Choosing Where I Die: Paediatric Palliative Care and Realistic Choice

11:15 – 12:30

For children approaching the end of life, preferred place of death is more than a location; it reflects what matters most to the child and family. High-quality paediatric palliative care should enable informed, realistic choice about place of care and death, while ensuring families are safely supported wherever care is provided.

This session will examine how Scotland’s Paediatric Palliative Care Clinical Advisory Service (CAS) emerged from clinical need, national mapping and policy, through cross-sector collaboration between Children’s Hospices Across Scotland and NHS Boards. It will explore how the CAS model, through a national multidisciplinary team and 24/7 access to specialist advice, supports local services to deliver high-quality end of life care.

The session will also reflect on the practical realities of delivering care across organisational boundaries, including governance, workforce and system challenges, and share early impact data. Delegates will consider how this learning can inform wider service integration and the development of similar advisory models.

Speakers

Dr Annabel Howell

Dr Annabel Howell

Medical Director, Children’s Hospices Across Scotland


Annabel trained at the Royal Free Hospital and has held several director-level medical roles across the NHS.
Dr Jonathan Downie

Dr Jonathan Downie

Consultant in Paediatric Palliative Medicine, NHS Greater Glasgow and Clyde


Dr Jonathan Downie is Consultant in Paediatric Palliative Medicine at the Royal Hospital for Children, Glasgow, and Clinical Lead for NHS GGC’s Paediatric Supportive and Palliative Care Team.
Dr Dan Hufton

Dr Dan Hufton

Consultant Paediatrician, NHS Forth Valley


Dr Dan Hufton is a Paediatrician with an interest in Translational Simulation and human factors/ergonomics.