• Specialist Palliative Care Services

    Patients and Families

Specialist Palliative Care Services

How can you help me?
St Andrew’s Hospice provides specialist palliative care services – the total care of patients who require complex symptom management and or end-of-life care and is open to all, without distinction of race, gender, or creed. It is Lanarkshire’s only Specialist Hospice and provides multidisciplinary support for patients, their families, and carers.

What care is available?

  • 30 inpatient specialist palliative care beds
  • Crisis Management Respite care services for specialist palliative care patients
  • Outpatient services for specialist palliative care patients
  • Community Palliative Care and Support Project
  • Grief and Bereavement Support Services
  • Consultant led medical team
  • Specialist Palliative care liaison service across the three NHS Lanarkshire hospitals.
Inpatient Unit
St. Andrew's Hospice, Airdrie.

St. Andrew’s Hospice, Airdrie.

To enable our Henderson Street home to be refurbished and reconfigured, we have temporarily decanted our inpatient services to Wester Moffat Hospital, also in Airdrie. The Hospice is housed within 2 wards which are currently not being utilised by NHS Lanarkshire.

Our Inpatient Unit offer a comfortable environment for those patients that may benefit from receiving more specialist support from our team.

Patients are admitted to the Inpatient Unit for assessment and provision of specialist care. This may include pain and/or symptom management, multidisciplinary assessment, short term acute intervention, nursing care, rehabilitation or end of life care.

Beds are allocated following multidisciplinary team assessment and discussion based on the completed referral form. Patients are placed on the waiting list and discussed daily. Admissions are planned Monday to Friday – in exceptional circumstances weekend admissions will be considered.

We have facilities to care for 30 patients  predominantly in four bedded rooms with a limited number of single rooms that are allocated on the basis of clinical need.

Each patient will be allocated a nursing team and consultant who will assess and plan individual person centred care in collaboration with the patient and their family and in conjunction with the multidisciplinary team.

The nursing team are present providing holistic care 24 hours a day. A great deal of individual attention is possible through the high nurse to patient ratio; patients can be confident that their care will be delivered sensitively and effectively by an experienced team of professionals trained to give strong emotional support to both patients and their families.

image-2Medical care is delivered by three Consultants and an Associate Specialist, supported by three Specialist Doctors and two doctors in training on rotation, a core medical trainee and a GP trainee.

Multidisciplinary team members including physiotherapists, occupational therapist  support tailored programmes of care and are integral to the patient’s unique experience.

A pharmacy service is provided by a Macmillan pharmacist and pharmacy technician who work as part of the multidisciplinary team to optimise the use of medicines within St Andrew’s Hospice.

Our Support Services Team respond to and address the emotional, psychological, social and spiritual needs of patients and families coping with the implications of the patient’s illness and prognosis.

The team meet regularly to evaluate the care delivered and respond to the changing needs of individuals and consideration of future care needs.

The Inpatient Unit is not a long term place of care.

In addition we provide a 24 hour telephone advice service to patients and healthcare professionals.

Outpatient Services

Throughout the refurbishment of St Andrew’s Hospice, our Outpatient Services, including our new Wellbeing Programme, Physiotherapy, Occupational Therapy and Complementary Therapy will continue to be available from Henderson Street utilising accommodation in the Hospice’s Education Suite. Counselling and Bereavement Services will also continue to be provided by us and will be hosted at Airdrie Health Centre.  Medical Outpatients will continue to be available by arrangement with patients’ Consultant.

At St Andrew’s Outpatient Services, we aim to be open and responsive to patients who require specialist palliative care while still living in their own home but may be experiencing difficult symptom management issues and/or complex psychological, social or spiritual needs.

Following referral to our Outpatient Service, the specialist palliative care nurse-led service will undertake  a holistic assessment to identify patients’ individual needs and based on the needs identified, will allocate patients to the appropriate service or services.  Some patients may only require to attend one service, however others may require help and support from different members of our team and may meet with different members of our team when they attend.

Our multidisciplinary team is made up of Doctors, Nurses, Physiotherapists, Therapeutic Councillors, Occupational therapist, Complementary therapists, Support workers and Volunteers.

Outpatient Services

Medical Review

Medical Outpatient clinics with a Consultant in Palliative Care Medicine are available and are suitable for patients with a life limiting illness who have complex symptom control issues that may benefit from assessment. Patients must be well enough to attend in an outpatient capacity.

Medical Domiciliary Review

In some circumstances, a review by a palliative medicine specialist in the patient’s own home, normally in conjunction with a community Macmillan nurse, may be appropriate.

Domiciliary review may be most appropriate for patients who are too unwell to attend the clinic. The doctor making an initial visit may refer to the Macmillan nursing team for ongoing follow up.

image-1Specialist Nurse Review

Patients with moderate to complex symptom issues such as pain, nausea, vomiting, constipation or breathlessness can be given Specialist Nurse Review appointment to assess their individual needs.

Nursing assessments offer an optimal service to suit patients’ needs. We agree individual care plans which will be assessed on a regular basis. At the nursing clinic, we can offer blood transfusions and IV therapies.

 Physiotherapy

image-2Our physiotherapists can offer a range of service both for individual  patients as well as group therapy:

  • Breathlessness management
  • Respiratory physiotherapy
  •  Advice on exercise, activity and mobility
  • Postural re-education
  • Advice and supply of walking aids
  • Wheelchair assessment / referral
  • Neurological rehabilitation
  • TENS hot and cold therapy
  • Acupuncture for pain relief
  • Lymphoedema management

Therapy-Room-1Complementary Therapy

There are ranges of therapies that go hand in hand with the care provided by other healthcare professionals.

