The Wales Map of Palliative Care has been developed on behalf of the All Wales Palliative Care Implementation Group. Its aim is to facilitate understanding of the needs and care journey of patients approaching the end of life.

It has been developed by a multidisciplinary group, ensuring all aspects of care are addressed, and encourages consideration of key assessments and interventions triggered by changes in condition or prognosis.

The front page provides an overview of the patient journey and allows clinicians to focus on the complete pathway. By clicking on individual components, guidance on specific assessments and interventions may be accessed with links to integrated guidelines and other national resources.

	PALLIATIVE / SUPPORTIVE / END-OF-LIFE CARE New diagnosis or Change in prognostic group (from 1o care contact, 2o care specialist, or PC Register review) Consider estimated prognosis:
More than 1 year		Less than 12 months		Weeks		Days
		Palliative Care Register
HOLISTIC ASSESSMENT & MANAGEMENT OF CURRENT PROBLEMS (Physical / psychological / social / spiritual)
		DS1500		DS1500
Assess PATIENT INFORMATION Needs / Check PATIENT’S UNDERSTANDING
ADVANCE CARE PLANNING (DECISIONS, PREFERENCES & CHOICES)
		DNA-CPR		DNA-CPR		Preferred Place of Death confirmed
Anticipated CARE NEEDS (Equipment & Staff resources)
		Anticipatory Prescribing / Just in Case box Update OOH		Anticipatory Prescribing / Just in Case box Update OOH		Anticipatory Prescribing Update OOH DNA-CPR
Assess FAMILY NEEDS
						Are family aware and prepared?
ONGOING CARE PLAN & Communicate to Out-of-hours Consider Specialist Palliative Care Team referral Key worker Review mechanism (minimum - review when patient moves to next estimated prognostic group)						LAST DAYS OF LIFE CARE PRIORITIES Care after Death   BEREAVEMENT SUPPORT