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Palliative care

Palliative care

Hospital palliative care support team

The palliative care team offers support to inpatients and outpatients at North Middlesex University Hospital. Inside the hospital we work with all medical and surgical teams, outside the hospital we have strong links to all community services in the area, in particular in the local boroughs of Haringey and Enfield. We provide specialist palliative and end of life care to any patient who has an advanced, progressing, life-limiting illness (this includes patients with both cancer and non-cancer diagnoses), and offer support to families and carers. Referrals can be made at any stage of a patient’s illness.

Our team consists of clinical nurse specialists and nurse and medical consultants in palliative medicine and is supported by the hospital’s mental health liaison team and cancer psychologists. We offer specialist advice for managing pain and other symptoms, such as nausea, vomiting and fatigue, and provide social, spiritual and emotional support. We work closely with a range of healthcare professionals including physiotherapists, occupational therapists, dietitians and hospital chaplains inside North Middlesex Hospital, as well as GPs, district nurses, social workers and hospices. This enables us to help patients and their families and carers to plan for a timely and successful transfer to their preferred place of care.

In the early stages of illness, palliative care is provided alongside medical care and therapeutic support to improve quality of life. For patients reaching the end of life, our aim is to enable them to die in comfort, with dignity and in the surroundings of their choice. We are committed to support the hospital teams caring for these patients, and the people important to them, with compassion and in a manner which is respectful of their expressed wishes. This is in line with national guidance, “One Chance to Get it Right” published by the Leadership Alliance for the Care of Dying People in June 2014.


Outpatient clinics

Currently no specialist palliative care outpatient clinics at North Middlesex University Hospital, but links to local outpatient clinics in Enfield (North London Hospice) and Camden (Marie Curie Hospice)

Patients can be seen in medical, surgical or oncology outpatient clinics by the Palliative Care Team

Our team

Thomas O'Connor -  CNS team leader

NN                         -  clinical nurse specialist, MacMillan end of life care training lead

Kulveer Rehsi        -  clinical nurse specialist

NN                         -  clinical nurse specialist

NN                         -  clinical nurse specialist

Dr Gabi Brogan     - consultant in palliative medicine

Dr Antke Hagena  - consultant in palliative medicine

Dr Vinnie Nambisan - consultant in palliative medicine

NN                        - consultant in palliative medicine

Mahad Omar         - team administration


Haringey integrated palliative care service

The Haringey palliative care team is an innovatively integrated community service provided jointly by all local specialists: North Middlesex Hospital (lead provider), North London Hospice (main point of contact), St Joseph’s Hospice, Marie Curie Hospice Hampstead and Whittington Health. By all of us working closely and professionally together we are able to ensure that patient care is consistent, be it in hospital, at home or in a nursing home or hospice, and that information about what is important to each patient gets passed on between those different settings.

Where appropriate and wished we will also include family or friends and local voluntary services or trained volunteers (e.g. in our bereavement service) in setting up a plan that works for each patient as an individual, as described in the national framework "Ambitions for Palliative and End of Life Care".

The Haringey palliative care team operates seven days a week and is available 24 hours for patients in the community:

• The service is provided 7 days a week, 9am5pm; during out of hours we offer telephone advice support (see numbers below) and visiting service is between 9am-5pm.

• Out of hours telephone advice service operating 5pm9am, seven days a week for advice to professionals and to patients (or their relatives) currently receiving care from the community palliative care team.

• We provide a single point of access for patients, families and GPs: there is a dedicated phone and email system for enquiries and referrals, staffed by the triage team at North London Hospice, Monday - Friday, 9am–5pm

We offer specialist advice for managing pain and other symptoms, such as nausea, vomiting and fatigue, and provide social, spiritual and emotional support. This is provided by palliative care clinical nurse specialists, a palliative care consultant, a specialist social worker and a bereavement counseling team. We work closely with a range of healthcare professionals including GPs, district nurses, social workers and the local hospices, and also physiotherapists, occupational therapistsdietitians.  In the early stages of illness, we are working alongside medical care and therapeutic support to improve quality of life. For patients reaching the end of life, our aim is to enable them to die in comfort, with dignity and in the surroundings of their choice. We are committed to caring for these patients, and the people important to them, with compassion and in a manner which is respectful of their expressed wishes. This is in line with national guidance “One Chance to Get it Right published by the Leadership Alliance for the Care of Dying People in June 2014.

We can also offer a new bereavement support and counseling service for families and carers of patients who were Haringey residents and died from a progressive illness. Referrals can be made to the bereavement service by any member of the wider palliative care service.  We hope to expand the bereavement service in the future to include all Haringey residents who need bereavement support.

We also provide a directory of services available for patients with advanced diseases in Haringey, which includes contact details for both NHS and voluntary services. This information is available on the North London Hospice website, under information for families

Our team

Marika Killilea - clinical nurse specialist, team leader

Beverly Kemp - clinical nurse specialist

Rose Harrison  - clinical nurse specialist

Sara Taylor - clinical nurse specialist

Ros Brown - clinical nurse specialist

Rosie Gill- clinical nurse specialist

Sandra Cashmore - palliative care social worker

Mike Diss - bereavement coordinator

Gabi Brogan - consultant in palliative medicine

Vinnie Nambisan - consultant in palliative medicine


Contact us

Tel: 020 8343 8841 (MondayFriday, 9am5pm)

Tel: 07957 588273 (Out of hours, North London Hospice)

Email: triage.team@nhs.net

For contact details of other community teams, please see the referral form.


Location

George Marsh Centre, St Ann's Hospital, St Ann's Road, Tottenham, London, N15 3TH


How to refer

We accept referrals from healthcare professionals as well as patients and carers.

If you would like to make a referral to the hospital team, please

• call our office on 020 8887 2475 or

• use bleep 266 via switchboard.

Our working hours are 9am–5pm, Monday to Friday; referrals will be processed during those times.

 

If you would like to make a referral to the Haringey community team, please:

• call 020 8343 8841 or

• email to triage.team@nhs.net

Our working hours are 9am–5pm, Monday to Friday; referrals will be reviewed over the weekend as appropriate. Please mark urgent referrals clearly to ensure best service.

To cancel or change an appointment 
use the telephone numbers above

For other community palliative care services (Enfield, Barnet), call North London Hospice 020 83438841

 

Page last updated July 2017