First Audit and QI Seminar at St Ann’s a great success

The first annual Audit and Quality Improvement Seminar was held at St Ann’s Heald Green Hospice on Wednesday 21st June.

The event was organised by Katherine Lamb, Quality and Governance Lead, and Consultant Dr Lesley Henson. There were five presentations and 12 posters showcasing the clinical audit and QI work at the hospice over the last 12 months.

The presentations were from Dr Sarah Clelland, Fran Brown, Dr Ben Anderson, Jennifer Forsyth and Dr Roisin Porteous.

The posters and presentations were judged by a panel made up of Medical Director Dr Dave Waterman, Heald Green Ward Manager Louise Pinney, and Trustee Melanie Ogden.

The winners of the Best Poster were Fran Brown, Emma Barclay and Emma Dixon for their poster ‘How a rehabilitative approach helped us to transform patient outcomes and our hospice culture.’

The winner of the Best Oral Presentation was Dr Ben Anderson for his presentation ‘Using simulation training to improve management of opioid induced respiratory depression in the hospice setting: a quality improvement project’.

Katherine said: “We are always looking for ways to improve and develop our services and strive to provide the best possible care for our patients. The seminar was a great opportunity for clinicians and other colleagues from across the hospice to come together, review some of the amazing quality improvement projects carried out over the last 12 months and share best practice and ideas.”

Feedback after the event was very positive with one attendee saying: “Really motivating and inspiring to see what has been done.” Other feedback praised the session for being “educational and forward thinking.”

Fiona wins bronze award at the British Journal of Nursing Awards

Fiona, a lymphoedema specialist at St Ann’s Hospice, collected a bronze award at the British Journal of Nursing Awards 2022.

The honour took her by surprise as she was even unaware she had been nominated and she is not actually a nurse, her prize coming in the Chronic Oedema Nurse of the Year category.

Fiona, who is also affiliated to Macmillan in her role as a palliative care specialist, has treated patients at Heald Green and Little Hulton in nine years at St Ann’s.


I feel slightly embarrassed by the award, but it’s nice to get the recognition for our lymphoedema work and, if anything, it highlights how important our services are.

I love my job and making a difference to people who might have been searching for treatments over a long time to help them manage their condition. It’s an under-staffed and under-resourced service in this country.

More people than you think suffer from lymphoedema, which can lead to other problems like wounds, infections and sepsis.

“People with cancer can experience lymphoedema, but it can also be congenital or occur due to other conditions such as vascular problems and cellulitis.

It limits what people can do in their life. One lady I treated recently had swollen ankles and couldn’t get her shoes back on after not going outdoors for two years in the pandemic. After three weeks of treatment, she was able to send us a photo of her at her local restaurant.
People are grateful there’s a service out there which helps them get a better quality of life.


Fiona Sanderson

Lymphoedema is a swelling caused by an impaired lymphatic system and affects any part of the body. Most common areas are arms or legs, but the head, neck, breast, abdomen and genital area can also be affected. It is estimated that lymphoedema affects between 263,000-422,000 people in the UK

Support for you

When you’re living with a life-limiting illness, you can experience physical, psychological, emotional or social issues which mean that you don’t quite feel like you.

The Being You Centre at St Ann’s is here to help you get back to feeling like yourself again.

Find out about The Being You Centre




Equity of care

Sadly, for many reasons, there are lots of people from local communities that historically haven’t had access to the same levels of health care as they deserve. 

There are lots of reasons for this, but at St Ann’s we believe that everyone, whatever their background and whoever they are, deserves the same high quality care at the end of their life as they do when they’re born. 

Sometimes palliative or end of life care can be seen as less of a priority, but ensuring people access to specialists and other experts, are listened to, and that their wishes are met as fully as possible as they near the end of life is so incredibly important – and it also helps those closest to them.  After all, we don’t stop being ourselves when we are nearing the end of our life; we still have things which are important to us, that we want to do and share, and goals we want to achieve. 

A recent announcement that hopefully palliative care is to be specifically recognised within health legislation for the first time in England, with a possible amendment to the Health and Care Bill, is a significant step forward in the statutory footing of palliative and end of life care.  This recognises the importance of these services, and also highlights the need for proper funding for the care of patients with palliative and end of life needs.  We are hoping this will lead to an even greater focus on the importance of specialist care for local people and will be watching developments closely – being loud and proud about the importance of that care. 

