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After the End

The most hopeful novel you'll read this year, from the Sunday Times Number One bestselling author

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Pub Date 25 Jun 2019 | Archive Date 18 Jun 2019


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Description

Have you read the book that everyone's talking about?

'If I could give this book 10 stars I would' (Reader review)

'This book touched my soul' (Reader review)

'I could not put it down. What a story. What a storyteller' (Reader review)

'This is in my top five books of all time. Absolutely incredible' (Reader review)

'I have never felt so emotionally wrapped up in characters in a book' (Reader review)

Powerful, uplifting and full of hope, AFTER THE END is the most moving book you'll read this year - from number one bestseller Clare Mackintosh
__________________________

Max and Pip are the strongest couple you know. Only now they're facing the most important decision of their lives - and they don't agree.

With the consequences of an impossible choice threatening to devastate them both, nothing will ever be the same again.

But anything can happen after the end . . .

***********

'The most moving book you'll read this year' LISA JEWELL

'Life-affirming . . . richly drawn' SUNDAY TIMES

'Compelling and clever, tender and true. I can't stop thinking about it' LIANE MORIARTY

'Heart-wrenching . . . an absolute must-read' MIKE GAYLE

'Put this on the top of your list. You won't regret it' JANE CORRY

'One of the most moving stories I have ever read. It's perfect' JOANNA CANNON

Have you read the book that everyone's talking about?

'If I could give this book 10 stars I would' (Reader review)

'This book touched my soul' (Reader review)

'I could not put it down. What a story...


Available Editions

EDITION Ebook
ISBN 9780751564938
PRICE £8.99 (GBP)
PAGES 384

Average rating from 267 members


Featured Reviews

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A difficult topic, beautifully handled with great originality. Many authors would have based their novel on what happens to a couple when a child falls terminally ill, but Clare Mackintosh takes this one step further and examines what could happen next. I totally believed in this couple and their struggles and was reduced to tears on more than one occasion. Very very good.

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I’m not someone who cries easily, but this ruined me. Compassionate, gentle and engaging - I’ve been blown away by the writing, the gripping storyline and the genuine pain.

So relevant in a time where the topic is more and more splashed across social media.

Highly recommended. Not an easy read, but a wonderful one.

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A very powerful and emotive book, I work as a Paediatric Nurse and have seen very similar cases, there are no winners and a position no parent should ever have to make. It made me so sad how Pip and Max couldn't agree on the best end of life care for Dylan and no matter what the outcome of the court case it was hard to see how they would ever move forward

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I'm a huge fan of Clare Mackintosh, so I was delighted to receive an advanced copy of this novel.

It's very different to her previous books, in that it's not a thriller. It's a family drama, based on very real emotions and unbelievably difficult circumstances. It's every bit as fast paced though, and I devoured it.

Very well written, I connected with all the characters and felt their pain throughout. You'd think it was a true story, based on those characters, and the author's note at the end confirms it comes from a very real place in the author's heart.

The second half of the book, which shows the alternative lives of the characters "after the end" was clever and something different. A fantastic read.

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A totally different type of book from Clare’s previous 3, in lots of ways. As the mum of a 3 year old boy I found it incredibly moving and indeed hard to read at times.
Thank you NetGalley for the chance to read and review this book - it gets a high recommendation from me.

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Loved, loved, loved it. To begin with it's a little like a Jodie Picoult story - trying to decide what is the right thing to do - morally. But eventually it just becomes a love story of two people and their love for their child. Definitely recommend it. Couldn't put it down.

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From twitter.com/karamina

I started reading #AfterTheEnd by
@claremackint0sh
last night and couldn’t stop. It’s an exceptional book, beautifully written and full of humanity and tenderness and love. (And well worth staying up until after 2am to finish...)

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Max and Pip are spending their lives in the intensive care unit with their small son, Dylan. Dylan has cancer and is very poorly and unless the hospital agree to extensive therapy in another county, death is the only outcome. Max and Pip want different things and this tale follows their paths.

