Intended for healthcare professionals

Letters Case conferencing – an answer to improving generalist end of life care?

Experience from Royal Marsden Hospital

BMJ 2008; 337 doi: (Published 28 October 2008) Cite this as: BMJ 2008;337:a2290
  1. Julia Riley, head of the department of palliative medicine1,
  2. Clare Smith, specialist registrar palliative medicine,
  3. Michael Thick, chief clinical officer, Connecting for Health
  4. On behalf of Nigel Dodds, Maria Owens, Diedre Adams, Fiona Wheeler, Joy Ross, David Currow
  1. 1Royal Marsden Hospital NHS Trust, London SW3 6JJ
  1. julia.riley{at}

    The Royal Marsden Hospital2Home (H2H) pilot programme tackles the issues and overcomes many of the barriers in generalist end of life care identified by Shipman et al.1 The hospital is a tertiary referral oncology centre, and therefore “progressive disease with no further active oncological treatments” was our definition of end of life care and the trigger point for referral to our programme. The H2H clinical nurse specialist assesses each patient’s health, social, financial, and spiritual needs …

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