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How far is the NHS succesful at rationalising Health Care? (Liverpool Care…
How far is the NHS succesful at rationalising Health Care?
Life support and end of life care
Withdrawal of Care in ITU - Charlie Guard Case (2017). Life support removed against the patients will. No autonomy for the parents.
'Emotional and rational' languages. Parental love etc. Even though it may be clear that the patients quality of life is not going to improve, it is difficult to 'intentionally' cease the life of someone. In this sense, the NHS is effective at rationalising health care. Sometimes needs to take over decisions
Some forms of cancer treatments etc. not available
Cost outweighs the benefits. Who decides?
Ashya King. Parents took him abroad to seek alternative medicall treatment
Saving Ashya - Naghmeh King
Liverpool Care Pathway
Damaging complaint - communication: Some patients put on the LCP with no permission(does not uphold the ethical principles)
Treatments were being removed too quickly - not humane
Pallitive care should be comfortable and dignified. LCP introduced in 90's meant to make end of life care easier. Introduced a 'checklist' to hospital staff to help them work out if treatment should be stopped
Scrapped LCP in 2013.
Should be replaced by INDIVIDUAL end of life plans. Tailored to patients and discussed.
Continuing or ceasing medical treatments
Do no harm. Stories of life, death and brain surgery
'A balance between hope and realism'
Vaccination treatment programs
Screening for cancers
Systems for rationalising treatment
NICE
Quality adjusted Life Years
Non-emergency surgery