Table 1.
A ‘Yes, Maybe, No’ approach for job planning for specialist palliative care healthcare professionals during pandemics and other healthcare emergencies.
| Category | Yes | Maybe | No |
|---|---|---|---|
| Description | ‘Specialist palliative care’ – activities related to specialist training | ‘General medical care’ – activities related to general medical training | Non-essential ‘usual’ activities |
| Examples | Symptom control – difficult cases End-of-life care – difficult cases Education and training – symptom control, end-of-life care [Audit and research] |
Medical management of patients [Decision making around escalation de-escalation] [Breaking ‘bad news’] |
Generally non-clinical activities |
| Role of other healthcare professionals / other staff | Many activities can be shared within specialist palliative care teams Some activities can be delegated to other healthcare professionals (with appropriate training/support) |
Medical management overseen by medical/support teams (eg ITU team). | Some activities can be delegated to administrative staff and/or volunteers Apply ‘3-D’ approach:
|
| Population of patients | Pandemic patients:
|
Pandemic patients (‘Normal’ palliative care patients) |
(‘Normal’ palliative care patients) |