In 2003, the Project received funding from Health Canada’s Primary Health Care Transition Fund to broaden its scope beyond rural regions and also to broaden the catchment area across the whole of western and northern Canada and eastern Canada, including Newfoundland and Nova Scotia. The funding for this second phase, referred to as Pallium Phase II, was for $4.2 million from 2003-2008. In addition to further development of the community of practice and network beyond the prairie provinces, the Project also focused on knowledge translation and as a catalyst for emerging community programs. The funding supported a total of 72 sub-projects.
The sub-projects ranged across a number of areas; from courses for primary healthcare professionals and education programs for chaplains, to clinical decision support resources such as the Pallium Palliative Pocketbook (referenced and extensively peer reviewed) and the 99 questions for nurses on Palliative Care, to community support services such as telephone lines for British Columbia, Alberta, Saskatchewan and Manitoba. An online commons for resources was also developed and existing programs such as a Grief and Bereavement Program for children in rural Manitoba was enhanced. Distributed learning opportunities were developed. These included monthly teleconference dialogues across remote northern Canada and pod casts were developed of these.
One of the key Pallium sub-projects was documenting wisdom around death and dying from First Nations Elders. This project was led largely out of northern Alberta but involved video interviews with Elders. These in turn were included in a Pallium workshop for nurses and personal support workers (PSWs) working with First Nations’ peoples. Another project that involved interviewing leaders was the development of a 15-minute video in which Palliative Care leaders across the country shared their experiences with a goal of advocating for more appropriate end-of-life care in Canada.
Although the funding for the project ended in 2008, the Pallium Project has continued. Much of the ongoing work is generated by what is referred to as the Pallium Community. This is the Community of practice and network that was established during Phase I and II. Individuals and institutions and programs from across the country continued to deliver the LEAP course, disseminating the Pallium Palliative Pocketbook through a purchasing arrangement with the Canadian Hospice Palliative Care Association (CHPCA), the LEAP Train-the-Trainer Program, the Palliative Care Chaplaincy Training Program, the educational videos and the competency grids.