Discussing Deteriorating Health and Future Care Planning (half day)

18 Jun 2024 09:00 - 12:00 Lecture Theatre, CSA, Western Isles Free

A half day interactive workshop for doctors, nurses and other health professionals working in NHS Western Isles. 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 staff from NHS Western Isles 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


Lecture Theatre, CSA, Western Isles

Discussing Deteriorating Health and Future Care Planning (half day)

Date: 18 Jun 2024
Time: 09:00 - 12:00

Tutor team

Gail Allan

EC4H Lead Tutor

Gail is the Lead Nurse, Specialist Nursing in NHS Western Isles. She completed her EC4H tutor training in October 2021. Her interests are in Anticipatory Care Planning and promoting realistic conversations. NMC: 82H0689S

Joan MacKay

EC4H Tutor

Joan currently works as an Advanced Care Practitioner in Resuscitation and Clinical Risk within NHS Western Isles. She has been an adult trained nurse for 21yrs, more recently working in resuscitation. Joan has been an EC4H instructor since September 2021.

Donna Young

EC4H Tutor

Donna is a cancer and palliative clinical nurse specialist in the Western isles. She has been involved in promoting the importance of effective communication in advanced care planning and also the education of student nurses. More recently she completed her tutor training with EC4H in March 2022.

Karen McKenzie

EC4H Tutor

Karen Mackenzie is the Alzheimer Scotland Dementia Consultant for NHS Western Isles. Karen qualified as a Speech and Language Therapist in 2006, specialising in working with adults with acquired neurological conditions and dementia, whilst developing clinical leadership and quality improvement capability in a number of NHS Scotland Boards. She is a Scottish Improvement Leader (ScIL) graduate and, in February 2023, qualified as a EC4H tutor.