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THE BIG QUESTION

The big question: is the Liverpool Care Pathway still being used where you work?

  • 4 Comments

Nursing Times has been told that clinicians are continuing to use the controversial Liverpool Care Pathway for end-of-life care, despite a major review concluding it should be scrapped.

The review, led by Baroness Neuberger, was sparked by a series of national media stories that strongly criticised the care framework. The review recommended it should be phased out in favour of individual care plans.

However, Anthony Wrigley, a senior lecturer at Keele University,

has claimed nurses and doctors are continuing to rely on the LCP, because they now have “nowhere to turn” for specific guidance on how to treat people in the last weeks, days and hours of life.

What end-of-life care guidance in being followed at your place of work?

  • 4 Comments

Readers' comments (4)

  • No-one seems sure what guidance they should be following, or what form of documentation we ought to be using.

    There's one thing for sure...everyone that I've spoken to regrets the passing of the LCP.

    Newly qualified and inexperienced staff are floundering and no longer have the structured support that the LCP provided.

    In the end, the recommendations to phase out the LCP is to the detriment of our patients who only get one shot at dying.

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  • I know someone at NHS England who is interested to understand what is replacing the Liverpool Care Pathway at the front-line (and was therefore interested when I drew attention to this NT piece in an email), so responses to this Big Question would be appreciated, and will be seen 'by NHS England'.

    I hope that encourages, rather than discourages, more respndents!

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  • Should be phased out by now. The new code is more holistic but the most beneficial result of all this is that the mistakes will be mended. Food and fluids are to be given as long as possible and sub-cut fluids if oral route not appropriate, so much suffering from dehydration will be over. We should all be able to care for the dying without a pathway

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  • Lucy Worrall

    I agree with Sally Carson's comments, to not give patients fluids is cruel and unkind.

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