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

Next week is our first clinical meeting for 2020 and we will be focusing on Intractable Cough. We are delighted to be welcoming Dr Martin Ledson, Consultant Physician in Respiratory Medicine  and are looking forward to him sharing his experience and expertise. Don’t miss  the opportunity to hear the latest evidence on how best to… Read More

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With the start of a new year it is time for us to think about priorities for regional clinical audit and guideline development in 2021. As before we are inviting members to let us know what topics we should be focusing on. Below is a link to our annual survey and it only takes five… Read More

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In 2020 we have a great programme of clinical audit, education and quality improvement specials lined up. Our meetings provide a great way to make sure you stay up to date with all the latest evidence in palliative care and also a great opportunity to stay in touch with colleagues from across the region. Check… Read More

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Many of you will have been able to attend our Quality Improvement Special on 14th November 2019 where we were able to get practical experience of how we use the localised results from our clinical audits to drive improvements for patients in our locality. Dr Andrew Khodabukus from the Royal Liverpool and University Broadgreen Hospitals… Read More

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Did you miss it? Thursday 14th was our Education and Quality Improvement special. We started with a great session from Dr Dan Monnery, Consultant at The Clatterbridge Cancer Centre helping us to navigate our way through the minefield of what to advise patients about using cannabis. Over the past two years this has become an… Read More

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As we start to look towards 2020 we have an exciting year ahead. We will be celebrating 25 years of our regional audit group. This is a real achievement and we are now looking at ways of marking this incredible milestone. Do get in touch with your ideas about how you would like to celebrate.… Read More

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It was great to see so many people at our final meeting of 2019. As part of the programme we took the opportunity to reflect briefly on the key “take home messages” from our four regional clinical audits completed this year: Substance Misuse, Symptom Control and Critical Care , Fatigue and Anticoagulation Click here to… Read More

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We have just published the brand new guideline Palliative Care for People with Advanced Liver Disease. You don’t want to miss this resource which covers many key areas including: identification, prognostication, and symptom management. There is invaluable comprehensive advice on which medications we should be using in people with severe liver impairment. We have updated… Read More

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What People Say

I have real confidence in the way we develop our guidelines and I use them every day in my own clinical practice. I wouldn’t be without them! Thank you to everyone who makes them happen.

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 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.

I work clinically as a consultant and academically as a researcher in palliative medicine. I have found the audit and guidelines extremely beneficial from a clinical practice standpoint. Notably, the process to develop the guidelines is thorough, which provides reassurance that the resultant guidelines are appropriate, relevant and evidence-based for the patients we manage in palliative care.”

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