|UNIVERSAL – All doctors infrequently involved in the delivery of palliative care including Foundation 1 and 2 and Specialist Trainee 1 and 2|
|SKILLS AND KNOWLEDGE||TRAINING AVAILABLE|
Ability to listen, acknowledge concerns and respect wishes of CYP and family Ability to listen and respond to questions regarding the plan of care, acknowledge the limitations of knowledge and refer onto an appropriate colleague.
Awareness of communication difficulties ( language or sensory, physical or mental impairment). Seek an interpreter or special aids as required.
Ability to document important conversations and communicate important facts or changing physical/emotional/social/spiritual state to colleagues.
Communication skills within medical training.
Foundation level communication skills training, e.g. Sage and Thyme.
Record/documentation skills training.
Bespoke communication training available from local network.
|ASSESSMENT and DIAGNOSIS||
Understanding of definition of palliative care in CYP, and ability to recognise factors which determine when palliative care is relevant.
Understand the concept of Parallel Planning
Ability to carry out holistic assessment , including hearing voice of CYP
Ability to recognise changes in condition, reversible causes of deterioration or new symptoms and communicate to relevant staff
Awareness of the need and process for regular review.
Awareness of, and ability to recognise, common symptoms at end of life.
Awareness of benefits and burdens of investigation and other observations
Knowledge of process for diagnosing death, including brain stem death
Ability to recognise loss and grief, and their effects on CYP, families and professionals.
Assessment and diagnosis skills within medical training.
Awareness of Advance Care Planning (ACP) and preferred place of care.
Knowledge of the individual plan of care for each CYP and their family.
Ability to monitor symptom management, identify side effects and to use prescribing guidance safely.
Knowledge of support systems for doctors involved in palliative care.
Knowledge of local statutory and voluntary support
Awareness training for Advance Care Planning.
Ability to follow a CYP’s individualised care plan.
Ability to respond to cultural spiritual and religious needs of CYP and family
Awareness of national and local guidelines on withholding and withdrawing treatment and the legal and ethical issues involved
Awareness that there may be treatment available that is not in the best interest of CYP
Awareness of local guidelines for management of SUDC