This story was beautiful without being twee. The human pain was heart wrenching and I did well up a few times reading it.

This was such a contrast to Clare’s previous books and until I read the very end I didn’t understand why. Thank you for sharing this book. Thank you to netgalley and the publishers for this arc in exchange for my honest review.

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I couldn't put down this heartbreaking story of two parents divided over the care of their terminally ill child. This is very cleverly written portrayal of the angst and trauma that two parents had to go through. Thought provoking and emotional, I loved it. Thank you!

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This was a heartbreaking read and at times I forgot to breathe. The premise appears simple a perfect couple with an ill child. Max and Pip adore one another and their son Dylan, but when Dylan becomes seriously ill what is in his best interest? The chapters are written from three POV, Max, Pip and Dylan’s doctor Leila.
I don’t want to say anymore as it will spoil the magic of the book. All I will say is that you will need tissues and the story will linger longer after you have finished.
Thanks to Sphere and NetGalley for an ARC in return for a honest review.
#AfterTheEnd #NetGalley

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Thank you to NetGalley, Little, Brown Book Group UK, Sphere and Clare Mackintosh for my ARC of ‘After The End’ in return for my honest review.

Where do I start? What a read. For me, this was an outstanding novel and I found it impossible to put down. I have read all of Claire Mackintosh’s previous books so am a huge fan anyway and this had clearly made one of my favourite authors.

This one was different for her but, for me, it was the best. Pip and Max were a strong couple who worked out how to deal with their son being in the PICU after having a brain tumour and surgery. The story of the hospital and other children and parents in the ward was vivid and real. It took my breath away at times and I felt for all of them.

Then the crunch time comes when Pip and Max disagree about Dylan’s care moving forward. How it is resolved is intense and heart wrenching. The story up to this point is clear and this is the point all aspects become blurred.

This is where we hear the story as it moves in two different directions. How brilliant and how cleverly written with characters who were amazingly well developed. Read it as I don't want to give away anything.

An absolute must read. Highly recommended.

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This was a really clever book, and one that seems sadly too topical. It questions what happens when parents can’t decide on the medical treatment for their child, but more than just being a tragic tale of the short life and death of a toddler it goes on to explore what could happen to the parent’s relationship depending on what path is taken.

I surprised myself by not crying while reading this book but found it an utter page turner, and a courageous book to have written.

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After the End is one of the most emotionally written book that I have ever read. Pip and Max seemed to have it all - meeting by chance on a transatlantic flight, they marry and go on to have their son Dylan. Tragedy strikes when Dylan is diagnosed with a brain tumour, and, as a consequence of treatment has to spend months in PICU. This takes its toll on the family, and the consequences of decisions made cannot be undone. Clare has the marvellous ability to draw her readers into the story, presenting each character in such a way that you are bound to champion them........but whose side do you take? I found myself changing my mind each chapter! This book presents the reader with real moral dilemmas, causing you to stop and think what you would do if faced with a similar situation. As with her other books, she likes to play with twists and turns, just when you think you know where the story is going, it surprises you! Having read a little about Clare’s personal life, the reader can feel the heart that has been put into this book.
Thank you to PenguinRandomHouse and NetGalley for the opportunity to preview this e book.

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I could not put this book down. It was not a thriller but a story of a couples relationship pushed to the limit by a terminally ill child. It brought you in close to experience a couples love for each other and their love for their child, who developed terminal cancer before his 3rd birthday.. Using the sliding doors technique helped look at the alternative outcomes to the major decision Pip and Max made. Every character portrayed in the book felt human. This was a beautifully written story with enough dimensions to engage the reader to the very last page. I would thoroughly recommend this original book. It would make for a great Book Group choice

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I really enjoyed this book but found it quite difficult in places due to the sensitive subject matter. A couple have to decide to withdraw treatment from their three year old son who has non curable cancer. One parent wants to try experimental treatment the other is concerned about his quality of life and wants to let him die with dignity.
i was well written and is a thought provoking book that brings up a lot of questions about the choices we make in life.
As medicine advances more ethical questions will need to be discussed about keeping patients alive or providing just palliative care.

