ICD guide history

Document Title

Guideline for deactivation of cardioverter defibrillators towards the end of life

Document Date

December 2022

Document Purpose and Intended Audience

A guideline to support local organisations to establish logistical resources to support the use of the national guidance on ICD deactivation.


Dr Jon Tomas, Palliative Medicine Consultant, University Hospital Coventry and Warwickshire

Dr Sophie Taylor, Palliative Medicine Registrar, West Midlands

Dr Emma Wooldridge, Palliative Medicine Registrar, West Midlands

Consultation Process

Reviewed by SPAGG and ratified


This will be audited and reviewed every 3 years

Review Date

(must be within three years)

December 2025

Approval Signatures:

SPAGG chair

Dr Jon Tomas

SPAGG secretary

Dr Alice Gray

Date Approved by SPAGG: December 2022

Date submitted to Area Prescribing Committee: N/A

Version History

Version n/a



Summary of change/ process


Disclaimer (SPAGG - Rewrite)

This Guide is intended for use by healthcare professionals and the expectation is that they will use clinical judgement, medical, and nursing knowledge in applying the general principles and recommendations contained within. They are not meant to replace the many available texts on the subject of palliative care.

Some of the management strategies describe the use of drugs outside their licensed indications. They are, however, established and accepted good practice. Please refer to the current BNF for further guidance.

While WMPCPS takes every care to compile accurate information , we cannot guarantee its correctness and completeness and it is subject to change. We do not accept responsibility for any loss, damage or expense resulting from the use of this information.