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Letter
Postscript to the Liverpool Care Pathway
  1. Lucy Ison1,
  2. Dominique Wakefield2 and
  3. Irene Carey2
  1. 1 Cicely Saunders Institute of Palliative Care and Rehabilitation, London, UK
  2. 2 Palliative Medicine Department, Guy’s and Saint Thomas’ NHS Foundation Trust, London, UK
  1. Correspondence to Dr Lucy Ison, Cicely Saunders Institute of Palliative Care and Rehabilitation, London SE5 9PJ, UK; l.ison{at}nhs.net

https://doi.org/10.1136/bmjspcare-2018-001573

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    Following the withdrawal of the Liverpool Care Pathway (LCP) in 2013, concerns were expressed about clinician confidence and competence to plan and deliver end-of-life care (EoLC).1 The uncertainty inherent to clinical decision-making is recognised as an additional challenge. Good role modelling and work-based learning opportunities may support implementation of future supportive EoLC tools.1 We need to strengthen the evidence base underpinning practice2 and apply the latest evidence. National policy3 4 from the Neuberger review of the LCP also calls for individualised care plans, training for staff and collaborative work with local palliative care teams—underpinned by the Five Priorities for Care of the Dying Person.4

    In response to these recommendations and locally identified needs (established via staff surveys and audit), we developed and implemented a quality improvement initiative within our …

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    Footnotes

    • Competing interests None declared.

    • Patient consent Not required.

    • Provenance and peer review Not commissioned; internally peer reviewed.