Who we are

The Macmillan Unit at Christchurch Hospital is a Specialist Palliative Care Unit and Hospice for patients in South East Dorset and South West Hampshire. The charity, Macmillan Caring Locally, works in partnership with University Hospitals Dorset NHS Foundation Trust to provide the services at the Macmillan Unit and in our community. The unit is supported and funded by Macmillan Caring Locally providing an exceptional standard of care and a homely environment for patients, their families and visitors. The charity also provides nursing and medical equipment to improve patient treatment and comfort.

The Macmillan Unit was awarded ‘Practice Development Status’ making it a Centre of Excellence for Palliative Care. The unit also received ‘The Princess Royal Training Award’ for the training and development of their volunteers in 2017 and were very proud to earn the Queen’s Award for Voluntary Service in 2018.

The charity funds the Family Support Team, Rehabilitation Team, the Community Specialist Palliative Care Nurses, the Hospice at Home Team, the virtual Day Centre and a number of senior medical staff roles at the Hospice. It also funds a team of Clinical Nurse Specialists permanently based at University Hospitals Dorset NHS Foundation Trust.

Macmillan Caring Locally is a small, community charity and is not connected in any way to the national charity Macmillan Cancer Support.

Our History

“Macmillan Caring Locally” formerly The Macmillan Cancer Trust was formed in 1974 and evolved from the fund raising committee for the building of the Macmillan Unit at Christchurch Hospital, the first of its kind in the country. During the final building stages of the Unit it was decided to form a Trust to be identified with the Unit and it was registered as a Charity on 25 July 1974 as “the Macmillan Cancer Trust”.

You can read about the fascinating history of the Macmillan Unit and our founder, the Hospice pioneer Dr Ronald Fisher here.

You can see our timeline from the 1970s to date here.

In 2009 the Trust was re-branded as “Macmillan Caring Locally”. The aims of the charity are to support those who are suffering from cancer and other life limiting illnesses where no cure is expected, and to provide help and support for the whole family.

“Macmillan Caring Locally” acts as the custodian of all funds donated towards its aims and both initiates and responds to a wide variety of needs supporting the N.H.S.,  primarily for the Macmillan Unit but also for other Cancer sufferers in South East Dorset and West Hampshire.

Macmillan Caring Locally is not connected in any way to the national charity Macmillan Cancer Support.

Doctor talking to a patient.

List of pharmacies 

 Pharmacy name and address

Phone Number

100 hour pharmacy

 Locality

Asda Pharmacy

St Pauls Road, Bournemouth,BH8 8DL

01202 298900

Yes

Bournemouth East

Castle Lane Pharmacy
482 Castle Lane West Bournemouth, BH8 9UD

01202 772110

Yes

Bournemouth West

Ferndown Pharmacy
487 Ringwood Road, Ferndown, BH22 9AG

01202 892666

Yes

East Dorset

Tesco Extra Pharmacy
Yarrow Road, Mannings Heath Poole, BH12 4NX

01202 457447 or 01202 367447

Yes

Parkstone

Asda Pharmacy
West Quay Road, Poole, BH15 1JQ

01202 207000

Yes

Poole Central

Equipment – www.redcross.org.uk Is useful for wheelchairs and other equipment

Guide for people nearing end stage of life : https://intranet.rbch.nhs.uk/uploads/palliative/documents/What-to-Expect.pdf

Brief Drugs List for GPs

 

Pain/breathlessness:

Morphine sulphate 2.5-5mg SC PRN (10mg in 1ml injection)

(alternative if taking PO or eGFR<30 – Oxycodone 1 – 2.5mg SC PRN (10mg in 1ml injection))

[Please take background opioid into account when prescribing doses for anticipatories]

Anxiety/distress:

Midazolam 2.5-5mg SC PRN (10mg in 2ml injection)

Secretions:

Glycopyrronium 200mcg SC PRN (600mcg in 3ml injection)

(alternative for secretions: Hyoscine Butylbromide 20mg/ml injection)

Nausea :

Levomepromazine 6.25mg SC PRN (25mg in 1ml injection)

(alternative for nausea: Haloperidol 1.5mg SC PRN (5mg in 1ml injection)

Water for injection

Dexamethasone 3.3mg SC OD-BD (equivalent to 4mg PO) if risk of steroid withdrawal/Addisons during terminal phase.

Day/Time Example Timetable
Monday - AM

9am MMU Ward Hand over; 9:30am Tour of MMU

10m Consultant Ward Round, MMU

Monday - PM

12pm Ward Nurses - syringe driver administration (treatment room)

1:30 Nursing Handover – MMU (ward office)

MMU – Admission Assessment(s) with ward doctor

Tuesday - AM

9am Ward Hand over

9:20am Referrals Meeting on MMU

10am Community visiting with Specialist Nurse

Tuesday - PM

12:30 Journal Club – MMU (doctors office)

2pm Introduction to Patient and Family Support Team

3pm Introduction to Welfare and benefits Advisor

Wednesday - AM

9am Ward Hand over

9:20am Referrals Meeting on MMU

10am Consultant ward round - MMU

Wednesday - PM

2pm Doctor/Nurse Home Visit with Specialty Doctor

Thursday - AM

9:15am Multi-Disciplinary Team Meeting on MMU

Thursday - PM

2pm Introduction to Palliative Rehabilitation with Physiotherapist

3pm Introduction to Complex Discharge Planning in terminal illness

Friday - AM

Hospital Palliative Care Team Ward Visits

Friday - PM

2pm Introduction to Personalised Care Plan for the Last Days of Life with End of Life Care Nurse

4pm Debrief / sign off