#WeEOLC - Tuesday 6th March 2018 8pm (GMT Standard Time) Social Prescribing in Palliative Care

If you haven't joined in a tweet chat before it's very simple.    Here's a guide





 Chat Details

 

Hosted by WeEOLC using #WeEOLC

This chat is guest hosted by @PUNC14Julie @dellapowell1 @PhilBallRN

"Social Prescribing in Palliative and End of Life Care 

Can it make a difference?"


What is social prescribing?


Currently there is no agreement on a definition but the Social Prescribing Network (2016) refer to Social Prescribing as a concept that enables healthcare professionals to refer patients to a link worker, to co-produce and design a non-clinical social prescription to improve their health and well being. The Welsh NHS Confederation (2017), helpfully state that the literature is broad and diverse in its scope for Social Prescribing but advocates the term includes any interaction or intervention that promotes self-care and well-being, encourages social inclusion and as a result, builds resilience for individuals and communities.  


Social Prescribing is based on a clear set of values which are about harnessing existing community assets to achieve well-being. It is about communities coming together for positive change and tapping into skills, knowledge, interests and lived experiences on the issues they encounter in their everyday lives. 


Social Prescribing aims to change the relationship between the patient and the practitioner, it requires a collaborative exploration of options available in order to improve and maintain well being. The concept sets out to make available new life opportunities for those most in need, through forging new relationships and promoting independence. Examples include choirs, book clubs, man sheds, and exercise classes in order to improve physical and mental health. 


Social prescribing is about expanding the range of options available to patients and professionals, promoting new perspectives and driving innovation. Social Prescribing is a concept that treats the patient and not the illness.


Studies consistently report that along with physical illness, the majority of patients who attend GP appointments frequently suffer mental health problems, emotional distress and/or social difficulties (Vedsted and Christensen, 2005, Gill and Sharpe, 1999). Therefore, not every patient seen by a GP needs the expertise of a doctor. In a study conducted by The Primary Care Foundation and NHS Alliance (2015) entitled Making Time in General Practice, twenty seven percent of all GP consultations were identified as being potentially avoidable. This is thought to be due to lack of coordinated working between primary and secondary care, not appropriately using primary care staff, inadequate use of technology to tackle administrative burdens, and the need to embrace wider system changes. 


There is a building body of evidence that GPs should be supporting and empowering patients to manage their own well-being and this as a consequence will reduce the demand on primary care services. The Primary Care Foundation and NHS Alliance (2015) in their report, identified a number of practical, high-impact ways to remove unnecessary pressures on general practice and free up time for patient care (Figure 1). There is an expectation for GPs to adopt these 10 High impact actions (one of which is Social Prescribing) in the hope of releasing more time to care through attending Learning events and seminars and identifying champions in the workplace. It is anticipated that General Practice will report on implementation of these high impact actions.


Figure 1: 10 High Impact Actions to Release Time for Care

  1. Active Signposting
  2. New Consultation Types
  3. Reduce DNA's
  4. Develop the team
  5. Productive work flows
  6. Personal productivity
  7. Partnership working
  8. Social Prescribing
  9. Support self care
  10. Develop QI expertise


The link between recreation and well being is not new. 


Walt Disney (1958) writing in The Journal of the American Medical Association stated that he had a close association with healthcare. He described his work as “prescriptions for pleasure”, and goes on in describing that fun and play has a tonic effect and is widely recognised as a treatment for stress, worry and the trials of everyday living.

Kimberlee (2014) advocates that Social Prescribing helps to tackle the lower levels of well-being experienced by those with psychological problems and hopes that there will be a positive impact on frequent attendance in primary care. The Kings Fund (2018) state that a design principle for future models of community-based care should take a ‘whole-person’ approach, addressing people’s physical health, mental health and social needs together. These factors are often closely related and interact to influence health and well being. Even people with long term conditions, who tend to be heavy users of the health service, are likely to spend less than 1% of their time in contact with health professionals. The rest of the time they, their carers and their families manage on their own (NHS England, 2015) and continue by confirming that personalised care will only happen when statutory services recognise that patients’ own life goals are what count; that services need to support families, carers and communities; that promoting well being and independence need to be the key outcomes of care. 


The Kings Fund (2018) have recently released a Call to action in relation to “Re-imagining community services”. The aim and ambition of this document is to strengthen community services that have yet to be realised. Interestingly, throughout the literature there is an emphasis and subsequent expectation that service providers need to look to deliver services in different ways instead of carrying on and delivering in the same way (The Welsh NHS Confed, 2017, NHS England, 2015, The Kings Fund, 2018). The Kings Fund (2018) states that the five year forward plan, explicitly sets out a vision of how NHS services need to evolve in order to meet the future needs and demands of the population. It makes the case for greater prominence on prevention, integration and empowering patients and communities to take control of their own health needs. It also called for a shift in investment from acute care to primary and community services. 

Therefore, the question posed is can social prescribing make a difference in palliative and end of life care?

Join us on Tuesday 6th March 8-9 pm to find out more 
#WeEOLC


References:

Disney, W. (1958). Film Entertainment and Community Life. The Journal of the American Medical Association. 167:1342-1345.

Gill, D. & Sharpe, M. (1999). Frequent consulters in general practice: a systematic review of studies of prevalence, associations and outcome. Journal of Psychsomatic Research. 1999(47): 115-130

Kimberlee, R. (2015). What is Social Prescribing? Advances in Social Sciences Research Journal. 2(1), 102-110.

NHS England (2016). General Practice Forward View. https://www.england.nhs.uk/wp-content/uploads/2016/04/gpfv.pdf

The Kings Fund (2018). Reimagining community services: Making the most of our assets. Charles A, Ham C, Baird B, Alderwick H, Bennett L. Available at: https://www.kingsfund.org.uk/sites/default/files/201801/Reimagining_community_services_report.pdf Accessed 9/2/18.

The Primary Care Foundation & NHS Alliance (2015). Making Time in General Practice. Available at: http://www.nhsalliance.org/wp-content/uploads/2015/10/Making-Time-in-General-Practice-FULL-REPORT-01-10-15.pdf Accessed 8/2/18.

The Welsh NHS Confederation (2017). Social prescribing and health and well-being: A Briefing. Available at: www.nhsconfed.org/-/media/Confederation/Files/Wales-Confed/Social-Prescribing-E.pdf?dl=1 Accessed 5/1/18.

