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Clinical Standards and Guidelines

Each of the Clinical Audit Standards and Guidelines, along with any supporting resources, can be found below. More recent Standards and Guidelines will include a Quick Reference Summary.  The final version of the Standards and Guidelines will appear following completion of the consultation and review process, coordinated by the Audit and Clinical Guideline Group.  More details on guideline development can be found in the Guideline Manual.  Details on the process used for Clinical Audit can be found in the Audit Manual

Clinical guidelines that have been produved following the NICE process are marked with the NICE accreditation logo.

The supporting resources may include:

  • Presentations given at the audit meeting
  • Proformas used for data collection
  • Systematic literature review form
  • Abstracts and posters produced from the clinical audit and guideline development work audit

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Standards & Guidelines / Publication Date

NICE Accreditation

Resources

Agitation

Under review in the 2016/17 audit cycle

December 2009 Guideline

 

Agitation Professional Practice Audit Form - 2017

Agitation Case Note Audit Form - 2017

Antibiotics

Antibiotics - Please follow local Trust guidance

  N/A
Anticoagulation

Use of Anticoagulation in Palliative Care Full Guideline - December 2009

 

Anticoagulation Audit Form - 2010

Anticoagulation in Primary Care - Presentation March 2010

Anticoagulation Practice in Palliative Care Patients - Development of Regional Guidelines - Poster

Anti-Epileptics

Use of Anti-Epileptics in Palliative Care Full Guideline - December 2009

  Antiepileptics Audit - Presentation November 2012
Ascites

Management of Malignant Ascites in Palliative Care Full Guideline - December 2009

  Supra Regional Audit on the Management of Ascites - Presentation November 2011
Bereavement Services

Under review in the 2015/16 audit cycle

December 2009 Guideline

 

Bereavement Audit Form - 2016

Systematic Review - 2015

Bereavement Services in Palliative Care - Presentation January 2016

Bereavement Services in Palliative Care - Presentation May 2016

Bereavement Services in Palliative Care - Poster EAPC Madrid 2017

Bisphosphonates

Under review in the 2014/15 audit cycle

December 2009 Guideline

 

Bisphosphonates Case Note Audit Form - 2015

Bisphosphonates Professional Practice Audit Form - 2015

Use of Bisphosphonates in the Management of Malignant Bone Pain - Poster 2016

Use of Bisphosphonates in the Management of Malignant Bone Pain - Abstract for EAPC 2016

Blood Transfusion

Under review in the 2016/17 audit cycle

December 2009 Guideline

 

Blood Transfusion Clinical Audit Form - 2017

Blood Transfusion Professional Practice Audit Form - 2017

Blood Transfusion in Palliative Care Patients with Advanced Cancer - Presentation 2017

Bowel Obstruction

Medical Management of Malignant Bowel Obstruction Full Guideline - February 2016

Medical Management of Malignant Bowel Obstruction Quick Reference Summary - February 2016

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Malignant Bowel Obstruction Audit Form - 2014

Malignant Bowel Obstruction Clinical Audit Form - 2014

Systematic Review - 2015

Medical Management of Malignant Bowel Obstruction - Presentation September 2014

Medical Management of Malignant Bowel Obstruction - Abstract

Medical Management of Malignant Bowel Obstruction - Poster

Breakthrough Pain

Management of Cancer-Related Breakthrough Pain Full Guideline - October 2014

 

Breakthough Cancer Pain Audit Form - 2011

Breakthrough Pain Suvey of Fentanyl Products - 2011

Breakthrough Cancer Pain and Use of Rapid Onset Fentanyl Products - Presentation September 2011

The Management of Breakthrough Cancer Pain and Use of immediate release Fentanyl Products - Poster

Breakthrough Pain - Abstract

Breathlessness

Under review in the 2017/18 audit cycle

December 2009 Guideline and Resources

   
Constipation

Under review in the 2017/18 audit cycle

December 2009 Guideline

 

Constipation Professional Practice Audit Form - 2017

Constipation Case Note Audit Form - 2017

Corticosteroids

Use of Corticosteroids in Palliative Care Full Guideline - December 2009

   
Cardiopulmonary Resuscitation

Under review in the 2016/17 audit cycle

December 2009 Guideline

 

Cardiopulmonary Resuscitation Clinical Audit Form - 2017

Cardiopulmonary Resuscitation Professional Practice Audit Form - 2017

Cardiopulmonary Resuscitation - Presentation January 2017

Delirium

Under review in the 2015/16 audit cycle

December 2009 Guideine

 

Delirium Professional Practice Audit Form - 2016

Delirium Case Note Audit Form - 2016

Systematic Review Form - 2015

Delirium in the Last Hours and Days of Life - Presentation May 2016

Delirium in the Last Hours and Days of Life - Presentation September 2016

Assessment and Management of Delirium at the End of Life - EAPC Poster 2017

Assessment and Management of Delirium at the End of Life - EAPC Abstract 2017

Depression

Managing Depression in Palliative Care Full Guideline - December 2009

 

