This is so crucial that no new attempts to set up this sort of pathway should be made until we have research showing it is possible to accurately diagnose impending death. Until then, as Neuberger said, good quality compassionate care should be given without any pathway.
We can’t identify who is about to die. So, how can we have a treatment system for those identified as about to die?
The section on hydration in the Nice document is a disaster of misinformation, distortion and ambiguity with at least one major error. It says that “death is unlikely to be hastened by not having clinically assisted hydration”. This is completely untrue. Not giving hydration is certain to kill someone if they can’t take hydration by mouth. There is no mention of nutrition in the Nice document.