Vedsted, P. & Christensen, M. (2005). Frequent attenders in General Practice: a literature review with special reference to methodological considerations. Public Health. 2005(119): 118-137 






 Chat Contributers

 

100 Tweets
200 Tweets
20000 Impressions
20000 Impressions
20000 Impressions




 Engagement Wheel






 Chat Word Cloud

 

 Participant bio cloud





 Chat Summary

 

This chat came about when Sarah Russell @learnhospice and part of @WeEOLC, suggested that Della @dellapowell1, Julie @PUNC14Julie and myself hosted the chat as we shared our discoveries and learning about social prescribing.This is a topic about which Della knows a lot; our common background of end of life care was a link as we both tried to respond to the original question from Julie about evidence to support the benefits of walking groups.

The chat itself gathered an array of interested participantsand those lurking; it was good to see such a mix and helped the richness of thediscussion and sharing of ideas.

Examples of what can be done came from the Scottish children’s hospice movement through @supportCHAS; these gave a taste of what can be done and achieved. The use of the term ‘social prescribing’ was discussed, amid some agreement that ‘prescribing’ or ‘prescriptions’ convey a paternalistic, medical model rather than something less rigid. We didn’t come up with a suitable alternative;there was however a consensus that the signposting to other services was critical and one needed to have a good knowledge base of what local groups and other resources are available.

The act of social prescribing is not limited to health care professionals and often it can be local people who make the connections and run the groups such as @UKMensSheds. We heard examples of people who have benefited from social prescribing, enabling them to return to the workplace; I’d have liked to hear more from mental health services.

For me the whole chat sprung from the realisation that much of hospice work might fall under the banner of social prescribing, as they encourage groups and individuals to live their lives as well as possible. I suspect we will see more of this connection in the future; if the children and adult hospice examples we saw are anything to go by there’s much happening already though we may not label it social prescribing.

Check the transcript for more details; and keep in mind that a random sharing of a question on Twitter can lead to this kind of learning. Thanks to all who participated and as primary host I apologise if I didn’t respond to all the tweets in this busy chat. @PhilBallRN





 Post Chat Comments

 
After the chat you may like to add a reflection, add some questions, or maybe you've made a change from something you leant on the chat...well now you can with "post chat comments" below.

You'll need to be logged into via Twitter from the main menu, then you can share your post chat comments...
@{{Comment.screenName}}
{{Comment.DateCreated | date:"dd MMMM yyyy HH:mm"}}
{{Comment.Comment}}




