2.  8 Universities (Pre-Registration 32/19)  5 Universities (Post Reg 22/12)  11 Acute NHS Trusts  8 Hospices  2 Independent care home companies/I care home  11 PCTs  5 Councils  NW Ambulance Service  3 Other  43 Trainers (39)  268 Staff (215)

3. Geographical Spread LancashireMerseysideCumbriaGreater Manchester Cheshire Acute Trust 2261 PCT614 Hospice41111 Council212 Care Homes THREE REGIONALLY Other12 University Pre Post 1212 33232 1111

4.  Nursing (16)  Medicine (5)  Social Work (1)

5. (40%)

6.  5 out of 31 respondents said their courses had shared learning across disciplines on the course  Of those this included: ◦ Nurses ◦ Medical students ◦ AHPs ◦ Social Workers ◦ Assistant Health Care Practitioners

11. TeachingAssessment Commonly face to face teaching, simulation and use of case scenarios Service users/carers involved in 1/3 of cases Personal values and reflection covered (1/3)

13.  Recognised educator to work alongside pre- registration teams  Incorporate generalist palliative care from year 1 medicine  Access to skilled mentors  Theme through three years  Module dedicated to EOLC at end of course  More patient and carer input  Use new nursing standards

14. 5 Universities 22 Course/Module Leaders (12)

22.  11 Acute NHS Trusts  8 Hospices  2 Independent care home companies/I care home  11 PCTs  5 Councils  NW Ambulance Service  3 Other  43 Trainers (39)

28.  Team trainers37%  General Nursing staff29%  Specialist nursing staff 85%  Medical staff 8%  Specialist medical staff51%  GPs20%  AHP17%  Ext company/trainer14%  Other26%

29. LectureDiscussionRole Play Case Studies Vignettes /Pt stories Seminars/ Small group work Video 37296380377148

31.  Number of missing responses  Limited sample although reasonable spread  Focus tends to be on nursing staff/IPL not well embedded  Staff report mixed competence in skills albeit these are growing  PPC not used in teaching on university courses  Significant amount of training taught in house  Varied knowledge of EOLC tools and strategies  Teaching approaches seem in line with skills required  Opportunities for learning seem to be there – APPLICATION  There appears to be a gap in what is taught, learnt and applied when one compares views  Is practical assessment lacking?  Largely taught post qualification and through in-house training