Treatments available:

  • Aromatherapy
  • Massage
  • Reflexology
  • Reiki
  • Relaxation techniques
  • Meditation techniques

0-031-Copy-1024x784Occupational Therapy

Our Occupational Therapist focuses on helping people with their everyday activities including:

  • Anxiety management
  • Breathlessness management
  • Fatigue management
  • Lifestyle management
  • Advice on home environment
  • Advice on aids and adaptations
  • Goal setting

Support Services

Our Support Services Team respond to and address the emotional, psychological,  social and spiritual needs of patients and families coping with the implications of the patient’s illness and prognosis.

Counselling, Psychotherapy, Cognitive Behavioural Therapy and Spiritual Care are offered to people suffering with emotional, spiritual and psychological distress when symptoms arise as a result of the diagnoses of a life limiting illness.  People may have a variety of difficulties such as:

  • Struggling with adjustment
  • Anxiety
  • Depression
  • Post-traumatic stress (PTSD)
  • Low self-esteem
  • Internal conflicts
  • Lingering resentments and difficulties with others

Drop In Group

In addition to the Outpatient Services detailed above, a Drop In group which offers social support, information sharing and carer support meets on the first and third Thursday of each month between 10.30am – 12.30pm.

72-055Transport

We have limited availability of transport at the Hospice and request, where possible, that service users travel by their own means.

Lanarkshire Cancer Care and Getting Better Together may provide transport.

Discharge Policy

All service users will be reviewed at the  weekly multidisciplinary team meeting and outcome measures will help determine the discharge plan. This will be communicated to the GP and other healthcare professionals involved in a person’s care.

Community Palliative Care Support Projects

slide1The Community Palliative Care  Support  Projects work across health and social care and provide emotional and therapeutic support to adults affected by a range of life limiting illnesses including cancer, COPD, heart failure and end stage neurological disease. In addition to the support for patients, the projects also support carers and family members. The following are ways in which support is provided:

  • Holistic assessment of both patient and carer/s by Community Palliative Care Nurse.
  • Referral on, or signposting to, any other appropriate services (e.g. carers organisations, Maggie’s Centre, hospice outpatients  etc.)
  • When appropriate, provision of complementary therapy for either patient and/or carer.
  • When appropriate, provision of a volunteer befriender to help support carer and/or reduce isolation and loneliness and promote independence in the patient/carer.

All befrienders and therapists are trained and PVG checked prior to taking up their role

The projects aim to provide additional support to people in their own homes, who may not otherwise be able to access these hospice services.

This is not an emergency service. Our focus is on preventative and anticipatory care to achieve long term benefit for all.

Nurse Support

The Community Palliative Care Nurse will offer support to patients and their carers within the home. Specific needs will be identified following an assessment and suggested services will be offered to benefit all concerned. The nurse is the key contact to provide information and  expertise appropriate to each individual.

Volunteer Befriending

The nurse will identify a suitable volunteer befriender that matches the needs of the patient / carer. Their role is to provide friendship, support and short term respite.

Complementary Therapy

Complementary therapy may be offered following nursing assessment. Qualified therapists provide a variety of treatments such as reiki, reflexology and aromatherapy. These therapies are provided in the home, usually for a series of six sessions and are free of charge.

Mindfulness

Mindfulness is a thought process that allows us to pay attention to, and see clearly, what is happening in our lives. Whilst it cannot eliminate life’s pressures, it can be a good way to help people to deal with them in a calmer manner which is beneficial to overall wellbeing.

These mindfulness tracks have been provided by Martin Stepek, a local mindfulness teacher/author and speaker. He has published books on mindfulness and regularly gives talks nationally.

Coming Soon

5 Minute Mindfulness Refresher
Full Practice
Using The Senses
Dealing With Emotions

Martin runs a mindfulness class in the Caird Building, University of the West of Scotland, 6.30pm-7.30pm on Tuesdays.
This is free (voluntary donation box at exit) and there is no need to book. Information about other local classes can be found via martinstepek.com

Contact details

The Community Palliative Care Nurse for South Lanarkshire is Lorraine MacAlpine.
Contact Monday – Friday between 10am and 4pm on 07580 173891.

The Community Palliative Care Nurse for North Lanarkshire is Anne Marie Toland.
Contact Monday – Friday between 10am and 4pm on 07591 997889

Support Services

For the duration of the St Andrew’s Hospice refurbishment works, Counselling and Bereavement Services will be provided by us but will be hosted at Airdrie Health Centre.

Support Services personnel at St Andrew’s Hospice are part of the multidisciplinary team caring for patients and their families, responding to and addressing emotional, psychological, social and spiritual needs.

Pastoral/Social Support

The Hospice Support Workers offer support to patients and relatives in coping with the emotional and practical implications of the patient’s illness and prognosis.

Spirituality

Spiritual Care embraces religious and spiritual care for patients, visitors, carers, staff and volunteers regardless of faith or life stance.

Children’s Support

The Children’s Drop-In service is designed to provide children with some insight into illness and grief and to help them put this into the perspective of a general life experience. The service provides children, families and carers with a safe and inviting place in which to ask questions relevant to their situation. The service also supports parents and carers to be more aware of the children’s thoughts and feelings and enables them to deal with them in the most appropriate and sensitive way.

Bereavement

There is no right or wrong way to grieve. Each person’s grief is unique to them. We at St Andrew’s Hospice recognise that many people cope well with their grief through the support of family and friends.

Support for carers

St Andrew’s Hospice offers specialist palliative care, not only for the patient, but also for family members and carers. It is most important that family members and carers are emotionally and spiritually supported, both prior to and post death in a sensitive manner.

For further information and leaflets, please visit our Patients & Families Support page.