I think the book is very timely as there have been similar stories in the press and on TV programmes recently. I enjoyed the book and found it interesting but just a little sad and poignant especially with the authors note at the end.

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If l could give this book 10* I would it feels slightly wrong to admit to enjoying this book so much having regard to its subject matter but it was a wonderful book sad yes but not to its detriment just enough to matter but it had such hope and courage amazing - then when l thought l had felt every emotion possible l read the author’s final note and that put the whole book in another light - thank you netgalley for letting me read this fabulous book

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A departure from Claire’s usually style this was nonetheless just as good, albeit in a different way. Tender but raw, punctured with sorrow and hope, I truly had tears in my eyes at times. I’m still thinking about it now, long after I have finished reading it.

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With thanks to Netgalley and the publishers for the book in exchange for an honest review.
This was a thought provoking book, it is not an easy read but it is one that will stay with the reader for some time. There are many options and variables after Daniel’s death and it is these options that will stay with the reader. There is no right or wrong answer, only what is best for the child and the parents concerned. As Clare Mackintosh says at the end she and her husband had this choice to make and other parents have been in the spotlight in recent years because they wished to go against medical advice.
Highly recommended.

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A truly beautiful read with well drawn characters. Both thought provoking & full of hope. A book that will stay with me. Clare’s writing is amazing

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This book has moved me in more ways than I thought possible. My heart broke for the characters in the book; I could not imagine being in their position, facing the choices which Pip and Max must make.

With every chapter, the superbly powerful writing challenged my initial views of the decisions made by the characters. I found that, even when not reading, my thoughts returned to the dilemma encountered in this excellent novel, prompting probing discussions with my partner about what he would doing this situation.

I implore everyone to read this book.

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A very enjoyable read! I was very interested in getting my hands on this one after I read the blurb and I am pleased to say that I was not let down.

The story is written very well and the characters are interesting and jump off the page. I would recommend this read!

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This book is the definition of bittersweet. Moments in it were heart-breaking, particularly during the first section, dealing with Dylan’s illness. This book will resonate strongly with anyone who has experienced the pain of watching a loved one suffer through terminal illness. Mackintosh clearly describes the grief, guilt, and exhaustion which parents in the PICU must feel every day. At the same time, she shows the bond formed between parents on the ward, and how lifelong friendship can blossom from shared trauma. I particularly liked the little instances of parents helping one another to cope, such as the book of advice (‘the tree outside is a good place to sit and think’). Grief can be a uniting force, even as it separates us from those we love; a force for strength, even in our weakest hours. Despite the upsetting content of the book, examining how partners cope with the loss of a child, the overall mood – especially in the second half – was positive and uplifting. I really appreciate that Mackintosh chose to show both possible paths (to allow Dylan die in hospital or to use experimental medicine to give him a longer life) – it was a very considered decision. Had she chosen one or the other, the tone of the book would have felt sanctimonious, as if she were judging parents who chose the ‘wrong’ option. Instead, by following both options, she demonstrates that there is no easy right/wrong decision. PICU parents are forced to make a choice that no-one should ever have to make, and they must do whatever they think best for their child. Mackintosh shows that some outcomes are inevitable – whichever path Pip and Max choose, bad things will happen, but there can be hope.

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The blurb says that Max and Pip are a strong couple who are facing the most important decision of their lives and they don't agree.
It didn't prepare me for the emotional rollercoaster that was 'After the End." It was the most heart-wrenching book I have ever read. I could not put it down. I cried and cried again. What a story. What a story-teller. I have never felt so emotionally wrapped up in characters in a book. The writing comes from the soul. Clare Mackintosh has written an amazing book, an honest, sad, traumatic yet uplifting book that every parent should read.
Five out of five.

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I absolutely loved this book, I have loved Clare Mackintosh's previous books and could not wait to pick this one up and get stuck in.