When it comes to hospices, there are many communities that historically haven’t always thought of us as a place that might be able to support them or their loved ones.  Whether that’s because of religious beliefs – many presume we are a Christian organisation because of our name, when actually it’s because our first hospice site is situated on St Ann’s Road North in Heald Green – cultural, or other individual reasons, we’re really keen to break-down barriers and reach as many members of our local community as possible. 

We’ve been doing lots of projects to spread the word about our care, and how it can benefit people right from the point of diagnosis of a life-limiting illness, right through their treatment and beyond.  We’ve been developing services too, aimed at reaching into a variety of communities at the heart of our city to improve access to specialist hospice care for anyone who needs it. 

For example, our award-winning homeless palliative care service is there to support people without a home who have a life-limiting illness, acting as a vital cog to join together various spokes of social and health care across the city. Those we’ve worked with have given their appreciation, whether that’s for supporting them through their illness, helping them to get their affairs in order, reconnecting them with loved ones, or supporting those who have suffered a bereavement.   

We’ve also been reaching out to members of the LGBT+ community to help improve access to our services, as well as people in prison, and individuals with learning disabilities. 

We know that while there’s a huge amount of work going on in this area, there’s still lots to be done, but we’re really proud of the work we’ve been doing to improve the lives of local people.   

We’re always keen to spread the word and improve access to care for all, so do get in touch if you’d like to know more. 

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St Ann’s Hospice has launched a brand new training and education programme

Staff training session

Highlights in the coming months include ‘Basic skills for teaching and training’, and a workshop which gives an insight into ‘Inequalities in palliative care’, particularly for professionals supporting members of the homeless, LGBTQ+ communities and people with learning disabilities who have traditionally faced  barriers when accessing end of life care. 

There will also be courses on how to support patients with symptoms of breathlessness and fatigue, and a raft of bitesize courses both online and in person which cover a range of topics in the field of palliative care.  The bitesize sessions can be booked for just £15, or can be purchased in a pick and mix bundle for use by an individual or across an organisation at £100 for 10.  Topics include how to recognise when someone is dying, symptom control, communication skills, frailty, and dementia and end of life care, and lots of other topics to empower and educate staff supporting people with palliative and end of life care needs. 


As an organisation with more than half a century of experience in palliative and end of life care, and also in delivering innovative projects across non-clinical departments as well, we’re passionate about sharing our knowledge with others. This schedule of training and education courses is something we’re really excited about, and it has been designed to reflect some of the key topics in palliative and end of life care currently. We’re hoping professionals from the local area and beyond will want to join us either in person or online to help refresh and expand their skills and knowledge. We have people from a wide variety of backgrounds who join us for the training, whether that’s from hospital, hospice or other healthcare settings, or from care homes and other social care providers. We’re always happy to support people with their training needs, so would always encourage people to get in touch if they do have specific requirements too.



Jude Holt, Head of Practice Development at St Ann’s Hospice

St Ann’s Hospice is one of the oldest and largest hospices in the UK and provides care from its two sites in Little Hulton and Heald Green as well as via a range of community and outreach service.  The organisation celebrated its 50th anniversary last year, and with its current Heald Green building dating more than 100 years old, is currently embarking on an ambitious project to build a new hospice in Heald Green on land adjacent to its current site to meet the future care needs of local people. 

For further details about the training courses being run by St Ann’s Hospice, or to book a place, please visit www.sah.org.uk/training or contact Abby Evans on education&training@sah.org.uk or 0161 498 3616. 

Rachel McMillan’s latest blog – Collaborations for the future

Look at the recent partnership with Greggs and Primark, for example – sausage rolls and t-shirts don’t have an obvious synergy, but their collaboration has been reported in the press and on social media too, with sales doing brilliantly. Their partnership is definitely not a pasty… 

But, many people don’t realise that in health and social care, partnerships are critical to what we do too.  Working in collaboration with others is the best way to ensure excellent care for patients and it’s vitally important. 

With headlines rightly focusing on the NHS, especially during the pandemic, we’re all acutely aware of resourcing and pressures that teams are under. 

