With thanks to the many members of the West Midlands Palliative Medicine Physicians Society who have contributed content over the years.

The 2023 update was led by Nadia Khan, Anna Lock, Christina Radcliffe and Michelle Aslett with contributions from Tadg O’Connor, Sundar Balasubramanian, Elizabeth Freshwater, Claire Ferguson, Anna Perry, Alice O’Connor, Stephanie Shayler, Mariam George, Beth McGregor, Molly Bird, Najmi Qureshi, Kath Newton, Riffatt Hussein and Jo Bartlett.

Online editing by Anna Lock.


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.