Comprehensive management of non-communicable diseases (NCD) which includes palliative care, is an important part of Universal Health Coverage (UN Sustainable Development Goal). In lower and middle-income countries (LMICs) and other resource poor settings this relies on well-developed primary care. (WHO) As the incidence of NCDs increases, primary care clinicians and other health and care workers in those settings need to be able to identify people needing supportive and palliative care effectively.

SPICT™ is a tool for identifying patients with advanced life-limiting conditions who could benefit from a palliative care approach to their management so that they receive care appropriate to their needs and coordinated care planning.

SPICT-LIS™ has been developed from preliminary testing in Nepal and consensus building by expert clinicians from Africa and Asia.

We have set up a Special Interest Group as part of the SPICT™ international community of practice to refine, implement and evaluate SPICT-LIS™. SPICT-LIS Special Interest Group

Contact Dr Dan Munday  if you’d like to join the SPICT-LIS working group.

Dr Dan Munday – Consultant in Palliative Care and Health Services Research, Consultant Adviser to International Nepal Fellowship, Visiting Professor of Palliative Care, Nepali National Academy of Medical Sciences (NAMS), Adviser to Nepalese Association for Palliative Care (NAPCare)


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SPICT-LIS™

Last updated May 2018

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SPICT-LIS™ with Guide

Last updated May 2018

Adapting the SPICT™ for use in rural Nepal


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Using SPICT-LIS in Palliative Care