Letters Liverpool care pathway

How do we make the Liverpool care pathway’s laudable aspirations reality?

BMJ 2012; 345 doi: http://dx.doi.org/10.1136/bmj.e7634 (Published 13 November 2012) Cite this as: BMJ 2012;345:e7634
  1. Eileen Palmer, palliative medicine consultant1
  1. 1Hospice at Home West Cumbria, Workington Community Hospital, Workington CA14 2RW, UK
  1. eileen.palmer{at}doctors.org.uk

Some concerns about the Liverpool care pathway expressed in recent newspaper articles are sadly true,1 2 but Spence gives the other side of the story.3

Life is uncertain. Death is rarely 100% predictable, even by the best doctors. Dying can be much more difficult—physically and emotionally—than we would wish. Undertreatment and overtreatment in the last days of life …

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