Clinical guidelines

Doctors at Birmingham St Mary’s Hospice have regular input into the West Midlands Palliative Care which you may find useful. You can find them here.

You can also purchase a paper or ebook copy of these guidelines here.

Please note that these guidelines are a summary of the current practice of specialists across the West Midlands region, and there may be slight local variations in emphasis and practice. If you need further advice or to refer your patient to us, please do not hesitate to contact the Hospice on 0121 472 1191.

Prescribing advice

If your patient is approaching the end of life at home, you may wish to prescribe anticipatory medication to be available in the patient’s home. You will also need to prescribe the medications on a “yellow card” to allow for administration at home. Syringe drivers can also be prescribed on these cards.

You can download our patient information leaflet about anticipatory medications here.

You can download a reminder card for health care professionals about anticipatory medications here.

Treatment algorithms for medication use in the dying phase can be found here:

Prescribing Algorithm for pain in the DYING PHASE using MORPHINE SULPHATE SC for injections

Prescribing Algorithm for Nausea and Vomiting in the DYING PHASE

Prescribing Algorithm for pain in the DYING PHASE using DIAMORPHINE SC for injections

Prescribing Algorithm for Restlessness in the DYING PHASE

Prescribing Algorithm for Excessive Respiratory Secretions in the DYING PHASE