End of Life Care; The Second Conversations Project
Doctors often find it difficult to engage in conversations about end-of-life care. The ‘second conversation’, led by a junior doctor, gives patients, carers and family members the time and space to reflect on the information and ask questions, whilst providing doctors in training with a valuable educational opportunity that builds their skills and confidence in handling end of life care discussions. The second conversation model has so far been piloted at St Thomas’ Hospital, the Whittington Hospital and the Royal Free Hospital in London. A team from King’s College London is evaluating the pilot looking at the experiences of those taking part in second conversations, while a cross-site quality improvement project based at Guy’s and St Thomas’ NHS Foundation Trust is exploring factors affecting implementation. Find out more here.
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