1 / 10

The Liverpool Care Pathway

The Liverpool Care Pathway. Dr Kate Tredgett, Consultant in Palliative Medicine . Place of Death *Data from End of Life Intelligence network *. Quality of End of Life Care First National Voices Survey of the Bereaved ONS / Dept. Of Health July 2012. Research Evidence of LCP Outcomes.

sileas
Download Presentation

The Liverpool Care Pathway

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The Liverpool Care Pathway Dr Kate Tredgett, Consultant in Palliative Medicine

  2. Place of Death *Data from End of Life Intelligence network*

  3. Quality of End of Life Care First National Voices Survey of the Bereaved ONS / Dept. Of Health July 2012

  4. Research Evidence of LCP Outcomes • Improves confidence of nurses. • Demonstrates reduced symptom burden. • Improves multi-disciplinary team working. • Improves documentation of care delivery. • Improves anticipatory prescribing of medications for the 5 key symptoms that may develop.

  5. Local Support and Governance of the LCP Educational Support Clinical Governance LCP death numbers monitored National Biannual Audit Dissemination of findings Participation is a Quality Marker • Mandatory e.learning module • Biannual study days • Preceptorship training • Link nurse training • Foundation Dr training • Ward based training

  6. The LCP document • Diagnosis of dying • Audit • Decision to commence LCP endorsed by most senior clinician 96% • For 3% of patients the pathway ceases to be appropriate • Communication • A full explanation of the current plan of care (LCP) is given to the patient • Audit • 61% • A full explanation of the current plan of care (LCP) is given to the relative or carer • Audit • 94%

  7. The LCP document • Withdrawal of treatment. • Requirement is for interventions to be reviewed • Requirement if for artificial hydration and nutrition to be reviewed

  8. Local Picture LCP use • Median age 83 yrs • Median 27hrs supported by LCP Impact of recent publicity

  9. Moving Forward • Information Development • Continue Education and Support • Participate in next National Audit • Await outcome of Independent Review in summer

  10. Thank you

More Related