The comprehensive process used by Pallaborative North West to produce palliative and end of life care clinical guidelines has been accredited by NICE.
The guidelines provide robust and evidence based specialist palliative care guidance that has been internally and externally reviewed by specialists. Members of the palliative care workforce can access the guidelines at all times to keep their knowledge and skills up-to-date, enabling patients and their families to receive the crucial care and support they need.

What the NICE Committee said

The NICE Committee was particularly impressed with the support offered to lay members and that relevant patient groups had been invited to address the guideline development group. They also commented that:

  • The scope and purpose of our guidance is clear
  • Relevant professionals, target users and lay members were involved in their development
  • The gathering and appraisal of evidence is systematic
  • The benefits and risks of different management options are discussed
  • It is clear how recommendations are developed
  • There are processes for external review and updating of the guidance
  • The guidance provides clear recommendations including any options, where applicable
  • The content is suitable for the main target audience of professionals
  • Support tools and audit criteria are provided
  • Barriers to implementation are considered
  • Overall, the possibility of bias is accounted for

You can read the full NICE accreditation report on their website.

NICE_Accreditation_CMYK.JPGNICE has accredited the process used by the Cheshire and Merseyside Palliative and End of Life Care Network Audit Group to produce Palliative care and end of life care guidelines. Accreditation is valid for 5 years from 10 January 2017 and is retrospectively applicable to guidance produced using the processes described in the Cheshire and Merseyside Palliative and End of Life Care Network Audit Group guideline development manual (2016).  More information on accreditation can be found at

All of the following guidelines are already available on our website and others still under review will be available in the near future. You can find them under Clinical Standards & Guidelines.

  • Medical Management of Malignant Bowel Obstruction
  • Symptom control medication in the dying person
  • Assessment and Management of Delirium in the last hours and days of life
  • Hydration in the last hours and days of life
  • Treatment of Cancer Associated Hypercalcaemia in Palliative Care
  • Bereavement Support in Palliative and End of Life Care Services
  • Monitoring and management of Diabetes at the End of Life
  • Management of Constipation in Palliative Care
  • Breathlessness in Palliative Care
  • Transfusion of red blood cells in the management of patients with advanced cancer
  • Management of agitation in the last days and hours of life
  • Management of end stage liver failure in palliative care
  • Cardiopulmonary resuscitation in palliative care

The following guidelines are currently available on the website in draft format whilst they undergo the external review process

  • Opioid Substitution
  • Fatigue in adults with life limiting illness
  • Symptom Control for the dying person in Critical Care
  • Anticoagulants in Palliative Care
  • Substance Misuse and Palliative Care

The following guidelines will be available in coming weeks:
  • Substance Misuse in Palliative Care
  • Cough
  • Symptom Control in Critical Care
  • Ascites
  • Ketamine
  • Continuous Subcutaneous Infusions