I found the first half emotional and tough going but I still couldn't put it down and read the second half in one sitting as I was not able to go to bed until I knew what happened to the characters. Throughout the book, I felt the highs and lows with the characters, what a book - I loved it.

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This is beautifully written and very clever. My heart broke for the main characters - what a terrible decision to have to make, and live with. I loved seeing the outcomes of each route the couple chose. The characters are likeable and well-drawn and the dialogue is spot on. I didn't want to put it down.

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I've read all of Clare Mackintosh's previous work so when I saw this book come up on NetGalley I thought great another psychological thriller. How wrong I was.

This is an utterly brilliant yet heartbreaking book about parents who have to make an incredibly difficult decision about their critically ill son.

It is full of emotion and hours later I'm still thinking about it and I'm sure I will still be thinking about it in days to come.

I think this may be Mackintosh's best book yet.

Thanks to NetGalley and the publisher for the opportunity to read this book in exchange for a honest review.

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Totally different to what I had read before from this author, but amazing and thought provoking. A sliding doors style approach to a situation which tugs at the heartstrings. Thank you for the read

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Clare Macintosh is an author with enviable storytelling skills who has knife-like precision when it comes to writing the perfect thriller. Her pacing, characters and ability to ramp up the tension to the final few pages is incomparable. Therefore, I will buy and read anything she writes without knowing a single thing about the novel I’m about to delve into – she could write anything, and I’d read it!
I am so very thankful to __ for allowing me an early NetGalley copy of After The End to review. I will be buying myself a copy as soon as it comes out to treasure forever because this book has firmly found a place in my ‘Top Books Of All Time’ list.

I curled up in bed and opened After The End ready to get involved in another wickedly clever thriller, determined more than ever to outsmart Clare and work out the plot. However, what I got myself lost in was an intimate, intoxicating, incandescent novel that lingered in my mind every second I was away from the pages. I want to leave this review as enigmatic as possible because the most effective way to read this novel is to know very little about what it entails and uncover the beauty of it for yourself. What I will say though is this book will leave you torn in half with an impossible decision dividing not only the narrative but the characters within it.

Clare draws on her own personal experience to write this touching novel and it is brutal in its honesty. It’s, at times, overwhelmingly emotional and will touch even the hardest of hearts. I flew through the pages of After The End with tears pricking at my eyes and a heavy heart. You sometimes read books that feel important or life-changing but it’s rare to find a book that is both and then a little bit more. It moved me in ways I haven’t been moved by a novel in a long time, it renewed my faith in so many little things and gave me the chance to explore a decision I hope I’d never have to make.

This novel is both heart-warming and heart-breaking. It is funny and sad, light and dark, upsetting and uplifting. It is a novel of pure brilliance and one I would read a thousand times over and still not get bored. I can only hope this marks the first of many novels like this from Clare.

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I have really enjoyed all of this authors books and this was no exception.
After the End is completely different to her other books, it's not a thriller but a superbly written emotional heart breaking story.
I found the characters to be believable with strong voices and the plot was very well paced and incredibly thought provoking.
A must read for anyone who loves Claire Mackintosh as an author. A riviting storyline that will grip you to the end
and will definitely pull your heart strings.

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I received a free copy from NetGalley in exchange for an honest review. It's hard to find words to describe this book - I've just spent the last four hours devouring it in one sitting, close to tears for much of it. Mackintosh writes beautifully and with buckets of emotion, and her author's note at the end was touching. I have so much sympathy for her, and am impressed with how she's used her own experiences to write such a deeply moving novel. The characters are all likeable and realistic, and I thought the way that she explored the consequences of both scenarios was effective. Despite the premise of the of the book making it in some ways a difficult read,, the ending(s) were ultimately heartwarming and uplifting, with hope and love ultimately shining through the darkness. I'm so impressed with this book, and look forward to reading more from this author.

