The LCP ICU – Implementation across the Critical Care Network

Dr Laura Chapman Consultant in Palliative Medicine Royal Liverpool and Broadgreen University Hospitals

The NHS Northwest End of Life Care Model UK

Advancing disease 1 year

1 2

Increasing Decline

3 4

Last Days of Life First Days after Death 6 months Death

5

Bereavement 1 year

ICU mortality

ICNARC 2006-07 • 65,788 admissions to 152 units Unit mortality: All admissions 18.6% Non-surgical 25.8% Ultimate hospital mortality: All admissions 28% Non-surgical 37.3%

Protocols for End of Life Care in the ICU

• Do you provide ‘comfort care’ whilst withdrawing treatment, or do you provide holistic End of Life Care?

CMCCN LCP ICU Project

• CCN project manager • Full time LCP ICU facilitator • CCN engagement with version 12 LCP ICU • Assess educational needs • • Roll out of version 12 with evaluation

YOU!

www.mcpcil.org.uk