Managing Depression Prospective Audit Form - 2011

Managing Depression Retrospective Audit Form - 2011

Managing Depression in Palliative Care - Presentation July 2011

Palliative Care Professionals Reluctance to Talk about Suicidal Ideation in Depression - Poster

Palliative Care Professionals Reluctance to Talk about Suicidal Ideation in Depression - Abstract

Diabetes

Under review in the 2016/17 audit cycle

December 2009 Guideline

 

Diabetes Professional Practice Audit Form - 2016

Diabetes Case Note Audit Form - 2016

Systematic Review Form - 2016

Diabetes in the Last Hours and Days of Life - Presentation November 2016

Diabetes in the Last Hours and Days of Life - Presentation January 2017

Diabetes in the Last Hours and Days of Life - Poster EAPC 2017

Diabetes in the Last Hours and Days of Life - Abstract EAPC 2017

Fatigue

Management of Fatigue in Palliative Care Full Guideline - December 2009

   N/A
Genograms

Use of Genograms in Palliative Care Full Guideline - December 2009

   N/A
Haemorrhage

Assessment and Management of Major Haemorrhage in Palliative Care Full Guideline - December 2009

   N/A
Hydration

Guidelines for the Use of Hydration in the Dying Patient Full Guideline - June 2017

Guidelines for the Use of Hydration in the Dying Patient Quick Reference Summary - June 2017

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Clinically Assisted Hydration Audit Form - 2015

Systemic Review Form - 2015

Hydration at End of Life - Presentation November 2015

The Assessment of Hydration in The Last Days of Life - Poster EAPC Madrid 2017

Hypercalcaemia

Under review in the 2015/16 audit cycle

December 2009 Guideline

 

Hypercalcaemia Professional Practice Audit Form - 2016

Hypercalcaemia Case Note Audit Form - 2016

Cancer Associated Hypercalcaemia Literature Review - Presentation September 2016

Cancer Associated Hypercalcaemia Revised S&G - Presentation November 2016

Insomnia

Managing Insomnia in Palliative Care Full Guideline - October 2012

 

Management of Insomnia Case Note Audit Form - 2012

Management of Insomnia Professional Practice Audit Form - 2012

Supra-Regional Audit of Insomnia Management in Primary Care - January 2012

Restless for Sleep - What Do Palliative Care Professionals Assess in Patients with Insomnia? - Poster

Restless for Sleep - What Do Palliative Care Professionals  Assess in Patients with Insomnia? - Abstract

Interventional Pain Techniques

Use of Interventional Pain Techniques in Palliative Care Full Guideline - December 2009

   N/A
Ketamine

Use of Ketamine as an analgesic in Palliative Care Full Guideline - September 2012

 

Ketamine and Methadone Audit Form - 2012

Ketamine & Methadone Supra-Regional Audit - Presentation September 2012

Use of Ketamine as an Analygesic in Palliative Care - Poster

Use of Ketamine in Palliative Care - Abstract

Methadone

Conversion from a Strong Opioid to Methadone Full Guideline - September 2012

 

Ketamine and Methadone Audit Form - 2012

Ketamine & Methadone Supra-Regional Audit - Presentation September 2012

Use of Methadone as an Analygesic in Palliative Care - Poster

Use of Methadone in Palliative Care - Abstract
Nausea & Vomiting

Under review in the 2014/15 audit cycle

December 2009 Guideline
 

Nausea & Vomiting Case Note Audit Form - 2015

Nausea & Vomiting Professional Practice Audit Form -2015

Systematic Review Form - 2014

Management of Nausea and Vomiting in Palliative Care - Presentation January 2015

Management of Nausea and Vomiting in Palliative Care - Presentation May 2016

Neuropathic Pain

Under review in the 2014/15 audit cycle

December 2009 Guideline

 

Neuropathic Pain in Cancer Patients Audit - Presentation May 2014

Neuropathic Pain - Presentation

Nutrition

Nutritional Care in Palliative Care Full Guideline - June 2014

 

Nutrition - Presentation July 2012

A Systematic Review & Audit of Current Practice - Poster July 2012

Nutrition - Abstract July 2012

Cochrane Review on Medically assisted Nutrition - Presentation July 2014

Non-Steroidal Anti-Inflammatory Drugs

Use of Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) in Palliative Care Full Guideline - December 2009

 

NSAIDs Audit Form - 2013

NSAID Regional Audit Group - Presentation January 2013

Opioid Substitution

Under review in the 2017/18 audit cycle

December 2009 Guideline

 Review 2017/18  N/A
Oral Care

Oral Care in Advanced Cancer Full Guideline - December 2009

  Oral Care Update - Presentation
Oxygen

Oxygen Full Guideline - September 2013

Oxygen Quick Reference Summary - September 2013

 

