10th May 2013
Marie Curie Cancer Care recently held a fundraising dinner which the Institute and the University of Liverpool were proud to support. Read the full article for more details: http://news.liv.ac.uk.ezproxy.liv.ac.uk/2013/05/09/university-supports-marie-curie-cancer-care-fundraising-event/
7th May 2013
The European Journal of Palliative Care publishes three articles discussing the Liverpool Care Pathway this month.
A group of international co-authors, including Professor John Ellershaw, summarise the history of the LCP, how it came be acknowledged as best practice for the care of patients in the last days or hours of their life, and how it has been adopted by countries internationally. Dr Carol Davis and Chrissie Guyer, of University Hospital Southampton NHS Foundation Trust, seek to dispel the myths about the LCP, explaining what it is and what it isn’t.
Editor Dr Julia Riley addresses the need for better communication with the public and patients including raising questions of advance care planning in the wider debate surrounding palliative care.
The articles can be accessed by subscribers, through UK Federation institutional logins or through temporary access on the EJPC website: http://www.haywardpublishing.co.uk/ejpc_.aspx
17th April 2013
An interesting and informative BBC Radio 4 programme on End of Life Care: http://www.bbc.co.uk/programmes/b01rvpq1
9th April 2013
Check out our new Service Innovation and Improvement webpages for the latest divisional activity.
1st March 2013
A British Medical Journal survey published today has show that 90% of doctors would choose to supported by the Liverpool Care Pathway when they die: http://www.bmj.com/content/346/bmj.f1303
15th January 2013 The DH has announced today the independent chair for the review of the LCP. A comment from the National End of Life Care Programme accompanies this along with a comment from the Institute.
26th November 2012 - MCPCIL represented at ministerial round-table debate
13th November 2012 - The MCPCIL has issued a Position Statement in response to ongoing media coverage.
1st October 2012
The National End of Life Care Programme is one of 22 organisations that have signed a consensus
statement in support of the Liverpool Care Pathway for the Dying Patient (LCP).
The statement aims to provide clarity about what the Liverpool Care Pathway is – and what it is not. Organisations pledging
their support include professional bodies, third sector organisations, disease specific charities and organisations representing care homes, hospices, social care and palliative care specialists.
Claire Henry, Director of the National End of Life Care Programme said: “We felt it was important to show support for the use of the Liverpool Care Pathway. It is a recommended model of good practice and it has improved care for people in the last days or hours of life. The LCP must be used correctly – training, skilled assessment, regular review of a person’s condition, effective communication with family members and participation in audit are all essential to its optimal use.”
According to the consensus statement, published misconceptions and often inaccurate information about the Liverpool Care Pathway risk detracting from the substantial benefits it can bring to people who are dying and to their families.
Parliamentary Under Secretary of State for Health, Earl Howe, is quoted in the statement as saying: “The Liverpool Care Pathway has sometimes been accused of being a way of withholding treatment, including hydration and nutrition. That is not the case. It is used to prevent dying patients from having the distress of receiving treatment or tests that are not beneficial and that may in fact cause harm rather than good.”
Download the Consensus Statement here.
Read the LCP FAQ Aug 2012 about the LCP here
National Care of the Dying Audit of Hospitals - Round 3 (NCDAH) Results
We are pleased to announce that the National Care of the Dying Audit Hospitals (NCDAH) Round 3 Benchmark Report has been published on 1st December 2011.
The National Audit is unique in the world, in both size and scope, collecting clinical data from over 7,000 patients whose care was delivered supported by the Liverpool Care Pathway for the Dying Patient (LCP), from 127 Hospital Trusts in England.
Organisational data regarding provision of care for patients in the last hours or days of life was submitted from 131 NHS Trusts in England.
An Executive Summary of the Report is available by clicking here, the full generic report can be viewed by clicking here and a Press Release can be found here.
A Briefing Paper from the Marie Curie Palliative Care Institute Liverpool (MCPCIL) to accompany the above documents is available here.
NICE Quality Standard for End of Life Care for Adults
The NICE Quality Standards Team is very pleased to announce the launch of the NICE Quality Standard for End of Life Care for Adults, available to view here.
What are NICE Quality Standards?
NICE quality standards are a set of specific, concise statements that act as markers of high-quality, clinical and cost-effective patient care, covering the treatment and prevention of different diseases and conditions.
Derived from the best available evidence, such as NICE guidance and other evidence sources accredited by NHS Evidence, they are developed independently by NICE, in collaboration with the NHS and social care professionals, their partners and service users, and address three dimensions of quality: clinical effectiveness, patient safety and patient experience.
NICE Quality Standards enable:
Health and social care professionals to make decisions about care based on the latest evidence and best practice.
Patients to understand what service they can expect from their health and social care providers.
NHS Trusts to quickly and easily examine the clinical performance of their organisation and assess the standards of care they provide.
Commissioners to be confident that the services they are providing are high quality and cost effective.
