Leadership Alliance for the Care of Dying People

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Patient on trolley

26 / 6 / 2014 9.36am

The Leadership Alliance for the Care of Dying People (LACDP) has launched a new approach to caring for dying people based on the needs and wishes of the person and those close to them.  It takes the form of five new Priorities for Care which replace the Liverpool Care Pathway (LCP) as the new basis for caring for someone at the end of their life.

The new approach recognises that in many cases, enabling the individual to plan for death should start well before a person reaches the end of their life and should be an integral part of personalised and proactive care. The new Priorities for Care mean that:

  • the possibility that a person may die within the coming days and hours is recognised and communicated clearly, decisions about care are made in accordance with the person’s needs and wishes, and these are reviewed and revised regularly
  • sensitive communication takes place between staff and the person who is dying and those important to them
  • the dying person, and those identified as important to them, are involved in decisions about treatment and care
  • the people important to the dying person are listened to and their needs are respected
  • care is tailored to the individual and delivered with compassion – with an individual care plan in place.  This priority includes the fact that a person must be supported to eat and drink as long as they wish to do so, and their comfort and dignity prioritised. 

The new priorities have been created by the LACDP which is a coalition of 21 organisations and the priorities form part of the Alliance’s overall response, called ‘One Chance to Get it Right’, to an independent review of the Liverpool Care Pathway led by Baroness Neuberger.

The Alliance response also sets out how compassionate care for all those approaching the end of their lives should be delivered.  Each organisation in the Alliance has set out what it will do to support this.

The Alliance’s response and additional documents can be accessed on the Government website.

Further materials for health and care staff and organisations involved in implementing the priorities are available from the NHS Improving Quality website.

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