Each of the Clinical Standards and Guidelines, with supporting resources, can be found below. More recent Standards and Guidelines will include a Quick Reference Summary. 

The supporting resources may include:
Presentations given at the audit meeting
Proformas used for data collection
Systematic literature review form
Abstracts and posters produced from the clinical audit and guideline development work audit

The final version of the Standards and Guidelines will be published after completion of the consultation and review process, co-ordinated by the Steering Group for Pallaborative North West.

More details on our NICE accredited guideline development process can be found in our Guideline Development Manual.

NICE_Accreditation_CMYK

Clinical guidelines that have been produced following the NICE process are marked with the NICE accreditation logo.

An email alert will be sent out when a new clinical guideline is added to the website.  If you would like to receive emails from us please either click on the Link at the bottom of this page or contact our Quality Improvement Manager for Pallaborative North West: Karen Ross – karen.ross15@nhs.net


Standards & Guidelines / Publication DateNICE AccreditationResources
Agitation
Under review in the 2016/17 audit cycle

December 2009 Guideline

Agitation Professional Practice Audit Form – 2017

Agitation Case Note Audit Form – 2017

Agitation – Presentation September 2017

Antibiotics
Antibiotics – Please follow local Trust guidanceN/A
Anticoagulation
Use of Anticoagulation in Palliative Care Full Guideline – December 2009

Under review in the 18/19 audit cycle

Anticoagulation Audit Form – 2010

Anticoagulation in Primary Care – Presentation March 2010

Anticoagulation Practice in Palliative Care Patients – Development of Regional Guidelines  Poster

Anti-Epileptics
Use of Anti-Epileptics in Palliative Care Full Guideline – December 2009Anti-epileptics Audit – Presentation November 2012
Ascites
Management of Malignant Ascites in Palliative Care Full Guideline – December 2009Supra Regional Audit on the Management of Ascites – Presentation November 2011
Bereavement Services
Guidelines for Bereavement Support Full Guideline – November 2017

Guidelines for Bereavement Support Quick Reference Summary – November 2017

NICE_Accreditation_CMYK
Bereavement Audit Form – 2016

Systematic Review – 2015

Bereavement Services in Palliative Care – Presentation January 2016

Bereavement Services in Palliative Care – Presentation May 2016

Bereavement Services in Palliative Care – Poster EAPC Madrid 2017

Bereavement Presentation for Teaching

Bisphosphonates
The Use of Bisphosphonates and Denosumab in the Management of Malignant Bone Pain. Published November 2018

The Use of Bisphosphonates and Denosumab in the Management of Malignant Bone Pain. Quick Reference Summary. November 2018 

December 2009 Guideline

NICE_Accreditation_CMYK
Bisphosphonates Case Note Audit Form – 2015

Bisphosphonates Professional Practice Audit Form – 2015

The Use of Bisphosphonates and Denosumab in Malignant Bone Pain – Presentation May 2015

Use of Bisphosphonates and Denosumab in the Management of Malignant Bone Pain – Poster 2016

Use of Bisphosphonates in the Management of Malignant Bone Pain – Abstract for EAPC 2016

Blood Transfusion
Transfusion of red blood cells in patients with advanced cancer receiving palliative care. Published December 2018

Transfusion of red blood cells in patients with advanced cancer receiving palliative care Quick Reference Summary. December 2018

NICE_Accreditation_CMYK
Blood Transfusion Clinical Audit Form – 2017

Blood Transfusion Professional Practice Audit Form – 2017

Blood Transfusion in Palliative Care Patients with Advanced Cancer – Presentation 2017

Bowel Obstruction
Medical Management of Malignant Bowel Obstruction Full Guideline – February 2016

Medical Management of Malignant Bowel Obstruction Quick Reference Summary – February 2016

NICE_Accreditation_CMYK
Malignant Bowel Obstruction case note audit  – 2014

Malignant Bowel Obstruction Clinical Audit  – 2014

Systematic Review – 2015

Medical Management of Malignant Bowel Obstruction – Presentation September 2014

Medical Management of Malignant Bowel Obstruction – Abstract

Medical Management of Malignant Bowel Obstruction – Poster

Breakthrough Pain
Management of Cancer-Related Breakthrough Pain Full Guideline – October 2014Breakthrough Cancer Pain Audit Form – 2011