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A really moving and emotional read.
This book details every parents worst nightmare- the serious illness and terminal diagnosis of a child and the subsequent life changing decisions forced upon the family.
Beautifully crafted, after the terminal diagnosis the book divides into two alternative realities based on the two different options presented to and by the family of Dylan following both through several years after the events.
I couldn't put this book down- I need to find out what happened and lived every breath, every choice, every appointment and every tear with Pip and Max.
I also gathered my 3 year old to me extra close as the book really brought home the message of cherishing every moment- even the ones where you just wish for 5 minutes and a hot cuppa.

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This is a very emotional story and quite heart-breaking in places. It is completely different from Clare's psychological thriller books but proving what a talented author she is. This is a "must read" book

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I loved After the End. It will resonate with anyone who has known someone go through life-prolonging treatment, only to wonder if enough is enough and we can't put them through any more. I thought the sliding doors aspect of the book was brilliant. It is one of those books that will stay with me for a long, long time.

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Oh my goodness is there no end to this lady's talents. I wasn't expecting to be reading a book that tore every emotion from me. A truly beautiful and heartbreaking book but one that also made me smile throughout. A very tough subject but written with so much heart and soul from an author that has first hand experience of what it is like to know you are going to lose your child.
One word AMAZING

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I’ve loved all of Clare Mackintosh’s and this one is no exception. I loved how the story split and how it weaved between two different lives.

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A raw story of a couple who have different views on what is the best way to progress with their sons treatment.

A heart breaking decision for anyone to imagine and then raw emotional journey if both outcomes is portraid by each of the characters as they try to love after death.

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It’s not often you pick up a book to read that is written with eloquent and heart felt words throughout. This story is based on Dylan. Max and Pips son who is terminally ill, when faced with the decision as to whether or not to place him in pallative care plan both parents have opposing views. But which one has the right decision? Is there a right decision? Who decides. Irrespective life continues and they have to live with their decision.

I cannot imagine being faced with such a situation l. Losing a child must be a harrowing experience. At the end of the book we learn that the author has been in a similar situation. And I genuinely feel that this book is written from her heart, sharing her emotions, and it’s this that makes this an exceptional read.

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Max and Pip are the strongest couple you know. Only now they're facing the most important decision of their lives - and they don't agree.

As the consequences of an impossible choice threaten to devastate them both, nothing will ever be the same again.

But anything can happen after the end....

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Wow. I wasn't sure what to expect with this being a book away from Clare's usual genre. But, being honest, I think this is her best book yet.

This book is about a parents worst nightmare. A terminally ill child. Upon receiving the news that there was nothing further the doctors could do for Dylan, who was just shy of 3 years old, his parents have opposing views. His mum wants to let him go and be at peace and be pain free. His dad wants to fight and trial anything that may prolong Dylan's life. So what happens next....

What I liked about this book, was that there was no right or wrong. You felt for each parent in equal measures, and could completely understand where they were coming from. I also really like both parents and all the supporting characters too.

It is well worth reading Clare's personal note at the end. You will get an understanding of how she managed to write this beautiful eloquent story.

This is a book that will stay with me for a long time.

Highly recommended.

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When I requested this book on NetGalley, I didn’t realise it wasn’t Mackintosh’s usual psychological thriller. It doesn’t give a lot away in the blurb, but I jumped at the chance to read another of her books as I’ve loved them all so far.
It doesn’t matter that this wasn’t the genre I was expecting as it is an outstanding and brilliant read in its own right.
I kept forgetting who the author was as it felt like I was reading a Shari Low book. Low’s books can be quite bleak and poignant. The most recent of hers that I read had the split ‘what if’ story where part of the book the heroine stays with her husband and the other half where she leaves him. The second part of ‘After the End’ reminded me a lot of ‘With or Without You’ as the chapters interspersed with different outcomes from the court trial.
I disagree with some of the other reviewers that thought the book should have ended after the court case as that’s not entirely what the book was about. It is concerning how each party coped with the aftermath and the consequences. It is called ‘After The End’ after all!
Sometimes the interspersed chapters could become a little confusing especially as it neared the end but if you concentrate you can keep up. I also missed Leila’s side of the story in these, yes she popped up now and again, but we had gotten to know her life in the first half and then all of a sudden she no longer had a staring role. The final chapter had me screaming out though as I’d hoped for the real ‘answer’.
I thought this book was beautifully written and you could feel the heartbreak that Pip and Max had to go through, and I don’t envy anyone that has to make that kind of choice. It really makes you think (I don’t have kids, but I do have cats) and it would break my heart to have to make a decision even close to this one.