 #WeEOLC transcript

 
@supportCHAS
06 March 2018 20:00
@WeEOLC We're CHAS. We care for children across Scotland with life-shortening conditions. Even in the pain of grief, we're determined joy lives on. Looking forward to discussing social prescribing in #PEOLC. #KeepTheJoyAlive #WeEOLC
@Dee_Elemental
06 March 2018 20:01
@WeEOLC Denise here from @Its_Elemental Tech4good company based in Northern Ireland working in #socialprescribing project across U.K. #weEOLC
@dellapowell1
06 March 2018 20:01
@WeEOLC Hello there ???? Della here from Wales ??????????????. Nurse Lecturer with special interest in #SocialPrescribing and #PalliativeCare ?? Great to be here #WeEOLC
@dellapowell1
06 March 2018 20:02
@supportCHAS @WeEOLC Wow...it’s so lovely to connect with you ????. What a fantastic service you deliver. #WeEOLC
@dellapowell1
06 March 2018 20:03
@Dee_Elemental @WeEOLC @Its_Elemental Hi ???? Denise!! Great to see you ???? #WeEOLC
@learnhospice
06 March 2018 20:03
@WeEOLC Hello Sarah here! Don’t forget to use the #WeEOLC everyone!
@learnhospice
06 March 2018 20:03
#WeEOLC https://twitter.com/weeolc/status/971113461500514309
@dellapowell1
06 March 2018 20:04
RT @learnhospice: @WeEOLC Hello Sarah here! Don’t forget to use the #WeEOLC everyone!
@WeEOLC
06 March 2018 20:04
Here we go - Q1 - Can we help define what #socialprescribing is? #WeEOLC @WeEOLC
@learnhospice
06 March 2018 20:04
RT @dellapowell1: @Dee_Elemental @WeEOLC @Its_Elemental Hi ???? Denise!! Great to see you ???? #WeEOLC
@learnhospice
06 March 2018 20:04
RT @dellapowell1: @supportCHAS @WeEOLC Wow...it’s so lovely to connect with you ????. What a fantastic service you deliver. #WeEOLC
@dellapowell1
06 March 2018 20:04
@learnhospice @WeEOLC Hi Sarah ???? #WeEOLC
@learnhospice
06 March 2018 20:04
@WeEOLC Looking forward to tonight’s chat! #WeEOLC @WeEOLC @PUNC14Julie @dellapowell1 @PhilBallRN
@learnhospice
06 March 2018 20:05
RT @learnhospice: #WeEOLC https://twitter.com/weeolc/status/971113461500514309
@Jacquelin_Joyce
06 March 2018 20:05
RT @WeEOLC: It’s 10 min until we start tonight’s Tweetchat on #socialprescribing #WeEOLC @WeEOLC details here https://goo.gl/wHEcqX Drin…
@learnhospice
06 March 2018 20:05
RT @WeEOLC: Here we go - Q1 - Can we help define what #socialprescribing is? #WeEOLC @WeEOLC
@learnhospice
06 March 2018 20:05
RT @dellapowell1: @learnhospice @WeEOLC Hi Sarah ???? #WeEOLC
@dellapowell1
06 March 2018 20:05
@WeEOLC Hi there Philip. Thank you ????. Looking forward to a chat talking about my 2 favourite subjects #WeEOLC
@learnhospice
06 March 2018 20:05
RT @learnhospice: @WeEOLC Looking forward to tonight’s chat! #WeEOLC @WeEOLC @PUNC14Julie @dellapowell1 @PhilBallRN
@katcollett78
06 March 2018 20:05
Hi, Kat here. Consultant in Lincolnshire. No experience of social prescribing so here to listen & learn. Love the idea of it, I find we have discussions in our community MDT where some of the ideas mentioned on your intro come up as a wishlist. #WeEOLC
@dellapowell1
06 March 2018 20:06
RT @WeEOLC: Here we go - Q1 - Can we help define what #socialprescribing is? #WeEOLC @WeEOLC
@Jacquelin_Joyce
06 March 2018 20:06
jacqueline from @HEE_KSS working on QI in #EOL Workforce #WeEOLC
@learnhospice
06 March 2018 20:06
@dellapowell1 @WeEOLC Me too! #WeEOLC
@supportCHAS
06 March 2018 20:06
@WeEOLC For us, social prescribing is about supporting the whole family. #WeEOLC
@MartinBell1966
06 March 2018 20:06
RT @supportCHAS: @WeEOLC For us, social prescribing is about supporting the whole family. #WeEOLC
@learnhospice
06 March 2018 20:07
RT @Jacquelin_Joyce: jacqueline from @HEE_KSS working on QI in #EOL Workforce #WeEOLC
@learnhospice
06 March 2018 20:07
RT @supportCHAS: @WeEOLC For us, social prescribing is about supporting the whole family. #WeEOLC
@dellapowell1
06 March 2018 20:07
RT @Jacquelin_Joyce: jacqueline from @HEE_KSS working on QI in #EOL Workforce #WeEOLC
@WeEOLC
06 March 2018 20:07
@supportCHAS Can you say some more please @supportCHAS #WeEOLC ?
@dellapowell1
06 March 2018 20:07
@katcollett78 That is just great to hear ???? #WeEOLC
@dellapowell1
06 March 2018 20:08
RT @WeEOLC: @supportCHAS Can you say some more please @supportCHAS #WeEOLC ?
@learnhospice
06 March 2018 20:08
RT @WeEOLC: @supportCHAS Can you say some more please @supportCHAS #WeEOLC ?
@supportCHAS
06 March 2018 20:08
@WeEOLC Our family support team develop experiences with children and families, whilst making lasting memories in a safe, stimulating, and friendly environment. This could be through activities like arts and crafts; therapet visits; outings; music therapy; days away, etc. #WeEOLC
@supportCHAS
06 March 2018 20:09
We also give children experiences of things they've never been able to do before, such as swimming, skiing and go-karting. A simple thing like a pool session can mean the world to one of our families! #KeepTheJoyAlive #WeEOLC
@learnhospice
06 March 2018 20:09
@supportCHAS @WeEOLC That’s interesting. #WeEOLC
@supportCHAS
06 March 2018 20:10
We also take a holistic approach to social prescribing. At our hospices, we offer complimentary therapies, to give our families and carers a chance to relax. To ensure this support continues into the community, we introduce families to local carer centres. #WeEOLC
@dellapowell1
06 March 2018 20:10
@supportCHAS @WeEOLC Absolutely! It’s difficult to pin down a definition ?? ...However,It’s a non medical referral which connects pt to the community. It’s about treating person/family rather than the illness/condition #WeEOLC
@dellapowell1
06 March 2018 20:11
@supportCHAS Wow...yes. It makes such a difference. Despite a palliative diagnosis, there’s the need for human connection/interaction. So worthwhile. #WeEOLC
@WeEOLC
06 March 2018 20:11
Hi folks, so we can see all the brilliant responses please insert #WeEOLC in your replies and RTs, thanks ??
@NWAmb_Kieran
06 March 2018 20:12
@SocialPresHour @WeEOLC It's certainly providing me with some food for thought. I think we do embody some degree of social prescribing as Paramedics.. But I think we use different terminology 'signposting' to the appropriate person/place. We have some great support from @lancswellbeing, too. #WeEOLC
@MartinBell1966
06 March 2018 20:12
RT @WeEOLC: Hi folks, so we can see all the brilliant responses please insert #WeEOLC in your replies and RTs, thanks ??
@learnhospice
06 March 2018 20:12
RT @WeEOLC: Hi folks, so we can see all the brilliant responses please insert #WeEOLC in your replies and RTs, thanks ??
@dellapowell1
06 March 2018 20:12
RT @WeEOLC: Hi folks, so we can see all the brilliant responses please insert #WeEOLC in your replies and RTs, thanks ??
@supportCHAS
06 March 2018 20:13