If you have any queries, please contact QualityStandards@nice.org.uk
End of Life Care Strategy Third Annual Report Published
The third annual report of the government's End of Life Care Strategy has been published today. In it, a collaborative project between the Marie Curie Palliative Care Institute Liverpool (MCPCIL) and Bupa Care Homes, the "Bupa Liverpool Care Pathway for the Dying Patient (LCP) Implementation Project" has been highlighted as an example of good local practice of coordination and delivery of care.
The project, led by Jan Howard and Sharon Phillips from MCPCIL, was set up to support implementation of the LCP into Bupa Care Homes and to build the capacity of the workforce through palliative care education. Pre and post evaluation has highlighted a positive impact on the following key areas of clinical practice - knowledge, attitutude, documentation, advocacy, confidence, autonomy and preferred priorities of care within the care homes involved.
Marie Curie awards £1.5m to support palliative and end of life care research projects
The Marie Curie Cancer Care Research Programme, administered by Cancer Research UK, has awarded more than £1 million of funding to 6 palliative care research projects. One of the successful projects will be led by Andrew Dickman, Pharmacist at the Marie Curie Palliative Care Institute Liverpool, who will research the chemical compatibility of drugs administered by continuous subcutaneous infusion for end of life care.
In addition, The Dimbleby Marie Curie Cancer Care Research Fund in partnership with Dimbleby Cancer Care has awarded £440,000 to three projects, one of which will be led by Professor John Ellershaw, Director of the Marie Curie Palliative Care Institute Liverpool. "A Living Community Presence" is an innovative approach for volunteers to support the care of patients and their families in the last hours and days of life.
To hear more about the projects, please click here to view videos from Andrew and John.
International LCP Conference - "Care of the Dying: Everyone's Business"
The International LCP Conference "Care of the Dying: everyone's business" will be held on Thursday 1st December 2011 at the Royal Society of Medicine, London (click here to register). Key speakers include Professor Susan Block, Harvard Medical School, USA; Lady Christine Eames OBE, General Medical Council, and Tom Hughes-Hallett, Marie Curie Cancer Care. To download an abstract submission form, click here. Deadline for submissions is 31st August 2011.
For further information about the LCP, please click here.
**LCP ICU Version 12 Documentation**
We are pleased to make an example copy of the current LCP ICU Version 12 document and the accompanying LCP ICU Goal Data Dictionary available to view. Please click here for further information.
Snapshot Audit - Data Entry 1st April to 30th June 2011 - ONLY ONE MONTH LEFT!
The MCPCIL would like to offer LCP registered sites (all sectors) the opportunity to complete a 'snapshot audit' of 20 completed LCP's, against the national document LCP generic version 12. All audits are to be completed between 1st April and 30th June 2011, which will mirror the data entry phase for the NCDAH Round 3, although data submitted will be for individual site use only and will not form a benchmark.
For more information about the 'Snapshot Audit', and how to access the online data entry and reporting tool, please click here.
OPCARE9 Conference can help bring 'good death' closer
A major conference has brought together 200 international health professionals in a bid to improve care of the dying on a global basis. The OPCARE9 event, which took place in Liverpool is the culmination of a ground-breaking collaborative of 70 clinicians, academics and researchers from nine countries - working together in a bid to achieve better care for dying patients from all cultures.
Professor John Ellershaw, Professor of Palliative Medicine, MCPCIL Director and OPCARE9 Scientific Project Co-ordinator, said: "A good death should be the norm not the exception in our society. We believe that it is possible to achieve a dignified death and provide appropriate support to relatives and carers by transferring the hospice model of care into all care settings, supported by robust education and training.
"A bad death is no longer acceptable. The time for change is now. When we care for the dying, we have only one chance to get it right. Training must be recognised as part of the core business of any organisation that cares for dying people.
"All discussions about a patients final hours and days.
"The Marie Curie Palliative Care Institute Liverpool (MCPCIL) is dedicated to making a positive, sustained difference to how people are cared for at the end of life, not only in the UK but across the world through collaborative, high quality research, training and practice. The OPCARE9 project is an example of such work.
"The Liverpool Care Pathway for the Dying Patient (LCP) is recognised nationally and internationally as leading practice to support care in the last hours or days of life. Research evidence shows that the LCP can provide high quality care tailored to the patient"
The OPCARE9 conference (March 1) at the BT Convention Centre, part of the ECHO Arena Complex, also featured colloquium meetings at which findings of the three-year project were shared.
For further information about OPCARE9 please click here,
3rd Round of National Care of the Dying Audit - Hospitals (NCDAH)
The MCPCIL is pleased to announce the 3rd round of the National Care of the Dying Audit - Hospitals (NCDAH). Please click here for further information.
Registration is now OPEN and registrations will be accepted from 7th January - 1st February 2011. Click here to access the secure online registration form.
Planned timetable for NCDAH 3rd Round:
7th January - 1st February 2011
Data Collection Period
April - June 2011
These timelines are given as a guide only.
About the Marie Curie Palliative Care Institute
The Marie Curie Palliative Care Institute Liverpool (MCPCIL) is a partnership between Marie Curie Cancer Care, the University of Liverpool and The Royal Liverpool and Broadgreen University Hospitals NHS Trust.