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Tag Archives: End of Life Care Pathway
Do Not Resuscitate (DNR) Communication Failures in Hospital End-of-Life Care (BBC News / RCP)
Summary The latest Royal College of Physicians (RCP) audit has estimated that one in five families may not be consulted when hospital staff decide not to revive their relatives and issue “Do Not Resuscitate” (DNR) orders. “Guidelines issued by the … Continue reading →
Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Royal College of Physicians, Standards, Statistics, UK, Universal Interest
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Tagged 24/7 Care, Access to Face-To-Face Specialist Palliative Care, Acute Care, Acute Hospital Care, Acute Hospitals, Advance Care Planning (ACP), Agreed Care Plans, Ambitions for Palliative and End of Life Care: National framework for Local Action 2015-2020 (Ambitions Framework), Ambitions Framework, Auditing, Audits, BBC Health News, Care and Communication, Care and Compassion, Care in General Hospitals, Care of Dying Adults in Last Days of Life, Care Planning, Care Planning and Proxy Decision Making, Care Seven Days a Week, Clinical Audits, Communication, Communication Skills Training For Care in Last Hours or Days of Life, Compassion in Practice, Compassionate Care, Culture of Compassionate Care, Dehydration, Dementia Care in Acute General Hospitals, Difficult Conversations, Dignity and Respect, DNACPR: Do Not Attempt Cardiopulmonary Resuscitation, Do Not Resuscitate (DNR), Do Not Resuscitate (DNR) Communication Failures, Documented Evidence in Last 24 Hours of Life of Holistic Assessment of Patient’s Needs for Individual Plan of Care, Documented Evidence Patient Given Opportunity to Have Concerns Listened To, Documented Evidence That Needs Of Person(S) Important to Patient Were Asked About, Documented Evidence That Patient Would Probably Die (Imminent Death) Had Been Discussed With Nominated Person(S) Important to Patient, Documented Evidence That Patient Would Probably Die in Coming Hours or Days, Dr Adrian Tookman: Clinical Director at Marie Curie, Dr Kevin Stewart: Medical Director of RCP’s Clinical Effectiveness and Evaluation Unit, Education Programmes on End of Life Care, End of Life Care, End of Life Care Audit: Dying in Hospital (RCP 2016), End of Life Care Facilitators, End of Life Care Pathway, End of Life Care Plans, End of Life Care Quality Indicators, End of Life Care Research, End of Life Care Strategy, End-of-Life Care in Acute Hospitals, End-of-Life Care Pathways, End-of-Life Support, General Hospital Care, Geographical Variations, Good Communication, Healthcare Quality Improvement Partnership (HQIP), Holistic Assessments, Hospital End-of-Life Care, Hydration and Nutrition, Improving Care in General Hospital Settings, Lay Member on Trust Board With Responsibility For End of Life Care, Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Local Variations, Marie Curie, National Council for Palliative Care (NCPC), NG31: Care of Adults in Last Days of Life, NHS Services Seven Days a Week, Palliative and End of Life Care, Palliative and End-of-Life Care in Hospitals, Palliative Care, Palliative Care in the UK, People Recognised as Likely to Die, Professor Sam Ahmedzai: Chair of RCP End of Life Care Audit Steering Group, Quality Idicators For End of Life Care, Quality of Care, RCP: Royal College of Physicians, Royal College of Physicians (RCP), Royal College of Physicians. End of Life Care Audit – Dying in Hospital (2016), Specialist Palliative Care Services (SPC), Staffing and Training, Symptom Control. Provision of Palliative Care Services 24-7, Tackling Variation, Treatment at End of Life, Trust Seeks Bereaved Relatives’ or Friends’ Views, UK End-of-Life Care, Unwarranted Variations, Variations in Care, Variations in Quality of Care, Withdrawal of Liverpool Care Pathway (LCP)
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Further Room For Improvements in End of Life Care (BBC News / RCP)
Summary End of life care in the UK has previously been assessed to be possibly the best in the world, but a Royal College of Physicians audit report identifies local variations in the quality of hospital care for the dying. Full … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, National, NHS, NHS England, Person-Centred Care, Personalisation, Quick Insights, Royal College of Physicians, Standards, Statistics, UK, Universal Interest
