Palliative Care (End-of-Life Care)

Palliative care is an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness. It is carried out by means of early identification and assessment/treatment of pain and other physical, psychosocial and spiritual problems. 

End-of-life care (EoLC) helps those with advanced, progressive, life-threatening illness to live as well as possible through the prevention and relief of suffering. It enables the needs of both patient and family to be identified and met throughout the last phase of life and into bereavement. It includes management of pain and other symptoms, and provision of psychological, social, spiritual and practical support.

Covid-19 support

The London EoLC Clinical Network published a Covid-19 London primary care support document (see Downloads), which includes guidance around the entire EoLC pathway, including symptom control, compassionate conversations and care after death among other areas.

See also: 

Pan-London EoLC MAAR chart 

An EoLC Medical Authorisation and Administration Record (MAAR) was agreed by the London-wide Clinical Advisory Group in July 2020. See Downloads for more information.


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Downloads

Download • PDF, 349.3 KB

Use of oxygen in the palliative phase of illness and long-term respiratory disease (NCL ICS, V1.0, review date October 2025)

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Download • PDF, 68.99 KB

Pan-London symptom control MAAR chart V4: Essential points

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Download • PDF, 570.57 KB

Pan-London symptom control MAAR chart V4: Policy

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Download • PDF, 204.31 KB

Pan-London symptom control MAAR chart V4: Procedure

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Download • PDF, 112.52 KB

Pan-London symptom control MAAR chart V4: Example P1-2

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Download • PDF, 64.45 KB

Pan-London symptom control MAAR chart V4: Example P6

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Download • PDF, 128.29 KB

MAAR chart example document 1

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Download • PDF, 73.82 KB

MAAR chart example document 2

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Download • PPTX, 2.61 MB

Pan-London MAAR chart webinar slides

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Download • PDF, 435.52 KB

Covid-19 London primary care support document (15 December 2020)

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Download • PDF, 890.82 KB

EoLC EARLY identification tool

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Download • PDF, 168.24 KB

Supportive and palliative care indicators tool (SPICT)

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Download • PDF, 155.47 KB

DNAR form and guidance notes

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Download • XLS, 2.68 MB

ADA audit form

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Download • PDF, 562.1 KB

CNWL palliative care quick guide

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Download • PDF, 462 KB

NCL community palliative care teams

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Download • PDF, 56.78 KB

Tips for advance care planning for GPs

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Download • PDF, 499.14 KB

Courageous conversations for GPs: Tips for difficult conversations

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Download • PDF, 344.5 KB

Courageous conversations for GPs: Getting the ball rolling

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Download • PDF, 444.91 KB

Camden information for relatives and carers following an expected death at home

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Download • PDF, 218.31 KB

Islington last years of life service directory

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Download • DOCX, 659.55 KB

Islington palliative care for adults: Guidance for primary care v3

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