Introduction The modern hospice movement was founded by Dame Cicely Saunders with a Christian religious ethos. Our spiritual care review showed society has changed while hospices remained mostly static. The review uncovered the following:

• Misconceptions about who hospice care is for, leading to inequalities in access.

• Belief, for many people, is something deeply personal and not dependant on religion.

• To avoid neglecting personal spirituality, hospice and spiritual care should be inclusive and proactive.

• Spiritual care was offered through a Christian Chaplaincy model. Patients declined with limited information about the alternative provision.

Aims

• Transition hospice spiritual care from a chaplaincy model to one inclusive of all religious and no religious beliefs.

• Clearly communicate inclusivity of spiritual care throughout the hospice to gain consistency in understanding.

• Present proactive inclusivity of spiritual care for all patients, family members, volunteers, and staff in the diversity of spiritualities today.

• Preserve formative values and ethos, from the Christian foundations of Havens Hospices.

Methods

• Be, speak, live spiritual care message in person and through communications.

• Produce policy and procedure for the breadth of the organisation.

• Recruit and train volunteers from diverse religious, spiritual and no affiliation.

• Listen and respond positively to people of all beliefs and none.

• Data analysis – demographic of patient intake compared against local census demographics.

• Self-audit against best practice guidance.

• Robust spiritual care review leading to spiritual care strategy.

Results

• Inclusive spiritual care increased through staff awareness.

• Increased patient and family uptake of spiritual care.

• Increased and diverse community networking.

• ‘Chapel’ changed to ‘Sanctuary.’

• Multi-faith approach to spiritual care study days.

• Has contributed to ongoing cultural change around inclusivity.

Conclusion

• Inclusive spiritual care is embedded across Havens Hospices.

• There is increased uptake of spiritual care because patients see it as personally relevant.

• Continued organisational connection to its founding ethos and values without a religious context.

• Instigated independent review of culture and focus on equality and diversity throughout.