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A beautifully written book which touches your heart. It takes you through a parent’s journey and how they make their way through the toughest time of their lives and how their decisions affect their entire lives.

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This is not the usual psychological thriller that Clare Mackintosh is renowned for. However, it’s certainly one of the most powerful and thought provoking books I’ve read in some time.

We’re probably familiar with the headline stories about very ill children where there’s a difference of opinion about treatment and the case ends up in court. This book goes right to the heart of of that scenario and deals with highly emotive issues with sensitivity and compassion. I was totally engaged with a heart wrenching tale with a final twist I didn’t expect. An amazing read and the story has stayed with me.

My thanks to the publisher for a review copy via Netgalley.

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I can’t wait for the buzz about this book to take off, or to see someone read it on the bus, their eyes flicking as they try to pick a side or imagine what they would do. Does anyone really know if they haven’t been directly affected?

Pip and Max have a very ill son called Dylan, who is suffering from cancer at just two years old. After going through the ups and downs of his treatment, they are told they must make an important decision: remove his life support and let him die or potentially extend his life with treatment abroad.

After The End is very different from Clare Mackintosh’s previous psychological thrillers, but it got my mind racing all the same. I took Pip’s side near the beginning and although I was pushed and pulled all over the place, I kept my view at the end. I think it’d be interesting to discuss with others which side they took, why, and if it changed as the story unfolded.

Structurally, Mackintosh was very clever. Alternating chapters between Pip, Max and Dylan’s doctor Laila bring you up to the halfway mark where the judge is set to decide the course of action. There, the story splits in half. Pip and Max’s chapters reflect the future if they had got their way. Just when one future seems obviously better, they flip, showing that each outcome will have highs and lows. Elizabeth Gilbert said that life is about choosing which shit sandwich you want to eat. I’m sure Pip and Max would agree.

I’d recommend this book to fans of Jodi Picoult and Me Before You.

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A completely different type of book that I normally would read but I’m so glad I did. A powerful and emotional story with a nice twist at the end and a very touching authors note. Pip and Max’s story will stay with me for a long time.

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Thank you to Netgalley and the publishers for giving me an advanced copy in exchange for a true and frank review.

What to say about this novel. A difficult subject but handled with compassion and insight. I couldn't put it down and read it in 2 days. I have read and loved all of Claire's previous books. This is very different but so well written and constructed.

What would you do if you had to decide - let your child stop treatment and die or go to America for radical treatment to extend his short life with potentially little or no quality of life?
Eventually the Courts have to decide.

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This was such a beautifully written heartbreaking story. To begin with I found it a bit difficult to read and it took me a few days to get properly into it.
Pip and Max are facing every parents worst nightmare, their son Dylan is critically Ill and the Drs have advised that the best course of action is stop all treatment and let him go.
Max and Pip initially disagree with this and they begin to look into treatments available in the USA. However after much soul searching Pip decides she cant watch her baby suffer any longer and wants to let him go.
Max and Pip must now face each other in court on opposing sides and let the court decide if their boy should live or die.

