Most of us only experience another person’s death close up a very few times. It is difficult to imagine in advance how our partner or parent will respond to the final days of life, nor how we will respond to them. Very few of us talk about death at all. That puts a particular burden on the doctors and nurses who care both for the dying and, indirectly, for their families.
When it was introduced in the 1990s, the Liverpool care pathway was intended to spread across the health service what had proved to be a successful way of managing the closing days of a life. It was supposed to ensure that as far as possible the dying were where they wanted to be, as comfortable as possible, with the minimum amount of intervention. It was supposed to create a space of a few hours or days where the patient and their family could say goodbye.
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