People who are getting less well from one or more health problems often miss out on well planned care and support because they are not identified and offered the right help soon enough.

The SPICT is a simple tool designed to help health and care professionals find people who might benefit from better supportive and palliative care, including thinking ahead and planning future care.

Patients, family carers and staff working in health and care said we need a version of SPICTTM 2017 with less ‘medical’ language that makes sense to everyone.

SPICT-4ALL aims to make it easier for everyone to recognise and talk about signs that a person’s overall health may be declining so that those people and their carers get better coordinated care and support whether they are at home, living in a care home or in hospital.

We hope SPICT-4ALL will enable more health and care professionals to identify people with declining health. We also hope that people with one or more serious or long term illnesses and their family carers or close friends will use SPICT-4ALL to ask about more help and support so that the right care is available when they need it.

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This is important so that all SPICT-4ALL users are aware of any changes or important information from the SPICT programme.

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A team based at St Barnabas Hospice in Lincolnshire, England started the work of developing SPICT-4ALL. The project was led by Dr Lawrence Pike, Louise Price and Jane Bake (Innovations team). Consultation and feedback from public groups in Lincolnshire have been at the centre of the work on SPICT-4ALL. The SPICT Programme Team and colleagues who are part of the online SPICT community have also contributed to the final version.