Breakthrough Pain Survey of Fentanyl Products – 2011

Breakthrough Cancer Pain and Use of Rapid Onset Fentanyl Products – Presentation September 2011

The Management of Breakthrough Cancer Pain and Use of immediate release Fentanyl Products – Poster

Breakthrough Pain – Abstract

Breathlessness
Under review in the 2017/18 audit cycle

December 2009 Guideline

Breathlessness Professional Practice Audit – 2017

Breathlessness Case Note Audit – 2017

Breathlessness Poster. EAPC Berlin 2019
Abstract
Constipation
Guideline for the Management of Constipation in Palliative Care Full Guideline – July 2018

Guideline for the Management of Constipation in Palliative Care Quick Reference Summary – July 2018

NICE_Accreditation_CMYK
Constipation Professional Practice Audit Form – 2017

Constipation Case Note Audit Form – 2017

Systematic Review – 2017

Assessment and Management of Constipation in Palliative Care – Presentation November 2017

Corticosteroids
Use of Corticosteroids in Palliative Care Full Guideline – December 2009
Cardiopulmonary Resuscitation
Guideline for CPR Decision Making July 2019

Quick Reference Summary July 2019
Cardiopulmonary Resuscitation Clinical Audit Form – 2017

Cardiopulmonary Resuscitation Professional Practice Audit Form – 2017

Cardiopulmonary Resuscitation – Presentation January 2017
Delirium
Guidelines for the Assessment and Management of Delirium in the Last Hours and Days of Life Full Guideline – August 2017

Guidelines for the Assessment and Management of Delirium in the Last Hours and Days of Life Quick Reference Summary – August 2017

NICE_Accreditation_CMYK
Delirium Professional Practice Audit Form – 2016

Delirium Case Note Audit Form – 2016

Systematic Review Form – 2015

Delirium in the Last Hours and Days of Life – Presentation May 2016

Delirium in the Last Hours and Days of Life – Presentation September 2016

Patient Information Leaflet – July 2018

Assessment and Management of Delirium at the End of Life – EAPC Poster 2017

Assessment and Management of Delirium at the End of Life – EAPC Abstract 2017

Depression
Managing Depression in Palliative Care Full Guideline – December 2009Managing Depression Prospective Audit Form – 2011

Managing Depression Retrospective Audit Form – 2011

Managing Depression in Palliative Care – Presentation July 2011

Palliative Care Professionals Reluctance to Talk about Suicidal Ideation in Depression – Poster

Palliative Care Professionals Reluctance to Talk about Suicidal Ideation in Depression – Abstract

Diabetes
Guidelines for the Monitoring and Management of Diabetes in the Last Hours and Days of Life Full Guidelines – April 2018

Guidelines for the Monitoring and Management of Diabetes in the Last Hours and Days of Life Quick Reference Summary – April 2018

NICE_Accreditation_CMYK
Diabetes Professional Practice Audit Form – 2016

Diabetes Case Note Audit Form – 2016

Systematic Review Form – 2016

Diabetes in the Last Hours and Days of Life – Presentation November 2016

Diabetes in the Last Hours and Days of Life – Presentation January 2017

Diabetes in the Last Hours and Days of Life – Poster EAPC 2017

Diabetes in the Last Hours and Days of Life – Abstract EAPC 2017

Fatigue
Management of Fatigue in Palliative Care Full Guideline – December 2009

Under review in the 18/19 audit cycle

 Literature review 2019
Genograms
Use of Genograms in Palliative Care Full Guideline – December 2009 N/A
Haemorrhage
Assessment and Management of Major Haemorrhage in Palliative Care Full Guideline – December 2009 N/A
Hydration
Guidelines for the Use of Hydration in the Dying Patient Full Guideline – June 2017

Guidelines for the Use of Hydration in the Dying Patient Quick Reference Summary – June 2017

NICE_Accreditation_CMYK
Clinically Assisted Hydration Audit Form – 2015

Systemic Review Form – 2015

Hydration at End of Life – Presentation November 2015

The Assessment of Hydration in The Last Days of Life – Poster EAPC Madrid 2017

Hypercalcaemia
Guidelines for the Clinical Management of Cancer Related Hypercalcaemia Full Guideline – July 2018

