Thursday 8 August 2013

Liverpool Care Pathway - All Change!

The bus has just broken down...
No worries, a replacement service is on its way to continue your journey!



Here is Runcorn and Widnes World -


Dr Cliff Richards, a local GP and chairman of the CCG, said: “Although there is evidence that when the LCP is used and communicated correctly it is providing high-quality end of life care, it is potentially not being routinely implemented in this way and this needs to change.
“The CCG is in support of the recommendation to replace the Liverpool Care Pathway with personalised end-of-life care plans.”
The announcement follows an independent review which recommended the Liverpool Care Pathway – in place across Halton since 2011 – be scrapped. Doctors, nurses, care home staff and other healthcare professionals have been following the guidance when caring for dying patient.
An ‘end of life care facilitator’ has been taken on to work with doctors, nurses and other healthcare professionals to ensure they feel comfortable having end-of-life discussions with patients.
Dr Richards added: “This work will continue to be the focus of our efforts over the coming months and years. The decision to replace the LCP will not change the fundamental principles of how we deliver end of life care in Halton.”


The CCG said advanced care planning is a priority area for improvement and has created an ‘end of life care facilitator’ who has been working with doctors, nurses and other healthcare professionals to ensure that they feel comfortable discussing the time preceding death with patients.










An End of Life Care Facilitator is to be employed to advise and give guidance to Healthcare Professionals on how to groom their patients and downsize their care expectations.
"The decision to replace the LCP will not change the fundamental principles of how we deliver end of life care in Halton."
The 'Find your 1%' proceeds; the tools and advice - the GSF, the SPICT, the 'Surprise Question' and other DoH recommendations - stand.

The Project has a long history.

The GSF was originally commissioned from the GSF Centre in June 2006 to support GPs include appropriate patients on their QOF.
‘Earlier identification of people nearing the end of their life and inclusion on the register leads to earlier planning and better co-ordinated care’
(GSF National Primary Care Snapshot Audit 2010 )
For years, the British public has been softened up to accept dying as a positive life option.

The Government published its NHS National End of Life Care Program in 2008.

The NCPC has been running the EoLC programme since 2009. 
They have downsized care expectations. 

A system has been rolled out. It is in place.

A system has been rolled out. It is working.

Excess deaths...?

Excess deaths!

The project continues.

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