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Liverpool Care Pathway 'a fantastic step forward,' 
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Controversial Liverpool Care Pathway 'a fantastic step forward,' says Jeremy Hunt

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The pathway, designed to ease the suffering of patients in their last hours or days of life, has come under intense scrutiny in recent months.
It can involve the removal of drugs, nutrition and hydration if they are judged to be of no benefit to the patient.
But a number of families have complained that their loved ones were put on the pathway without their knowledge, while some doctors have claimed it can hasten death.
The Health Secretary insisted the protocol was far better than alternative arrangements and allowed those close to death to be comfortable and to spend their last hours with their families.
Mr Hunt told LBC radio: “It’s a fantastic step forward, the Liverpool care pathway, and we need to be unabashed about that.
“It’s basically designed to bring hospice-style care to terminally-ill people in hospitals. Inevitably people do die in hospital but they weren’t getting the quality of care in those final few hours.”
Mr Hunt said many patients did not want to die “with lots of tubes going in and out of their body” but would prefer their final moments with their families to be “dignified”
“The Liverpool care pathway was developed with Marie Curie, with Macmillan, with Age UK and a number of other charities, to try and bring that dignity to people in their last moments,” he said.
A national audit recently disclosed that almost half of dying patients who were placed on the controversial pathway were not told that life-saving treatment had been withdrawn.

Clearly the Tories want to cull the elderly especially if they are poor.

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Sun Dec 30, 2012 9:20 pm
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I am in favour of the LCP where it is used appropriately. You must think what happened before the LCP was initiated - people suffered a prolonged, anguished, undignified death. These were people who weren't getting better, no chance of recovery and yet lingered on for days or weeks. The idea behind the LCP was to promote hospice level end-of-life care in hospitals.

A patient who was put on the LCP would no longer have to take unnecessary medication. They wouldn't have their observations (blood pressure, pulse, temperature, oxygen levels) taken every four hours or more frequently - as patients became unwell, their observations would deteriorate leading to more frequent readings eg every 30 mins. They are given morphine to ease any pain, anxiolytics to stop agitation (esp when semi conscious), medication to stop noisy secretions of the airways.

I have used what is essentially the LCP for patients with cancer in their final days/hours. It allows them to have a quiet, peaceful, dignified death at home. Why shouldn't patients dying in hospital have a similar death?

When we used it in hospital, it was for those patients who were in terminal decline. They were going to die in a matter of days or hours and it would have been impossible for them to die at home eg they might die in the ambulance whilst being transported home. Being on the LCP meant that everyone knew what was going on.

The problems are:

1. Lack of public understanding and negative media spin reinforcing this
2. Inappropriate use of the LCP by healthcare professionals.
3. Incentives to use LCP - whilst this may be a noble effort to ensure the LCP is used rather than allowing patients to suffer, it was misconstrued as a way to legitimately kill off patients and that hospitals would receive "bonuses" for doing so.

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Sun Dec 30, 2012 11:33 pm
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