Contacts
Contact:
Miss Deborah Murphy
Directorate Manager / Liverpool Care Pathway Lead Nurse / Associate Director of MCPCIL
Organisation:
Royal Liverpool & Broadgreen University Hospitals NHS TrustDirectorate of Specialist Palliative Care
1st Floor, Linda McCartney Centre Royal Liverpool University Hospital Prescot Street Liverpool Merseyside L7 8XP United Kingdom
Tel:
0151 706 2274
Email:
Case study:
11 May 2010
Developing the Liverpool Care of the Dying Pathway for use in renal failure
Key points
- The Marie Curie Palliative Care Institute is helping to adapt the LCP for use with patients with renal failure
- The research is being carried out in eight pilot sites across the country
- The aim is to roll it out to all hospitals. It could also be extended to other sectors such as hospices.
The Marie Curie Palliative Care Institute Liverpool is helping to adapt the Liverpool Care Pathway (LCP) for use with dying patients with renal failure through a series of pilots across the country
The LCP is currently being implemented in eight hospitals using a locally appropriate education and training programme.
The eventual aim is to roll it out to all hospitals.
The programme, which is funded by the Marie Curie Palliative Care Institute Liverpool with support from the hospital specialist palliative care team and the Royal and Broadgreen university Hospitals NHS Trust, has involved a number of stages.
First, an expert panel of healthcare professional and national organisations representing palliative care and renal care and patient groups met to identify how the current LCP needed to be adapted for patients with renal failure and to devise appropriate information leaflets to support the use of the pathway.
A baseline review of documentation was then undertaken in each of the pilot sites to identify areas where practice could be improved and to prime the environment for change.
Once 20 patients have been cared for with the adapted LCPs, teams are given individual feedback.When this process has been completed in all eight sites, the data will be collated to form an overall benchmark of care.
Participants from each pilot site will be invited to attend workshops to discuss the results, action plan future care delivery and suggest amendments to the LCP document in the light of their experiences.
A fuller assessment of the views of staff using the LCP in renal failure will also be carried out in each of the pilot sites using an adapted standardised questionnaire.
Final amendments will then be made before the LCPs wider roll-out.
Each participating hospital will receive a report measuring their performance on each of the LCP goals against the overall performance of all hospitals.
They will also receive a summary of the evaluation of staff views about using the document.
It is envisaged the audit will be repeated every three years and will possibly be extended to other sectors such as hospices.
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