But, when thinking of that big health and social care picture, it’s also important to remember charities and other organisations who work alongside the NHS to ensure patients and those closest to them receive the very best holistic care. Partnerships are key to enable care that truly wraps around the patient whether in hospital, in the place they call home, or out in the community. 


At St Ann’s, collaboration is also at the heart of everything we do.  Whether that’s supporting NHS colleagues or sharing our specialist knowledge and expertise, working alongside others is incredibly important. 


A great example I’m really proud of is that we’ve recently joined forces with The Christie to provide chemotherapy services and other anti-cancer treatments at our Little Hulton hospice site.  In practice, this means that some patients who live in Salford or near to Little Hulton no longer need to cross the city to go to The Christie hospital for their treatment.  They can simply come to our hospice instead. 


We’ve had great feedback from the patients who have done so, including one man who lives in Little Hulton and was thrilled he could walk to and from his treatment, rather than have to get multiple buses.  It may sound like a simple project, but it’s one that has really improved the experiences of local patients, and that makes us proud. 


We’ve also been working with members of the homeless community in the city centre, helping to improve the experiences of homeless people who may need palliative or end of life care.  Teaming up with professionals from across the sector, whilst sharing our specialist knowledge, has meant that we’ve been able to improve the lives of homeless patients, whilst also helping to ensure that their needs and wishes are better met, especially as they near the end of their life.  This can only be achieved with a fully joined up approach, working with the various agencies and individuals, to achieve the best outcomes. 

There’s also a really exciting partnership in progress with the University of Salford, who we’ve collaborated with to deliver an exciting palliative care focused leadership and management masters programme for clinical leaders and future leaders.  It’s really great to be able to share our knowledge and expertise with others, and to help equip healthcare professionals with the tools to deliver even better care for patients and those closest to them. 

Collaborations like these take time to build and deliver, and they’re not always talked about as much as the sausage rolls and t-shirts of this world might be.  But, with them, the care patients and their families receive is truly better, and that’s definitely worth shouting about. 

Find out more about our different services and partnerships

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Our new hospice plans have received a boost thanks to a generous grant

The ambitious project, which will see our current outdated building on St Ann’s Road North replaced with a purpose-built modern facility on land adjacent to our current site, has been awarded £250,000 by the Foundation to create a specialist Centre for Palliative Care Education on the development. 

The bespoke training suite, supported with funding from the Wolfson Foundation, will be the only non-university healthcare training suite in the area with integrated technology and capacity to simulate real life scenarios, allowing experts from St Ann’s to share their specialist knowledge with other organisations and help drive excellence in the palliative and end of life care sector both locally and nationally. 


We’re hugely grateful to the Wolfson Foundation for this generous contribution to our new building.  The training suite is a hugely important part of the project and will be a real hub for education and excellence when it comes to the provision of palliative and end of life care. 

The Centre for Palliative Care Education will also contribute to the long-term sustainability of the hospice as a valuable source of additional income, as we share our specialist world-class knowledge with others, and also invite external parties to use the facilities to run their own training and development.  We also hope it will become a useful hub for local community groups and other service providers from around the area.

It’s vital we create this new purpose-built hospice that will serve the needs of our community both now and in the future.   

Local people deserve the very best facilities when receiving care or spending time with their loved ones, and our current building – which is more than 100 years old – is no longer fit for purpose.  If we don’t build this new facility there’s a real risk we’d need to close services in the near future, so the generosity of organisations like the Wolfson Foundation is vital to ensure we can continue to provide care for generations to come.

We’re so excited that this project is progressing at pace, and we are looking forward to starting to build later this year.  We are currently appealing for other organisations, businesses or individuals who feel they may also be able to support us as we create Greater Manchester’s new hospice to get in touch. We’d love to hear from you and have you join us on this exciting journey.


Rachel McMillan, Chief Executive of the hospice

The new hospice building will also comprise a 27-bed inpatient unit, including 21 en-suite bedrooms with access to private outdoor terraces.  The development will feature modern outpatient and day therapy services, dedicated bereavement and family support spaces, offices, a coffee shop which will be open to the public, landscaped gardens, and improved car parking. 

The new building has been designed with the environment in mind, being ecologically efficient, using the latest green initiatives including a green roof, PV panelling and grey water solutions. The car park will have electric charging points and plentiful room for bicycles. 

