{
  "abstract": "Background ‘No Conversation Too Tough’ is a one-day CPD accredited training course. It consists of pre-course e-learning and working with actors to rehearse communication skills. The course is intended to enable cancer and palliative health care practitioners to empower parents with incurable cancer to talk to their children about prognosis, death and dying. The hospice’s Children & Young Person’s practitioner (CYP) attended the course and, realizing the benefits of raising skills in local practitioners, completed the trainers course.Aim Collaboration between the training developer (the Ruth Strauss Foundation) and the hospice to educate practitioners from Wirral Place and Cheshire & Merseyside ICB to increase their confidence in talking with parents at earliest opportunity, empowering parents to speak to children in their families. Children who are given information and support when they need it, feel more included and better prepared for the death of their parent (McCaughan, Semple, Hanna. Support Care Cancer. 2021; 29(12):7695-7702).Methods Meetings between the hospice, Wirral Palliative and End of Life Care Education Hub and the Ruth Strauss Foundation agreed means of joint working to co-deliver the training, including identifying local facilitators to co-facilitate with the Children & Young Person’s practitioner, venue, funding and administration processes. Deliver a small pilot of two dates, extending into a regular education offer if successful.Results Following successful pilot sessions attended by 30 palliative care practitioners from the hosting hospice and the local community trust, a further six sessions have been delivered to 73 multi-professionals, with most attendees from hospices, hospital and community trusts within Cheshire and Merseyside ICB.Conclusion Learning is transferable to all terminal illnesses. Improved quality of referrals to the Children & Young Person’s practitioner – shifting from panicked, ‘ please come now’ to conversations having taken place already and initial advice having been given already. Increased requests for practical resources from other practitioners. Reduced requests for the Children & Young Person’s practitioner to complete joint visits to open up the conversations with families. Families are better informed at first meeting with the Children & Young Person’s practitioner.",
  "authors": [
    {
      "affiliations": [
        "Wirral Hospice St John’s, Bebington, UK",
        "Ruth Strauss Foundation, Whetstone, UK"
      ],
      "name": "Annmarie Robertswood"
    },
    {
      "affiliations": [
        "Wirral Hospice St John’s, Bebington, UK"
      ],
      "name": "Christine Sutcliffe"
    },
    {
      "affiliations": [
        "Ruth Strauss Foundation, Whetstone, UK"
      ],
      "name": "Deepa Doshi"
    }
  ],
  "title": "P-05 Empowering parents with incurable cancer to speak to their children about death and dying. delivering ‘no conversation too tough’ training",
  "uid": "6454863a-9591-5940-a8c1-42a3389801aa"
}