ABSTRACT
Everyone provides palliative care. Universal palliative care is the right of every patient and the duty of every professional. Physical or psychological problems can sometimes be difficult to resolve. If first-and second-line treatments have failed, discussion with, or a visit by, a palliative care specialist can offer new options. Some patients have a complex mix of physical, psychological, social, ethical and spiritual issues which can make clear-cut decisions difficult. Discussion with a palliative care specialist can help us to see the situation more clearly. Community palliative care team support should be discussed with the general practitioner before the patient is discharged. This is often initially Macmillan-funded and consists of specialist nurses and consultants in palliative medicine, with varying input from doctors, social workers, chaplains and physiotherapists. They are available to give advice and support to patients, families and staff in hospital and will liaise with community services.