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Tagged 24/7 Care, Acute Care, Acute Hospital Care, Advance Care Planning (ACP), Agreed Care Plans, Ambitions for Palliative and End of Life Care: National framework for Local Action 2015-2020 (Ambitions Framework), Ambitions Framework, Auditing, Audits, BBC Health News, Care of Dying Adults in Last Days of Life, Clinical Audits, Communication, Compassion in Practice, Compassionate Care, Culture of Compassionate Care, Dehydration, Difficult Conversations, Dignity and Respect, Dr Adrian Tookman: Clinical Director at Marie Curie, Dr Kevin Stewart: Medical Director of RCP’s Clinical Effectiveness and Evaluation Unit, Education Programmes on End of Life Care, End of Life Care, End of Life Care Audit: Dying in Hospital (RCP 2016), End of Life Care Pathway, End of Life Care Plans, End of Life Care Strategy, End-of-Life Care in Acute Hospitals, End-of-Life Care Pathways, End-of-Life Support, Geographical Variations, Healthcare Quality Improvement Partnership (HQIP), Holistic Assessments, Hydration and Nutrition, Local Variations, Marie Curie, National Council for Palliative Care (NCPC), NG31: Care of Adults in Last Days of Life, Palliative and End of Life Care, Palliative and End-of-Life Care in Hospitals, Palliative Care, Palliative Care in the UK, People Recognised as Likely to Die, Professor Sam Ahmedzai: Chair of RCP End of Life Care Audit Steering Group, Quality Idicators For End of Life Care, RCP: Royal College of Physicians, Royal College of Physicians (RCP), Royal College of Physicians. End of Life Care Audit – Dying in Hospital (2016), Staffing and Training, Symptom Control. Provision of Palliative Care Services 24-7, Tackling Variation, UK End-of-Life Care, Unwarranted Variations, variation, Variations in Care, Variations in Quality of Care, Withdrawal of Liverpool Care Pathway (LCP)
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New End of Life Care Guideline (BBC News / NICE)
Summary The National Institute for Health and Care Excellence (NICE) has published a new guideline on individualised end of life care, to replace the widely discredited Liverpool Care Pathway (LCP) which was phased-out in 2014. This fresh guideline advocates a … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, NICE Guidelines, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest
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Tagged Advance Care Planning (ACP), Agreed Care Plans, BBC Health News, Care of Dying Adults in Last Days of Life, Care Plan, Communication, Compassionate Care, Culture Change, Culture Change in the NHS, Culture of Compassionate Care, Dehydration, Dignity and Respect, End of Life Care, End of Life Care Pathway, End of Life Care Plans, End of Life Care Strategy, Hydration and Nutrition, Individualised Approaches, Individualised Support, Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Medically Assisted Hydration, National Institute for Health and Care Excellence (NICE), NHS Culture, Palliative and End of Life Care, Personalised Care Planning, Pharmacological Interventions, Reduction in Box-Ticking, SDM: Shared Decision Making, Shared Decision-Making, Tick Box Culture
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Improvements to Care in the Last Days / Hours of Life (Department of Health)
Summary This report assesses progress made against commitments in the “One Chance to Get it Right” report, which was released just over a year ago as a response to the Independent Review of the Liverpool Care Pathway (LCP) on improving … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Education England (HEE), Integrated Care, Management of Condition, National, NHS, NHS England, NICE Guidelines, NIHR, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, RCN, Standards, UK, Universal Interest
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Tagged Agreed Care Plans, Ambitions for End of Life Care, Association for Palliative Medicine (APM), Availability of Specialist Palliative Care (Including Out of Hours), Capacity and Advance Decisions, Care Homes, Care Homes End of Life Care Programme, Care Planning, Care Quality Commission’s Inspection Regime, Chaplaincy, Chaplaincy Involvement in Education and Training, College of Health Care Chaplains (CHCC), College of Health Care Chaplains: End of Life Care Resource Group, Community Health Services, CQC Inspections: Community Health Services, CQC Inspections: Hospices, CQC Ratings: End of Life Care - Acute Hospitals, CQC's Thematic Review of Inequalities and Variation in End of Life Care, Duty of Candour, Dying Well Community Charter, e-ELCAs (End of Life Care for All: Online Learning Modules), Education and Training, Electronic Palliative Care Coordination System (EPaCCS) Lessons Learnt Report, Embedding the Priorities for Care in Commissioning, Emergency Admissions Unit In-Reach Project, End of Life Care, End of Life Care Ambitions Partnership, End of Life Care and Communication Record, End of Life Care Commissioning Tool Kit, End of Life Care Education Training and Workforce Planning, End of Life Care Facilitator Events, End of Life Care Facilitators, End of