September 6, 2010
LCP CENTRAL TEAM UK MCPCIL – 10 STEP CONTINUOUS QUALITY IMPROVEMENT PROGAMME (CQUIP) FOR CARE OF THE DYING USING THE LCP FRAMEWORK – August 2009
” The LCp Framework is a continuous quality improvement programme that can transform care of the dying within an environment. The implementation of the Framework will create a change situation. Recognition of the fundamental aspects of a change management programme is pivotal to success to empower, enable and engage those with whom you work.”
An introduction should also be given regarding key aspects of the LCP including:
Layout of the document – importance of goals and outcomes
The importance of diagnosing dying
The three sections of the LCP
Section 1 – initial assessment and care
Section 2 – ongoing assessment and care
Section 3 – care after death
The LCP is mutiprofessional
The LCP replaces all previous documentation and is the legal document for patient care.
Explanation of variance and variance analysis
Benefits of the LCP to the clinical governance agenda”
August 29, 2010
LIVERPOOL CARE PATHWAY – A BRIEF OVERVIEW (2007)
“The Liverpool Care Pathway is a tool to ensure the delivery of holistic care during the dying phase. As well as physical needs The Pathway has been developed to transfer hospice care model to the patient’s Preferred Place of Care and provide a framework for the deliver of excellent care…..”
LIVERPOOL CARE PATHWAY FOR THE DYING PATIENT – A POCKET GUIDE, APRIL 2010
” Over the past few years a major drive has been underway to ensure that all dying patients, and their relatives and carers receive a high standard of care in the last hours and days of their life……
The LCP was recognised as a model of best practice in the NHS Beacon Programme (2001). it was then subsequently incorporated into the Cancer Services Collaberative project and the National End of Life Care Programme (2004-2007). It was recommended in the NICE guidance on supportive and palliative dare for patients with cancer (2004) as a mechanism for identifying and addressing the needs of dying patients. It was recommended in the Our Heath, Our Care, Our Say white paper 2006 as a tool that should be rolled out across the country. It is recommended in the End of Life Care Strategy DH 2008.”
WHAT IS THE LIVERPOOL CARE PATHWAY FOR THE DYING PATIENT – INFORMATION FOR HEALTHCARE PROFESSIONALS, April 2010
“What is a care pathway?
A care pathway is a complex intervention for the mutual decision making and organisation of care processes for a well defined group of patients during a well defined period.
Defining characteristics of care pathways include 5 key elements:
1. An explicit statement of goals / key elements of care based on evidence, best practice.
2. The facilitation of the communication among team members and with patient’s families.
3. The coordination of the care process by coordinating the roles and sequencing the activities of the MDT, patients and carers.
4. The documentation, monitoring and evaluation of variances and outcomes.
5. The identification of the appropriate resources.”
Dr Kris Vanhaecht, Secretary General of the European Pathway Association