The Wolfson Foundation is an independent charity with a focus on research and education.  Its aim is to support civil society by investing in excellent projects in science, health, heritage, humanities and the arts.  Since it was established in 1955, some £1billion (£2billion in real terms) has been awarded to more than 12,000 projects throughout the UK, all on the basis of expert review. 


St Ann’s have long provided high quality end of life care and this admirable project will allow the hospice to provide that care in an excellent environment. We are particularly pleased to be supporting the education centre which will support brilliantly trained staff to serve, not just in the new hospice, but across North West England.


Paul Ramsbottom, Chief Executive of the Wolfson Foundation

Find out more

For more information about our plans for the new hospice and how you can support it please click the link below.

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Free training for care homes this winter

The free online training will explain the principles of symptom management, explore common symptoms people can experience and recognise practical steps that staff can take to help manage these symptoms.

Rachel McMillan, Chief Executive of St Ann’s Hospice, said: “The pandemic has put the invaluable role of care and nursing homes in the spotlight, and we know it can be difficult for staff to sometimes recognise the signs of when someone may be approaching end of life, or why that might be an important thing to do.”


As experts in palliative and end of life care, we recognise that the part care and nursing home staff play in the support of residents as they approach the end of life is incredibly important. This training will hopefully give them tools and knowledge to help ensure that the people they are caring for receive the very best possible support, and that those around them can also be prepared.


Rachel McMillan, Chief Executive at St Ann’s

“At the hospice, we’re committed to improving palliative and end of life care across Greater Manchester and beyond. We know the difference holistic, collaborative care has on people’s experiences, and we also advocate conversations to ensure that an individual’s wishes can be listened to and hopefully delivered.”

The training is available in a number of slots in January and February 2022, with the hospice also offering additional free sessions online or in person for teams who aren’t able to make the scheduled dates.

Rachel added: “There’s always such a huge importance placed on how people are born, but people’s experience at the end of their life is just as important.

“When thinking about end of life care, I always think about how I’d want one of my own loved ones to be treated, and that really motivates me to ensure we can carry on providing world-class care, whilst also sharing that specialist knowledge with others in the health and social care community.”

To find out more, or to book a place on the free training session, visit www.sah.org.uk/community-training or call 0161 498 3645.

Community palliative and end of life care training

Free online training for community-based health and social care providers, including care and nursing home staff.

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St Ann’s new training for community-based care providers

A magnifying glass with an eye inside, and the words 'recognising dying' underneath

The free online training will cover an introduction to palliative and end of life care, as well as the signs that indicate someone may be in the last year or last days of life.   

It will also help identify ways to support people as they near end of life, and advise on ways that staff and carers can also ensure their own wellbeing during what can be a challenging and mentally difficult time. 

The training is available in a number of slots throughout September, October and November, with the hospice also offering additional free sessions online or in person for teams who aren’t able to make the scheduled dates.  


The pandemic has put the invaluable role of care and nursing homes in the spotlight, and we know it can be difficult for staff to sometimes recognise the signs of when someone may be approaching end of life, or why that might be an important thing to do.  As experts in palliative and end of life care, we recognise that the part care and nursing home staff play in the support of residents as they approach the end of life is incredibly important. This training will hopefully give them tools and knowledge to help ensure that the people they are caring for receive the very best possible support, and that those around them can also be prepared.  At the hospice, we’re committed to improving palliative and end of life care across Greater Manchester and beyond.  We know the difference holistic, collaborative care has on people’s experiences, and we also advocate conversations to ensure that an individual’s wishes can be listened to and hopefully delivered.


Rachel McMillan, Chief Executive of St Ann’s Hospice

Rachel added: “There’s always such a huge importance placed on how people are born, but people’s experience at the end of their life is just as important.  

“When thinking about end of life care, I always think about how I’d want one of my own loved ones to be treated, and that really motivates me to ensure we can carry on providing world-class care, whilst also sharing that specialist knowledge with others in the health and social care community.” 

To find out more, or to book a place on the free training session, visit www.sah.org.uk/community-training, email Siobhan Kenyon at skenyon@sah.org.uk or call 0161 498 3645. 

Care Home Training

Get more information about the training and watch a short animation about how to recognise dying on our training page.

Find out more