@dellapowell1 Absolutely. It makes a huge difference to the child or young person's quality of life, and makes lasting memories for their families ?? #WeEOLC #KeepTheJoyAlive
@WeEOLC
06 March 2018 20:14
Q2 - What’s your reaction to the pre-chat reading? Any questions or concerns you’d like us to explore in this chat? #WeEOLC @WeEOLC ??
@dellapowell1
06 March 2018 20:14
@NWAmb_Kieran @SocialPresHour @WeEOLC @lancswellbeing So true!!! #socialprescribing not always labelled as such. Eg community connectors, active signposting, community referral etc Often not labelled at all. That’s ok but important to acknowledge the benefits ????. #WeEOLC
@dyatendra
06 March 2018 20:14
Hi Yaten here,GP Reg in staffs. #WeEolc
@dellapowell1
06 March 2018 20:15
@NWAmb_Kieran @SocialPresHour @WeEOLC @lancswellbeing So great to have a paramedic in the chat. Lovely to connect Kieran ???? #WeEOLC
@DeeDavies12
06 March 2018 20:15
@WeEOLC Really enjoying learning about social prescribing - this is a model that could be rolled across care of the elderly patients #WeEolc
@Jacquelin_Joyce
06 March 2018 20:15
@supportCHAS #ambition6 of the ambitions framework, communities ready to help #weEolc
@dellapowell1
06 March 2018 20:15
@dyatendra Hi Yaten. So pleased you made it! ???? #WeEOLC
@BridgetJohnst
06 March 2018 20:16
#WeEOLC https://twitter.com/bridgetjohnst/status/971117089149849600
@dellapowell1
06 March 2018 20:16
@DeeDavies12 @WeEOLC Most definitely. It’s exciting isn’t it. The options are endless. In fact...whatever the question, #socialprescribing is the answer!!! ???? #WeEOLC
@dellapowell1
06 March 2018 20:17
RT @WeEOLC: Q2 - What’s your reaction to the pre-chat reading? Any questions or concerns you’d like us to explore in this chat? #WeEOLC @We…
@WeEOLC
06 March 2018 20:17
Hi Lesley, @lgoodbu can you clarify the acronyms please - thanks - we're a mixed bunch tonight #WeEOLC https://twitter.com/lgoodbu/status/971116944458993664
@NWAmb_Kieran
06 March 2018 20:17
@dellapowell1 @SocialPresHour @WeEOLC @lancswellbeing My pleasure - really keen to work collaboratively, too. Our role as #CommunitySpecialistParamedics is designed to enhance and increase collaborative working in communities to improve quality of care. Really good results from our CQUIN pilot report! #WeEOLC
@learnhospice
06 March 2018 20:18
RT @BridgetJohnst: #WeEOLC https://twitter.com/bridgetjohnst/status/971117089149849600
@Jacijoyce1
06 March 2018 20:18
@WeEOLC I think social prescribing is much better understood in terms of primary care and mental health interventions, I hadn't really considered as part of palliative care before #WeEolc
@dellapowell1
06 March 2018 20:18
@NWAmb_Kieran @SocialPresHour @WeEOLC @lancswellbeing This is music ?? to my ears ????!!! Would love to know more. I’ll DM you later if I may?? #WeEOLC
@supportCHAS
06 March 2018 20:20
@Jacijoyce1 @WeEOLC It can mean a huge amount to children with life-shortening conditions. Many referred to our services feel socially isolated: we #KeepTheJoyAlive by holding communal parties, festivals and events at our hospices. #WeEOLC 1/2
@dyatendra
06 March 2018 20:20
So how important is GP in this scenario? #WeEolc
@WeEOLC
06 March 2018 20:20
@Jacijoyce1 HI Jaci, that's interesting 'cos that was my starting point - with my End of life care background - its been a revelation to me... #Socialprescribing #Weeolc
@Jacquelin_Joyce
06 March 2018 20:20
seeing some of the results from #socialprescribing in Vanguard sites https://fabnhsstuff.net/2017/01/15/social-prescribing-vanguard-way/ shows us what is possibe #WeEOLC
@NWAmb_Kieran
06 March 2018 20:21
@SocialPresHour @dellapowell1 @WeEOLC @lancswellbeing Initial pilot advert here: http://www.nwas.nhs.uk/news/stakeholder-briefings/summer-2015/new-community-specialist-paramedics/#.Wp7338qnx-E And our very own @NWAmb_Knutsford and a day in her life here: http://www.nwas.nhs.uk/news/a-week-in-the-life-of/community-specialist-paramedic,-carol-robertson/#.Wp73-Mqnx-E #WeEOLC
@lgoodbu
06 March 2018 20:22
@WeEOLC ABCD assets based community development using the people resources assets that exist in a community to develop support based on a persons need rather than an organisation giving people a service helping each other to achieve based on reciprocity #WeEOLC #socialprescribing
@annawolkowski
06 March 2018 20:22
RT @WeEOLC: Here we go - Q1 - Can we help define what #socialprescribing is? #WeEOLC @WeEOLC
@WeEOLC
06 March 2018 20:22
Next question - Q3- Where can we practise and who can practice #socialprescribing? #WeEOLC @WeEOLC ?
@supportCHAS
06 March 2018 20:22
@Jacijoyce1 @WeEOLC We also use #socialprescribing for disability sports, like #wheelchairfootball. The young people involved tell us it boosts their confidence, and gives them a chance to make new friends. We link in with colleagues across Scotland to support them to try out new things. #WeEOLC 2/2
@dellapowell1
06 March 2018 20:23
@Jacijoyce1 @WeEOLC That is true.I find that people once given a palliative diagnosis struggle with purpose and quality of life. Everyone needs to look after their mental health and social prescribing really tackles this. #WeEOLC
@dellapowell1
06 March 2018 20:23
RT @WeEOLC: Next question - Q3- Where can we practise and who can practice #socialprescribing? #WeEOLC @WeEOLC ?
@The_Debs_Effect
06 March 2018 20:24
I believe this too. It has too be used correctly and managed well. We Cannot expect the community and voluntary sector to carry the can. It has to be done right or it will fail. #WeEOLC https://twitter.com/dellapowell1/status/971117419119988736
@WeEOLC
06 March 2018 20:24
Thanks Lesley, that's useful ??#WeEolc https://twitter.com/lgoodbu/status/971118727210131456
@supportCHAS
06 March 2018 20:24
@WeEOLC Children's hospices ?? We work with lots of different partners to achieve good outcomes for our children and young people. #WeEOLC
@WeEOLC
06 March 2018 20:24
RT @WeEOLC: Thanks Lesley, that's useful ??#WeEolc https://twitter.com/lgoodbu/status/971118727210131456
@supportCHAS
06 March 2018 20:25
@WeEOLC Through @TheLensCP, we've partnered with @theyardscotland to offer inclusive play sessions for our families. As well as giving children and parents the chance to meet others in a similar situation, this helps us to break down the barriers to reaching new families ?? #WeEOLC
@PUNC14Julie
06 March 2018 20:26
RT @dyatendra: So how important is GP in this scenario? #WeEolc
@BrumYODO
06 March 2018 20:26
@lgoodbu @WeEOLC I struggle with 'prescribing' as a term, is it too paternalistic? I don't think it represents community connection #WeEOLC
@dellapowell1
06 March 2018 20:27
@dyatendra Pivotal in most http://areas.Social prescribing aims to make more time for GPs. GP can refer to community connectors/social prescribers/signpost. Considerable buy in from GPs. In particular due to the high impact actions releasing time to care #WeEOLC https://t.co/bSXo90tqYy