Guidelines for the Clinical Management of Cancer Related Hypercalcaemia Quick Reference Summary – July 2018

NICE_Accreditation_CMYK
Hypercalcaemia Professional Practice Audit Form – 2016

Hypercalcaemia Case Note Audit Form – 2016

Cancer Associated Hypercalcaemia Literature Review – Presentation September 2016

Cancer Associated Hypercalcaemia Revised S&G – Presentation November 2016

Cancer Associated Hypercalcaemia Abstract 1

Cancer Associated Hypercalcaemia Abstract 2

Insomnia
Managing Insomnia in Palliative Care Full Guideline – October 2012Management of Insomnia Case Note Audit Form – 2012

Management of Insomnia Professional Practice Audit Form – 2012

Supra-Regional Audit of Insomnia Management in Primary Care – January 2012

Restless for Sleep – What Do Palliative Care Professionals Assess in Patients with Insomnia? – Poster

Restless for Sleep – What Do Palliative Care Professionals  Assess in Patients with Insomnia? – Abstract

Interventional Pain Techniques
Use of Interventional Pain Techniques in Palliative Care Full Guideline – December 2009 N/A
Ketamine
Use of Ketamine as an analgesic in Palliative Care Full Guideline – September 2012Ketamine and Methadone Audit Form – 2012

Ketamine & Methadone Supra-Regional Audit – Presentation September 2012

Use of Ketamine as an Analgesic in Palliative Care – Poster

Use of Ketamine in Palliative Care – Abstract

Liver Failure

Palliative Care in People with Advanced Liver Disease Published August 2019
Management of Symptoms of Liver Disease Case Note Audit Form – 2018

Management of Symptoms of Liver Disease Professional Practice Audit Form – 2018

Management of Symptoms of Liver Disease in Palliative Care – Presentation January 2018

Methadone
Conversion from a Strong Opioid to Methadone Full Guideline – September 2012Ketamine and Methadone Audit Form – 2012

Ketamine & Methadone Supra-Regional Audit – Presentation September 2012

Use of Methadone as an Analgesic in Palliative Care – Poster

Use of Methadone in Palliative Care – Abstract

Nausea & Vomiting
Under review in the 2014/15 audit cycle

December 2009 Guideline

Nausea & Vomiting Case Note Audit Form – 2015

Nausea & Vomiting Professional Practice Audit Form -2015

Systematic Review Form – 2014

Management of Nausea and Vomiting in Palliative Care – Presentation January 2015

Management of Nausea and Vomiting in Palliative Care – Presentation May 2016

Neuropathic Pain
Guidelines for the Management of Cancer Related Neuropathic Pain Full Guideline – 2018

Guidelines for the Management of Cancer Related Neuropathic Pain Quick Reference Summary – 2018

Systematic Review – 2014

Neuropathic Pain in Cancer Patients – Presentation May 2014

Nutrition
Nutritional Care in Palliative Care Full Guideline – June 2014Nutrition – Presentation July 2012

A Systematic Review & Audit of Current Practice – Poster July 2012

Nutrition – Abstract July 2012

Cochrane Review on Medically assisted Nutrition – Presentation July 2014

Non-Steroidal Anti-Inflammatory Drugs
Use of Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) in Palliative Care Full Guideline – December 2009NSAIDs Audit Form – 2013

NSAID Regional Audit Group – Presentation January 2013

Opioid Substitution
Under review in the 2017/18 audit cycle

December 2009 Guideline

Opioid Substitution Healthcare Professional audit – 2018

Abstract re HCPs

Literature Review Presentation

Opioid Substitution Case Note Survey – 2018

Opioid substitution abstract 20185Lhv

Oral Care
Oral Care in Advanced Cancer Full Guideline – December 2009Oral Care Update – Presentation
Oxygen
Oxygen Full Guideline – September 2013

Oxygen Quick Reference Summary – September 2013

Oxygen Professional Practice Audit Form – 2013

Oxygen Patient Survey Audit Form – 2013

Oxygen Unit Survey Audit Form – 2013

Systematic Review Form – 2012

Oxygen Audit – Presentation 2013

O2 or No2 in Palliative Medicine – Poster EAPC Copenhagen May 2015

O2 or No2 in Palliative Medicine – Abstract EAPC Copenhagen May 2015

Pathological Fractures
Prevention of Pathological Fractures in Palliative Care Full Guideline – April 2015

