SPAGG guidelines, appropriate header

SPAGG are a multidisciplinary group of Palliative Care Specialists and End of Life Care clinical leaders working in across the West Midlands.

They produce evidence based guidance on clinical care, pathways and service provision. They also plan and co-ordinate regional audit relevant to Specialist Palliative and End of Life Care and provide opportunities for research collaboration at our local level.

By topic

Quick access to SPAGG guidelines via useful topics

Full list

Our guides are designed to be read in full, please take the time to familiarise yourself with the guides below.


This Guide is intended for use by healthcare professionals and the expectation is that they will use clinical judgement, medical, and nursing knowledge in applying the general principles and recommendations contained within. They are not meant to replace the many available texts on the subject of palliative care.

Some of the management strategies describe the use of drugs outside their licensed indications. They are, however, established and accepted good practice. Please refer to the current BNF for further guidance.

While WMPCPS takes every care to compile accurate information , we cannot guarantee its correctness and completeness and it is subject to change. We do not accept responsibility for any loss, damage or expense resulting from the use of this information.