@WeEOLC
06 March 2018 20:28
Hi Julie @PUNC14Julie #WeEOLC hope your shift has gone well, glad to see you ????
@Jacquelin_Joyce
06 March 2018 20:28
@BrumYODO @lgoodbu @WeEOLC that's a really interesting point, but I do think that sometimes when we introduce new terms we can inhibit what we are trying to achieve. yes to culture change, no to confusion!-- its a conundrum! #weEolc
@dellapowell1
06 March 2018 20:28
@supportCHAS @Jacijoyce1 @WeEOLC I’m seeing more and more inclusive sports like walking hockey ?? and rugby ??. This really enables people to partake in something they thought no longer able to do. #WeEOLC
@The_Debs_Effect
06 March 2018 20:28
#WeEolc I know #socialprescribing works. I was at rock bottom and an art class saved my life. It then transformed it beyond any recognition. I was told I would always be ill medicated and never work again. I now work in same nhs as that professional that told me that.
@supportCHAS
06 March 2018 20:28
@The_Debs_Effect It's important that the voluntary sector work in partnership with other charities, as well as Health and Social Care Partnerships, and colleagues throughout the NHS. #WeEOLC
@SocialPresHour
06 March 2018 20:29
@WeEOLC Everyone can play a part! The Nurse, DR, OT, Physio, Social Worker connecting their patients to community based provider both large and small and being supported along the way by community link workers/ Navaigators whilst remembering the patient is at the centre of this #WeEOLC
@dellapowell1
06 March 2018 20:29
@WeEOLC @PUNC14Julie So pleased you’re here Julie #WeEOLC https://t.co/kdKvNApQFJ
@lgoodbu
06 March 2018 20:29
@WeEOLC at EOL I think it could be a way of connecting the person who is dying and family to resources that might help achieve hopes and aspirations esp if ppl really listen and signpost #WeEOLC #socialprescribing
@WeEOLC
06 March 2018 20:29
@annawolkowski @Dove_House Evening @annawolkowski Anna, please remember to add #WeEolc so we can all see your tweets in this chat - thanks!
@WeEOLC
06 March 2018 20:29
RT @The_Debs_Effect: #WeEolc I know #socialprescribing works. I was at rock bottom and an art class saved my life. It then transformed it…
@supportCHAS
06 March 2018 20:30
@dellapowell1 @Jacijoyce1 @WeEOLC Absolutely. We get our young people involved in all sorts! #Boccia is a current favourite. #WeEOLC
@NWAmb_Kieran
06 March 2018 20:30
@WeEOLC I'd like to think anybody with patient contact could safely and appropriately practice social prescribing. But it may have to be someone with the appropriate referral options.. Should this be a registered healthcare professional? #WeEOLC
@Jacquelin_Joyce
06 March 2018 20:30
RT @The_Debs_Effect: #WeEolc I know #socialprescribing works. I was at rock bottom and an art class saved my life. It then transformed it…
@The_Debs_Effect
06 March 2018 20:30
It doesn't but it's the only thing doctor will understand. The community have to change to the language doctors will understand regardless of what we (patients) think. #WeEOLC https://twitter.com/BrumYODO/status/971119871575633920
@dellapowell1
06 March 2018 20:31
@supportCHAS @The_Debs_Effect Definitely. Social prescribing models rely on the third sector/voluntary organisations. Important that communities map resources to enable effective signposting. @Its_Elemental have great software that makes this happen #WeEOLC #tech4good
@lgoodbu
06 March 2018 20:31
@BrumYODO @WeEOLC Agree that prescribing isn’t the right word but I think the ethos is #WeEOLC #socialprescribing
@WeEOLC
06 March 2018 20:32
the term #socialprescribing seems to sum up the total of the activity the involves many types of signposting, direct linking; not sure what the experienced members of the social prescribing community think about this? #WeEolc https://twitter.com/BrumYODO/status/971119871575633920
@dellapowell1
06 March 2018 20:32
@BrumYODO @lgoodbu @WeEOLC I completely agree. It medicalises something we want to demedicalise!!! I think it makes something so simple, complicated! #WeEOLC
@BrumYODO
06 March 2018 20:32
@The_Debs_Effect That's a really interesting concept. Community has to use language that Drs understand. That's a whole chat in itself ?? #WeEOLC
@supportCHAS
06 March 2018 20:33
@lgoodbu @WeEOLC Definitely - we help children and young people achieve any dreams they have ?? #WeEOLC
@lgoodbu
06 March 2018 20:33
RT @The_Debs_Effect: #WeEolc I know #socialprescribing works. I was at rock bottom and an art class saved my life. It then transformed it…
@Jacquelin_Joyce
06 March 2018 20:33
@dellapowell1 @supportCHAS @The_Debs_Effect @Its_Elemental that's a really useful link! TY! #weEolc
@dellapowell1
06 March 2018 20:33
@BrumYODO @The_Debs_Effect Definitely!!!! #WeEOLC
@Samhog
06 March 2018 20:34
RT @WeEOLC: Here we go - Q1 - Can we help define what #socialprescribing is? #WeEOLC @WeEOLC
@DeeDavies12
06 March 2018 20:34
@The_Debs_Effect @WeEOLC Prescribing potentially can imply a medical model of care and this would seem to be the opposite of a social model of care #WeEOLC
@The_Debs_Effect
06 March 2018 20:34
#WeEOLC I agree. I could spend lots of time talking about the language used. I hate the term prescribing but if it's a means to an end it will have to do. If it changes lives it's worth it. https://twitter.com/BrumYODO/status/971121484247728128
@WeEOLC
06 March 2018 20:34
Interesting question @NWAmb_Kieran - is #socalprescribing only open to healthcare professionals? #WeEolc https://twitter.com/NWAmb_Kieran/status/971120806033059840
@WeEOLC
06 March 2018 20:35
RT @supportCHAS: @lgoodbu @WeEOLC Definitely - we help children and young people achieve any dreams they have ?? #WeEOLC
@SocialPresHour
06 March 2018 20:35
RT @The_Debs_Effect: #WeEolc I know #socialprescribing works. I was at rock bottom and an art class saved my life. It then transformed it…
@dellapowell1
06 March 2018 20:35
@WeEOLC I truly dislike the term but I can see both sides of the coin. The term prescribing allows medical buy in. However, we are making something holistic and non medical sound medical. Can be confusing for health and social care professionals and pts ???? #WeEOLC
@The_Debs_Effect
06 March 2018 20:35
Maybe next week's chat #WeEOLC https://twitter.com/dellapowell1/status/971121666620379136
@WeEOLC
06 March 2018 20:36
Q 4 - So how can we use #socialprescribing in palliative care and end of life care? #WeEOLC @WeEOLC @supportCHAS has great examples, any others?
@WeEOLC
06 March 2018 20:36
RT @The_Debs_Effect: #WeEOLC I agree. I could spend lots of time talking about the language used. I hate the term prescribing but if it's a…
@WeEOLC
06 March 2018 20:36