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Having read Clare Mackintosh previous novels, I was aware that this was not her usual psychological thriller, and wondered if I would enjoy this as much. However, this is another of her books which is well-deserved of 5 stars! This novel is highly emotional at times, exploring the tragic issue no parent ever wants to be faced with; being given the devastating news that your child has terminal cancer. The book is based around our two main characters, Pip and Max, the parents of young Dylan, who has a cancerous brain tumour. When they are told the news this is terminal, they are faced with some life changing decisions, which they will continue to reflect and continually dwell upon over the passing years. Through the unfolding of events, Mackintosh explores the options that these parents have, which they tragically cannot agree on, resulting in an impasse that the courts are finally left to decide. Whilst the book presents some extremely emotional events at times, you find yourself as a reader considering the same difficult plight and what you yourself feel should be the best outcome. Mackintosh cleverly deals with the expression in life we may find ourselves at times asking of various situations ‘what if…???’ She presents almost a ‘Sliding doors’ offer of events, where one decision can change the whole course of history. As the events evolve, it keeps you continually wondering about the decisions and questions the parents are faced with, but also keeps you gripped wanting to know more and how the novel will finally end – and in true Mackintosh style, doesn’t finish without a slight twist! As Mackintosh acknowledges in the Afterward, this is something that is very personal to her and so enables her to write from the heart in a powerful and creative way, but with such sensitivity and emotion. My thanks go to netgalley and Little Brown Books for the opportunity to read and review an ARC of this.

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After The End is unlike anything I have read before and the story of Pip and Max and their baby Dylan is a complete departure from the Psychological Thrillers that I have read by Clare Mackintosh. After the End was brilliantly written (I wouldn’t expect anything less from Clare Mackintosh) and is a very special, sensitive book that was sometimes hard to read and tugged at my heart strings. Dylan’s story will stay with me for a long time. I give this book 5 stars. A big thank you to the publishers and to NetGalley for letting me read this for an honest review, I can’t wait for the publication date so that I can recommend After The End to friends and family.

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This is a book that will stay with me for a long while. I wasn’t sure what to expect. I am a fan of Clare MacIntosh and I have enjoyed her thrillers. This is a departure. A story of love and loss, and I am very impressed.
The illness and potential death of a child is such a hard subject matter, but one that is tackled with sensitivity and understanding by the author. I was engrossed and felt so privileged to share the story of Dylan, his parents, and his doctor.
The book is very well written. To manage the time differences in part 2 could not have been easy and it was done really well. I was never lost or confused (sometimes I do struggle to keep up when a book has a ‘sliding door’ type concept.). I don’t want to give any spoilers, but the way the book is structured is very clever and works beautifully.
The main characters are believable, flawed, and so very human. I wanted to be their friend and to give them a massive hug. I found it so emotional - It is probably not a book for public transport.
I highly recommend this book and do not hesitate to give it 5 stars. I can’t wait to see what Clare MacIntosh writes next.

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This book was so moving. At the centre is one poorly little boy surrounded by love but what happens when parents don’t agree on a way forward. You follow the parents through there turmoil where there is no right or wrong path. This book grabs you and holds you till you turn the last page.

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Max and Pip are a happy couple facing their two year old son, Dylan's, terminal illness. When Max finds out about a new life-prolonging treatment available abroad, he starts fundraising to get his son to an American hospital for the most advanced care. Pip, however, is unsure that this is the right path for Dylan. Their little boy is reliant on pain relief and endless medications and therapies to get through each day, and she begins to wonder if the kindest thing would be to let Dylan go. Max and Pip cannot agree on what is best for Dylan, and what follows is an incredibly honest and painful story in which no one can be a winner.

In recent years there have been numerous reports in the news of parents fighting in court for further treatment of their children when the medical teams have concluded that this would not be in the child's best interests. Mackintosh has created a story in which Max and Pip are completely believable characters, with separate chapters written from both of their points of view. The views of Dylan's doctor adds weight to the story, showing the often impossible decisions healthcare professionals have to make on behalf of their patients. The far reaching impact of Dylan's illness on his grandparents, Pip's 'mum friends' with similarly aged children, Max's colleagues and strangers reading about Dylan online and in newspapers is explored giving the book even more depth.

At times heartbreaking, After The End is a frank look at the pain of parenting a child with a terminal illness, and being asked to make impossible decisions about their care. It shows the difficulty of navigating work, family, social situations and strangers when the worst thing in the world is happening to you, and the different ways in which we might start to heal and recover.

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