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Analysis

Rethink for end of life care aims to put people before process

End of life care has been under scrutiny for the past three years, and the topic is back in the headlines with the publication of draft guidance for the care of dying adults.

Back in 2012, a slew of stories critical of the end of life care framework, the Liverpool Care Pathway (LCP), prompted the government to commission a review.

Picture credit: Alamy

When it was published in 2013, the review included relatives’ claims that their loved ones had been denied food and water. It concluded the LCP had sometimes been misused and that it should be phased out in England by July 2014. Scotland’s then health minister Alex Neil announced in December 2013 that the LCP would be withdrawn in Scotland too. The framework, which had never been used in Wales or Northern Ireland, had become a ‘toxic brand’, concluded Amanda Cheesley, end of life care lead at the RCN.

Since then, the Leadership Alliance for the Care of Dying People, a group of 21 organisations that include the RCN, NHS England and the Care Quality Commission, has published Five

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