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Dr Dee Traue speaks on delivering the new national priorities for end of life care in practice

Dr Dee Traue, Consultant in Palliative Care and Medical Director of Isabel Hospice talks about how they are moving forward with implementing the new priorities of care with a focus on developing individual care plans and goals for every end of life care patient

“The Review panel strongly recommends that the use of the Liverpool Care Pathway be replaced within the next six to 12 months by an end of life care plan for each patient backed up by condition-specific good practice guidance”

More Care, Less Pathway Review of the Liverpool Care Pathway July 2013

The alliance will not produce a replacement for the LCP”
Leadership alliance for the care of dying people January 2014

Personalisation

  • The independent review panel concluded that many of the issues around the Liverpool Care Pathway were that it had come to be regarded and used as a generic protocol rather than being tailored to each individual.
  • The key for future care plans is that they should be personalised.
  • Personalisation and personalised care planning are well established in the field of long term conditions.

 

Individual care plans for the dying person

  • The More Care Less Pathway report recommended the development of end of life care plans, this suggestion has now been translated in One Chance to get it Right into an individual plan of care, which includes food and drink, symptom control and psychological, social and spiritual support, is agreed, co-ordinated and delivered with compassion
  • In common with the LCP these plans focus on the last hours and days of life, however, the link to advance care plans covering the duration of a life limiting illness is stressed. This should be developed over a period of time in response to the person’s wishes and readiness to discuss these matters.
  • Strong emphasis is placed on discussion with the person and those important to them and ensuring that holistic needs are addressed.

 

Challenges for personalised care planning in end of life care

  • Many issues identified in the review with respect to end of life care will also impact on the outcomes of personalised care planning. These include
    • Developing a compassionate culture in healthcare
    • Ensuring good communication with patients, family and carers
    • Engaging patients in shared decision making
    • Ensuring appropriate competences in the workforce through effective education and training
  • A NICE guideline for the Care of the Dying Adult which is under development will support delivery of high quality end of life care for all

 

Scroll to bottom of page for presentaton slides

References and resources

http://www.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care/end-of-life-care.aspx

 

RELATED CONFERENCES

Book
Improving End of Life Care
Wednesday 10 December
Manchester Conference Centre
Manchester
Book
Book

Download: DeeTraue Presentation

15 September 2014

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