IN-PATIENT UNIT
Saint Catherine’s has 16 singles rooms and 2 double rooms. Patients are admitted for symptom control, pain relief, rehabilitation, complex psychosocial problems and end-of-life care. The in-patient unit admits approximately 420 patients per year, and the average length of stay is 9 to 10 days.  There is one bed designated for respite for patients with neurological disease.  On average 60% of patients return home following a short stay on the in patient unit.

Neurology Service
The Neurology Service is a specialist resource in the provision of palliative care for people living with the progressive neurological conditions of Multiple Sclerosis, Motor Neurone Disease, Multiple System Atrophy and Progressive Supra Nuclear Palsy.

Covering the hospice catchment area, the service supports patients and their families in the community, assisting them to access statutory, voluntary and hospice services as they require them. The neurology nurses work closely with other health and social care services and act as an information and educational resource. 

OUT PATIENTS
The out patients clinic at the hospice is made up of a number of smaller clinics offering: physiotherapy, lymphoedema services, occupational and complimentary therapy.
Physiotherapy
Physiotherapy is a health care profession concerned with human function and movement and maximising potential. It uses physical approaches to promote, maintain and restore physical, psychological and social well-being, taking account of variations in health status. It is science- based, committed to extending, applying, evaluating and reviewing evidence that underpins and informs its practice and delivery. The exercise of clinical judgement and informed interpretation is at its core.

Lymphoedema Service
Lymphoedema is a distressing; often debilitating and sometimes painful swelling, which can affect anywhere in the body but most commonly, affects a limb. It affects around 2% of the population in the UK. It occurs when the drainage routes through the lymphatic system of the body are inadequate, damaged, overloaded or become blocked. Many of the underlying causes are irreversible but the condition can usually be improved and controlled.
Understanding the condition and receiving advice on how to adapt to everyday activities are central elements to a person’s successful long-term management of lymphoedema.
Occupational Therapy
The Occupational Therapy service enables a person to maintain his/her quality of life in the face of loss and can assess how their illness impacts on their holistic life  -  their physical function, cognition and communication .  This can incorporate personal and domestic activities, employment and leisure activities  and  the Occupational Therapist will use all their skills of assessment and their knowledge of equipment to enable people to achieve their desired activity.

At Saint Catherine’s Hospice, there are 1.5 Occupational Therapists who see patients on the In Patient Unit and Scarborough and Whitby Day Hospices.  Maintaining independence to whatever degree, building self esteem, liaising with family, friends and carers are essential to this service and the OT’s work as part of the multi professional team in the Hospice and maintain professional liaison with a wider community team.

Complementary Therapy
Complementary therapies are offered to inpatients, outpatients and to people attending Day Hospice. The therapies consist of: aroma therapy and reflexology. The service is available to all who would benefit from specialist palliative care, and is offered to patients as part of the wider care of those with advanced incurable illness.

DAY HOSPICES
Saint Catherine’s has two Day Hospices; one based at the main Scarborough site and one based at Whitby.  Both day hospices provide specialist medical care, treatment, advice and rehabilitation for people that require regular monitoring of their illness and for those that require diversion and respite. The day hospice is open 3 days a week in Scarborough and 2 days a week in Whitby.

BEREAVEMENT SUPPORT
The Bereavement Support Service is a free confidential service funded for the community by Saint Catherine's Hospice. This service is for anyone bereaved through any means living within the Hospice areas, including children aged 5+. Bereavement Support offers one-to-one counselling with a supporter who has undergone special training to work with bereaved people. All our Supporters have training in counselling skills and some Supporters are also trained to Certificate or Diploma level in Counselling.  All Supporters work to an agreed Code of Practice, are regularly supervised and receive ongoing training.
Supporters usually meet with people for up to an hour, weekly wherever possible over an agreed period of time. The number of meetings depends on individual need. Sessions are held in a mutually convenient place; this may be at the Bereavement Service, GP Practice, community venue or a person's home.

PATIENT & FAMILY SUPPORT

Palcall
Palcall is a palliative care, out of hours, telephone helpline for patients and carers. It is a nurse led service offering advice and information outside of normal surgery hours. This direct line is not available via the usual hospice telephone number. The Palcall telephone helpline gives direct access to a nurse with experience in specialist palliative care. This nurse is able to give advice and support within their level of competence. We are not able to send out nurses or doctors from the hospice but, if the patient needs attention, we will contact the on call NHS doctor or district nurse, on behalf of the caller.

Spiritual and pastoral care (no text)

Social work
The priority area of work for the Social Worker is involvement in discharge planning within the Inpatient Unit.  In addition to this they are also involved with the other units within the Hospice, taking referrals from: Scarborough and Whitby Day Hospices and the specialist Neurology Nurses.  The referrals could be around aspects of social care, for example – support in the community, including help with personal care, residential and nursing home placements, housing applications, finances, support for carers.  The role is two-fold:

• Identifying assessed needs and arranging appropriate care provision to meet  those needs, eg practical support
• Providing emotional (psychosocial) support, working with individuals – patients, their relatives, friends, through their loss and readjustment

The Social Worker operates as an integral part of the Multi-Disciplinary Team, enabling social care outcomes to be achieved at the right time for patients.

The full-time post is part funded by North Yorkshire Adult and Community Services (previously known as Social Services).  This partnership funding enables the Social Worker direct access into that department for the commissioning of any required care provision.  It also provides professional social work supervision and access to relevant personal professional development opportunities.

BRIDLINGTON & WHITBY
Bridlington, Wolds Unit
St Catherine's consultant physician, Dr Colin Campbell, visits the Macmillan Wolds unit at Bridlington Hospital once a week. The Macmillan Wolds unit is a modern and attractive 15-bedded ward, subdivided into rooms each with 4 beds and there are also 3 single rooms. Ward manager, Karen Gordon-Russell, leads a team of nursing staff trained in specialist palliative care. There is an integral day centre and availability of complementary therapies.
Dr Campbell does an outpatient clinic in the Macmillan Wolds unit with Macmillan nurse Sue Cook, seeing patients with cancer and also patients with multiple sclerosis and MND. He attends inpatients in the Macmillan Wolds unit where he works closely with the patient's own GP and also with other hospital consultants to ensure that patients get the best possible care and medical treatment.
This facility is open to the people of Bridlington, Driffield and the surrounding areas.

Whitby, Heather Unit
The Heather Unit is a 4 bedded unit situated on War Memorial ward at Whitby Hospital, consisting of 2 single side rooms and 1 double room. We care for patients with advanced progressive illness, providing supportive palliative care, including symptom control, assessment, respite care and end of life care.
The Unit has facilities for relatives to stay overnight; recliner chairs and sofa beds in the rooms, and a separate room along from the ward ‘The Lily Room' with a sofa bed and tea and coffee making facilities. General Practitioners have responsibility for their patients while on the Unit. Dr. Julian Fester - Hospice Practitioner – visits during the week, with Palliative Care Consultant liaison to give specialist advice as required.
Sarah Locker is specialist Lead Nurse for the Heather Unit, and Shirley Schofield – Sister for Saint Catherine's Whitby day hospice is attached to the unit. We work closely with War Memorial ward staff, Whitby Day Hospice and June Josey Specialist Community Macmillan Nurse. Father Alec is the Heather Unit Chaplain. We also liaise with other Specialist Nurses, including Sharon Parsons (Heart Failure Nurse) and Janet Johnson (Neurology Nurse) Physiotherapists, Occupational Therapists, Care Managers and District Nurses.