Life Care Facilitators Network, End of Life Care Pathway, End of Life Care Plans, End of Life Care Resources for Doctors, End of Life Care Strategy, End of Life Care Training Workshops, Falsification of Records, Fica Approach, Five Priorities for Care, Framework of Generic Professional Capabilities, General Medical Council (GMC), General Pharmaceutical Council (GPhC), Guidance on Care of Dying People, Health and Care Professions Council (HCPC), Health Education England End of Life Care Working Group, HEE End of Life Care Working Group, Hospice UK, Hospices, Hydration, IMCAs and Safeguarding, Impact of Opioids, Implementation of the Priorities for Care, Independent Advocacy, Independent Review of the Liverpool Care Pathway, Inspection, James Lind Alliance, James Lind Alliance Priority Setting Partnership (PSP), LACDP: Leadership Alliance for the Care of Dying People, Leadership Alliance, Leadership Alliance for the Care of Dying People (LACDP), Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Liverpool Care Pathway Review, Liverpool Care Pathway Review: Response to 2014 Recommendations, Local Documentation and Resources, Mapping Review of Evidence Requirements, Marie Curie Research, Medically Assisted Hydration, Medically Assisted Nutrition, Monitor, National Clinical Audit of the Care of Dying People, National Common Core Competences and Principles for End of Life Care, National Council for Palliative Care, National Council for Palliative Care (NCPC), National End of Life Care Intelligence Network (NEoLCIN), National Institute for Health and Care Excellence (NICE), National Institute for Health Research (NIHR), National Institute for Health Research Call for Clinical and Applied Health Research Into End of Life Care, National Palliative and End of Life Care Network, National Survey of Bereaved People (VOICES-SF), NHS Commissioning Assembly, NHS England’s Five Year Forward View, NHS Five Year Forward View (5YFV), NHS Improving Quality (NHS IQ), NHS IQ End of Life Care, NHS Services: Seven Days a Week Forum, NHS Trust Development Authority, NHS Trust Development Authority (NHS TDA), NHS Trust Development Authority (NTDA), NICE Guidance on Management of Care for Dying Adults, NICE Quality Standards, NICE Quality Standards in End of Life Care, NIHR Health Technology Assessment (HTA) Programme, Nursing and Midwifery Council (NMC), Nutrition and Hydration, One Chance to Get it Right Report (2014), One Chance to Get it Right: One Year On Report, Pain Relief, Palliative and End of Life Care, Palliative and End of Life Care Networks, Palliative and End of Life Care: James Lind Alliance Priority Setting Partnership (PSP), Palliative Care, PaPaS Cochrane Group, Personalised Care Planning, Personalised Carer Support, Priorities for Care for the Dying Person, Priorities for Care of the Dying Person, Priorities for care of the Dying Person: Duties and Responsibilities of Health and Care Staff, Priorities for Care of the Dying Person: Implementation Guidance for Service Providers and Commissioners, Priorities for Care: Implementation Guidance for Service Providers and Commissioners, Professional Standards, Public Health Approaches End of Life Care Toolkit, Public Health England Palliative and End of Life Care Research Summit, Public Health England: Use of Intelligence to Improve End of Life Care, Quality, Quality Assurance for Care in the Last Days of Life, RCN's Fundamentals of End of Life Care Resource, Regulation, Research into Palliative and End of Life Care, Research Projects Funded by Marie Curie, Responsible Clinician, Responsible Consultant / Clinician, Responsible Consultants, Review of Choice in End of Life Care, Review of the Liverpool Care Pathway, Royal College of Nursing (RCN), Royal Colleges, Safer Staffing: A Guide to Care Contact Time, SDM: Shared Decision Making, Sedatives and Pain Relief, Seven Day Services, Seven-Day NHS Services, Seven-Day Services in Hospital, Seven-Day Services in the Community, Shared Decision-Making, South West Strategic Clinical Network, Spiritual Care Assessment Tool, Spiritual Care Assessment Tool Based on FICA Approach, Strategic Palliative Care Network (SCN), Sue Ryder Foundation, Top 10 Research Questions in Palliative and End of Life Care, Transforming Primary Care (Vulnerable Older People’s Plan), Treatment at End of Life, Trust Specialist Palliative Care Team (SPCT), VOICES-SF Survey, Withdrawal of Medication Food and Fluids, Workforce Planning, Workforce Planning and Development
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NICE Consultation on Draft Guidelines for Care of the Dying Adult (BBC News / NICE)
Summary The National Institute for Health and Care Excellence (NICE) has released draft guidelines concerning the care of adults potentially entering the last days of their lives while in the care of the NHS. The guideline covers people dying from … Continue reading →
