Pallaborative North West
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Welcome to our web pages for Pallaborative North West.

We host an exciting programme of clinical audit, guideline development and education, useful for all health care professionals who care for people with advanced, progressive disease. Our clinical standards and guidelinefor palliative and end of life care are developed using a robust process and are NICE accredited.

We are delighted to work in partnership with patients and members of the public in producing our clinical guidelines. The Steering Group oversee our work and includes representatives from each of the participating localities across the North West.

For further information not found on this website  or to get involved please contact us : We would be delighted to hear from you.

How we can help

About Us

We are a collaboration of health care professionals working in specialist palliative care, patients and members of the public from across the North West of England , originally formed back in 1995. We are committed to improving the quality of care for people with advanced progressive disease and to ensure care is based on the best and most up to date evidence possible. A key strength is multi-professional involvement and the motivation and commitment of our members.

Guidelines You Can Trust

Our Standards and Guidelines for palliative and end of life care are now developed using a robust process which has been accredited by NICE. They are a great source of information with advice for a range of different symptoms and situations and can be used by all healthcare professionals.

Training Opportunities for all of your Team

Our Education and Training programme helps people improve their confidence and skills in clinical audit, searching the literature, reviewing evidence and a range of quality improvement activities. Our bimonthly regional meetings are a great way to stay up to date with the latest information and join discussions about developing standards for  care delivery.

Regional Clinical Audit with Local Impact

Our comprehensive annual clinical Audit Programme, is led by experienced clinicians and focuses on areas that are most important to patients and professionals. There is also  localised reporting specific to your team, organisation or locality benchmarked against regional results. A great way to drive improvements in care.

Links to Research

We want to contribute to grow the evidence base for palliative care and are using our work to develop research questions and proposals.

Embracing the Digital Age

Our new website  ( has been built with a mobile first appearance, meaning that our material, including all of the clinical guidelines, are easily readable on smartphones, tablets and desk top computers alike. Development of an App is next on the horizon.


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Latest Posts

Don’t miss the Pallaborative NorthWest Education Special- l a MS Teams Live event tomorrow- Thursday 15th July at 1pm Two fabulous speakers- two fascinating topics and one opportunity We really hope you can join us

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We hope you have Thursday the 15th July at 1pm in your diary as we will be holding our next Pallaborative NorthWest virtual meeting- this time an Education Special. Two great speakers and two intriguing titles- Dr Jo Cliff is a Medical Oncologist at Clatterbridge Cancer Centre and she will be leading us through “Advances… Read More

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The localised reports for the clinical audit on the management of ascites in palliative care have now been sent out to the five teams who were able to submit the magic 10 cases. Congratulations. We know it wasn’t easy for everyone to manage that number but all teams have been sent the full set of… Read More

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We are delighted to welcome Dr Claire Robinson as our new Palllaborative North West Specialty Registrar Coordinator. Claire and Tom Steele will be working jointly until the autumn to get our clinical audit and guideline development programme back on track after the pandemic and then Claire will be flying solo as we head into 2022.… Read More

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We are aware that some people have had problems accessing the literature presentation from the session on Best Practice for Continuous Subcutaneous Infusions. We have sorted out this technical issues and this link should allow you access. Please let us know if you have any problems

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We know that unfortunately some of you missed the March presentation focusing on the management of ascites. Click here to access the literature review slides. The full audit results for your team have been sent to the local lead in your organisation. . If you need access to the audit slides presented back in March… Read More

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We are now able to share the programme of Pallaborative North West meetings for the rest of 2021 On the 15th July we have an exciting Education Special with two great speakers- Dr Anthony Thompson and Dr Jo Cliff Medical Oncologist. Full details will be available very soon but make sure you have this in… Read More

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We know that COVID has really disrupted the schedule for publishing our various guidelines but today we are delighted to let you know that the Guideline for Refractory Breathlessness in Patients with Advanced or Incurable Disease is now available on the Pallaborative North West website. Check it out to see the comprehensive review of how… Read More

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What People Say

I work in both community and hospice and have found the guidelines  very helpful in supporting the team of clinical nurse specialists to deliver high quality care in the community and in ensuring clinical practice is up to date and evidence based. The regional meetings are very interesting and educational and support my annual Continual Professional Development (CPD) requirements.

As a clinical nurse specialist and project manager for the regional audit and Guideline Development Group for Continuous Subcutaneous Infusions, the process has enhanced my knowledge, intellectual abilities and methodologies to do and lead audit. It has enabled me to further enhance management and leadership skills and become more proficient at conducting literature reviews.

In practice the regional guidelines and standards are of great importance. The up-to-date evidence-based guidance supports us in the management of complex symptoms for patients who have specialist palliative care needs.

The bi-monthly meetings are great for networking with fellow professionals across the network who work in a number of different settings.

“I have been involved in a number of Guideline Development Groups as the lay representative, I find them fascinating and stimulating. As a lay member I have always been made welcome by the various groups. I find the commitment of the groups to be exemplary, they are special people”.

The Pallaborative guidelines are a credit to the healthcare professionals in region and their effort, meticulous approach and dedication in creating them. They are an excellent resource to signpost colleagues towards. Being involved in guideline development has taught me valuable skills in appraising the evidence base. 

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