{
  "abstract": "Background Prisoners experience health needs greater than their chronological age, shorter life expectancy and greater multi-morbidity compared to those not incarcerated (Hospice UK. Dying behind bars: how can we better support people in prison at the end of life? Hospice UK; 2021). High-quality palliative and end of life care is grounded in a sound knowledge base for those supporting people with life-limiting conditions.Aims This project aims to enhance care for prisoners with life-limiting conditions in two Northwest England prisons by co-designing an education programme.Method Training needs analysis interviews undertaken in July 2024, with staff and prisoners, aligned with our regional End of Life Care Education Standards framework. A bespoke training plan covering modified framework domains; Tier 1 (buddies), 1+ (prison officers, counsellors, family liaison, clinical support workers), and 2 (senior clinical staff) was agreed by the project management group. Training includes existing sessions such as the MayFly advance care planning and communication skills programme (https://www.england.nhs.uk/north-west/north-west-coast-strategic-clinical-networks/our-networks/palliative-and-end-of-life-care/for-professionals/education/), plus bespoke sessions on symptom management. The training timetable is being agreed, with evaluation of individual sessions and the overall programme, including impact on supporting those with a terminal diagnosis.Results The training needs analysis identified a range of skills within the multi-professional workforce and buddies, whilst revealing knowledge gaps aligned with the education standards framework, highlighting the need for comprehensive training. A strong desire for palliative and end of life care training was evident across clinical, non-clinical teams, and buddies. Training evaluation will be completed by September 2025 via evaluation forms. Interviews further noted that challenges in delivering quality end of life care are not solely due to knowledge and skills gaps.Conclusion There is a clear need to strengthen palliative and end of life care in prisons. Our co-designed education programme aims to address this gap. Robust evaluation will guide refinement, ensuring it meets the needs of all learners. This model could inform future training frameworks across other prison settings.The funding was provided by a grant from the Linder Foundation managed by Hospice UK.",
  "authors": [
    {
      "affiliations": [
        "St Catherine’s Hospice, Preston, UK"
      ],
      "name": "Chloe Tomlin"
    },
    {
      "affiliations": [
        "St Catherine’s Hospice, Preston, UK"
      ],
      "name": "Justine Cummins"
    },
    {
      "affiliations": [
        "St Catherine’s Hospice, Preston, UK"
      ],
      "name": "Jenny England"
    },
    {
      "affiliations": [
        "St Catherine’s Hospice, Preston, UK"
      ],
      "name": "Sarah Mullen"
    },
    {
      "affiliations": [
        "St Catherine’s Hospice, Preston, UK"
      ],
      "name": "Andrew Fletcher"
    },
    {
      "affiliations": [
        "St Catherine’s Hospice, Preston, UK"
      ],
      "name": "Emily Hurt"
    }
  ],
  "title": "P-159 Compassionate care for those dying in prison – delivery of comprehensive education and training",
  "uid": "9a8e17f6-2281-57e0-99d9-61d8a5fd809e"
}