Building on the best



Building on the best will develop new areas of focus for improving end of life care. These will include making information more accessible to patients and their families, to enable more shared decision making; taking the opportunities offered by outpatient appointments to discuss advance and anticipatory care planning; improving the handover of information and records as people move between acute and secondary care; and improving pain and symptom management.

The programme will run for two and a half years. There will be a thorough evaluation and lessons learned will be used to contribute to improvement work on palliative and end of life care in acute hospitals across the country. 


Frequently Asked Questions

What is Building on the best?

Building on the best is a quality improvement programme, that seeks to build on the successful Transforming End of Life Care in Acute Hospitals programme in England. The programme is funded by Macmillan Cancer Support and is supported by a partnership between the National Council for Palliative Care, Macmillan Cancer Support, NHS England and the NHS Trust Development Authority.

Why is it called Building on the best?

The new programme will build on the best learning from NHSIQ’s Transform Programme as well as other learning from across the UK and the wider international arena. It continues to  recognise the 5 key enablers within the core NHS programme  i.e.; Advance Care Planning, AMBER care bundle for patients whose recovery is uncertain, Electronic Palliative Care coordination systems , Rapid discharge and Priorities for Care in the last days of life as key components of quality improvement in end of life care. 

Who will take part in the programme?

The programme is working initially with 10 acute Trusts from across England to develop, test and implement evidence based improvements. 

The first participating trusts are: 

Basildon & Thurrock University Hospital NHSFT

Great Ormond Street Hospital NHSFT

Guys & St Thomas' Hospital NHSFT

University Hospitals Birmingham NHSFT

East and North Hertfordshire NHS Trust

Doncaster and Bassetlaw NHS Trust

Leeds Teaching Hospitals NHS Trust

Southport & Ormskirk NHS Trust

Poole Hospital NHSFT

Worcester Acute Hospitals NHS Trust