West Hertfordshire Hospitals
NHS Trust
Promoting a culture of compassion at the end of life
The Rose Symbol at West Hertfordshire Hospitals NHS Trust
Aim of the rose symbol
To promote dignity, respect and compassion at the end of life
The symbol is displayed when a patient is expected to die in the next few
hours or when a patient has just died - to encourage an atmosphere of
quiet and respect at this significant time. On seeing the symbol,
staff should be considerate in their activity and in any encounters
with people who may be grieving or distressed.
Good for the dying patient
Treated with heightened dignity and respect.
Dying acknowledged and individualised care is planned.
Good for families and friends
Well-informed and prepared.
Supported with cups of tea, kind words and practical support.
Receive belongings of deceased packed carefully in a rose bag.
Receive loved ones jewellery in small drawstring bag.
Receive rose sympathy card.
“Highlights needs for extra nurturing”(staff member)
“I’m pleased that privacy and dignity are
being held in high regard”(family member)
How the rose symbol is used
Dying (last few hours) or death is recognised by clinical team.
Nurses inform the family that the patient is dying or has died and explain
purpose of rose symbol.
The rose symbol is displayed at ward level and / or on the door or curtain
(with the family’s agreement). Individual and cultural wishes are respected.
Staff behave considerately on seeing the rose symbol and are mindful of the
needs of the dying patient and their family.
Good for raising awareness and
creating a calm environment
Posters inform public about the use of the rose symbol.
Rose magnets used on ward board to highlight needs of dying patient.
Noise levels in ward / bays decreased.
Good for all staff
Everyone more aware of the needs of dying patients.
Small acts of kindness and compassionate care are encouraged.
Embodies the Trust's commitment to improving end of life care for all.
400+ staff trained on the use of the rose symbol.
Impact being measured.
“Domestics and housekeepers are
talking and interacting with the family and
asking if they would like anything”(staff member)
It’s the small things that make the difference...
Claire Nicell1-4, Hospice Champion Educator, Wendy Joy1, Patient Affairs Manager, Michelle Sorley1, Macmillan Lead Nurse and The Macmillan Palliative Care Team1
1West Hertfordshire Hospitals NHS Trust with 2The Hospice of St Francis and 3Peace Hospice Care 4Funded by St James Place and Help the Hospices
Contact: [email protected] /01923 217 930
[email protected] / 01923 217 114
59501_©Medical Illustration WHHT_Feb15