We need to have good conversations where we can talk openly and honestly about people’s wishes and their health goals. We also need to make sure they have all the information they need to make informed choices and understand the benefits and limitations of different treatments.
Good communication is the key to success. 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.
It may be useful to have an introductory conversation with people and those that matter to them, explaining that you would like to have further conversations soon. You can signpost them to the information in these pages.
Raising Important Topics
These discussions are really important; however we understand that some staff members might not always feel comfortable having them. Try not to overcomplicate the matter – we can often start conversations with a simple question like ‘what matters to you?’ or ‘how would you feel if you have to go to hospital?’ and we often find that people are keen to discuss this, as are those who matter to them.
What should we DISCUSS?
We have created some resources to help you think about the different topics you could talk about as part of an ACP Conversation. They use the “DISCUSS” framework.
You may also 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.
Training and Skills Practice
Communication is a skill which needs practice. There are lots of different courses and resources available to help you think about how to communicate with other. Here are some of our recommendations:
Face to Face Training Courses*
*Please note that some of these course may not currently be running or may have moved to a virtual platform.
We have created our own online module which gives you a general overview of Anticipatory Care Planning.
There are 2 Learnpro Modules we would suggest. Please note you will need to have a Learnpro account to access these.
GGC 028: Anticipatory Care Planning
GGC 053: Palliative End of Life Care
The NHSGGC Primary Care Palliative Care Team run a variety of online and face to face training, including sessions on ACPs, communication skills and DNACPR.
Macmillan Learnzone Resources
Please note you will need to make an account.
NHS Education for Scotland (NES) Resources
Please note you may need to make a TURAS account to access these resources.
EC4H (Effective Communication For Healthcare)
Delivering Bad News Video – Irish Hospice Foundation