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110 Personalised end-of-life care plans – a local review
  1. Rebecca Tweddell and
  2. Katherine Webber
  1. Royal Surrey County Hospital


Background The Liverpool Care Pathway was abolished in 2014 following widespread criticism. Since then there has been a focus on local personalised care plans for dying patients.

Objectives The aim of the study was to evaluate the number of patients placed on a personalised end-of-life care plan (PELiCan) during a 5 year period. Then to identify the number of patients removed from a PeLICan. Finally to identify whether removing a patient from an end-of-life care plan was appropriate (the patient was not in the final 7 days of life). By analysing this data we hope to guide and improve our future palliative care practice.

Methods A retrospective study looking at patient information collected from electronic records of all patients started on a PELiCan at The Royal Surrey County Hospital. Inclusion: all patients placed on a PELiCan from August 2015 to July 2020. Patients removed from a PELiCan were evaluated further to assess their outcome.

Results 2465 patients were placed on a PELiCan over 5 years. Overall 2424 patients were included in the study. 94% of patients who started a PELiCan remained on this until death. 157 (6%) patients were taken off a PELiCan. Following removal of PELiCan 28% of patients died within 7 days. Overall the majority of patients had a non-cancer diagnoses. 682 (28%) patients placed on a PELiCan had a primary diagnosis of cancer. Similarly in those removed from a PELiCan 24% had a cancer diagnoses.

Conclusion Number of patients placed of end-of-life care plans has increased within our trust since 2015. A small proportion of patients were removed from personalised end of life care plans. These patients represent a known group of individuals high risk for deteriorating requiring palliative care input and follow up. Based on this we have introduced a palliative review process for these patients.

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