Manchester Macmillan Supportive and Palliative Care Service

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A model of multidisciplinary integrated palliative care being rolled out across Manchester to provide seamless care to those in the last year of life. Delivered by MLCO staff in partnership with Macmillan Cancer Support and Manchester Health and Care Commissioning.


What is the supportive & palliative care service?

Following the success of the North Manchester palliative care service, this model of multidisciplinary integrated palliative care is being rolled out citywide during 2019-2020.

It follows the principles of the ‘Midhurst model’, ensuring all clinicians communicate daily to wrap services around the patient. Key to the model is care co-ordination of the specialist palliative care teams in partnership with district nurses.


How does it work?

This new city wide service has three local hubs - in the North, Central and South of the city - and will be operating from 8am-7pm, 7 days a week. 

The specialist palliative care team is multi-disciplinary;  with full integration with district nurses, community teams, general practice, local hospices and hospitals so seamless care can be offered to those in their last year of life.

The service will be supported by palliative care consultants and a GP with specialist interest in palliative medicine, Monday to Friday. A clinician is available to triage all calls and referrals to the service, responding as necessary to patient needs and ensuring that support will be given in a timely manner.

Feedback from a district nurse in North Manchester said;

“Daily meetings with district nurses from the four neighbourhoods has been hailed as a massive success and led to real integrated working. It proved extremely successful from the outset, leading to very positive feedback from all team members and, more importantly, patients and families. It has greatly enhanced care and support – patients are now aware that the district nurses and Macmillan nurses talk to each other and this provides a high level of confidence.”


What are the aims of the service?

The overarching outcomes of the citywide service are to:

  • Provide fully integrated, community based care, for patients with cancer and/or any life-limiting illness in their last 12 months of life

  • Facilitate timely and safe discharge from hospital and hospice

  • Ensure carers are fully supported at all stages

  • Increase the number of patients able to die in their usual place of residence

  • Increase the number of patients able to die in their recorded preferred place of care

  • Reduce the number of admissions to hospital for patients on the community specialist palliative care caseloads.


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How can I find out more?