Discussing Deteriorating Health and Future Care Planning (February)

20 Feb 2024 09:00 - 16:00 Queen Margaret Hospital Education Centre, Dunfermline Free

An interactive workshop for medical trainees, senior doctors and other health professionals (Band 6+), which supports Clinicians to talk about Future Care Planning informed by an understanding of “what matters” to individuals and their families.

Participants will work in a small peer group and address communication challenges drawn from their own clinical practice and educational roles.  Particular focus will be on initiating conversations about deteriorating health, people’s priorities and plans for future care such as hospital treatments options, further admissions, clinically assisted nutrition or hydration and CPR

This workshop is open to  NHS Fife staff only


We look at effective ways to help people think and plan ahead. Clinicians need to be able to talk about emergency treatment and care planning (e.g. Treatment Escalation Plans and ReSPECT), goals of care, and planning for care around dying, including DNACPR discussions.

The RED-MAP framework supports these conversations.

Learning outcomes

In this advanced clinical communication workshop participants will:

  • Communicate sensitively and effectively with people and those close to them about serious illness,  deteriorating health, goals of care and CPR.
  • Talk about Future Care Planning informed by an understanding of ‘what matters’ to people and their families.
  • Discuss treatment and care options and outcomes within a person-centred model of shared decision-making and Realistic Medicine.
  • Respond to anger, distress, collusion and other complex emotions.
  • Discuss the benefits and limitations of treatment in a balanced way.
  • Address communication challenges that arise when the person has impaired decision-making capacity


Queen Margaret Hospital Education Centre, Dunfermline

Discussing Deteriorating Health and Future Care Planning (February)

Date: 20 Feb 2024
Time: 09:00 - 16:00

Tutor team

Dr Kim Steel

EC4H Lead Tutor

Kim Steel is a Palliative Care Consultant in NHS Fife and an Associate Director of Medical Education. Kim graduated from the University of Dundee and trained in Palliative Care in the Northwest of England. Kim has been a tutor for EC4H since 2018 tutoring both in Fife and helping in other boards.

Dr Steinunn Boyce

EC4H Lead Tutor

Dr Steinunn Boyce is a Consultant in Palliative Care within NHS Fife. Steinunn joined the EC4H tutor team in 2017

Dr Sarah Clay

EC4H Tutor

Dr Sarah Clay is a specialty doctor in palliative care working in NHS Fife. Sarah first participated in an EC4H course in 2018 during GP specialty training and completed tutor training in 2023.