Palliative Care ECHO Update NIH , York University, Association of Palliative Medicine
A monthly podcast hosted by Max Watson, Project ECHO RQIA, Matt Dore (APM), and Kate Flemming of York University. It highlights recent clinical and research updates from across the UK, with contributions from a range of additional speakers in the UK palliative care community.
Episodes
Unpopular encounters, AI opportunity, Socioeconomic disadvantage and Hospice Websites
The July first Clinical ECHO. Matt takes a look at the challenges of looking after patients where the therapeutic relationshipis strained. How do we provide good care and also look after ourselves and our teams. Kate looks at a paper examining the content of Hospice Websites in the UK.We hear from Hospice UK about their new programme seeking improve care for those experiencing socio-economic hards
Series 3 Episode 7 Burnout, Ethics, Economics and Neurological collaborations
This ECHO Matt has been preoccupied with the issues surrounding burnout and its implications not so much for us as individuals but for our organisations. Kate has been looking at the use of an Ethics consultation service across German Palliative Care servicesWe look forward to hearing from Derek Willis as he describes how he has developed a palliative care collaboration for people with rare neur
Series 3 Episode 6 Drugs, Prisons, Pathways and Green Awards
The April Clinical ECHO is focussed on populations who may not sit comfortably within traditional Palliative Care systems and services.Matt takes a look at the rapidly increasing number of synthetic “recreational”drugs and the challenges in delivering Palliative Care to patients who are using such medications both from a symptom management viewpoint as well as in terms of keeping staff, patients
Series 3 Episode 5 Live Clinical ECHO APM Brighton
The clinical ECHO from the Palliative Care Congress in Brighton covers a range of areas.Matt and Max outline what has been happen9ng in the Palliative Care World this past Month.Kate introduces the latest "Temel" paper, this time looking at financial analysis of Palliative services.We hear from Dr. Helen McGee on the use of AI to improve efficiency and reach of community Palliative Care
Series 3 Episode 4 Looking back, looking forward
The first ECHO of 2026 gives Matt a chance to look back at previous ECHOs and, in this time of ever more siloed thinking to review the whole nature of debate and common debating weaknesses used repeatedly in current disputes.Kate has a really interesting paper looking at the need for support for palliative care community workers to help them sustain their vital work.Libby Sallow provides an update
series 3 episode 3 Emergency Palliative Care
In the last episode of 2025 we take a look at Acute Responses to Palliative Care need in Kent and Medway with Rakesh Koria and then in the Accident and Emergency Department of Antrim Area Hospital with Dan Soutar.Kate's paper this month looked at differences between urban and rural palliative care delivery and Desi Karakitsiou gave an update on Famcare 2 and its value in benchmarking palliativ
Series 3 Episode 2 Palliative Care Nursing
This month focuses on Palliative care Nursing with Kate providing an overview of the historical background and Julie Ling, from the WHO, detailing progress and initiatives on an international scale. Nationally, Sheree Fagge provides an in-depth account of the challenges and the vision for Palliative care nursing from across the NHS. Catryn Smith from the RCN brings a workforce perspective and high
Series 3 Episode 1 International Palliative Care and IMPACT
This month Matt looked at dofferent service delivery models for finacing palliative care services. We heard from Mhoira Leng about refugee palliative care and the growing recognition of the palliative care need among the millions of displaced persons in our world. Katherine Sleeman introduces the IMPACT centre and its potential to improve the awareness of up to date evidence from research. Cat Sul
Series 2 Episode 8 Advance care planning
This month we look at the pros and cons of advance care planning (ACP) and why it has failed to have the impact for which so many hope. Matt is an ACP sceptic and he outlines his reasons.Kate looks at deprescribing in her journal article and how communication is central in such advance planning.Matt Gloudeman is so passionate about the importance of emergency planning that he set up his own compan
Series 2 Episode 7 What is Palliative Care Offer to NHS
