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| Liverpool care pathway for dying patients to be scrapped after review | Liverpool care pathway for dying patients to be scrapped after review |
| (2 months later) | |
| The Liverpool care pathway (LCP) for dying patients is to be scrapped, ministers are expected to announce next week after an independent review. | The Liverpool care pathway (LCP) for dying patients is to be scrapped, ministers are expected to announce next week after an independent review. |
| The regime was originally developed to allow terminally ill patients a peaceful and dignified death. But it came under intense criticism amid claims that it was being used to hasten deaths, clear beds and save money. | The regime was originally developed to allow terminally ill patients a peaceful and dignified death. But it came under intense criticism amid claims that it was being used to hasten deaths, clear beds and save money. |
| An independent review of the system, published next week, is expected to recommend that the pathway is phased out. The review, led by Baroness Julia Neuberger, is also expected to say that incentive payments for staff who put patients on end-of-life treatment plans should be banned, describing them as "totally unacceptable". | An independent review of the system, published next week, is expected to recommend that the pathway is phased out. The review, led by Baroness Julia Neuberger, is also expected to say that incentive payments for staff who put patients on end-of-life treatment plans should be banned, describing them as "totally unacceptable". |
| Norman Lamb, the care minister, told the Telegraph: "We need a new system of better end-of-life care tailored to the needs of individual patients and involving their families. | Norman Lamb, the care minister, told the Telegraph: "We need a new system of better end-of-life care tailored to the needs of individual patients and involving their families. |
| "Care for the dying is an emotive issue and it is not an easy subject to bring up. We all want our loved ones' final hours of life to be as pain free and dignified as possible. And the thought that might not be happening is a frightening one. | "Care for the dying is an emotive issue and it is not an easy subject to bring up. We all want our loved ones' final hours of life to be as pain free and dignified as possible. And the thought that might not be happening is a frightening one. |
| "I took the decision to launch this review because concerns were raised with me about how patients were being cared for and how families were being treated during this difficult and sensitive time. We took those concerns very seriously and decided that we needed to establish the facts of what was happening so we could act where needed." | "I took the decision to launch this review because concerns were raised with me about how patients were being cared for and how families were being treated during this difficult and sensitive time. We took those concerns very seriously and decided that we needed to establish the facts of what was happening so we could act where needed." |
| A Department of Health spokesman said: "The independent review into end-of-life care system the Liverpool care pathway, commissioned last year by care and support minister Norman Lamb and backed by health secretary Jeremy Hunt, is likely to recommend that the LCP is phased out over the next six to 12 months." | A Department of Health spokesman said: "The independent review into end-of-life care system the Liverpool care pathway, commissioned last year by care and support minister Norman Lamb and backed by health secretary Jeremy Hunt, is likely to recommend that the LCP is phased out over the next six to 12 months." |
| The Telegraph said the review is expected to recommend that the pathway is replaced with more personalised treatment plans. | The Telegraph said the review is expected to recommend that the pathway is replaced with more personalised treatment plans. |
| The LCP was developed in conjunction with the Marie Curie Palliative Care Institute in the 1990s and can remove invasive tests and uncomfortable feeding procedures for patients in their final days. | The LCP was developed in conjunction with the Marie Curie Palliative Care Institute in the 1990s and can remove invasive tests and uncomfortable feeding procedures for patients in their final days. |
| Dr Bill Noble, Marie Curie Cancer Care's medical director, told the BBC: "We know that when it works well, it works very well and patients and family appreciate what's happening." But he added: "The system requires a lot of training and education to put it in place and make it work properly." | Dr Bill Noble, Marie Curie Cancer Care's medical director, told the BBC: "We know that when it works well, it works very well and patients and family appreciate what's happening." But he added: "The system requires a lot of training and education to put it in place and make it work properly." |
| The charity Sue Ryder, which provides care to terminally ill people, called on the government on Saturday to ensure that any future guidelines on end-of-life care respect the wishes and needs of patients and their families. | The charity Sue Ryder, which provides care to terminally ill people, called on the government on Saturday to ensure that any future guidelines on end-of-life care respect the wishes and needs of patients and their families. |
| Jason Suckley, the charity's director of policy and campaigns, said it was essential that all healthcare staff had end-of-life training. | Jason Suckley, the charity's director of policy and campaigns, said it was essential that all healthcare staff had end-of-life training. |
| He said: "When it comes to dying we cannot afford to get it wrong and health professionals need to be supported to communicate with people effectively at a very traumatic and emotionally difficult time." | He said: "When it comes to dying we cannot afford to get it wrong and health professionals need to be supported to communicate with people effectively at a very traumatic and emotionally difficult time." |
| The British Medical Association president-elect Baroness Finlay said the LCP had worked well "by and large" but it "hasn't always been used properly". | The British Medical Association president-elect Baroness Finlay said the LCP had worked well "by and large" but it "hasn't always been used properly". |
| "If we're phasing out the LCP it's really important that something better than that comes in in its place." | "If we're phasing out the LCP it's really important that something better than that comes in in its place." |
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