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End of life care guidance calls for individualised plans.

NURSES MUST ensure dying patients have individualised care plans that take into account their needs and wishes, according to new guidance on caring for people in the final days of life. The recommendations replace the controversial Liverpool Care Pathway (LCP), which was withdrawn in England after a government review found serious failings in its implementation. The new National Institute for Health and Care Excellence (NICE) guidance goes ‘above and beyond’ the LCP, according to the expert group that developed it. NICE independent committee member and district nurse Susan Dewar said the guidelines involve devising individualised care plans to put dying patients at the heart of the care process. ‘One thing that nurses do well is listening,’ Ms Dewar said. ‘When someone is dying, it is important nurses put the person at the centre.’ STAFF TRAINED overseas need more workplace support, according to a researcher who found that patient satisfaction is inversely linked with the proportion of staff educated abroad. The research, published in BMJ Open, shows that for every 10% increase in the number of nurses educated outside the UK, the likelihood of patients rating the hospital good or excellent fell by 12%. The study is the first of its kind in the UK and the result of a collaboration between the University of Southampton, the University of Pennsylvania and King’s College London.