The usual scare mongering public and the jobless vigilantes have united to put the Liverpool care pathway on its way out. But they are not going to put the LCP on the LCP. They want it to have a painful death. Rubbish it as much as possible. Ten years ago, a ridiculous move as this would have been quelled at the start. Today though, many people are waiting to read more about more failings in the NHS. Not merely because they take pleasure in reading gory stories, but because it gives them a perverse relief that what they suspected deep inside is being confirmed finally! With mortality rates in hospital being projected and framed for everyone to get paranoid about, it was no surprise that the poor LCP took a significant blame for seemingly aiding and abetting the facilitation of high mortality figures.
It would not have been a big deal except for the fact that blaming the LCP in effect turns a doctor's compassionate approach into a doctor-death perversity. The very crux of being a doctor is being challenged. It strikes at the very heart of the work ethic of caring professionals who writhe in the frustration of being unable to stand up and fight against these casual allegations which seem to get unfair public support due to the prevailing suspicions of poor care. Yet another sign of the times where we no longer want heroes to shine, but would rather watch villains hurting heroes all along in the movie. We have moved on from the peri-war era where we wanted to hear about good prevailing over evil always. Superman comic strips are now merely looking comical. We want to see him wallowing in kryptonite rather than flying and saving the cat from a tree for a child and looking satisfied. Take away his underwear, make the super S vague and hardly recognisable, and make him look bad by breaking his own oath of never to kill anyone. Yes, I have been to the latest film. Look at all your new Batman movies where villains get more screen time rather than the caped crusader. Toys of villains sell faster. Kids try to pretend to be the Joker with the self inflicted knife wound on the face than be the pathetic caped crusader. Make green lantern gay. Millions have started reading comics now because they can identify with green lantern? Makes one think how we have sold our soul in the search of political correctness and feigned righteousness. I am told they are looking to make superman black.
Sorry to diverge, but the point in discussion is not so much about whether LCP is the way forward or not, but instead, how will any dying pathway pretend to be a dying care pathway. Or even more importantly, how can the public be convinced every time that it was not a Lying care pathway? If you are expecting an answer to that, you should stick to the movies above. Like everything in medicine, no one and nothing is infallible, and everyone's actions are open to interpretation, often by vulnerable relatives who get more solace in blaming someone than accepting the inevitable. Any action can be challenged easily, but to stand by and defend one's actions in the face of an angry irrational mob hell bent on blood is the ultimate test of passion and belief in one's actions. If those who have used the LCP dont stand by it, it will be interpreted as admission of guilt. If the merits of the LCP outweigh any potential for abuse in the hands of an occasional shipman, then we should fight against the elbow jerk response of trying to abolish the LCP purely to satisfy a few paranoid people who will continue to fear anything and everything that they do not understand. The LCP may go, because it is un-defendable. Not because it is at fault, but because it is not possible to analyse every case in its clinical real life context to fully satisfy the people shouting for blood. Retrospective reviews of case notes hardly grasp the real state of things where the LCP was instituted. So the LCP will go. But it will be back. But without any credit for Liverpool. That is the way we like it. Why should anyone get any credit. Let us keep it bland. Let us keep things without ownership. We dont want heroes. We just want a normal world where villains get to challenge everything heroes do. You may say that is what makes heroes heroes. I say it makes heroism a dying trait, particularly when the public gets behind the villains.