This month focuses on Palliative care Nursing with Kate providing an overview of the historical background and Julie Ling, from the WHO, detailing progress and initiatives on an international scale. Nationally, Sheree Fagge provides an in-depth account of the challenges and the vision for Palliative care nursing from across the NHS. Catryn Smith from the RCN brings a workforce perspective and highlights the passion, opportunities and difficulties in working in this area and growing and sustaining the collective vision. Finally Heather Richardson and Annie Charman introduce the Shiny Mind app whch provides a range of resources and information to help support the health and well being of individual nurses involved in palliative care.

It's another full on session!

This month Matt looked at dofferent service delivery models for finacing palliative care services. We heard from Mhoira Leng about refugee palliative care and the growing recognition of the palliative care need among the millions of displaced persons in our world. Katherine Sleeman introduces the IMPACT centre and its potential to improve the awareness of up to date evidence from research. Cat Sullivan summarises the learning from the Extending Frailty Care project recently completed by Hospices from across the UK. Kate Flemming's paper this month again picks up on th international theme with a review of the palliative care needs of refugees living in resettlement situations.

It is a full on ECHO. we hope you enjoy it and benefit from these amazing speakers.

Matt, Max and Kate,

This month we look at the pros and cons of advance care planning (ACP) and why it has failed to have the impact for which so many hope. Matt is an ACP sceptic and he outlines his reasons.

Kate looks at deprescribing in her journal article and how communication is central in such advance planning.

Matt Gloudeman is so passionate about the importance of emergency planning that he set up his own company to provide people with the opportunity of ACT that works.

Emma Winstanley is dedicated to improving the rates of Corneal retrieval from patients dying in Hospices and both the planning and the conversations required to make this happen. Finally we are off to Helsinki where Anita Hayes was attending the European Association of Palliative Care Conference. Anita gives an overview of the things that caught her eye amongst the 2,000 delegates from all over the world.

This is our lask ECHO before the summer break. We hope you enjoy it.

Max, Matt and Kate

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Matt reviews the historical offers that Palliative services and hospices have made over the years to commissioners.

Erica Borgstorm looks at how clinicians have ethnographically coped with palliative care choosing not to intervene, test, manage or otherwise intervene in contrast to other specialties.

We get an update from Hospice UK on all that has been happening in Scotland and England in relation to Assisted dying/Suicide debates in parliaments and Anette Alcock gives an overview of some of the conversations that Hospice Uk has been having in relation to commissioners and the Hospice and Palliative Care "offer" to services.

Kate compresses her journal review to summaries of three key papers and Max concludes with another AI generated poem on managing uncertainty. We hope you will enjoy!

A full on ECHO with Matt looking at the process of decision making around assisted dying and Kate looking at a paper on terminal sedation decisoon making from Europe.

Mark Junnicer from the National Confidential Enquiry into Patient Outcome and Death summarises the NCEPOD report into UK end of life care, before Anita Hayes gives the latest update from HospiceUK activity data from across the Hospice Sector. Hope you enjoy it

For the Valentine's Clinical ECHO, Matt looks at the brain changes that effect interdependence, so often a vital part of Palliative Care.

Kate looks at a review of the patchwork of services that constitutes UK community out of hours care. Professor Keri Thomas provides an overview of the recently launched Coalition of Frontline Care and Keri Gammons describes the the model of integrated working which has been so successful across Lincolnshire.

The Christmas clinical ECHO.

A review of the Hospice UK conference in Glasgow last month.

Supportimg people with a hearing loss in the palliative care context.

Ethical understandings and approaches from a Palliative Ethicist.

A palliative Doctor from the Islamic community speaks of the tensions between her community and her chosen career

This episode looks at the impact of War and PTSD on palliative care, the lack of palliative care services in Cardiology around Ventricular assist devices, the impact of Poverty on end of life care and Assisted dying n the UK with the Bill due to go before parliament at the end of te month.

This session looks at how best to teach palliative care and different learning theories. Kate looks at a key paper from Professor Bruera on adoption of palliative care in medical systems and then we hear from Professor Fliss Murtagh on a review of 24 years of Palliative care delivery across the UK and a large survey of families of patients who have died on the experience of palliative care in the UK.

We also get an update on research in Hospice UK and an overview of Hospice Care week.

It is a Full on ECHO. with Fliss Murtagh summarizing two crucial complex reports with her consumate skill.