Integrated management of non-communicable diseases (NCD) which includes palliative care, is an important part of Universal Health Coverage (UN Sustainable Development Goal). In low and middle-income countries (LMICs) and other resource poor settings this relies on well-developed primary care. (WHO) As NCD incidence increases, primary care clinicians and other health and care workers in those settings need 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.

A version of SPICT™ 2017 suited to resource poor settings is being developed and tested.

Initial work in developing SPICT-RPS has been done in Nepal and clinicians across Africa are also keen on developing and using the new tool.

We are setting up a working group as part of the SPICT™ international community of practice to develop and test SPICT-RPS.

Contact Dr Dan Munday  if you’d like to join the SPICT-RPS 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)

Adapting the SPICT™ for use in rural Nepal


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