiving Palliative Care.

Paul West – A middle-aged man recovering from cancer.

Tom Williams – A Care Home Resident.

Other Resources

We would love to hear about your experience of Future Care Planning. Whether you have had a fantastic future planning conversation, or been able to use a Future Care Plan to help create bespoke treatment plans that are tailored to individuals, we want to hear about it! 

You can either tell us about the event using our online case study collection portal, or download our Future Care Plan Case Study Template word document and send it to ACPSupport@ggc.scot.nhs.uk 

Please ensure you have permission from all the people involved in this case before you share this story.
Please also remember to anonymise all patient identifiable information.

If you have any questions or concerns about whether or not you can share this story please speak with your line manager or email ACPSupport@ggc.scot.nhs.uk

Emotional Support

Having these conversations can bring up lots of different emotions. It is just as important to look after your mental wellbeing as well as your physical health. There are lots of resources available which have information and advice for you and your friends and family. For instance, NHS Inform talks about the 5 Steps to Mental Wellbeing.

Grief and loss can be experienced at lots of different times. We can experience these emotions even before someone has died. This is natural. You might find it useful to talk to someone about this – maybe a friend or relative. There are also organisations which have advice and can offer advice.

If you are supporting someone at the end of life you can find more information on our webpages.

If you are supporting someone who is experiencing a bereavement then you can find information on the Cruse Bereavement Support webpages.

If someone has died, you can find information and advice about what you need to do next.

Useful Websites and Organisations

There are lots of organisations and services who can help you and the people that matter to you get the information you need. Some organisations and services can also help you fill out the documentation.

You can also speak with any health care professional involved in your care. They might not be able to help you with everything (e.g. making a Will or making a Power of Attorney), but they will be able to signpost you to more information if necessary. They can help answer any questions you might have about anticipatory care planning and make sure that the important information is stored on the system.

Find information about other useful websites and organisations below.

Useful Websites

Here is a list of websites which provide lots of information about future planning. They also provide some resources you may find useful. If you need to speak to someone, or need support to use the planning tools then you can contact one of the useful organisations below.

Useful Organisations

Future Care Planning (also known as Anticipatory Care Planning or ACP) helps people make informed choices about how and where they want to be treated and supported in the future. Health and care practitioners work with people and the people that matter to them to ensure the right thing is done at the right time by the right person to achieve the best outcome.

Future Care Planning puts people at the centre of the decision-making process about their health and care needs. It encourages people to have conversations about what matters to them and can be started at any stage of a person’s care. This can be after life events such as a hospital admission or a decline in health.

What is a Future Care Plan?

A Future Care Plan is a record of someone wishes. It should be created over time and reflects conversations between a resident, the people that matter to them and the health care professionals that work with them. 

What information is in a Future Care Plan?

The plan should include:

  • a summary of the “thinking ahead” discussions
  • a record of the preferred actions, treatments and responses that care providers should make following a decline in health

Some Future Care Plans include information about care at the end of life including where residents would like to be cared for and their wishes about different treatments including resuscitation. All these discussions should be had sensitively and with consideration and should include the people who the resident wishes to be there. 

How can we help everyone prepare for these conversation?

Some people will not have considered these topics before. It is important that you give them time and space to reflect before having these conversations.

To start with, have a conversation with everyone to explain what Future Care Planning is. You can give them some information to read through and think about it. Let them know you would like to talk more about this in the future.

Information Leaflets

Information for Residents – (PDF)

Information for Relatives and Friends – (PDF)

DISCUSS – A Guide For People Thinking About Their Future – PDF

DISCUSS – A Guide For People Thinking About Their Future – PDF (Black & White Version)

DISCUSS – A Guide For Friends, Family and Carers – PDF

DISCUSS – A Guide For Friends, Family and Carers – PDF (Black & White Version)

DISCUSS – A Guide For Staff – PDF

DISCUSS – A Guide For Staff – PDF (Black & White Version)

It is important to involve everyone in these discussions, however if a resident does not have capacity to make these decisions, then it may not be appropriate to give them this information. In these cases we should make every attempt to involve friends, family and carers in order to agree what would be best for the resident and respect their wishes. 

You may feel like you don’t know enough about some topics to give advice to others. For example you might not feel able to answer some questions about DNRCPR, or you might be unsure of the level of support home care can give. If someone asks a question that you don’t know the answer to, be honest about this. Tell them you aren’t sure right now but you will find the information and get back to them. Talk to your colleagues to try and find out the necessary information or you can email ACPSupport@ggc.scot.nhs.uk.

How do you complete a Future Care Plan?

There are different ways of recording Future Care Plans and each care home may differ. However it’s important to share this information with health and social care partners so that treatment plans reflect people’s wishes.  The easiest way to do this, is to link with the GP who can update the Key Information Summary (KIS). This is an electronic record which NHS24, the Scottish Ambulance Service and hospitals can access.

To help transfer this information quickly and easily, all HSCPs in Greater Glasgow and Clyde use a Future Care Plan Summary to record Future Care Planning decisions. This mirrors the information on the KIS so GPs can if they wish quickly copy information to the KIS. It can be accessed either on Clinical Portal (specific Future Care Planning/ACP tab), or services can use an interactive PDF.

Some Care Homes have access to Clinical Portal. Unfortunately this is only available currently for HSCP Care Homes. These Homes can fill out the summary directly on there. Clinical Portal will automatically send the Future Care Plan to the GP and they can if they wish transfer the information to the KIS. 

For Homes which do not have direct access to Clinical Portal. they can fill out this interactive PDF and email or post a copy to the GP.