Matt reviews the historical offers that Palliative services and hospices have made over the years to commissioners.Erica Borgstorm looks at how clinicians have ethnographically coped with palliative care choosing not to intervene, test, manage or otherwise intervene in contrast to other specialties.We get an update from Hospice UK on all that has been happening in Scotland and England in relation
Season2 episode6 Decision making, quality and activity in palliative care
A full on ECHO with Matt looking at the process of decision making around assisted dying and Kate looking at a paper on terminal sedation decisoon making from Europe.Mark Junnicer from the National Confidential Enquiry into Patient Outcome and Death summarises the NCEPOD report into UK end of life care, before Anita Hayes gives the latest update from HospiceUK activity data from across the Hospice
Season2 Episode 5 WEIRD Interdependence and Community Palliative Care
For the Valentine's Clinical ECHO, Matt looks at the brain changes that effect interdependence, so often a vital part of Palliative Care. Kate looks at a review of the patchwork of services that constitutes UK community out of hours care. Professor Keri Thomas provides an overview of the recently launched Coalition of Frontline Care and Keri Gammons describes the the model of integrated workin
Season 2 Episode 4 Hospice UK Conference, Deafness, Ethics and Islamic community and palliative care
The Christmas clinical ECHO.
A review of the Hospice UK conference in Glasgow last month.
Supportimg people with a hearing loss in the palliative care context.
Ethical understandings and approaches from a Palliative Ethicist.
A palliative Doctor from the Islamic community speaks of the tensions between her community and her chosen career
Season 2 Episode 3 Poverty, Assisted dying and PTSD
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.
Season 2 Episode 2 Educating Palliative Care and UK Palliative Care Surveys
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
Episode 1 season 2 Conflict in Hospices and Repatriations
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
Episode 10 NHS Crises and Repeated Election promises
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
Season 1 Episode 8 Uncertainty in Palliative Care
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 pallia
Clinical Palliative Care ECHO update Season1 episode 8
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
Season 1 Episode 7 Finance, Assisted Dying, Workforce and "Breathtaking"
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".
February Workforce, Hospice Funding and Climate Change
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
AI Palliative Care and Government Funding for Irish Hospices
Welcome to the New Year Palliative Care update. Matt helps us understand how AI works and we look at ways that the sector could use it in 2024. Kate reviews a paper looking at the management of patients with Parkinson's disease and we get an update from Emily Pikett on the SR1 form roll out.
Our main focus of discussion follows on from Feargal Twomey explaining the Irish Government's decis
December 2023 - Collaboration &NHS
This month we recap the HospiceUK conference, Matt looks at economic systems and hospices and Kate's journal article highlights digital legacy issues. We learn of the radical changes in end of life care services from Fife in Scotland from Jo Bowden and are updated in the new carers leave act that comes into law next April. We finish with a poetic christmas tribute from Benjamin Zephaniah (1958
ECHO and Global Palliative Care
Four Palliative Doctors from across the world discuss their use of ECHO to support global palliative care in a panel at the recent MetaECHO conference in Albuquerque, New Mexico.Professor Christopher Piromalli, works with indigenous communities in New Mexico and Alaska, Professor Rajgopal the Father of Indian Palliative Care and founder of Pallium India, Dr. Megan Doherty who works across Asia wit
October Clinical ECHO
This Month Matt is looking at protocols and guidelines in palliative care and their merits and demerits, Max is highlighting the developments in the world wide ECHO movement, particularly in Palliative Care. Kate is focussing on a paper looking at the impacts of patients, carers and staff of seven day working and Clare Rayment from Bradford is talking about the REACT project in A&E in Bradford
Frailty and Palliative Care September 2023
This month's podcast focuses on frailty.
We will be thinking about the increasing numbers of frail patients, working in an increasingly frail NHS and coming to terms with our own biases and frailties.
Matt, Max and Kate are joined by Anita Hayes and Catriona Sullivan talking about the Hospice UK's extending frailty care programme and by Sabrina Bajwah from King's College highlighting
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