Introduction and termination of the Liverpool Care Pathway policy (FOI)

​Request

My request relates to the introduction and termination of the Liverpool Care Pathway Policy within the Bailiwick.

A.

Who specifically introduced this system?

B.

How long the H&SS (or any other organisation) practiced this?

C.

What brought about is very sudden end?

D.

The amount of persons who died under this H&SS Policy?

E.

How many were proposed to be LCP and are still alive as the family or the subject objected?

F.

Also a copy of the H&SS Policy on LCP.

G.

If there is/was no policy then any reasoning from H&SS or whoever as to why the LCP was carried out?

H.

I would like to ask how many persons were subjected to this without the consent or consultation with relatives or in their absence a close friend?

This will cover the facility where a person without next of kin or friend is admitted and had no one to stop the process. So in effect they were treated differently to ones who had next of kin etc.

I.

Although no single person may have implemented it I would seek to know who it was if a body or such?

Response

A.

There was no single person. The LCP was implemented in Jersey as patient centred best practice, based upon the evidence at that time. It was in use in over 1800 centres across the UK, was the recognised model for end of life care, and was promoted by NICE in 2004. 

The plans for developing end of life care were developed with a significant number of health and social care professionals, and the LCP was specifically noted in the White Paper ‘Caring for Each Other, Caring for Ourselves’, which was subject to public consultation for eight weeks in 2012.

B.

For 12 months. 

C.

In early 2013, an independent review of the LCP was requested by Norman Lamb, MP, Minister of State for Care Support in the UK.

The review ‘More Care, Less Pathway, a Review of the Liverpool Care Pathway’ reported on 15 July 2013, and recommended that the name “Liverpool Care Pathway” should be abandoned and that an end of life care plan should be sufficient.

At that point the UK stopped recommending the use of the LCP and the strategic planning group leading on end of life care in Jersey also made a collective decision to cease its use.

D.

20 people.

E.

None.

F​​​.

Download H&SS policy on Liverpool Care Pathway (size 688kb)

Download UK government Liverpool Care Pathway review (size 496kb)

G.

See above.

H.

Of the 20 people who were cared for within the LCP, all of them were subject to discussion with a relative or other appropriate person.

I.

The name of the joint working group who implemented the Liverpool Pathway was the “End of Life Care Joint Working Group.”