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O-7 The implementation of palliative and end of life care standards in scottish prisons
  1. Gail Allan
  1. Macmillan, NHS Scotland, Scottish Prison Service


Background The Scottish Government’s Strategic Framework for Action on Palliative and End of Life Care shares a vision where palliative and end of life care is available to all. With an ageing prison population, the Scottish Prison Service has to deal with more foreseeable deaths from terminal and incurable illnesses than ever before. This brings new challenges for both prison regimes and prison facilities in providing quality palliative and end of life care for those prisoners.

Aims This two-year project aims to implement palliative and end of life care standards within a prison context to ensure access to an equitable quality service.

Initial Aims of Project Introduction visits to meet with prison service and NHS staff to discuss role and introduce them to the standards of care. Objectives for each prison based on a gap analysis and identification of education and training requirements. Identify members of staff as palliative care champions. Work collaboratively with each prison to identify their palliative population.

Results All Scottish prisons have been visited and preliminary work of introduction completed with identification of key sites for implementation of tests of change. Delivered sessions on ‘What is palliative and end of life care?’ Developed Palliative and Supportive Care registers to support the identification of those who may benefit from palliative care. Support new multidisciplinary prison palliative care meetings. Delivery of Anticipatory Care Planning training to prison and NHS staff. Process mapping of palliative and end of life service provision in key establishment to bench mark against standards of care and evaluate further areas of change.

Next Steps • Evaluate first year of project.

• Develop training for prisoners

• Develop an education and support platform for Palliative Care Prison champions.

• Focused engagement with other stakeholders i.e., specialist palliative care and third sector organisations.

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