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
1
Advancing disease
1 year
2
3
Increasing
Decline
Last Days
of Life
6 months
4
Death
First Days
after 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