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 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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Don’t miss our Pallaborative North West Clinical Audit meeting today (Thursday18th) at 1pm when we get to hear the results from the Guideline Development Group who have been looking at Ascites. We know that a huge amount of work has gone into this project and they have had to wait a long time to present… Read More

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Don’t miss the final rerun of our very special clinical audit workshop on Thursday 11th February between 2 and 3pm via MS Teams led by Dr Dan Monnery, Consultant in Palliative Medicine at the Clatterbridge Cancer Centre The feedback from the first session last week was very positive- it was really interactive and was able… Read More

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If you missed our recent post please do check it out and consider enrolling for one of our two very special workshops on the 3rd or 11th February Click the link below to see all of the information and details on how to reserve your place Pallaborative launch exciting new workshops –

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It was fabulous to have so many people join us last week at our slightly delayed audit programme launch for 2021/2022 and we were delighted to announce our new audit topics Ketamine Breakthrough pain Renal failure Interventional pain And now we really need your help. The whole Pallaborative North West programme only works when people… Read More

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Don’t forget that at 1pm today- Thursday 21st January 2021- you can join colleagues in Pallaborative North West for our annual launch event with a look at the topics we have chosen for our clinical audit programme plus some top tips on remote consultations from Dr Helen Bonwick The event is on MS Teams Live… Read More

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We will only be 12 months late but next Thursday 21st January at 1pm we finally get to hold our Launch meeting for 2022 and we really hope that you will be able to join us Key things to look forward to in the hour include We reveal the topics for 2022 . 2. Hear… Read More

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Only two days left to submit your clinical cases for our regional clinical audit on the management of ascites. Remember you only need to submit 10 cases to guarantee your team a localised report which is really incredibly useful on many levels In our last audit on continuous subcutaneous infusions it was great to see… 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.

The Regional audit process has introduced many members of the wider MDT to the process of the audit cycle.It has made it very accessible and delivers fantastic, real world results, recommendations and clinical guidance
This is really useful for my clinical practice as a doctor, and to the practice of all members of the wider MDT. The opportunity to see the process from the initial idea, to the clinical question, to the literature search, to the questionnaires, to the results analysis and ultimately the presentation and standards and guideline is a unique opportunity

The whole process affords us the chance to meet people and work with them across the Network  and is a great way to meet fellow health care professionals and forge links across the hospital, community and hospice settings in specialist palliative care.

I’ve found the whole regional audit process to be very comprehensive.  For me this has included training in searching and appraising available evidence, support from a multi-professional team in undertaking audit, presenting results and developing guidelines.

This has been very beneficial for my practice, both in the delivery of evidence based care to patients and in teaching other health care professionals.

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.

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