Timeline

1970s Dr Ronald Fisher (1917 – 2007) a Consultant Anaesthetist at the Royal Victoria Hospital in Bournemouth, visits St Christopher’s Hospice in London researching end of life care. He invites Dame Cicely Saunders to give a lecture at the Bournemouth and Poole Medical Society.

Dr Fisher is inspired to set up a hospice on an NHS hospital campus, the first within the state system.

Dr Fisher starts an appeal to raise funds for the hospice.

A third of the cost of the build was donated by the League of Friends of the Royal Victoria Hospital. A third of the cost was raised by the local community, and the final third was a donation from the National Society for Cancer Relief.

1973 The Duchess of Roxburghe, chairman of the National Society for Cancer Relief laid the foundation stone of the new unit.

1974 The Macmillan Cancer Trust is formed to fundraise and support the Macmillan Unit in partnership with the NHS.

1975 The 25 bed Macmillan Unit is opened as a Hospice and specialist palliative care ward.

1976 An extension is built onto the Macmillan Unit to provide offices for a new service, a team of specialist Nurses who will visit patients in their homes.

1980 An extension is built onto the Macmillan Unit for a 15 person Day Centre.

1983 A Teaching Wing and extra office accommodation is added to the Unit.

1985 Arts & crafts, aromatherapy and day excursions started for Day Centre patients.

1986 Albany Lodge Hotel in Southbourne is opened. A holiday hotel for people with life limiting illnesses.

1994 A new Macmillan coach is purchased. A coach garage and stores for community beds is built.

1994 An extension is built to upgrade relatives’ overnight accommodation.

1994 Alterations are made to accommodate extra Specialist Palliative Care Nurses.

1995 The Macmillan Unit garden is landscaped, a new aviary sited in the garden, and a conservatory for the Day Centre is built.

1996 Macmillan Cancer Trust provides a major contribution towards the building of the Macmillan Unit Chapel.

1998 The Macmillan Unit has a major upgrade including double glazing, variable height baths and ceiling mounted televisions above every bed.

1999 A new entrance with extra car parking is built. Alterations to the Hospital X-ray department including funding of ultrasound equipment.

1999 Specialist community hospital beds and other home care equipment are purchased.

2005 A new specialist bathroom and store is built.

2008 A new specialist wet room for MND patients is constructed.

2009 Children’s play area built to include computers, games machines and arts & crafts area.

2009 The Macmillan Cancer Trust changes name to Macmillan Caring Locally.

2009 The Macmillan Unit is awarded Practice Development Unit Status, making it a Centre of Excellence.

2010 The Aromatherapy treatment room is completely refurbished.

2011 Albany Lodge Hotel is sold, and the larger Grove Hotel in Bournemouth opens.

2012 Funding of dedicated Physiotherapy posts for the Macmillan Unit and the community.

2017 The Macmillan Unit receives the Princess Royal Training Award.

2018 The Macmillan Unit Volunteer Team receive the Queen’s Award for Voluntary Service.

2022 The new service, Hospice at Home is established.

2024 50th anniversary of Macmillan Caring Locally.

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