Prevention of Pathological Fractures in Palliative Care Quick Reference Summary – April 2015

Pathological Fractures Professional Practice Audit Form – 2013

Pathological Fractures Case Note Audit Form – 2013

Systematic Review Form – 2013

Prevention of Pathological Fracture – Presentation November 2013

Systematic Reviews – An Example: Pathological Fracture Prevention – November 2013

Knowledge & Practice of Palliative Care Professionals in Prevention of Pathological Fractures – Poster

Knowledge & Practice of Palliative Care Professionals in Prevention of Pathological Fractures – Abstract

Pleural Effusion
BTS National Guidance N/A
Pruritus
Management of Pruritus in Palliative Care Full Guideline – December 2009 N/A
Psychological Services
Development of Psychological Services in Palliative Care Full Guideline – December 2009Psychological Services in Palliative Care Audit Form – 2014

Development of Psychological Services in Palliative Care – Presentation January 2014

Psychostimulants
Use of Psychostimulants in Palliative Care Full Guideline – December 2009 N/A
Renal Failure
Prescribing in Renal Failure Full Guideline – December 2009Renal Failure Survey of Specialists Audit Form – 2013

Renal Failure Patient Survey Audit Form – 2013

Renal Failure Survey of Practice Audit Form – 2013

Prescribing in Renal Failure – Presentation March 2013

Prescribing for Palliative Care Patients with Renal Impairment – Abstract

Prescribing for Palliative Care Patients with Renal Impairment – Poster

Rehabilitation (Lung Cancer)
Rehabilitation in Patients with Lung Cancer Full Guideline – December 2014Lung Cancer Rehabilitation Community Audit Form – 2010

Lung Cancer Rehabilitation Inpatient Audit Form – 2010

Lung Cancer Rehabilitation MDT Audit Form – 2010

Lung Cancer Rehabilitation – Presentation

Living with Lung Cancer – Development of Regional Lung Cancer Rehabilitation – Poster

Living with Lung Cancer – Presentation – Development of Regional Lung Cancer Rehabilitation – Abstract

Sexual Health
Sexual Health Assessment in Palliative Care Full Guideline – December 2009Sexual Health Audit Group – Presentation

Sexual Health Assessment in Palliative Care – An Audit of Practice – Abstract

Sexual Health Assessment in Palliative Care – An Audit of Practice – Poster

Spinal Cord Compression
Acute Oncology Guidelines – 2016

Metastatic Spinal Cord Compression Pathway Guidelines for Cheshire & Merseyside – December 2017

Spirituality
Spiritual Care in Palliative Care Full Guideline – June 2014Spiritual Care Audit – Presentation

Spiritual Assessment & Provision – An Audit of Current Practice – Poster

Substance Misuse
Under review in the 2018/19 audit cycle

December 2009 Guideline

Literature Review Presentation January 2019
HCP audit form 2019
C
ase note audit form 2019
Symptom Control Medication
Symptom Control Medication in the Dying Person Full Guideline – October 2015

Symptom Control Medication in the Dying Person Summary – October 2015

Symptom Control Medication in the Dying Person Quick Reference Guide – October 2015

NICE_Accreditation_CMYK
Symptom Control Medication Case Note Audit Form – 2014

Symptom Control Medication Professional Practice Audit Form – 201

Systematic Review – 2015

Symptom Control Medication in the Dying Person – Presentation November 2014

Symptom Control Medication in the Dying Person – Poster 2015

Symptom Control Medication in the Dying Person – Abstract 2015

Syringe Driver
Use of Syringe Driver/Pumps in Palliative Care Full Guideline – December 2009Syringe Driver Update – Presentation
Transdermal Opioids
Transdermal Opioids in Palliative Care Full Guideline – April 2014Transdermal Opioids Audit Form – 2010

The Use of Transdermal Opioids in Palliative Care – Presentation July 2010

Transdermal Opioid – Are we plastering over the cracks – Presentation July 2010

Cochrane Reviews: Impact of Opioids – Presentation July 2014

Transdermal Opioid – Abstract July 2010

Urinary Incontinence
Management of Urinary Incontinence in the Palliative Care Setting Full Guideline – December 2009 N