The controversial Liverpool Care Pathway for dying patients was phased out after an independent review by Baroness Neuberger, which concluded that it had been “misused and misunderstood” by hospital staff.
But although the LCP has gone (in name, at least), it represented “the best quality of care possible” for the dying as defined by palliative medicine physicians. It is therefore not surprising that new guidelines replacing the LCP, recently issued by the National Institute for Health and Care Excellence (Nice), are very similar. Indeed, they perpetuate the features that made the LCP so dangerous.
The Nice guidelines are, if anything, even worse than the LCP as a result of certain additions. The writers had the Neuberger report to draw on, but they have not taken on board some of its main recommendations. Although the guidelines say they respond “to a need for an evidence-based guideline for the clinical care of the dying”, references to a solid base of scientific evidence are almost totally lacking.
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(Catholic Herald) Patrick Pullicino the Liverpool Care Pathway for dying patiens remains lethal
The controversial Liverpool Care Pathway for dying patients was phased out after an independent review by Baroness Neuberger, which concluded that it had been “misused and misunderstood” by hospital staff.
But although the LCP has gone (in name, at least), it represented “the best quality of care possible” for the dying as defined by palliative medicine physicians. It is therefore not surprising that new guidelines replacing the LCP, recently issued by the National Institute for Health and Care Excellence (Nice), are very similar. Indeed, they perpetuate the features that made the LCP so dangerous.
The Nice guidelines are, if anything, even worse than the LCP as a result of certain additions. The writers had the Neuberger report to draw on, but they have not taken on board some of its main recommendations. Although the guidelines say they respond “to a need for an evidence-based guideline for the clinical care of the dying”, references to a solid base of scientific evidence are almost totally lacking.
Read it all.