End of Life / Palliative CareHalloween offerBuy one licence, get the second free: £12.99 each · ends 31 OctAdd to basket- 8lessons
- 1 hourto complete
- 1CPD hours
- October 2026last updated
When you need this course
- Someone in your care is nearing the end of lifeStaff learn to recognise the last days of life and keep the person comfortable, in line with NICE guidance.
- A family wants to talk about what happens nextCovers communicating about dying, advance care planning and supporting families and carers.
- Your annual refresher is dueAbout 1 hour online, with a certificate for each learner and a dashboard showing who has finished.
- Your team has been through a deathIncludes care after death and how staff look after their own wellbeing.
Try it: a real lesson and question from this course
Person centred end of life care
Palliative care is care that improves the quality of life of people with a life limiting illness, and of those close to them, by relieving pain and other symptoms and supporting their emotional, social and spiritual needs. It can start early in an illness, alongside other treatment. End of life care is the part of palliative care for people who are likely to die within the next 12 months, including those whose death is expected within hours or days. Many of the people you support will be in this stage, often with frailty, dementia, heart or lung disease, or cancer.
Person centred end of life care means the person is the expert in their own life. Find out who they are, what matters to them, what they hope for and what they fear, and who is important to them. Their priorities might be being pain free, staying in their own home or care setting rather than going to hospital, having a pet close by, hearing their favourite music, or seeing a particular person. Care for the whole person: physical comfort, emotions, relationships, spiritual and cultural needs.
Everyone has the right to a good death on their own terms. People's wishes may differ from your own beliefs, and that is their right. Culture, faith, sexuality, disability and past experiences can all shape how people want to be cared for as they die. Ask rather than assume. People with dementia, a learning disability, or who cannot speak for themselves have the same rights, and may need extra time, different ways of communicating and advocates.
Know your part. You are often the person who spends the most time with someone at the end of their life, so what you notice and how you care make a huge difference. Know who is leading their care, such as their GP, district nurse, the care setting's nurse or a hospice team, and where to go for support.
Palliative care aims to:
In the hub, a wrong answer sends the staff member a short follow-up lesson and a fresh question on the same point. They close the gap before they can finish the module, and every attempt is recorded for your CQC evidence.
Next: one of the course's interactive activities, exactly as your staff get it.
Try it yourself
CareStream InteractivePerson centred or not?
Sort each approach to end of life care.
Tap an item, then tap the box it belongs in
Person centred
Built around what matters to the person
Not person centred
Built around routine or assumptions
This exercise is here to help you practise — it is not marked and does not affect your result.
That is how the training works. Give your whole team the full End of Life / Palliative Care module.
What the course covers: 8 lessons
- Person centred end of life care
- Communicating about dying
- Advance care planning and the law
- Recognising the last days of life
- Symptoms and comfort
- Emotional, spiritual and cultural support
- Families, carers and working together
- Care after death and caring for yourself
Assessment and certificate
- 32 question assessment with a pass mark of 80%.
- A follow-up lesson on anything a learner gets wrong, so the gaps are closed, not just scored.
- A named, dated certificate the moment they pass, carrying the CPD Certified mark and CPD hours, ready to download as a PDF.
- Kept on their training record in your dashboard, ready for your CQC evidence.
Free End of Life / Palliative Care resources
Official guidance from Skills for Care, free to download. Useful alongside the course.
- Skills for Care: statutory and mandatory training guideWhat Skills for Care expect every course on this subject to cover, and how often.
- End of Life Care Core Skills Education and Training FrameworkThe national framework this course is mapped to (Tier 2).
- NICE NG142: end of life care for adults, service deliveryNICE guidance on delivering end of life care.
Specialists in the technology behind it all
The same technology behind the world's best products powers CareStream, so your team's end of life / palliative care training stays accurate, always up to date with the latest guidance, and is delivered in over 60 languages.
Avg. Duration
About 1 hour
Certificate
For every staff member
Available Languages (60+)
CPD Certified Course
A clear, practical grounding in end of life / palliative care.
Eight short lessons, each with a care scenario, an interactive activity and a quick check with an explanation. You start with a five question knowledge check so your learning gain can be measured, and finish with a 32 question assessment with a pass mark of 80%. The course is designed to be taken every year.
By the end, your staff will be able to:
- Explain what palliative and end of life care mean and how to put the person's wishes at the centre of their care
- Communicate sensitively about dying, death and bereavement, using active listening and open questions
- Describe advance care planning, advance decisions, lasting power of attorney, DNACPR and ReSPECT, and your role
- Recognise the signs that a person may be entering the last days of life, and what to report
- Support comfort and symptom relief within your role, and know when and how to escalate
- Support families and carers, provide respectful care after death, and look after your own wellbeing
A closer look at the end of life / palliative care module.
The module is built in short, practical sections. Each one teaches a part of the topic, then applies it to a real care scenario and checks understanding before moving on.
