{
  "abstract": "Background and Aims It is widely accepted that advance care planning (ACP) and proactive symptom control is crucial in maintaining stability to community palliative patients (National Palliative and End of Life Care Partnership. Ambitions for palliative and end of life care: a national framework for local action 2021-2026. 2021). Experience tells us that even with good planning, when times of crisis occur if we don’t have the correct expertise or ability to respond rapidly, patients will often end up in hospital unnecessarily or feeling unsupported at home. These situations require patient-focused decision making with often pragmatic communication needed around risks and benefits, especially in situations where escalation may be considered.Responsive and skilled services ensure that patients receive the appropriate interventions, preventing unnecessary suffering and enhancing their overall quality of life. By emphasizing ACP and responsive crisis support, healthcare systems can better meet the needs of vulnerable populations, ensuring they receive compassionate and proactive care throughout their healthcare journey (National Palliative and End of Life Care Partnership. Ambitions for palliative and end of life care: a national framework for local action 2021-2026. 2021).Methods The Compton strategy identified the need for responsive services and over the past five years has developed and invested in their urgent response services. This includes a 24-hour rapid response service/planned care service with focused support in care homes/night support service/Consultant-led virtual ward including providing interventions at home, for example treatment of hypercalcaemia.Results In the last year Compton Rapid Response Service has completed 3,100 home visits and 6,900 telephone reviews. 92% of patients are seen within two hours and 97% patients have avoided hospital admission. The Compton High Intensity Virtual Ward has admitted 772 patients with an average length of stay of five days. 98% of patients have achieved preferred place of death.Conclusion Holistic palliative support needs to consider proactive advance planning, coupled with the ability to respond in a crisis in often complex situations where enhanced levels of support can be required. Future collaboration with frailty teams is planned to further develop services.",
  "authors": [
    {
      "affiliations": [
        "Compton Care, Wolverhampton, UK"
      ],
      "name": "Laura Dewhirst"
    },
    {
      "affiliations": [
        "Compton Care, Wolverhampton, UK"
      ],
      "name": "Louise Gilhooley"
    },
    {
      "affiliations": [
        "Compton Care, Wolverhampton, UK"
      ],
      "name": "Jen Warren"
    },
    {
      "affiliations": [
        "Compton Care, Wolverhampton, UK"
      ],
      "name": "Daniel Smith"
    }
  ],
  "title": "P-132 What does it take to provide an effective responsive service for palliative patients in a crisis?",
  "uid": "631e4dc0-0a5a-533b-853f-cb32d8fedad3"
}