Is the Liverpool Pathway still being used in our Hospitals

Like all matters not all hospitals practice this form of money saving but I have spoken now to many professionals who left the NHS simply because of this practice PALS forget it the only thing you need to get to the truth unfortumately is a very large Bank balance my hearfelt sympathy to Ruth and her family when you feel up to it once the hospital responds with the normal rubbish take it to the Health Ombudsman xx

My experience of the care given to my mother (aged 87) and mum in law (93), like that outlined by Blue Belle, could not be faulted.
Physical and emotional care was excellent. I saw no evidence that the doctors or nurses wanted to do anything other than provide good care for our loved ones in what we all knew, would be their final weeks of life.
The side effect of some medications that ease life in those final days and hours, can be to shorten life. When life is full of pain and is coming to its end, I find no fault with that.

Thank you Bluebelle, I too do not believe that doctors and nurses within the NHS ‘have the authority to kill people off’ as Ruth puts it.
Killing people off and ‘hastening death’ which Tina refers to is actually illegal in this country.
It might be as well to remember that for everyone who complains that their relative died too soon, there will be at least as many concerned that their relative suffered for longer than necessary
and that doctors should have given more medication, even if the side-effect would have been to shorten life.
It seems clear that both of you have unresolved issues and I agree with a previous poster that the best way forward is to seek the help of PALS to obtain an explanation for your relatives’ treatment.
I feel sure there is one.

My experience with both my parents and the NHS. Could not be faulted My Dad was a fairly healthy nearl.y 92 year old when we found out he was terminally ill The kindness support and help in the hospital I got then as he wanted to go home I was given everything we needed to care for him at home nurses doctors on call and every type of equipment to help him and me in his last days
My mum at 90 + had a heart attack rushed to Aand E where we spent 24 hours the doctors and nurses were kindness itself and did their very best to make my mums last hours as comfortable and pain free as possible they found me a comfy chair blankets simple food and drink offered me a bed if she lasted longer than 24 hours and were so kind as I was really in shock
At the moment I have a close friend of 81 with the most complex and multiple health problems ( heart, kidney she’s only got one, leisions plus blood clots) in hospital although she has talked clearly with the doctors as not wanting resussitating if anything happens in surgery they have gone out of the way to do really complex ops and procedures to get to the root of her problems she has said she can’t fault them so Panache it isn’t all bad news please take heart

To hear these situations are worsening and not improving is very distressing to read,let alone have this actual happen to your own kith and kin....Tina,Ruth & Snowbound.My heartfelt sympathies.

As someone approaching 80 with some very serious on going problems plus a very complicated `op planned as soon as the 29th it certainly does not fill me with confidence ..........in fact it fills me with dread.

What on earth is happening to the care of the generation that worked through and after the last war,rebuilding the country.
Utterly shameful to say the least.

Ruth, like Gillybob I was surprised and worried when I read he was only 69. I also expected he'd be at least in his 80s. You do need answers. Make a list of all your questions and go to the Patient Liaison Service until you are satisfied. I am sure you have the moral support of all of us grans.

Tina and Snowhound

Ruth so very sorry, that sounds just awful. Have you contacted PALS (patient liaison service) at the hospital or sought an appointment with the doctors to discuss what happened. I think you need answers and an explanation about the treatment of your dad.

When I read your harrowing post RuthMCA I expected to reach the end and learn that your dad was perhaps 89. No way did I expect you would say he was 69 and I am rather shocked. I wonder did your dad have several other serious health issues? Surely there has to be more to this other than what seems like sheer neglect.

Hi. Just new on gransnet. Want help or advice. My dad died on 17th February this year and i think he was on the 'Liverpool care pathway '. Even though they say its not used anymore. Dad went in with pneumonia and lasted just short of three weeks. The first week he was doing well but then he was placed in a room where 2 people had already died. When he was in the room, he wasnt getting cleaned, shaved, mask and mattress were wrong. Only when we complained they made changes. They stopped his antibiotics for pneumonia even though thats what he died from. They had him on high doses of morphine saying he was agitated. They said about palliative care which he shouldn't have been on. They wanted to put him on syringe driver but as carers we knew what that was. When nurses and doctors were asked what tablets my dad was on, they refused to answer and when asked about the LCP, the doctor said no. There was no signs dad was eating (eg: salt, napkins) and a sticker had been put over the first number of his restricted fluids on the wall, instead of 1200 ml it showed 200 mls. He died 4 days before his 69th birthday. Doctors and care staff should not have authority to 'kill' off people and thats what they did to my dad.

Hi, my mum has been admitted to hospital 12 times in 18 months for UTI related issues. I have never seen a care plan in that time. An admittance can be for 1 night to 10 nights. No physio, no treatment other than in one out of area hospital. I used to get my mum up and exercised till it was used to discharge her. Discharge process shambolic, sometimes you may have 12 hours notice, sometimes just 30 minutes with medicines sent by taxi.
A DNR written on her latest discharge letter. After enquiries this appears to have been created 5 admittances previously but no mention on discharge letters, neither does my mum recall the conversation.
My bigger concern is local GP services. For example previous 14 days mum has been exhibiting signs of UTI but she had been given a daily dose of trimethoprim. It has been difficult to obtain a urine sample, she managed to produce one on Friday and passed to GP. Monday I telephoned for result, informed needed to be reviewed by GP. GP eventually telephoned Tuesday to say no growth identified. She suggested another sample which mum provided Thursday. GP telephoned later that day to say growth detected and Trimethoprim ineffective. Nitrofurantoin to be supplied for 7 day course.
If it is not called Liverpool Pathway the withdrawal of treatment my leads to the same thing, early death.

According to

www.compassionindying.org.uk/wp-content/uploads/2015/02/IN05-What-happened-to-the-Liverpool-Care-Pathway.pdf

there should now be (point 5)

"An individual plan of care, which includes food and drink, symptom control and psychological, social and spiritual support, is agreed, coordinated and delivered with compassion.
Each individual must have a plan of care. This plan should include any wishes for care and any treatment preferences that the dying person may have. It should also include information on symptom control, such as pain relief, and detail the individual’s emotional, social, spiritual, cultural and religious needs. The plan needs to be documented so that any information shared with those involved in their care is consistent. The care plans should be regularly reviewed and any change in the person’s preferences should be noted."

It's so sad that this was not your experience.

I'm sorry you lost your mother is such difficult circumstances.

I have to say, that's not been my family's experience at all, they've been very well treated.