Wrigley, AJ (2014) Ethics and end of life care: the Liverpool Care Pathway and the Neuberger Review. Journal of Medical Ethics, 41 (8). pp. 639-643. ISSN 1473-4257

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The Liverpool Care Pathway for the Dying has recently been the topic of substantial media interest and also been subject to the independent Neuberger Review. This review has identified clear failings in some areas of care and recommended the Liverpool Care Pathway be phased out. I argue that while the evidence gathered of poor incidences of practice by the Review is of genuine concern for end of life care, the inferences drawn from this evidence are inconsistent with the causes for the concern. Seeking to end an approach that is widely seen as best practice and which can genuinely deliver high quality care because of negative impressions that have been formed from failing to implement it properly is not a good basis for radically overhauling our approach to end of life care. I conclude that improvements in training, communication and ethical decision-making, without the added demand to end the Liverpool Care Pathway, would have resulted in a genuine advance in end of life care.

Item Type: Article
Additional Information: This is the accepted author manuscript (AAM). The final published version (version of record) is available online via BMJ at https://doi.org/10.1136/medethics-2013-101780 Please refer to any applicable terms of use of the publisher.
Uncontrolled Keywords: Liverpool Care Pathway, Neuberger Review, end of life care
Subjects: B Philosophy. Psychology. Religion > BJ Ethics
R Medicine > R Medicine (General)
Divisions: Faculty of Humanities and Social Sciences > School of Law
Depositing User: Symplectic
Date Deposited: 23 Apr 2015 13:31
Last Modified: 14 Jun 2018 15:39
URI: https://eprints.keele.ac.uk/id/eprint/398

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