1. What We Wanted To Do
2. What We Actually Did
   • Why 1 and 2 Are Different
3. Aims For 2026
4. Aims For Next Five Years

What I Wanted To Do

1. Update Personal Care Plan At End of Life:

• Update as due review
• Do it as combined work with Ayr, Crosshouse, mHDU Crosshouse

What I Actually Did

1. Symptom Control For Last Hours of Life
2. Well-meaning conversations but little progress
3. Started drafting Symptom Assessment charts

Symptom Control For Last Hours of Life

• Went through most governance in hospitals
• Piloted in Ayr Critical Care, case-by-case in ICU and mHDU
• Feedback positive and some changes made based on feedback
• Still needs: Ayr Medics + Surgeons, mHDU consultants, Right Decisions

Why 1 + 2 Are Different

My fault - didn’t allocate time for personal care plan (other work ate up spare moments), planned for something bigger than sensible and felt it needed to be “perfect”

Aims For 2026

1. Symptom Control: Right Decisions, Audit implementation
2. Symptom Assessment: Getting piloted Ayr and mHDU before Summer
3. Personal Care Plan (including the above)
4. Ensure hit 2026 GPICS Minimum Standards

• Collect information throughout to allow nursing teams and others at the 3 sites to submit to 2027 SICS

Thoughts For Next 5 Years

• GPICS Quality Standards
• Explore potential for development Critical Care Bereavement Service
  • Spiritual Care + Lessons from INSPIRE + Research + Palliative Care