RT @WeEOLC: Interesting question @NWAmb_Kieran - is #socalprescribing only open to healthcare professionals? #WeEolc https://twitter.com/NWAmb_Kieran/status/971120806033059840
@supportCHAS
06 March 2018 20:37
@WeEOLC @NWAmb_Kieran We don't think so: our family support team practice some form of #socialprescribing on a daily basis. Helps us #KeepTheJoyAlive ?? #WeEOLC
@dellapowell1
06 March 2018 20:37
@NWAmb_Kieran @WeEOLC I completely agree with your point. It needn’t be a formal arrangement. It’s taking the chance to strike while the irons hot and make every contact count #WeEOLC
@MartinBell1966
06 March 2018 20:37
RT @WeEOLC: Q 4 - So how can we use #socialprescribing in palliative care and end of life care? #WeEOLC @WeEOLC @supportCHAS has great exa…
@MartinBell1966
06 March 2018 20:37
RT @WeEOLC: Interesting question @NWAmb_Kieran - is #socalprescribing only open to healthcare professionals? #WeEolc https://twitter.com/NWAmb_Kieran/status/971120806033059840
@dellapowell1
06 March 2018 20:37
RT @WeEOLC: Q 4 - So how can we use #socialprescribing in palliative care and end of life care? #WeEOLC @WeEOLC @supportCHAS has great exa…
@Jacquelin_Joyce
06 March 2018 20:38
#MECC that's a really good point #weEolc https://twitter.com/dellapowell1/status/971122634892152832
@annawolkowski
06 March 2018 20:38
Great to read all of the responses. I'm thinking that to bring #socialprescribing to life in our services need to be able to see people earlier in their trajectory - introducing palliative care services earlier so that people can benefit before they are too poorly #WeEolc
@supportCHAS
06 March 2018 20:38
@WeEOLC We've recently started forest school for children with life-shortening conditions, and their siblings, which improves self-esteem, and encourages exploration of the outdoors. Here's our Robin House Activities Coordinator, @alesbales, in training! #WeEOLC #OutdoorLearning https://t.co/yWxncd3F94
@MartinBell1966
06 March 2018 20:38
RT @The_Debs_Effect: #WeEolc I know #socialprescribing works. I was at rock bottom and an art class saved my life. It then transformed it…
@The_Debs_Effect
06 March 2018 20:39
I referred myself. If I hadn't I probably wouldn't be here today. I was left heavily medicated, bed bound and my daughters as my carers. I've had everything services had to offer sometimes moor than once. I think it should be open on many ways for people to access it. #WeEOLC https://twitter.com/NWAmb_Kieran/status/971120806033059840
@dellapowell1
06 March 2018 20:40
@WeEOLC @supportCHAS I love the @UKMensSheds projects. This is a great place for men to meet, chat and potter. Choirs are great. Day hospices, art groups, book clubs, fishing. Anything and everything. That’s why it’s so important to understand your community in order to signpost #WeEOLC
@Dee_Elemental
06 March 2018 20:40
@WeEOLC @NWAmb_Kieran I agree with Kieran and CHAS there are lots of people who may, in some instances, be better placed to make a referral for a social prescription or even make the social prescription themselves #weEOLC
@SocialPresHour
06 March 2018 20:40
RT @The_Debs_Effect: #WeEOLC I agree. I could spend lots of time talking about the language used. I hate the term prescribing but if it's a…
@WeEOLC
06 March 2018 20:40
Q5 - What do you think about the idea of #socialprescribing changing the relationship between the patient and practitioner? #WeEOLC @WeEOLC
@Jacquelin_Joyce
06 March 2018 20:40
@WeEOLC @supportCHAS might be worth asking @hospiceuk if their members can tweet examples, even categorising the many interventions as #socialprescribing gives us a way to gather data and signpost #goodPRACTICE in #EOLC #weEolc
@WeEOLC
06 March 2018 20:40
RT @Jacquelin_Joyce: #MECC that's a really good point #weEolc https://twitter.com/dellapowell1/status/971122634892152832
@supportCHAS
06 March 2018 20:41
@WeEOLC Another example: we recently supported a young person to source a grant for hydrotherapy sessions. He enjoys these sessions enormously, as it gives him a chance to get out of his wheelchair, stretch, and relax. This helps with his pain, and to maintain limb movement. #WeEOLC
@The_Debs_Effect
06 March 2018 20:41
#WeEOLC the sooner the better. #socialprescribing https://twitter.com/annawolkowski/status/971122854719905793
@Jacquelin_Joyce
06 March 2018 20:41
thank you for your bravery in sharing your experience! #silenceKills #weEolc https://twitter.com/The_Debs_Effect/status/971123205321740288
@BrumYODO
06 March 2018 20:41
@WeEOLC @NWAmb_Kieran In neighborhood I would think it happens naturally without HCP's. When we recommend or prescribe connection does it become a service? My thinking is that HCP awareness and respect of Community strength and value could fundamentally change #EoL care #WeEOLC
@dellapowell1
06 March 2018 20:42
@WeEOLC @supportCHAS I think it’s really important to ask as part of admission assessment in community re interests and hobbies.Also what do they miss doing as a result of their condition. Important to look at work history too. Eg a man with pulmonary fibrosis that had to give up building #WeEOLC
@Jacquelin_Joyce
06 March 2018 20:42
RT @WeEOLC: Interesting question @NWAmb_Kieran - is #socalprescribing only open to healthcare professionals? #WeEolc https://twitter.com/NWAmb_Kieran/status/971120806033059840
@WeEOLC
06 March 2018 20:42
Does the role of the signposting person have an effect #WeEolc ? https://twitter.com/katcollett78/status/971123197016985602
@Jacquelin_Joyce
06 March 2018 20:42
RT @The_Debs_Effect: #WeEOLC I agree. I could spend lots of time talking about the language used. I hate the term prescribing but if it's a…
@dellapowell1
06 March 2018 20:42
@The_Debs_Effect What a great perspective. Thank you so much for sharing that ???? #WeEOLC
@lgoodbu
06 March 2018 20:43
@annawolkowski I think so but I can a really big role for #socialprescribing in grief and bereavement #weeolc
@NWAmb_Kieran
06 March 2018 20:43
@The_Debs_Effect A really important point - care needs to be accessible and easy to understand. Sometimes, we as healthcare professionals struggle to understand the systems we work in - so if this is the case, how can we expect patients to? Single point of access is the way forward IMO. #WeEOLC
@Jacquelin_Joyce
06 March 2018 20:43
RT @The_Debs_Effect: #WeEOLC the sooner the better. #socialprescribing https://twitter.com/annawolkowski/status/971122854719905793
@The_Debs_Effect
06 March 2018 20:43
Well that psychiatrist who told me I would always be ill medicated and never work again works in the same nhs trust and often asks my advice and opinion, something he would never have done before #WeEOLC https://twitter.com/WeEOLC/status/971123418123907079
@dellapowell1
06 March 2018 20:43
@katcollett78 @WeEOLC That is such an important point. One that needs unpicking and some research!! #WeEOLC
