• Jayne Wood and Clare Smith.
• The Royal Marsden NHS Foundation Trust, Palliative Care Team, Dame Unity House, 2a Guthrie Street, Level 2, London SW3 6NU, UK. jayne.wood@rmh.nhs.uk
• Nat Rev Urol. 2010 Aug 1;7(8):425-9.

AbstractThe priority for care at the end of life is to ensure that all patients experience high-quality care, irrespective of their diagnosis or preferred place of care. This phase of an individual's disease journey is fraught with complex decision-making that can obscure and impair the provision of high-quality care in the absence of advance care planning. In the past few years, the Department of Health in the UK has emphasized this through a number of initiatives and strategies aimed at preparing patients, carers, and indeed professionals, for the terminal phase of disease. This Review explores these initiatives and demonstrates, through the discussion of a recent case history of an individual with a diagnosis of a urological malignancy, how they have been implemented at a local level by The Royal Marsden NHS Foundation Trust.

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