Table 2.

The 7Cs

C1	Communication	Identify patients in need of palliative care, regular meeting to discuss with team and/or primary health care trust, label notes, use advanced care plan
C2	Co-ordination	Allocated co-ordinator for whole, key carer/link person/link worker for each patient
C3	Control symptoms	Use of assessment tool, agreed note keeping and action points, equipment standard and PRN (taken only as needed) medication
C4	Continuity	Form sent to out of hours provider, patient held record or medication card
C5	Continued learning	Regular review/audit of last deaths using significant event analysis, programme of ongoing training, library resource
C6	Carer support	Staff issues and learning points + feedback after death, all staff supported
C7	Care in the dying phase	Modified Liverpool Care Pathway implemented in last days of life, agreed practice for notification of relatives, death certification and after death care, support for the bereaved families, support for staff and other residents as needed