@WeEOLC
06 March 2018 20:44
RT @Jacquelin_Joyce: thank you for your bravery in sharing your experience! #silenceKills #weEolc https://twitter.com/The_Debs_Effect/status/971123205321740288
@Jacquelin_Joyce
06 March 2018 20:44
@supportCHAS @WeEOLC powerful picture, it's like a #noBRAINER why wouldn't we want this for #weEolc ?
@supportCHAS
06 March 2018 20:44
@annawolkowski A really good point, and something we work hard at doing. Our whole ethos is to #KeepTheJoyAlive for children with life-shortening conditions, but also the whole family. You can find out more about our work at http://www.chas.org.uk. #WeEOLC
@BrumYODO
06 March 2018 20:44
@WeEOLC Practitioners need to truly listen to what matters to that person to enable social prescribing - it has potential to be a game changer for balance of relationship #WeEOLC
@annawolkowski
06 March 2018 20:45
@dellapowell1 @WeEOLC But I don't like the term either - whoops #WeEOLC
@lgoodbu
06 March 2018 20:45
@WeEOLC I think there needs to be a shift in “perceived” roles in eolc to facilitate this change I don’t think #socialprescribing alone is a strong enough catalyst #WeEOLC
@The_Debs_Effect
06 March 2018 20:45
I often talk about my journey. I want people to see I'm more than my illness. I spoke at the kings fund in front of Prince Charles last year #socialprescribing #WeEOLC https://twitter.com/Jacquelin_Joyce/status/971123687763128320
@katcollett78
06 March 2018 20:45
#WeEOLC https://twitter.com/katcollett78/status/971123197016985602
@The_Debs_Effect
06 March 2018 20:45
RT @dellapowell1: @The_Debs_Effect What a great perspective. Thank you so much for sharing that ???? #WeEOLC
@RFJ74
06 March 2018 20:46
Q4 Hi, I think a good starting point is #whatmatterstoyou. Try to keep or restore the person's loves, activities or interests that illness has damaged or threatened. #WeEOLC
@annawolkowski
06 March 2018 20:46
Sorry - #WeEOLC ?? https://twitter.com/annawolkowski/status/971124465336750081
@dellapowell1
06 March 2018 20:46
@annawolkowski @WeEOLC Absolutely!! That’s an excellent perspective...one which is like to unpick and research further ?? #WeEOLC
@NWAmb_Kieran
06 March 2018 20:47
@WeEOLC @supportCHAS Engagement, support and understanding. I recall listening to a podcast from Sabine Netters, an Oncologist from Netherlands, discussing assisted dying and the complexities surrounding support and understanding. Very interesting listening. #WeEOLC https://t.co/IXNUciQTFW
@BrumYODO
06 March 2018 20:47
#WeEOLC https://twitter.com/katcollett78/status/971123197016985602
@WeEOLC
06 March 2018 20:47
Q6 - Are hospices and palliative care services/teams doing enough with local communities assets to encourage well-being through #socialprescribing? #WeEOLC @WeEOLC
@dellapowell1
06 March 2018 20:48
@annawolkowski Don’t be sorry!! ???? #WeEOLC
@fairymorg
06 March 2018 20:48
@dellapowell1 @WeEOLC @supportCHAS Key question in assessment is ‘what is important to you?’ #WeEOLC
@NWAmb_Kieran
06 March 2018 20:48
@The_Debs_Effect Single point of access means that when a patient accesses a service, regardless of their entry point - their outcome is the same. A lot of this is done via one single point but I totally agree with your point - access needs to be widely available! #WeEOLC
@supportCHAS
06 March 2018 20:50
@dellapowell1 @WeEOLC We make this part of our referral process. On their first visit, we mould ourselves to each child to give them experiences that they want. #KeepTheJoyAlive #WeEOLC
@The_Debs_Effect
06 March 2018 20:50
I was put on a 19 month waiting list for services. When I say art saved my life I mean it. #WeEOLC https://twitter.com/annawolkowski/status/971124465336750081
@WeEOLC
06 March 2018 20:51
@lgoodbu I'd (Philip) agree @lgoodbu Lesley, it may help change some attitudes though? A little push in favour of the person who is looking for further help? #WeEolc
@The_Debs_Effect
06 March 2018 20:51
Or get them to try something new. It's about offering choices. If it helps great if it doesn't try something else. #WeEOLC https://twitter.com/RFJ74/status/971124790051434496
@BrumYODO
06 March 2018 20:51
@NWAmb_Kieran @The_Debs_Effect With inclusion of community resource for signposting too #WeEOLC
@lgoodbu
06 March 2018 20:51
@WeEOLC In my experience no but there’s a whole load of opportunity out there to be embraced #socialprescribing #WeEOLC
@annawolkowski
06 March 2018 20:51
I agree - we @Dove_House are seeing some great outcomes from a social group - open to all 'Friday Friends'. No professional referral needed; space, refreshments, cake, activities sometimes, led by volunteers & non-qualified staff (cost effective) People can just come! #WeEOLC https://twitter.com/lin64/status/971124907672326149
@WeEOLC
06 March 2018 20:52
Q7 - Do we allow enough fun and play with those we care for at work, work with and in our communities? #socialprescribing #WeEOLC @WeEOLC
@Jacquelin_Joyce
06 March 2018 20:52
RT @The_Debs_Effect: I was put on a 19 month waiting list for services. When I say art saved my life I mean it. #WeEOLC https://t.co/MmHJ0f…
@supportCHAS
06 March 2018 20:52
@dellapowell1 @WeEOLC For example, we cared for a girl who used to love horse riding, so we brought a horse to visit her at Robin House. Her face lit up ?? #KeepTheJoyAlive #WeEOLC
@The_Debs_Effect
06 March 2018 20:52
RT @BrumYODO: @NWAmb_Kieran @The_Debs_Effect With inclusion of community resource for signposting too #WeEOLC
@NWAmb_Kieran
06 March 2018 20:52
Locally - I think there is really good engagement. Not only this, but there appears to be a real drive to improve end of life care in #WestLancashire. I'm attending a few events and meetings regarding this - It's amazing how much is being done when you look for it! #WeEOLC https://twitter.com/WeEOLC/status/971125082998345734
@dellapowell1
06 March 2018 20:52
RT @fairymorg: @dellapowell1 @WeEOLC @supportCHAS Key question in assessment is ‘what is important to you?’ #WeEOLC
@dellapowell1
06 March 2018 20:53
@fairymorg @WeEOLC @supportCHAS Most definitely ???????? #WeEOLC
@WeEOLC
06 March 2018 20:53
RT @lgoodbu: @WeEOLC In my experience no but there’s a whole load of opportunity out there to be embraced #socialprescribing #WeEOLC
@lgoodbu
06 March 2018 20:53
@WeEOLC A push in the right direction but not a panacea #socialprescribing #WeEOLC
@WeEOLC
06 March 2018 20:53
Coming up to last few minutes of the main chat time; I have a sense the ideas and conversations will flow on afterwards, #socialprescribing #WeEolc
@Jacquelin_Joyce
06 March 2018 20:53
@The_Debs_Effect thanks so much Debs! again, real testimony is how we learn, it's humbling that you (and so many other brave people) still agree to teach us from your lived experience! #weEolc
@lin64
