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 SPICT™ 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 that people with one or more serious or long term illnesses, their family and friends will use SPICT-4ALL to ask about getting more help and support so that the right care is available when they need it. 


SPICT-4ALL was developed as a collaboration between the SPICT Programme lead and colleagues at St Barnabas Hospice in Lincolnshire, England. Public consultation and feedback are central to SPICT-4ALL.

SPICT-4ALL International

Translation and adaptation of SPICT-4ALL is happening in several countries:

  • SPICT-4ALL-DE (German)  
    Translated and adapted by Dr Kambiz Afshar and colleagues at the Institute for General Practice and Palliative Care, University of Hannover Medical School, Germany.
  • SPICT-4ALL-ES (Spanish) 
    Translated and adapted by Dr Nadina Latorre Vallbona (MD, MSc) and Professor Jordi Amblàs-Novellas (MD, PhD) Chair of Palliative Care, University of Vic, Barcelona, Spain. 

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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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The SPICT™ programme is based in Scotland as a collaborative project led by The University of Edinburgh.

This SPICTTM  tool is free to download.  SPICTTM must not be reproduced in any other format nor modified in any way without permission.

All users are responsible for ensuring that they use the current version of  this SPICTTM tool and for any use they make of SPICTTM and SPICT resources.

We now offer a service that gives SPICT Platinum Partners access to a customised version of SPICTTM with their own organisational logo.

Find out more here.

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