But the demarkation is incredibly important as a person may consent to receiving the support of a clinical psychologist but not want input from a religious chaplain. If there is any blurring of the boundaries then that patient's wishes are not being respected. And it is all the more important to respect patient's wishes in end of life situations.
A little anecdote from me - when my dad was terminally ill and had just a few days to live in a hospice-type wing of his local hospital (not a million miles from you AM) I visited one day to find a small bible and a kind of prayer guide booklet on his bed-side cabinet. I was somewhat confused as my father was not religious and had no truck with religious chaplains and certainly didn't consent to a visit. One of his closest friends was a very committed christian so I suspected he might have been responsible and when we were both at his bedside his friend clearly picked up on a glance of mine at the material on the bedside cabinet. They hadn't come from my dad's friend but from the chaplain, who my dad's friend knew. His response - 'well I know your dad didn't want him here, but he gets a bit over enthusiastic about his work at times'. I'm sorry but this is just wrong, and all the worse taking place at an end of life situation.
Were that chaplain on the staff of the hospital, he/she should have been suspended pending inquiry.
If your dad had stated his faith stance, then the chaplain should not have been nvolved.
However, there are very significant differences between an end of life care unit in a hospital and a hospice.
NHS involvement in the latter is purly confined to pain relief and any other medical concern, wheras the rest of the work with residents is usually as far removed from a hospital scenario as it is possible within the limitation of the illness.
Roles of staff are therefore 'morphed'.
If a resident wishes to talk, then there is no division of responsibility.
Most do wish some spiritual counselling, others simply wish someone to be with them and talk about trivia. The conversation must, in every circumstance, be led by the resident.
Since the situation in a hospice is more relaxed, it's not as easy to monitor such conversation - nor, for very obvious reasons, should it be.
I was once a volunteer counsellor there - about five years after the hospice opened. If a person asked me what I believed, we'd discuss it. If they didn't, we didn't - but that was fine by me; this was their journey, not mine.