Oxygen Professional Practice Audit Form - 2013

Oxygen Patient Survey Audit Form - 2013

Oxygen Unit Survey Audit Form - 2013

Systematic Review Form - 2012

Oxygen Audit - Presentation 2013

O2 or No2 in Palliative Medicine - Poster EAPC Copenhagen May 2015

O2 or No2 in Palliative Medicine - Abstract EAPC Copenhagen May 2015

Pathological Fractures

Prevention of Pathological Fractures in Palliative Care Full Guideline - April 2015

Prevention of Pathological Fractures in Palliative Care Quick Referrence Summary - April 2015

 

Pathological Fractures Professional Practice Audit Form - 2013

Pathological Fractures Case Note Audit Form - 2013

Systematic Review Form - 2013

Prevention of Pathological Fracture - Presentation November 2013

Systematic Reviews - An Example: Pathological Fracture Prevention - November 2013

Knowledge & Practice of Palliative Care Professionals in Prevention of Pathological Fractures - Poster

Knowledge & Practice of Palliative Care Professionals in Prevention of Pathological Fractures - Abstract

Pleural Effusion
BTS National Guidance    N/A
Pruritis

Management of Pruritus in Palliative Care Full Guideline - December 2009

   N/A
Psychological Services

Development of Psychological Services in Palliative Care Full Guideline - December 2009

 

Psychological Services in Palliative Care Audit Form - 2014

Development of Psychological Services in Palliative Care - Presentation January 2014

Psychostimulants

Use of Psychostimulants in Palliative Care Full Guideline - December 2009

   N/A
Renal Failure

Prescribing in Renal Failure Full Guideline - December 2009

 

Renal Failure Survey of Specialists Audit Form - 2013

Renal Failure Patient Survey Audit Form - 2013

Renal Failure Survey of Practice Audit Form - 2013

Prescribing in Renal Failure - Presentation

Prescribing for Palliative Care Patients with Renal Impairment - Abstract

Prescribing for Palliative Care Patients with Renal Impairment - Poster

Rehabilitation (Lung Cancer)

Rehabilitation in Patients with Lung Cancer Full Guideline - December 2014

 

Lung Cancer Rehabilitation Community Audit Form - 2010

Lung Cancer Rehabilitation Inpatient Audit Form - 2010

Lung Cancer Rehabilitation MDT Audit Form - 2010

Lung Cancer Rehabilitation - Presentation

Living with Lung Cancer - Development of Regional Lung Cancer Rehabilitation - Poster

Living with Lung Cancer - Presentation - Development of Regional Lung Cancer Rehabilitation - Abstract

Sexual Health

Sexual Health Assessment in Palliative Care Full Guideline - December 2009

 

Sexual Health Audit Group - Presentation

Sexual Health Assessment in Palliative Care - An Audit of Practice - Abstract

Sexual Health Assessment in Palliative Care - An Audit of Practice - Poster

Spinal Cord Compression

Acute Oncology Guidelines - 2016

Metastatic Spinal Cord Compression (MSCC) Clinical guidelines for primary care and services in the community (based on NICE CG75) - August 2013

  Update on Management of Malignant Spinal Cord Compression - Presentation
Spirituality

Spiritual Care in Palliative Care Full Guideline - June 2014

 

Spiritual Care Audit - Presentation

Spiritual Assessment & Provision - An Audit of Current Practice - Poster

Substance Misuse

Management of Palliative Care Patients with a History of Substance Misuse full Guideline - December 2009

   
Symptom Control Medication

Symptom Control Medication in the Dying Person Full Guideline - October 2015

Symptom Control Medication in the Dying Person Quick Reference Summary - October 2015

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Symptom Control Medication Case Note Audit Form - 2014

Symptom Control Medication Professional Practice Audit Form - 201

Systematic Review - 2015

Symptom Control Medication in the Dying Person - Presentation November 2014

Symptom Control Medication in the Dying Person - Poster 2015

Symptom Control Medication in the Dying Person - Abstract 2015

Syringe Driver

Use of Syringe Driver/Pumps in Palliative Care Full Guideline - December 2009

  Syringe Driver Update - Presentation
Transdermal Opioids

Transdermal Opioids in Palliative Care Full Guideline - April 2014

 

Transdermal Opioids Audit Form - 2010

The Use of Transdermal Opioids in Palliative Care - Presentation July 2010

Transdermal Opioid - Are we plastering over the cracks - Presentation July 2010

Cochrane Reviews: Impact of Opioids - Presentation July 2014

Transdermal Opioid - Abstract July 2010

Urinary Incontinence

Management of Urinary Incontinence in the Palliative Care Setting Full Guideline - December 2009

   N/A

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 www.nice.org.uk/accreditation