Palliative Care (End-of-Life Care)

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

End-of-life care (EoLC) helps all those with advanced, progressive, life-threatening illness to live as well as is possible, through the prevention and relief of suffering, until they die. 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.

On this webpage you will find service information, referral routes and a number of helpful tools that should help with early identification, making an advance care plan and other parts of end of life care.

For a list of community palliative care & hospice contacts across NCL, click here.

The London EoLC Clinical Network (NHS E&I) has published a Covid-19 London Primary Care Support Document (see Downloads). This comprehensive document includes guidance around the entire EoLC pathway including symptom control, compassionate conversations and care after death among other areas.

Please also see: 

Use the pan-London EoLC Maar chart 

An end of life care medical authorisation and administration record (Maar) was agreed by the London-wide Clinical Advisory Group in July 2020. 

  • the Maar chart is available on EMIS, or see Downloads
  • presentation slides from a webinar introducing the new Maar chart, on 2 July 2020, are available (see Downloads). 

Coordinate My Care (CMC) update, April 2022

The London urgent care implementation is on track to provide a replacement for Coordinate My Care (CMC). This is planned for Wednesday 1 June 2022. 

GPs will not need to complete any actions for this to occur. The transition will happen automatically.

Between 31 March and 1 June, a transition system will be in place. Practices will be able to continue to access this system in the same way as they access CMC now.


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Dr Jonathan Sheldon


Borough Last Phase of Life Clinical Lead

Pathways View All


Pan-London Symptom Control MAAR chart V4: Essential points

NCL Wide
Download PDF, 68.99 KB

Pan-London Symptom Control MAAR chart V4: Example P1-2

NCL Wide
Download PDF, 112.52 KB

Pan-London Symptom Control MAAR chart V4: Example P6

NCL Wide
Download PDF, 64.45 KB

Pan-London Symptom Control MAAR chart V4: Policy

NCL Wide
Download PDF, 570.57 KB

Pan-London Symptom Control MAAR chart V4: Procedure

NCL Wide
Download PDF, 204.31 KB

Last Years of Life Service Directory

NCL Wide
Download PDF, 218.31 KB

All age pan-London specialist palliative care referral form (word)

NCL Wide
Download DOCX, 106.07 KB

All age pan-London specialist palliative care referral form (pdf)

NCL Wide
Download PDF, 770.79 KB

Information for Relatives and Carers Following an Expected Death at Home

NCL Wide
Download PDF, 444.91 KB

Covid-19 London Primary Care Support Document (latest version v4/15 December 2020)

NCL Wide
Download PDF, 435.52 KB

EoLC EARLY Identification tool

NCL Wide
Download PDF, 890.82 KB

Tips for Advance Care Planning for GPs

NCL Wide
Download PDF, 56.78 KB

Courageous conversations for GPs: Golden Nuggets (Tips for Difficult Conversations)

NCL Wide
Download PDF, 499.14 KB

Courageous conversations for GPs: Getting the Ball Rolling

NCL Wide
Download PDF, 344.5 KB

Supportive & Palliative Care Indicators Tool (SPICT)

NCL Wide
Download PDF, 168.24 KB

DNAR Form & Guidance Notes

NCL Wide
Download PDF, 155.47 KB

MAAR chart example document 2

NCL Wide
Download PDF, 73.82 KB

MAAR chart example document 1

NCL Wide
Download PDF, 128.29 KB

MAAR chart: NCL pan-London MAAR chart webinar

NCL Wide
Download PPTX, 2.61 MB

Palliative Care for Adults: Guidance for Primary Care

NCL Wide
Download DOCX, 659.55 KB

Palliative Care Quick Guide

NCL Wide
Download PDF, 562.1 KB

After Death Analysis (ADA) Audit Form

NCL Wide
Download XLS, 2.68 MB

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Last updated: Friday, 29 April 2022
Review date: Wednesday, 17 August 2022