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One Chance to Get it Right: One Year On Report

An overview of progress on commitments made in One Chance to Get it Right: the system-wide response to the Independent Review of the Liverpool Care Pathway

In July 2013, the Independent Review of the Liverpool Care Pathway (LCP) made a number of recommendations in its report More Care, Less Pathway about how end of life care should be improved in the wake of complaints about instances of poor care associated with the use of the LCP.

The recommendations were considered by the Leadership Alliance for the Care of Dying People, consisting of 21 organisations from across the health and care system, including the Department of Health, under the leadership of the National Clinical Director for End of Life Care, Professor Bee Wee.

In June 2014, the Leadership Alliance published a system-wide response to the Independent Review of the LCP, entitled One Chance to Get It Right. Leadership Alliance members committed to actions in response to the Independent Review’s recommendations and the actions were set out in Annex B of the response. The full One Chance to Get It Right report, with annexes, is available online at:

Alongside the response, the Leadership Alliance organisations set out collective and individual commitments that they as organisations had made to supporting the response and in particular, the five Priorities for Care of the Dying Person.

In addition, the Department of Health signalled its intention to monitor progress against the actions in One Chance to Get It Right and to record this progress in a one year on report to be published in summer 2015.

To fulfil that commitment, the Department of Health has sought updates from all the former Leadership Alliance organisations who committed to actions in the response.

This report describes the actions organisations have taken since June 2014 and is organised under broad topics that reflect the themes identified in the response, as follows:
- Quality regulation and inspection;
- Guidance and professional standards;
- Improving the commissioning of care;
- Education and training;
- Sharing knowledge and good practice;
- Research;
- Work to promote the new approach to care in the last days and hours of life, including the Priorities for Care; and
- Other work being undertaken by the Department of Health, NHS England and others.