Letters Liverpool care pathway

When I was hungry and thirsty were you there?

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f5363 (Published 09 September 2013) Cite this as: BMJ 2013;347:f5363
  1. Rosemarie Anthony-Pillai, consultant in palliative medicine1
  1. 1Peace Hospice, Watford WD17 3PH, UK
  1. roseap{at}docotrs.org.uk

The story of the Liverpool care pathway is indeed a cautionary tale.1 It is an example of what can happen when commissioners see outcomes purely as numbers, and clinicians are driven by protocols. Quality is elusive and visible but soon disappears when one tries to measure it. Protocols and guidelines are useful in standardising care and …

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