
SPICT-LIS is a tool to help health and care workers identify people with lift shortening conditions who could benefit from a holistic palliative care approach to their care. This includes making sure people receive the best available, appropriate treatment and coordinated care planning.
SPICT-LIS began with work in Nepal and India. Development continues with translation, adaptation and consensus building involving a growing number of colleagues from countries across Africa, Asia and South America.
There is a Using SPICT-LIS 2025 guide, and our Using SPICT page has more information.
SPICT-LIS is often used alongside the WHPCA International Palliative Care Toolkit.
Published articles on SPICT-LIS translations are available on our Publications page.
Please note: SPICT-LIS has been developed and validated for adults not children.

Comprehensive 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 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, assess their holistic needs, and plan care with them and their families/community.
This SPICT tool is free to download. SPICT 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 SPICT tool and for any use they make of SPICT and SPICT resources.
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