Posted in Acute Hospitals, BBC News, Community Care, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Models of Dementia Care, National, NHS, NICE Guidelines, Non-Pharmacological Treatments, Nutrition, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest
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Tagged BBC Health News, Care of the Dying Adult, Draft Guidelines for Care of the Dying Adult, End of Life Care, End of Life Care for People with Dementia, End of Life Care Pathway, End of Life Care Strategy, Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Liverpool Care Pathway: Poor Implementation, MDTs: Multidisciplinary Teams, Multi-Disciplinary Team (MDT), National Institute for Health and Care Excellence (NICE), Nutrition and Hydration, Pain Relief, Palliative and End of Life Care, Palliative Care, Personalised Care Planning, Personalised Carer Support, Shared Decision-Making, Tick Box Culture, Treatment at End of Life, User Complaints, Withdrawal of Medication Food and Fluids
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Costs of Hospital and Non-Hospital Care at the End of Life (Nuffield Trust)
Summary A Nuffield Trust report indicates that enabling people to die in their own homes need not necessarily cost more providing end-of-life care in hospital. The Marie Curie nursing service is taken as a case study, to show that additional … Continue reading →
Posted in Charitable Bodies, Commissioning, Community Care, End of Life Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Acute Care, Acute Hospital Care, Community Care: District Nursing, Community-Based Care, Community-Based End of Life Nurse, Community-Based Interventions, Community-Based Services, Community-Based Support, Costs of Hospital and Non-Hospital Care at the End of Life, Costs of Hospital Care, End of Life Care, End of Life Care Costing, End of Life Care Pathway, End of Life Care Plans, End of Life Care Research, End of Life Care Strategy, End of Life Nursing (Community-Based), End-of-Life Nursing Services, Estimated Costs Per Patient: District Nursing Care, Estimated Costs Per Patient: GP Visits, Estimated Costs Per Patient: Social Care, Inpatient Hospice Care, Integrated and Community-Based Care, Local Authority-Funded Social Care, Marie Curie Home-Based Palliative Care Nursing Service, Non-Hospital Cost Estimates, Palliative and End of Life Care, Per-Patient Estimated Costs / Activity During Last Three Months of Life, Primary Care: GP Consultations / Visits, Secondary (Acute Hospital) Care
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RCP Audit of End-of-Life Care in Hospitals (BBC News / RCP)
Summary A joint Royal College of Physicians and Marie Curie review of end-of-life care in hospitals has discovered that only one fifth of hospitals provided specialist end-of-life care seven days a week. The same audit highlights deep concerns about the … Continue reading →
Posted in Acute Hospitals, BBC News, Charitable Bodies, End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, National, NHS, NHS Digital (Previously NHS Choices), Patient Care Pathway, Person-Centred Care, Quick Insights, Royal College of Physicians, Standards, UK, Universal Interest
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Tagged Acute Care, Acute Hospitals, Baroness Julia Neuberger, BBC Health News, Behind the Headlines, Care and Communication, Care and Compassion, Care in General Hospitals, Care Planning, Care Planning and Proxy Decision Making, Care Seven Days a Week, Communication, Conversation Project (US), Dementia Care in Acute General Hospitals, End of Life Care, End of Life Care Pathway, End of Life Care Plans, End of Life Care Research, General Hospital Care, Good Communication, Improving Care in General Hospital Settings, Independent Review of the Liverpool Care Pathway, Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Marie Curie Nursing Service (MCNS), Marie Curie Palliative Care Institute Liverpool (MCPCIL), Marie Curie Palliative Care Research Unit: University College London, National Care of the Dying Audit for Hospitals, National Care of the Dying Audit for Hospitals (England), National Council for Palliative Care (NCPC), Neuberger Review, NHS Services Seven Days a Week, Palliative and End-of-Life Care in Hospitals, Palliative Care, Palliative Care Units, Palliative Medicine, Place of Death, Quality of Care, RCP: Royal College of Physicians, Review of the Liverpool Care Pathway, Royal College of Physicians (RCP), Seven Day Consultant Present Care, Seven Day Services, Specialist Palliative Care, Supporting Carers in Hospital, Treatment at End of Life
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Update on End of Life Care: Liverpool Care Pathway Phased Out (NHS Improving Quality)
