Welcome to the SPICT Community

SPICT™ is used to help identify people with deteriorating health due to a serious illness, one or more health conditions (multimorbidity) or frailty in older age so they benefit from holistic assessment, future care planning (advance/anticipatory care planning) and palliative care.

General palliative care is provided by many health care staff and care workers in the community, care homes and hospitals. Palliative care specialists and teams offer additional expertise, advice, care and support.

Palliative care is integrated with the best available treatment of any underlying illnesses in line with what matters to the person and includes people important to them.  

The SPICT™ programme is an international collaborative project based at The University of Edinburgh.

New! e-SPICT™

SPICT™ versions

SPICT™ 2022 is available to view on your device (e-SPICT™), or to download (pdf).

SPICT™ translations continue to expand. 

If you would like to translate SPICT™ 2022, please contact us

SPICT™ 2022 has minor wording changes from previous versions. 
– Other conditions: 
Deteriorating with other conditions, multiple conditions and/or complications that are not reversible; best available treatment has a poor outcome.
– Current care and care planning:
Agree a current and future care plan with the person and their family/people close to them. Support carers.
Record, share, and review care plans.

Using SPICT™ explains how SPICT can be used in clinical practice or teaching. Download our latest SPICT™ Guide. 

Please note: SPICT™ has been developed and validated for adults.


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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.

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

Find out more here.

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