Palliative and end of life care

This guidance and resources are intended to support general practice. They have been developed after careful consideration of the information and clinical opinion available to the speciality transformation working group, including consultant and GP leads for NW London Trusts and CCGs.  Whilst it has been produced with significant input from clinicians, it provides general advice only and does not replace any part of a clinician’s responsibility to assess each clinical case on its own merits, when exercising their clinical judgement.  The CCG will not, therefore, accept liability for any loss, damage or inconvenience arising as a consequence of any use of or the inability to use any information in this guidance.

This guidance is not intended to be used as a performance management resource.

This is intended to be a guide only. It is not exhaustive and appropriate clinical judgment should be used for individual cases.

The North West London Integrated Care System are currenty undertaking a review of community-based specialist palliative care starting 18 November 2021. Find out more.

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PDF file icon Cover letter to GPs re advance treatment decisions and palliative care 2 April 2020
PDF file icon NW London ACP and Palliative Care Resource Pack April 2020
PDF file icon GP quick reference EOL services guide May 2020
PDF file icon London EOLC CN COVID-19 London Primary Care Support Document V3
PDF file icon FINAL - All Age Pan-London Specialist Palliative Care Referral Form V2 - Oupatient Community and Hospice Services_20211029.pdf
DOCX file icon FINAL - All Age Pan-London Specialist Palliative Care Referral Form V2 - Oupatient Community and Hospice Services_20211031.docx
folder icon Anticipatory Care Planning (ACP)
PDF file icon NWL Guidance for Primary Care Last Phase of Life End of Life 'Anticipatory Medicines' 2022 v4 (1).pdf
PDF file icon Pan-London Symptom Control Medication Authorisation and Administration Record MAAR Chart V4 Go live - 03052022 Comms.pdf
PDF file icon Summary of V4 Changes - Pan- London Symptom Control MAAR_.pdf
PDF file icon MAAR Chart - PDF writeable -V4 Pan-London Symptom Control MAAR Chart.pdf
DOCX file icon MAAR Chart - Word - V4 Pan-London Symptom Control MAAR Chart -Final.docx
PDF file icon Essential points - V4 Pan-London Symptom Control MAAR Chart Final.pdf
PDF file icon Procedure - V4 Pan-London Symptom Control MAAR chart Final.pdf
PDF file icon Policy - V4 Pan-London Symptom Control MAAR chart Final.pdf
PDF file icon Example P1-2 -V4 Pan-London Symptom Control MAAR Chart Final.pdf
PDF file icon Example P6 - V4 Pan-London Symptom Control MAAR Chart.Final.pdf
PPTX file icon NWL webinar primary care - Anticipatory EOL Meds and MAAR chart v4 - slide pack 28 April 22.pptx
PDF file icon How to access the MAAR Chart in EMIS May 2022.pdf
PDF file icon How to access the MAAR Chart in SystmOne May 2022.pdf

The NW London Guidance for Primary Care Last Phase of Life End of Life Anticipatory Medicines contains the following information;

  • Management of symptoms
  • Prescribing Information
  • Access to Anticipatory Medicines
  • Contact details of Community Pharmacies stocking Anticipatory Medicines
  • Contact details of Local Hospices and community-based specialist palliative care services
  • Sample MAAR chart