The Clinical Practice Summary for Palliative Care Symptoms has been collaboratively produced by a group of healthcare professionals from across Cheshire and Merseyside.
It is a helpful resource when managing symptoms  and co-ordinating care for people with advanced progressive disease. However if there is any doubt about the clinical management for any individual patient, please contact your local Palliative Care services.  

The Clinical Practice Summary document can be edited for local use and there is a slide set to help with education. Please note: any printed versions of the Clinical Practice Summary may not be up to date. For the latest version we recommend you access the Summary via this web page. 
Resources

Andrew Khodabukus Consultant in Palliative Medicine Royal Liverpool Hospital
Debbie Harvey Macmillan GP South Sefton CCG
Vicki Wagstaff Quality Improvement Project Manager North West Coast Strategic Clinical Network
Claire McEntegart District Nurse manager Liverpool Community Health
Susanne Lynch Community/CCG Meds Management South Sefton CCG
Dr Anthony Thompson Consultant in Palliative Medicine St Helens & Knowsley Hospital NHS Trust
Susan Oakes CNS & EOL Nurse Lead Liverpool Heart & Chest Hospital
Sarah Donnelly Macmillan CNS Liverpool Heart & Chest Hospital
Jeanette Renshaw Amber Care Bundle Lead Nurse Aintree Hospital
Katherine Butler GP (End of Life Clinical Lead) City Walls Medical Centre
Jillian Kirkman Macmillan GP South Liverpool
Fiona McCrory Community Specialist Nurse in Palliative Care Cheshire & Wirral Partnership
Sue Burke GP lead for Cancer, Palliative and End of Life Care Warrington CCG
Amanda Cunliffe Community CNS Halton Haven Hospice
Clare Hammond Consultant Cardiologist Liverpool Heart & Chest Hospital
Bernice Sanders Specialist Palliative Care Lead Nurse Liverpool Community Health
Victoria Buchan GP Locum & Hospice Doctor St Rocco’s Hospice
Amanda Wells Macmillan Palliative Care CNS Cheshire & Wirral Partnership