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P-97 HPAL – a unique web-based clinical decision tool, combined with a place-based service directory, to support hospice coordination hubs
  1. Ros Taylor1 and
  2. Poppy Freeman2
  1. 1Harlington Hospice, Harlington, UK
  2. 2Medindex Ltd, London, UK


Aim To provide a web-based clinical decision tool, aligned to national and local ICS guidelines and services, to support the frontline triage staff in the new Hillingdon Palliative Coordination Hub.

Background Recent national guidance has emphasised the need for less fragmented care, coordination of support, together with more accessible palliative information for clinicians and family carers. HPAL ( was initially developed as an innovative clinical information tool for the London Borough of Hillingdon and has now expanded to support the eight boroughs in the North West London Integrated Care System (ICS). It is a unique website, providing trusted curated clinical expertise (2 minute read time) linked to a place-based service directory for each borough.

Method 157 local palliative care services, including hospice teams, pharmacies stocking palliative medicines, carers and bereavement organisations have now been linked to relevant clinical topics.

Clinical topics have been chosen based on analysis of common advice questions from clinicians and patients and all clinical guidance is aligned with local ICS guidelines. The Coordination Hub is being launched imminently with trained Band 4 compassionate communicators who will use HPAL as a clinical decision tool with intelligent access to relevant local services.

Results HPAL has been extremely well received by patients, families and clinicians. It is seen as accessible, easy to navigate and has become a one-stop site for our community palliative teams and is embedded in the service specification for the new Hillingdon Coordination Hub.

Next steps and conclusions Continually develop the Coordination Hub interface with the website. Feedback and analytics will constantly enhance the site. An Out Of Hours chat function will be added. HPAL will underpin two further Coordination Hubs planned for North West London, supporting a population of 2.5 million. Its uniqueness lies in its clinical content linked to a local place-based service directory – it can be easily scaled to any area in the UK.

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