Quote from The Mail Online:
“In December 2012 it was revealed up to 60,000 patients receiving end of life care die on the Liverpool Care Pathway each year without giving their consent.

A third of families are also kept in the dark when doctors withdraw lifesaving treatment from loved ones.
The end of life pathway involves withdrawal of lifesaving treatment, with the sick sedated and usually denied nutrition and fluids. Death typically takes place within 29 hours.

The 60,000 figure comes from a joint study by the Marie Curie Palliative Care Institute in Liverpool and the Royal College of Physicians.
It found many patients were not consulted despite being conscious when doctors decided on their care.

Records from 178 hospitals also show that thousands of people on the pathway are left to die in pain because nurses do not do enough to keep them comfortable while drugs are administered. An estimated 130,000 patients are put on the pathway each year. Concerns have been raised that clinical judgements are being skewed by incentives for hospitals to use the pathway.
Health trusts are thought to have been rewarded with an extra £30million for putting more patients on the LCP. Critics say it is a self-fulfilling prophecy because there is no scientific method of predicting when death will come.

Norman Lamb, the care services minister, launched a review in November, saying there had been too many cases of families not being consulted.”

Guidance Notes on End of Life care from various sources:

The duties of a Doctor registered with the GMC
Treatment and care towards the end of life (GMC) – PDF

NHS Lothian DNAR Policy; Dr Juliet Spiller; Consultant in Palliative Medicine
Do Not Attempt Resuscitation Guidelines – PDF

Marie Curie Institute, Liverpool :
Liverpool Care Pathway for the Dying Patient (LCP)

Resuscitation Council (UK)
Recommended standards for recording “Do not attempt resuscitation” (DNAR) decisions

An explanation of DNRs, Do Not Resuscitate orders, and the guidelines followed by medical staff.

Nursing Times.net
Involving patients in discussions of do-not-resuscitate orders


Guidance Notes on End of Life care from various sources: