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.

• Reviewing reasons why staff conflicts happen in the Hospice sector and why such conflict can be so keenly felt.
• Repatriations of patients who want to go home to another country.
• A review of radiology investigations in the last six months of life.
• General updates from across the UK

In this season of election manifestos and incessant political commentary Matt will be having a look at how previous crises in the NHS have been navigated, and in particular how Palliative Care has continued to grow and develop in the face of everything.

Kate will be looking at a series of articles in the Nursing Times on looking after people with palliative care needs.

We will also be hearing from Liv Warnes, from Hospice UK, about the advocacy work taking place on behalf of Hospice and Palliative Care with the political parties in the UK up to election on July 4. With suggestions of what could be done at the local level.

Prior to the holiday season we would also like to know what topics you would like your Clinical ECHO to be covering next season.

This month we focus on uncertainty in Palliative Care with Matt looking at choice and free will in the presence of constant uncertainty, and Kate looking at the uncertanties around delivering Palliative care in prison.

We are joined By Ariel Dempsey, Dr. Robert Twycross and Chris White.

Ariel will be summarising her PhD work on uncertainty, Dr. Twycross, the father of research in the modern palliative care movement will be looking at the uncertain impacts of potential changes in assisted dying legislation and Chris will be highlighting this weeks Dying Matters campaign.

The April Clinical ECHO focus is on inspiration and hope in the face of so much global fear and suffering. We have an international focus learning from, and collaborating with, palliative care teams from across the world.

Matt will be focussing on his learning from the virtual Palliative Care Congress with many international speakers but also including news about an unusual and evidence-based use of sniffing alcohol wipes to quickly counteract nausea.

Kate has been scouring the journals again to bring us her pick of the month focussing on economic impacts on dying in the UK.

We will also be hearing the thinking behind the new Hospice UK strategy which has just been launched and an update on current items from the news likely to impact Palliative Care.

Fliss Murtagh research on the real costs of delivering Palliative Care, Reviews of the UK Government report on assisted dying/suicide, tribute to Wendy Mitchel, Nursing Apprenticeships and Growing your own Consultants, and finally Rachel Clarke on her ITV drama series about Covid, "Breathtaking".

Review of all party parliamentary report on Hospice Funding, Workforce issues with Matt Dore, Fliss Murtagh and Anita Hayes and palliative care and climate change from Richard Smith former Editor of the BMJ.

If you would like to view a video of the session https://youtu.be/9MJwILxg6pk

If you would like the slides for the session or have other questions

echo@hospiceuk.org

Max, Matt and Kate