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Staff Concept of Supported Last Days of Life and a Good Death
How would you evaluate the End of Life care in your clinical area?
Please reflect on a recent EOLC experience.

(Where 0 = improvement needed in all areas and 5 = could not have been improved)
Care
Compassion
Planning (communication with the
patient, family, PPOC discussed,
SPCT)
Did you feel your team encouraged
and supported family/carer
engagement?
0
1
2
3
4
5
Please tell us how we can improve and any other comments that you would like to make:
If you have a specific EOLC experience you would like to share please include:
Patient Initials:
Patient Hospital Number:
Staff/Team Name:
Site Location:
Acute Care
Community Hospital
Community Nursing
Thank you for completing this survey