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.
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.ross2@liverpool.ac.uk
| Standards & Guidelines / Publication Date | NICE Accreditation | Resources |
| Agitation | ||
| Under review in the 2016/17 audit cycle
| Agitation Professional Practice Audit Form – 2017
Agitation Case Note Audit Form – 2017 Agitation – Presentation September 2017 Agitation Poster Palliative Care Congress Bournemouth 2018
|
| Antibiotics | ||
| Antibiotics – Please follow local Trust guidance | N/A |
| Anti-Epileptics | ||
| Use of Anti-Epileptics in Palliative Care Full Guideline – December 2009 | Anti-epileptics Audit – Presentation November 2012 |
| Ascites | ||
| Management of Ascites in Palliative Care. August 2022. Awaiting external review ARCHIVED Management of Malignant Ascites in Palliative Care Full Guideline – December 2009 | Supra 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 | | 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 |
| Blood Transfusion | ||
| Transfusion of red blood cells in patients with advanced cancer receiving palliative care. Published December 2018
|  | 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 | | 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 |
| Breakthrough Pain | ||
| Management of Cancer-Related Breakthrough Pain Full Guideline – October 2014 | Breakthrough 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 | ||
Management of Refractory Breathlessness in Patients with Advanced of Incurable Disease April 2021 | Breathlessness Professional Practice Audit – 2017 Breathlessness Case Note Audit – 2017 |
| 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 |  | 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 |
Continuous Subcutaneous Infusions Presentation October 2020
Guideline for Best Practice Use of Continuous Subcutaneous Infusions in Palliative Care. May 2022
Intractable Cough Presentation January 2020
Critical Care Abstract Palliative Care Congress 2020
Poster Palliative Care Congress March 2020
- Abstract Palliative Care Congress 2019
- Abstract Palliative Care Congress 2019
- Literature review presentation May 2019
| 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 | | 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 |
| 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 | | 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 |
| Genograms | ||
| Use of Genograms in Palliative Care Full Guideline – December 2009 | N/A |
| Fatigue | ||
| Assessment and management of fatigue in patients with life limiting illness. Full Guideline – November 2021. PENDING EXTERNAL REVIEW Management of Fatigue in Palliative Care Full Guideline – December 2009
| Literature review 2019 |
| 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 | | 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 | | 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 |
| Interventional Pain Techniques | ||
| Cancer Pain Procedures. Literature Presentation July 2022 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 2012 Use of Ketamine as an Analgesic in Palliative Care. New draft guideline. Awaiting external review May 2022 | Ketamine 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 2012 | Ketamine 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
| 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 2014 | Nutrition – 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 Parenteral NSAIDs Use of Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) in Palliative Care Full Guideline – December 2009 | Literature review presentation 2023 NSAIDs Audit Form – 2013 NSAID Regional Audit Group – Presentation January 2013 |
| Opioid Substitution | ||
| Updated draft of the Guideline for Opioid Substitution in Palliative Care. Version 3 dated 3.7.22. Now undergoing external review. Will be NICE accredited when completes the review process December 2009 Guideline | Opioid Substitution Healthcare Professional audit – 2018
Literature Review Presentation |
| Oral Care | ||
| Oral Care in Advanced Cancer Full Guideline – December 2009 | Oral 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 |
| 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 2009 | Psychological 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 2009 | Renal 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 2014 | Lung 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 2009 | Sexual 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 2014 | Spiritual Care Audit – Presentation
Spiritual Assessment & Provision – An Audit of Current Practice – Poster |
| Substance Misuse | ||
| Under review in the 2018/19 audit cycle
| Literature Review Presentation January 2019 HCP audit form 2019 Case note audit form 2019 |
| Symptom Control Medication | ||
| Symptom Control Literature Review presentation May 2019 Symptom control reaudit questionnaire 2019 Symptom Control 2019 HCP Audit proforma | S |
| Syringe Driver | ||
| Use of Syringe Driver/Pumps in Palliative Care Full Guideline – December 2009 | Syringe Driver Update – Presentation |
| Transdermal Opioids | ||
| Transdermal Opioids in Palliative Care Full Guideline – April 2014 | Transdermal 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 |
Pallaborative North West 