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

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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The deadline for submitting clinical cases and completing the healthcare professional survey for our regional audit on Anticoagulation is fast approaching. Don’t miss your chance to receive a localised report for your team or organisation. You only need to submit a minimum of 10 cases. Your bespoke report, bench marked against regional results, will help… Read More

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It was great to see so many colleagues at the regional audit meeting today- we think it was one of the best attended meetings for some time. The GDG had done a great job with their in depth review of how best to assess and manage fatigue in patients with life limiting illness. Their literature… Read More

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Thursday July 11th is the big day for our Guideline Development Group on Fatigue as they will be presenting their work at our regional clinical audit meeting. Come and hear news from the comprehensive literature review; see the results from the survey of health care professionals and check out the all important case audit results… Read More

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We know that discussions with patients and those important to them about cardiopulmonary resuscitation can be very challenging. Our new NICE accredited guideline on CPR Decision Making is published today on the Pallaborative North West website There is a helpful Quick Reference Summary and the full guideline which covers important areas such as general principles;… Read More

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Thank you to all the teams and units who have contributed to the data collection for our regional clinical audit on Fatigue in Palliative Care. We are really looking forward to our meeting on Thursday 11th July when we hear the results from the healthcare professional and clinical practice surveys. It will be great to… Read More

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Congratulations to Dr Rachel McDonald and members of the Guideline Development Group for Opioid Substitution. They won best poster prize at the European Association for Palliative care Conference in Berlin last month which is fabulous news. Click here to view the winning poster

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We know that many of you are really keen to get involved with the various Guideline Development Groups but worry about being able to attend the meetings and make an active contribution to the work. We are delighted to let you know that we think we have found a solution. Just this week Pallaborative North… Read More

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What People Say


I really enjoy attending the audit presentations. They help me to keep my knowledge up to date and the discussions with peers from across the Network are stimulating. Membership of the various Guideline Development Groups is a real opportunity to improve patient care.

“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”.

I believe my personal experience of terminal diseases and end of life care within my voluntary and personal life roles, along with my passion and commitment enables me to identify with the needs of people receiving care. As the Patient, Carer and Public Representative I bring a voice of the public into discussion and more importantly decisions. By representing them I can influence the development of the guidelines and audit questionnaires

The education programme was very informative and catered to different levels of experience. The course enabled me to become involved with local audits and I have been well supported throughout. I now feel more confident as joint audit lead in the palliative care team in Sefton and equipped to fulfill this role effectively.

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