06 March 2018 20:53
@WeEOLC @supportCHAS Not formally social prescribing but many volunteers have “prescribed “ for themselves - volunteering in charity shops etc , gives a purpose , social network , new skills , #WeEolc
@fairymorg
06 March 2018 20:53
@katcollett78 @WeEOLC We have an early referrals clinic where we can start assessment early on in palliative journey #WeEOLC.
@BrumYODO
06 March 2018 20:54
@WeEOLC There are positives in hospice such as holistic focused day hospice services but more to do to change the balance of Service v's Neighborhood #WeEOLC
@annawolkowski
06 March 2018 20:54
RT @lgoodbu: @annawolkowski I think so but I can a really big role for #socialprescribing in grief and bereavement #weeolc
@The_Debs_Effect
06 March 2018 20:54
We offer our services to service users/carers And staff. We need to look after everyone. You cannot care for others if you are burnt out yourself #WeEOLC https://twitter.com/WeEOLC/status/971126271634759680
@RFJ74
06 March 2018 20:55
@WeEOLC I'd rather think about #socalprescribing happening in a network of mutual relationships rather than as a 'split ' between apparent expert and recipient #WeEOLC
@dellapowell1
06 March 2018 20:55
@WeEOLC Links in with compassionate communities. It’s about it being a shared role, everyone speaking the language and embedding it in integrated health and social care practice. Not there yet but I feel it’s worth the effort ?? #WeEOLC
@PUNC14Julie
06 March 2018 20:55
RT @The_Debs_Effect: I was put on a 19 month waiting list for services. When I say art saved my life I mean it. #WeEOLC https://t.co/MmHJ0f…
@supportCHAS
06 March 2018 20:55
@WeEOLC We believe we do, yes. Find out more about the services we offer to #KeepTheJoyAlive at home, in hospital and in our hospices here: https://www.chas.org.uk/how-we-help. #WeEOLC
@WeEOLC
06 March 2018 20:56
RT @fairymorg: @katcollett78 @WeEOLC We have an early referrals clinic where we can start assessment early on in palliative journey #WeEOLC.
@WeEOLC
06 March 2018 20:56
Last question! #TimeFlies Q8 - What will you do as a result of this chat- get active with your family and friends, in your local community and in your daily work? #socialprescribing #WeEOLC @WeEOLC
@dellapowell1
06 March 2018 20:56
@RFJ74 @WeEOLC Totally!!! Great point. The patient/service user is a partner. #WeEOLC
@The_Debs_Effect
06 March 2018 20:57
My pleasure I started talking initially because I was annoyed an 'expert ' could tell me my life was going to be this miserable forever. I wanted others to know this was not the case. Then the 'experts ' stared asking me to talk at their events. #WeEOLC https://twitter.com/Jacquelin_Joyce/status/971126670827642881
@Jacquelin_Joyce
06 March 2018 20:57
RT @fairymorg: @katcollett78 @WeEOLC We have an early referrals clinic where we can start assessment early on in palliative journey #WeEOLC.
@Jacquelin_Joyce
06 March 2018 20:57
RT @lgoodbu: @WeEOLC A push in the right direction but not a panacea #socialprescribing #WeEOLC
@learnhospice
06 March 2018 20:57
RT @dellapowell1: @RFJ74 @WeEOLC Totally!!! Great point. The patient/service user is a partner. #WeEOLC
@RFJ74
06 March 2018 20:57
@WeEOLC Q6 I'd say it's difficult if you're working in a predominantly medical model #WeEOLC
@PUNC14Julie
06 March 2018 20:57
Love this holistic care #WeEOLC https://twitter.com/supportCHAS/status/971126330061475841
@learnhospice
06 March 2018 20:57
RT @fairymorg: @katcollett78 @WeEOLC We have an early referrals clinic where we can start assessment early on in palliative journey #WeEOLC.
@learnhospice
06 March 2018 20:58
RT @lgoodbu: @WeEOLC A push in the right direction but not a panacea #socialprescribing #WeEOLC
@learnhospice
06 March 2018 20:58
RT @dellapowell1: @fairymorg @WeEOLC @supportCHAS Most definitely ???????? #WeEOLC
@WeEOLC
06 March 2018 20:58
Taking social prescribing further, there’s a #socialprescribing link to @SocPresHour chats on Weds evenings; even if you can’t make it, add it to you lists and check the chats out later on. #WeEOLC @WeEOLC
@learnhospice
06 March 2018 20:58
RT @lgoodbu: @WeEOLC In my experience no but there’s a whole load of opportunity out there to be embraced #socialprescribing #WeEOLC
@learnhospice
06 March 2018 20:58
RT @BrumYODO: @NWAmb_Kieran @The_Debs_Effect With inclusion of community resource for signposting too #WeEOLC
@learnhospice
06 March 2018 20:58
RT @The_Debs_Effect: I was put on a 19 month waiting list for services. When I say art saved my life I mean it. #WeEOLC https://t.co/MmHJ0f…
@supportCHAS
06 March 2018 20:58
We also hold records about each child or young person, regarding their likes, dislikes, hobbies, etc. This significantly assists in us being able to practice #socialprescribing. #WhatMattersToMe #WeEOLC
@learnhospice
06 March 2018 20:58
RT @fairymorg: @dellapowell1 @WeEOLC @supportCHAS Key question in assessment is ‘what is important to you?’ #WeEOLC
@learnhospice
06 March 2018 20:58
RT @dellapowell1: @annawolkowski Don’t be sorry!! ???? #WeEOLC
@learnhospice
06 March 2018 20:58
RT @BrumYODO: #WeEOLC https://twitter.com/katcollett78/status/971123197016985602
@learnhospice
06 March 2018 20:58
RT @annawolkowski: Sorry - #WeEOLC ?? https://twitter.com/annawolkowski/status/971124465336750081
@learnhospice
06 March 2018 20:59
RT @katcollett78: #WeEOLC https://twitter.com/katcollett78/status/971123197016985602
@learnhospice
06 March 2018 20:59
RT @Jacquelin_Joyce: @supportCHAS @WeEOLC powerful picture, it's like a #noBRAINER why wouldn't we want this for #weEolc ?
@learnhospice
06 March 2018 20:59
RT @dellapowell1: @katcollett78 @WeEOLC That is such an important point. One that needs unpicking and some research!! #WeEOLC
@learnhospice
06 March 2018 20:59
RT @lgoodbu: @annawolkowski I think so but I can a really big role for #socialprescribing in grief and bereavement #weeolc
@learnhospice
06 March 2018 20:59
RT @dellapowell1: @The_Debs_Effect What a great perspective. Thank you so much for sharing that ???? #WeEOLC
@dellapowell1
06 March 2018 20:59
@RFJ74 @WeEOLC I think it’s about changing the way we think and what we perceive/value as ‘treatment’. This goes for pt and health professional though ??#WeEOLC
@learnhospice
06 March 2018 20:59
RT @Jacquelin_Joyce: thank you for your bravery in sharing your experience! #silenceKills #weEolc https://twitter.com/The_Debs_Effect/status/971123205321740288
@PUNC14Julie
06 March 2018 20:59
@WeEOLC We need to encourage fun during our working day for the benefit of our patients and staff #WeEOLC
@learnhospice
06 March 2018 20:59
RT @PUNC14Julie: Love this holistic care #WeEOLC https://twitter.com/supportCHAS/status/971126330061475841




 Stats

 
 Total contributers: 23
 Total tweets: 217
 Total reach: 835,436

  • Follow us