There isn't much left to go on.
The Review points out that:
1.30 The reports of incomplete and wrongly completed forms that the Review received are of grave concern, reminding the Review panel of a key finding of the Mid Staffordshire Public Inquiry – insufficient openness, transparency and candour.This is The Telegraph –
The Review Panel strongly supports Robert Francis QC’s call for a duty of candour, and recommends that clinicians be reminded by their registration bodies that the deliberate falsification of any document or clinical record, in order to deflect future criticism of a failure of care, is contrary to GMC28 and NMC guidelines and therefore a disciplinary matter.
They really intend to review every
patient placed on the Liverpool Care Pathway?
Every year 130,000 patients are placed on the LCP. The paperwork isn't always
there and, where it is, it is mostly slapdash or incomplete. This is not
evidence-based medicine. But this is what they have to go on.
This is GLA Conservatives –
This report, Unheard Voices: The Liverpool Care Pathway, exposes a lack of clear, reliable and publically accessible information over how the Liverpool Care Pathway (an end of life care pathway) is applied in hospitals.
Data from 21 London health trusts uncovered by Andrew Boff, Leader of the GLA Conservatives, shows:
38% of trusts (8) could not say how many patients were on the LCP
81% of trusts (17) could not provide the number of patients who were removed from the LCP and/or survived
81% of trusts (17) could not give the longest and shortest periods that patients were on the LCP
38% of trusts (8) could not provide any of the requested information on patients on the pathway
38% of trusts (8) could not say how many patients were on the LCP
81% of trusts (17) could not provide the number of patients who were removed from the LCP and/or survived
81% of trusts (17) could not give the longest and shortest periods that patients were on the LCP
38% of trusts (8) could not provide any of the requested information on patients on the pathway
Andrew Boff, Leader of the GLA Conservatives, Londonwide Assembly Member and author of the report said:
"It is a scandal that we could not find basic information on the some of the most vulnerable people, those over 65 years of age, on the Liverpool Care Pathway. We are talking about straightforward figures that should be readily available in the public domain - the number of deaths on the LCP, the length of time that patients are cared for on it, and the number of patients that are removed from it. Trusts should be required to record this information regularly, clearly and concisely, and the clinical commissioning groups should make sure that they do this.
The report recommends that independent advocates be made standardly available to patients without friends or family to represent them when they are in hospital, and when decisions are being made about whether they should be placed on the LCP.
They really intend to review every
patient placed on the Liverpool Care Pathway!
These are the killing wards. Where the paperwork is complete it has been done tick-box fashion, so of course it looks alright, but how many of these were actually 'dying'? 'Evidence', 'evidence', 'evidence', but the evidence is not the reality.
No, they will use representative samples in the same manner Ellershaw did to paint black as white and wrong as right as in this BMJ submission intended to 'prove' there is no ‘blanket’ policy for continuous deep sedation at the end of life for patients whose care is supported by the LCP.
These are the killing wards. Where the paperwork is complete it has been done tick-box fashion, so of course it looks alright, but how many of these were actually 'dying'? 'Evidence', 'evidence', 'evidence', but the evidence is not the reality.
No, they will use representative samples in the same manner Ellershaw did to paint black as white and wrong as right as in this BMJ submission intended to 'prove' there is no ‘blanket’ policy for continuous deep sedation at the end of life for patients whose care is supported by the LCP.
 |
| - BMJ |
Conclusion Only 51% of patients received medication to alleviate agitation and restlessness in the last 24 h of life. Median doses were low in comparison to doses recommended for continuous deep sedation, suggesting that there is no ‘blanket’ policy for continuous deep sedation at the end of life for patients whose care is supported by the LCP
The study used datasets from the
National Care Audits of the Dying using LCP version 11. Hospitals were
permitted to submit selected data from 'up to 30' adult patients, the dose
received in the last 24 hours of life and the last dose received for agitation
and restlessness.
- No data is given on drugs supplied alongside that prescribed for the symptoms mentioned. Has morphine already started; does it continue?
- Was the patient already unconscious...?
- This is selected data from 0.04% of the total number of patients on LCP.
- This is a study based on biased data.
- Messrs. Ellershaw et al are allocated funding for this feeble research and actually get away with it.
- 'Evidence' such as this was submitted to the 'review'.
This does not bode well.
My mum just died and she had cancer of the gall bladder ans was sedated and didnt have any food, water, oxygen and lay in a bay for 10 days waiting for her to die. This liverpool care oathway sounds exactly what happend to my mum 22/11/2022. It has to be stopped as she wasnt gien choices and had no choice but to have the syringe driver with all sorts of drugs fentanyl one of the worst drugs you can have .
ReplyDeleteI feel sick thinking about it
Dear Elaine, please don't despair. Take strength from this to fight on for your dear mum.
DeleteDoctors are charged by the Hippocratic Oath to do no harm. At the height of this awful death pathway, on which estimates put 30,000 people perished in one year according to Professor Pullicino, rogue doctors were going on social media to, not merely applaud the LCP, but to decry the Oath!
David James was put down on the LCP by order of the court! You may read his story in these pages. The family have been fighting his battle for justice since 2012. His daughter, Julie, has her petition here -
https://www.change.org/p/shadow-health-secretary
The LCP was suspended in name only. The Review was a sham. It lives on in many forms. The Palliative Care Teams are ever waiting in the wings to observe and to pounce. They claim to 'know' when the patient is dying. They can diagnose dying! But read here -
https://liverpool-care-pathway-a-national-sc.blogspot.com/search?q=say+two+words
Kathleen Vine had the good fortune to awake from the LCP sedation. It saved her life!
Scroll down the page to find Jack Jones. Click on the link provided. He had beaten cancer.
Dr. Alison Coackley, the palliative medicine consultant who played a key role in drawing up the Liverpool Care Pathway, was the consulting physician who informed the Jones family that their father's cancer had returned.
The diagnosis was wrong. They went on to kill him on their wretched pathway!
The government stockpiled Midazolam in the spring of 2020. Thousands of unsuspecting care home residents were put down. This is not myth. This is fact.
This is a scandal!