Endgame: Playing at Dying

Ambitions for Palliative and End of Life CareWe live in a world where improvements no longer come about as a consequence of central direction.It is local leadership, in all that local leaders do, say and exemplify, that is vital to finding new ways of organising care and support for people.We specifically require local professionals and local leaders to act.The proposed Integrated Care System Health and Care Partnerships offer a timely and welcome foundation for palliative and end of life care.The job of local leaders is to lead and coordinate a process for working towards these ambitions, a process that is open, transparent and effective.As a Partnership we are committed to act, help and support, both as individual organisations and by working together.This is the start of our collective engagement to turn ambitions that should by now have been standard, into a reality for all.Our leadership, engagement and will, within and beyond the Partnership, are the most important mechanisms for change.They will all be needed if we are to create the care that we ourselves desire and should feel obligated to create for everybody.