The National Palliative and End of Life Care Partnership, made up of statutory bodies including NHS England, the Association of Directors of Adult Social Services, charities and groups representing patients and professionals has developed a framework for action in making palliative and end of life care a priority at local level.

Ambitions for Palliative and End of Life Care: A national framework for local action 2015-2020, is aimed at local health and social care and community leaders. It builds on the Department of Health’s 2008 Strategy for End of Life Care and responds to an increased emphasis on local decision making in the delivery of palliative and end of life care services since the introduction of the Health and Social Care Act 2012. Since the publication of the strategy, good progress has been made in end of life care but there is still much more that needs to be done.

This national framework for action sets out six ‘ambitions’ – principles for how care for those nearing death should be delivered at local level:

1. Each person is seen as an individual
2. Each person gets fair access to care
3. Maximising comfort and wellbeing
4. Care is coordinated
5. All staff are prepared to care
6. Each community is prepared to help

The framework identifies measures such as personalised care planning and shared electronic records that are needed to realise each of the six ambitions, and calls on Clinical Commissioning Groups, Local Authorities and Health and Wellbeing Boards to designate a
lead organisation on palliative and end of life care and to work collaboratively to bring people together to publish local action plans based on population based needs assessments.

The partnership of organisations with responsibility for end of life care, including NHS England, Public Health England, CQC, Marie Curie, the National Council for Palliative Care, Macmillan Cancer Support, Sue Ryder, Hospice UK, Together for Short Lives, and groups representing patients and professionals such as the Association of Adult Social Services, the Patients Association and the Royal Colleges of Nursing, GPs and Physicians, are committed to support a drive in improvement of care for people of all ages, babies, children, young people and adults’, and in all social settings, to monitor progress and influencing change.

Below you can download the Ambitions document, slides about the Ambitions and the press release

Also please see a blog from John Powell, ADASS Lead for End of Life Care who has been leading for ADASS on this.