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End of Life Care

Please note that the Havering and Redbridge Medicines Management webpages have been redirected to the Barking and Dagenham website temporarily until these have been merged.

Please note this website (Barking and Dagenham- also Havering and Redbridge) will no longer be updated. All relevant documents will be moved to the NEL Medicines Optimisation portal

NHS England/Improvement (NHSE/I) versions of the updated pan-London Medication Authorisation and Administration Record (MAAR) for use in Palliative and EoLC for subcutaneous and intramuscular medication in the community setting are now used across North East London (NEL) by acute hospitals,GPs, hospices, community services and out of hours services. All Primary Care practices are required to import the attached EoLC MAAR chart templates into their relevant GP system.

In case of issues accessing the template Palliative & EoLC MAAR Chart via your clinical system at any time, copies of the chart can be used as a back-up (please see links to Word and PDF versions below.)

Do not make any unnecessary amendments that might change the over-all format / look of the chart. Once embedded please ensure that any changes you have subsequently made (if any) do not change the over-all alignment. This is particularly important for SystmOne and Vision when mail-merging from the word document. For example: in the EMIS formatted version the end-user is referred from the allergy section on page one to the end of the document where an auto-populating section has been added to accommodate the multiple entries whilst retaining the over-all document alignment.

Please check that when printing the chart the patient demographics appears at the top of every page and that where multiple lines of free-text has been added to a section that all lines remain readable. The prescriber is therefore encouraged to limit detail to essential detail only. Patient demographics must appear at the top of all pages – failure to do this will result in the chart being REJECTED by community end user services and could compromise and delay care.

Please see link to Saint Francis Hospice guide for Health professionals which contains information on MAAR chart

See below for video guides on the new MAAR chart

Which pharmacies have stock of EOLC medicines?

  • Please find details of the CCG commissioned End of Life Care (EoLC) access to medicines service from community pharmacies across Barking and Dagenham, Havering and Redbridge. Each of the listed pharmacies are ordering and keeping stocks of the EoLC medicines that was agreed for BHR (included in the attached). In summary:
  • In hours advice All prescribers are advised to direct EoLC prescriptions to their patient's own regular pharmacy in the first instance. Where a more urgent need and/or delay may occur then please refer to an appropriate EoLC commissioned pharmacy during in hours provision. In hours provision across BHR is considered as: 7am - 12am Monday to Saturday & 9am - 12am Sundays
  • Out Of Hours advice (OOH) Where EoLC medicines need to be accessed OOH, commissioned pharmacy providers can be contacted via PELC OOHs service, NELFT community treatment teams and Saint Francis Hospice Crisis Support Teams, to urgently dispense EoLC prescriptions. OOH contacts details have been shared these providers. 
  • OOH provision in BHR is considered 12am to 7am Mon - Sat & 12am to 9am Sun
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