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The long awaited guidance document on palliative care services across England and Wales was released by the National Institute of Clinical Excellence (NICE) last month. It makes recommendations about service configurations rather than specific treatments. For example, it advises that ‘mechanisms need to be implemented within each locality to ensure that medical and nursing services are available for patients with advanced cancer on a 24-hour, seven days a week basis, and that equipment can be provided without undue delay.’
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Karen Birmingham (2004) studied this question.
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