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Care for dying patients: ‘now it is everybody’s business’

How end of life care has changed four years on from the removal of the Liverpool Care Pathway
Nurse talks to couple

How end of life care has changed four years on from the removal of the Liverpool Care Pathway

Four years since the Liverpool Care Pathway for the Dying Patient (LCP) was withdrawn, nurses seem broadly positive about the approach that has replaced it.

Media revelations exposed serious failings in the use of the LCP. By 2014, following an independent review chaired by Baroness Julia Neuberger and a raft of criticisms, it was deemed unfit for purpose amid fears it was not being used properly in some cases.

The pathway had been widely adopted in the NHS and hospices in England, Northern Ireland and Scotland. Wales had its own integrated care pathway.

Misuse and lack of training

Several concerns emerged about implementation of the LCP. They included inappropriate use of sedation, withholding hydration and


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