Royal College of Physicians: National care of the dying audit of hospitals

National care of the dying audit of hospitals

Holding Hands with Elderly PatientThis report has found significant variations in care across hospitals in England.  The audit shows that major improvements need to be made to ensure better care for dying people, and better support for their families, carers, friends and those important to them. While previous audits had been based on the goals of care within the Liverpool Care Pathway for the Dying Patient (LCP), the new audit sampled the care of dying people in hospital, regardless of whether they were supported by the LCP or other care pathways or frameworks, and included more hospitals than the previous audits.

Divided in dying

This report highlights the need for better advance care planning at the end of life and the urgent need to put in place workable guidance to replace the Liverpool Care Pathway as soon as possible. The report found that almost half of those who have lost someone close to them through a short or long illness, feel their loved one died badly (45%). In cases where the dying person had recorded their end of life wishes, relatives and friends are more likely to report that they had a good death (58%).
Compassion in Dying 

BMJ topics: August 2013

Here’s a selection of content from this month’s BMJ – click on this link if you want to read the full issue.

Feature
Newsbmj1
Editorials
The Liverpool care pathway: a cautionary tale  Katherine E Sleeman and Emily Collis
India’s new policy to protect research participants   Jeremy Sugarman, Anant Bhan et al

LCP Independent report

This report sets out recommendations regarding the Liverpool Care Pathway and end of life care following an independent review of the LCP chaired by Baroness Julia Neuberger.

The recommendations include:

  • unless there is a very good reason, a decision to withdraw or not to start a life-prolonging treatment should not be taken during any ‘out of hours’ period
  • an urgent call for the Nursing and Midwifery Council to issue guidance on end of life care
  • a new system-wide approach to improving the quality of care for the dying