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So many reports, so much consensus, yet still so much need for change
  1. Charles Turton
  1. Physician Internal Adviser to the Parliamentary and Health Service Ombudsman, London, and formerly a consultant physician and hospice trustee
  1. Correspondence to Dr Charles Turton, charlesturton{at}

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The end-of-life care world cannot complain about a lack of associated reviews and reports—my own database has 48 from the UK since the national End of Life Care Strategy was published 7 years ago (Department of Health 2008). Within these, the concordance of analysis, agreement on the main issues and the lack of subsequent progress are striking. The recurrent lamenting on things going wrong is all the more frustrating against the background of the excellent example set by hospice care, recognised internationally as world class. Additions to the list of reports so far this year include: the House of Commons Health Committee's (2015) report, End of Life Care: Fifth Report of Session 2014–15, in March; the Parliamentary and Health Service Ombudsman's (PHSO 2015) report, Dying Without Dignity, in May; the National Institute for Health and Care Excellence's (NICE 2015) consultation draft of the clinical guideline, Care of the Dying Adult, in July; and the National Palliative and End of Life Care Partnership's (2015), Ambitions for Palliative and End of Life Care: A National Framework for Local Action 2015–2020, in September.

In making its report, the House of Commons Health Committee received written advice from 77 organisations and oral evidence from 13 experts. The report's depth of grasp of detail and breadth of understanding of the relevant issues is most encouraging as it comes from a body with the power to call government ministers to account. There are 25 clear recommendations that, in no particular order, include:

  • The endorsement of the five principles set out in One Chance to Get it Right (Leadership Alliance for the Care …

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