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NHS Pan Birmingham Cancer Network

  • End of life guidelines

    This section contains guidelines for use by clinicians involved in symptom control for patients. There is guidance on:

    • pain relief including conversion from one analgesic to another
    • control of other symptoms that may be distressing in the terminal phase of illness such as agitation and nausea/vomiting.

    The guidance has been developed and approved by specialists and generalists working within the Pan Birmingham area. It is in accordance with the West Midlands group and national guidelines, and is reviewed every three years (or more frequently as appropriate). Any feedback would be welcome, you can contact us via the 'Contact Us' button above.

  • Algorithms - drugs at end of life

    The PBCN algorithms for the use of drugs at end of life are available here.

  • Diabetes

    For the PBCN guideline on the management of diabetes in palliative care please click here.

  • Drugs and palliative care emergencies

    For the West Midlands guidelines on the use of drugs in symptom control (including emergencies) please click here. 

  • Fentanyl patches

    For the PBCN guideline on the use of fentanyl patches in the dying phase please click here. 

  • Oxygen

    For the PBCN guideline on the use of oxygen in palliative care please click here.

  • Venous thromboembolism

    For the PBCN guideline on the primary prophyaxis of venous thromboembolism (VTE) in patients with malignancy whose treatment is primarily palliative please click here.