Summary The Leadership Alliance for the Care of Dying People (LACDP) has published an update on its position following the “More Care, Less Pathway” report on the Liverpool Care Pathway (LCP). “The independent review concluded that many of the issues … Continue reading →
Posted in End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), Health Education England (HEE), In the News, National, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK
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Tagged Care Quality Commission (CQC), College of Healthcare Chaplains (CHCC), End of Life Care, End of Life Care Pathway, End of Life Care Plans, End of Life Care Strategy, General Medical Council (GMC), General Pharmaceutical Council (GPhC), Health and Care Professions Council (HCPC), Help the Hospices, Independent Review of the Liverpool Care Pathway, LACDP: Leadership Alliance for the Care of Dying People, Leadership Alliance for the Care of Dying People (LACDP), Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Macmillan Cancer Support, Marie Curie Cancer Care, Monitor, National Care Forum and the Voluntary Organisations Disability Group, National Institute for Health and Care Excellence (NICE), National Institute for Health Research (NIHR), NHS Improving Quality (NHS IQ), NHS Trust Development Authority (NTDA), Nursing and Midwifery Council (NMC), Palliative Care, Public Health England (PHE), Richmond Group of Charities, Royal College of GPs, Royal College of Nursing (RCN), Royal College of Physicians (RCP), Sue Ryder, The National Council for Palliative Care, Tick Box Culture
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What We Know Now 2013: End of Life Care (Public Health England / NEoLCIN)
Summary This Public Health England / National End of Life Care Intelligence Network (NEoLCIN) report summarises research during the past year from a range of organisations and charities. There remain large variations in the proportion of deaths in hospital between local … Continue reading →
Posted in Community Care, End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, National, NEoLCIN, Patient Care Pathway, Person-Centred Care, Public Health England, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Acute Care, Acute Hospitals, Association of Palliative Medicine / Specialist Advisory Council, Black Asian and Minority Ethnic (BAME), Care Homes: Last Year of Life, Care in General Hospitals, Cicely Saunders Institute, Costs of Care, Deaths in Usual Place of Residence (DiUPR), Dignity, DiUPR: Deaths in Usual Place of Residence, Dying Matters, Dying Matters Coalition, Electronic Palliative Care Co-ordination Systems (EPaCCS), Emergency Admissions, Emergency Readmissions, Emergency Readmissions to Hospital, End of Life Care, End of Life Care for People with Dementia, End of Life Care Pathway, End of Life Care Plans, End of Life Care Profiles Summary Statistics, End of Life Care Research, Environments for Care at End of Life, EOL, EPaCCS, General Hospitals, Gold Standards Framework (GSF), Gold Standards Framework After Death Analysis, Gold Standards Framework Centre, Hospice Care, Hospital Admissions Ending in Death, Hospital Episode Statistics (HES), Inpatient Hospital Care: Last Year of Life, Kings College London, Liverpool Care Pathway for the Dying Patient (LCP), Marie Curie Nursing Service (MCNS), Marie Curie Palliative Care Research Unit: University College London, Methylnaltrexone, NatCen Social Research, National Bereavement Survey (VOICES), National Care of the Dying Audit Hospitals (NCDAH) Round 3, National End of Life Care Intelligence Network, National End of Life Care Programme (NEoLCP), National Survey of Patient Activity Data for Specialist Palliative Care Services, NEoLCIN: Part of Public Health England (PHE), New Intelligence on End of Life Care in England (2012), Office for National Statistics, Palliative Care, Palliative Care Funding Review, PHE: Public Health England, Place of Death, Preferred Place of Death, Preventable Hospital Admissions, Primary Care: Last Year of Life, Public Health England (PHE), Quality and Outcome Framework (QOF), Quality Innovation Productivity and Prevention (QIPP), Quality of Care, Services and Support for BAME Communities, Social Care, Specialist Palliative Care, University College London, What We Know Now 2013 (NEoLCIN)
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More Care, Less Pathway: a Review of the Liverpool Care Pathway (LCP)
Summary Baroness Julia Neuberger’s report presents the recommendations regarding the Liverpool Care Pathway (LCP) and end of life care. Patients should only be placed on the LCP, or a similar approach, by a senior clinician in consultation with the healthcare … Continue reading →