Remember, if any changes are made at the Future Care Plan review, this information needs to be sent to the GP so they can update the KIS.  

Guide to updating Future Care Plans on Clinical Portal (PDF)

Guide to updating Future Care Plans on Clinical Portal (Video)

Guide for GPs Updating eKIS from Future Care Plan Summary (PDF)

How can you use a Future Care Plan to make care and treatment plans?

People’s wishes and the wishes of those that matter to them, must always be taken into account when deciding on treatment plans. By doing this you will make a plan specific to this individual and based on what is important for them.  

Many residents who live in a care home may choose to remain there if they become unwell. Their main priority might be comfort, and being in their own room, looked after by staff who know them well. However there will be some residents who may benefit from admission to hospital and would want to be transferred. If they do go into hospital it is important to send with them a copy of any previous discussions. If someone has a DNACPR form please send a copy with them.

What happens if someone changes their mind?

Anyone can change their mind, and as circumstances change, what is important to people might also change. This is why we think the most important part of the Future Care Planning process is the ongoing conversations with residents and the people that matter to them.  

Final plans do not need to be made but recording the content of these discussions means these plans can be built on. We would expect that Future Care Plans would be reviewed perhaps every 6 months at the time of the resident’s reviews.  

Future Care Planning Care Home Projects

There are currently many projects happening in Care Homes across NHSGGC to help improve the use of Future Care Plans. These include projects focused on:

  • content of a Future Care Plan
  • identifying and recording frailty
  • ensuring key information is easily identifiable in residents files
  • ensuring Future Care Planning information is uploaded to KIS

If you work in a care home and are interested in participating in a project please email ACPSupport@ggc.scot.nhs.uk.

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Across NHSGGC we aim to deliver person-centred care. To do this we need to work with everyone – the person, those who matter to them and the other health care professionals involved in their care.

If the person you work with is supported by friends, family or neighbours in a caring capacity you should refer them to carer support services

“Anticipatory Care Planning” is becoming “Future Care Planning” – An Update From The Programme (Oct 2023)

In relation to the recent letter from the CMO regarding the name change from “Anticipatory Care Planning” to “Future Care Planning” on 20th September 2023, we wanted to remind all staff of the current process by which people can share their views and wishes when it comes to future care and treatment within NHSGGC. We also wish to highlight the resources available to support both staff and the public.

Since 2019 we have been storing information about future care planning on the “Anticipatory Care Plan Summary” which sits on Clinical Portal. This document can be edited by any member of staff to record people’s wishes and preferences. It also gives the opportunity to document clinical management plans, record Power of Attorney details as well as DNACPR discussions. A copy of this document is automatically shared with GPs who can update information on the Key Information Summary (KIS). Primary Care staff can read the latest ECS and KIS directions from Scottish Government here. Staff should check both KIS and the ACP Summary to ensure they have all information available.

Within the Board, we believe future care planning is everyone’s responsibility. This is one of the reasons that we have chosen the Clinical Portal system to store future care planning information as it is accessible by Acute, Community and Primary Care as well as Social Work. This means that the majority of health and social care professionals can access and update this information.

We acknowledge that different services will have different conversations based on the roles and remits of the team, however by bringing this information into a central location we can easily share information and help to create person-centred care plans which reflect the wants and needs of people. Therefore our ACP Summary should not be viewed as the responsibility of one individual or service, but rather a dynamic document with many people contributing information.

It is also worth re-iterating that conversations about future care should not just be limited to people at or nearing the end of their life. These conversations can be useful for people at any age and stage of their life and the level of planning required will depend on where someone is in their life journey. We are also encouraging all staff to consider whether someone could benefit from a Frailty Assessment using the Rockwood Clinical Frailty Scale, the results of which can be recorded on the online summary. Early identification and monitoring of frailty is important to help create plans which can slow decline or in some cases reverse frailty. From more information about the Clinical Frailty Scale staff can attend a Lunch & Learn session – more details available on the ACP Training Hub.

The Anticipatory Care Programme, which launched in April 2020, is available to support all staff across the Board with information and training. There is an eModule and a variety of virtual training delivered by the ACP Team and Realistic Medicine Teams including walkthroughs of Clinical Portal and communication skills with case studies to discuss. All training is open to all staff in any role and at any level. For more details please visit the ACP Training Hub

The ACP Team have also created a wealth of resources for the public including webpages which explain many different aspects of future care planning. They have leaflets which can be printed off with further information (these can be found on the Useful Documents and Resources section of the webpages) and also regularly host events covering various topics – these are open to both staff and the public.

Over the coming months we will be working closely with members of the Scottish Government to ensure that the work that has already taken place in GGC can be shared with other Health Boards and that we continue to align with any national programmes and messaging. We will also continue to work with colleagues in various services and programmes including the Realistic Medicine Team and Unscheduled Care.

We will also begin to change some of the language we use, particularly in public facing areas, to reflect the new term “Future Care Planning”, however during this transition period the phrase “anticipatory care planning” and “ACP” may still be used. The form on Clinical Portal will continue to be called the “Anticipatory Care Plan Summary” until further notice.

Full details of the approach to Anticipatory Care Planning/Future Care Planning within NHSGGC can be found in the Guidance/Standard Operating Procedure Document. Please note this will be updated to reflect the new terminology in coming months.

You can contact the ACP Team at ACPSupport@ggc.scot.nhs.uk with any questions or for further information.

Information for Current Staff

Information for New Staff & Students

If you are new to NHSGGC then we would recommend that you take a look at our training hub. This will help you understand what happens in our Health Board and what role you can play. There may also be specific training for your specific role or area. Check with your line manager or practice development team.

Information for Care Home Staff