One chance to get it right: improving people's experience of care in the last few days and hours of life

Document type
Report
Corporate author(s)
Leadership Alliance for the Care of Dying People
Publisher
Department of Health
Date of publication
1 June 2014
Subject(s)
Health Services, Older Adults
Collection
Social welfare
Material type
Reports

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This document sets out the approach to caring for dying people that health and care organisations and staff caring for dying people in England should adopt in future. The approach should be applied irrespective of the place in which someone is dying: hospital, hospice, own or other home and during transfers between different settings. The approach has been developed by the Leadership Alliance for the Care of Dying People (LACDP), a coalition of 21 national organisations concerned to ensure high quality, consistent care for people in the last few days and hours of life.

The approach focuses on achieving five priorities for care. These make the dying person themselves the focus of care in the last few days and hours of life and exemplify the high-level outcomes that must be delivered for every dying person. The way in which the priorities for care are achieved will vary, to reflect the needs and preferences of the dying person and the setting in which they are being cared for. This approach is not, in itself, new. Where good care for dying people has been and continues to be given, it is typified by looking at what that care is like from the perspective of the dying person and the people who are important to them and developing and delivering an individualised plan of care to achieve the essentials of good care. The new approach set out in this document will replace the Liverpool Care Pathway (LCP).