The once-and-for-all withdrawal of the Liverpool Care Pathway in the UK : what are the implications for Australia?

Chan, Raymond Javan, Webster, Joan, Phillips, Jane, & Currow, David (2014) The once-and-for-all withdrawal of the Liverpool Care Pathway in the UK : what are the implications for Australia? Medical Journal of Australia, 200(10), pp. 572-573.

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Abstract

This Perspective reflects on the withdrawal of the Liverpool Care Pathway in the UK, and its implications for Australia.

Integrated care pathways are documents which outline the essential steps of multidisciplinary care in addressing a specific clinical problem. They can be used to introduce best clinical practice, to ensure that the most appropriate management occurs at the most appropriate time and that it is provided by the most appropriate health professional. By providing clear instructions, decision support and a framework for clinician-patient interactions, care pathways guide the systematic provision of best evidence-based care. The Liverpool Care Pathway (LCP) is an example of an integrated care pathway, designed in the 1990s to guide care for people with cancer who are in their last days of life and are expected to die in hospital. This pathway evolved out of a recognised local need to better support non-specialist palliative care providers’ care for patients dying of cancer within their inpatient units. Historically, despite the large number of people in acute care settings whose treatment intent is palliative, dying patients receiving general hospital acute care tended to lack sufficient attention from senior medical staff and nursing staff. The quality of end-of-life care was considered inadequate, therefore much could be learned from the way patients were cared for by palliative care services. The LCP was a strategy developed to improve end-of-life care in cancer patients and was based on the care received by those dying in the palliative care setting.

Impact and interest:

2 citations in Scopus
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4 citations in Web of Science®

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ID Code: 71793
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Liverpool Care Pathway , End of life care pathway, Integrated care pathway, End of Life care, Palliative Care
DOI: 10.5694/mja13.10998
ISSN: 0025-729X
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2014 Australasian Medical Publishing Company Ltd
Deposited On: 19 May 2014 22:56
Last Modified: 05 Jun 2014 16:29

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