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Effective Non-Medical Prescribing in End of Life Care

Wednesday 5 December 2018
The Studio Conference Centre, Manchester

Effective Non-Medical Prescribing in End of Life Care
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Follow the conference on Twitter #NMPEndofLife

“The Department of Health and Social Care has recently reiterated its commitment to improvement in the quality of end-of-life care and emphasised the importance of all patients having rapid access to medication.” Community palliative care clinical nurse specialists as independent prescribers: part 1 Kathy LathamBrian Nyatanga 2018

This important national conference provides an essential update for current and aspiring non medical prescribers on prescribing at the end of life. It is widely recognized that pain and symptom control at the end of life is not always optimal, the development of non medical prescribing has a key role in improving pain and symptom control for patients at the end of life. The conference, which includes national updates, extended in depth sessions and case studies will focus on developing your skills and competence as a non medical prescriber in end of life care.

“There are unacceptable variations in aspects of palliative and end of life care such as access to pain control, related to different care settings” Ambitions for Palliative and End of Life Care: A national framework for local action 2015-2020

“People have watched their loved ones dying in pain or in an agitated state because their symptoms have been ineffectively or poorly managed… These cases show how pain, agitation and other distressing symptoms were not adequately controlled as people neared the end of their lives. This caused additional unnecessary suffering for the person who was dying, and also for their loved ones, who were by their bedside in their final days and hours. In many cases, this distress could have been avoided.” The Parliamentary and Health Service The Health Service Ombudsman

“NMP in a palliative care context may be one mechanism through which people can be supported to remain at home with well controlled symptoms at the end of life. For example, patients with cancer typically spend 65-80% of their last 6 months of life at home and adequate pain control is often hindered by poor access to effective timely analgesia. These patients often have multiple, rapidly changing symptoms requiring highly specialist management” Non-Medical Prescribing in Palliative Care: A Regional Survey, Dr Lucy Ziegler University of Leeds 

The conference will also update non medical prescribers in the issues around prescribing controlled drugs. In their July 2018 Annual Report the Care Quality Commission stated that “the volume of prescribing of controlled drugs by pharmacists in 2017 almost doubled from 259,394 to 487,036 items. The increase in nurse prescribing was around 6%”.

This conference will enable you to: 

  • Network with colleagues who are working to improving non medical prescribing in end of life care 
  • Learn from outstanding practice in end of life care prescribing  
  • Understand how to effectively develop, demonstrate and maintain continued competence in Prescribing for patients at the end of life 
  • Reflect on lessons from experts in non medical prescribing for specific case study areas with in depth interactive sessions focusing on
    • Non Medical Prescribing for Pain
    • Non Medical Prescribing in community settings
    • Controlled drugs and use of drugs beyond the product licence
    • The use of Syringe Drivers and Syringe Driver combinations 
    • Best practice in prescribing for symptom control at the end of life
    • Non medical prescribing within a hospice setting
    • Anticipatory prescribing
  • Identify key strategies for improving non medical prescribing practice at the end of life 
  • Develop your role and confidence as a non medical prescriber 
  • Self assess, reflect and expand your skills in prescribing practice whilst understanding your limits of practice

100% of delegates at our previous conference on this subject would recommend it to a colleagues

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