10 Step Continuous Quality Improvement Programme for Care of the Dying using the LCP Framework

 

The LCP Framework is a continuous quality Improvement Programme that can transform care of the dying within an environment. The implementation of the Framework will create a change situation. Recognition of the fundamental aspects of a change management programme is pivotal to success to empower, enable and engage those with whom you work.

 

The LCP Central Team UK at the Marie Curie Palliative Care Institute Liverpool has developed a 10 Step Continuous Quality Improvement Programme for Care of the Dying using the LCP Framework.

 

'At first I found the thought of the task ahead to implement the LCP was overwhelming but then I broke the plan down into smaller pieces and realised if I took the time to prepare the environment and gain endorsement from my steering group then the next steps would be easier'

                                                                                                                                                    Lead nurse - LCP Project lead

 

'Step 1 took us 6 months but it was time well invested and made the rest of the process easier'

                                                                                                                                                   Specialist Palliative Care Clinician

 

10 Steps

STEP 1     Establishing the project - preparing the environment

STEP 2     Develop the Documentation

STEP 3     Base Review / Retrospective audit of current documentation

STEP 4     Induction / Education Programme - Pilot Site

STEP 5     Clinical Implementation of the LCP in pilot sites

STEP 6     Maintaining and improving competences using reflective practice and post pathway analysis

STEP 7     Evaluation and further Training

STEP 8     Continuous development of competencies in order to embed the LCP framework within the clinical

                   environment

STEP 9     Organisational recognition that all staff who work with people who are dying are properly trained to look

                   after dying patients and their carers within an agreed organisational / educational strategy

STEP 10   To establish the LCP within the governance / performance agenda within the organisation / institution

 

Further information re change management guidance see http://www.modern.nhs.uk/improvementguides