Liverpool Care Pathway - The Palliative-Medical Complex (December - TopicsExpress



          

Liverpool Care Pathway - The Palliative-Medical Complex (December 2012) When the State intervenes and starts throwing public money around, lucrative gain calls, the corruptible are corrupted and independence is lost. The charities become tools to promote State policy and State policy becomes a tool of vested interests, indistinguishable, to procure mutual gain. There is a complicity which threatens veracity and integrity. This is from the Foreword of Who Cares? How State Funding and Political Activism Change Charity by Nick Seddon, published 2007 - [Excerpt follows] Big charities have become big businesses engaged in what donors might otherwise consider an actual misdirection of their charitable donations. The incestuous has become the interdependent and symbiotic. The NCPC (National Council for Palliative Care) actually advertise for sale their publications on the NHS (National-socialist Health Service) National End of Life Care Program website. So what...? So what! It is often difficult to see where the long arm of the State ends and the cupped hand of charitable receipts begins. They are virtually part and part of the same corporate superstructure. According to The Telegraph, Department of Health officials have insisted that the payments [CQUIN] are to ensure that patients are “treated with dignity” as they die - and many doctors argue the widespread adoption of the LCP has led to improved care for the dying. But Mr Lamb said on Monday night that he wanted to ensure the payments were working as they should, and not providing a perverse incentive to put patients on the pathway.He said of the review: It is clear that everyone wants their loved ones final hours of life to be as pain free and dignified as possible, and the Liverpool Care Pathway is an important part of achieving this aim.“However as we have seen, there have been too many cases where patients were put on the pathway without a proper explanation or their families being involved. This is simply unacceptable.”Whoever is chosen to chair the process will also oversee three separate reviews of end-of-life care - by the Association of Palliative Medicine, the Dying Matters group and the National End of Life Programme. The CQUIN payments are to roll out the LCP. This is stated in DOH literature (e.g. The DOH End of Life Care Strategy Third Annual Report, page 57). Mr. Lamb is demonstrably prejudiced in favour of LCP - the Liverpool Care pathway is an important part of achieving this aim. [dying well]. The Association of Palliative Medicine, the Dying Matters group and the National End of Life Programme are engaged in three separate reviews. The Dying Matters Coalition [group] was set up by the NCPC in 2009. The Coalition is supported by Professor Sir Mike Richards, National Director for Cancer and End of Life Care, and by the NCPCs Board of Trustees. The NCPC, itself in a cosy relationship with the NHS, DOH and, by implication, Mr. Lamb who is not against the LCP, is therefore linked to this review. The DOH is instigatory in rolling out the LCP. By association and by its support of the Pathway; by historic involvement in the Hospice movement, the NCPC is also complicit in this. Independent, far-reaching...? There is a complicity of involvement that nulls any prospect of that. Mr Lamb said: Today I have committed to appoint an independent chair to review how end of life care is working and oversee the reviews into the Liverpool Care Pathway. (The Telegraph) Really...? These comments have been added to these pages: [Extracts follow] It is become problematic as to who is controlling whom. Issues of mutual interest continue to coincide such that there is almost a unity of policy and decision-making. There is a parallel power at work, working alongside the elected power. Those in the position of propagating these Pathways are now placed in the position of adjudicating on them. There are problems of collusion and self-interest here. The public purse is involved on either side and is being dipped into for promotion of a mutual self-interest. President Dwight D. Eisenhowers now memorable farewell address, known for its warnings about the growing power of a military-industrial complex, springs to mind. This growing, misplaced power, however, is in the medical arena rather than the military. Ike warned us that this misplaced power exists and will persist. In the arena of medical research, as reported here, like names continue to crop up. There are possible problems of self-citation in validation of expressed claims. Whether there are further agendas in place it remains to be discovered. There is more to be looked into and investigated here. Much more. It is most worrying. liverpool-care-pathway-a-national-sc.blogspot.co.uk/2012/12/liverpool-care-pathway-palliative.html
Posted on: Fri, 31 Jan 2014 13:49:57 +0000

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