The Wales-wide implementation of a pre-developed care pathway for the last days of life reflected four different care settings and crossed the statutory and voluntary boundaries. Within the literature concerning pathways, the notion of ‘ownership’ is often cited as a factor contributing to successful implementation. To engender local ownership, each site seeking to implement the pathway was encouraged to make changes to the documentation to reflect local guidelines and protocols. This paper reports on the changes made to the pathway documentation throughout Wales.
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