Compassion in Dying put in a freedom of information request to Ambulance Trusts across the UK and publishes the results in this document. It highlights the lack of information available to Paramedics about patient wishes at end of life in some areas of the UK.

New Lincolnshire wide symptom management guidance created by combining CD1 form, Lincolnshire wide symptom control guidelines and guidelines for prescribing in patients with advanced chronic kidney disease in the last days of life. Additional guidance added for management of diabetes at end of life. Opioid prescribing advice and conversion table added.