Person centred end of life care
Palliative care is care that improves the quality of life of people with a life limiting illness, and of those close to them, by relieving pain and other symptoms and supporting their emotional, social and spiritual needs. It can start early in an illness, alongside other treatment. End of life care is the part of palliative care for people who are likely to die within the next 12 months, including those whose death is expected within hours or days. Many of the people you support will be in this stage, often with frailty, dementia, heart or lung disease, or cancer. Person centred end of life care means the person is the expert in their own life. Find out who they are, what matters to them, what they hope for and what they fear, and who is important to them. Their priorities might be being pain free, staying in their own home or care setting rather than going to hospital, having a pet close by, hearing their favourite music, or seeing a particular person. Care for the whole person: physical comfort, emotions, relationships, spiritual and cultural needs. Everyone has the right to a good death on their own terms. People's wishes may differ from your own beliefs, and that is their right. Culture, faith, sexuality, disability and past experiences can all shape how people want to be cared for as they die. Ask rather than assume. People with dementia, a learning disability, or who cannot speak for themselves have the same rights, and may need extra time, different ways of communicating and advocates. Know your part. You are often the person who spends the most time with someone at the end of their life, so what you notice and how you care make a huge difference. Know who is leading their care, such as their GP, district nurse, the care setting's nurse or a hospice team, and where to go for support.
Communicating about dying
Many people want to talk about dying but find others change the subject. Not knowing what to say is common, but you do not need the perfect words. What matters most is being present, listening and allowing the person to lead. Use active listening: give your full attention, sit at the person's level, allow silences, and show you have heard by reflecting back what they say. Open questions invite people to share: "How are you feeling about things?", "What is worrying you most?", "What would help right now?". Follow their cues; some people want to talk in detail, others only a little, and that can change from day to day. Be honest and do not give false reassurance, such as "you will be fine" or "don't talk like that". If someone asks a question you cannot answer, such as about their prognosis, acknowledge it ("That is an important question") and tell them you will ask the nurse or doctor to talk with them, then make sure you do. Never guess about medical information. Barriers to communication include hearing and sight loss, dementia, a learning disability, a stroke, tiredness, medicines and a noisy or busy environment. Adapt: check hearing aids and glasses, use simple words and pictures, watch body language and facial expressions, and involve people who know the person well. Changes in behaviour, such as restlessness, may be the person telling you they are in pain or afraid. Families may want to talk too, and may ask you difficult questions. Listen, show compassion, share only what you are permitted to under confidentiality, and involve the senior or nurse. Record important conversations, especially any wishes the person expresses, so everyone caring for them knows.
Advance care planning and the law
Advance care planning is a voluntary process of conversations about a person's wishes and preferences for future care, while they are able to say what they want. It might cover where they would like to be cared for and to die, treatments they would or would not want, who they would like to be involved, and personal, cultural or religious wishes, such as funeral plans or organ donation. People can change their minds at any time. Your role is to know what is in the person's plan, follow it, and report when the person expresses new wishes. Several documents may be part of this. An advance statement records wishes and preferences; it is not legally binding but must be taken into account. An advance decision to refuse treatment is legally binding if it is valid and applies to the situation; if it refuses life sustaining treatment, it must be in writing, signed and witnessed, and state that it applies even if life is at risk. A lasting power of attorney for health and welfare gives a named person the legal authority to make decisions if the person loses capacity, if the power has been registered and it covers that decision. A DNACPR decision (do not attempt cardiopulmonary resuscitation) means CPR will not be attempted if the person's heart or breathing stops. It is made by the senior clinician, ideally with the person. It is only about CPR: all other care and treatment, including pain relief, fluids and treatment for infections, continue. Many areas use a ReSPECT form, which records a person's priorities and recommendations for emergency care, including CPR. Know where these documents are kept, and make sure they go with the person if they are transferred. The Mental Capacity Act 2005 applies throughout: assume capacity, support people to decide, respect unwise decisions, and act in a person's best interests only when they lack capacity for that specific decision. People approaching the end of life can be at risk of abuse or neglect, including financial abuse. Report concerns through your safeguarding procedure.
Recognising the last days of life
Recognising that someone may be entering the last days of life means their care can be focused on comfort, their wishes, and the people important to them. NICE guidance describes signs to look out for, which should be reported so a clinician can assess the person. They include increasing sleepiness and reduced consciousness, being bedbound and needing more help, losing interest in food and drink, difficulty swallowing, changes in breathing, such as breathing that becomes irregular with pauses, or noisy breathing from secretions in the throat, cool or mottled skin, especially on the hands, feet and knees, confusion or agitation, and passing less urine. Signs can come and go, and some people improve for a while, so the clinical team reviews the person regularly. Your observations and records are an important part of this. Tell the senior promptly about any change. Food and drink needs naturally reduce near the end of life. Do not force someone to eat or drink, as this can cause choking and distress. Offer small amounts of food and fluids the person enjoys, if they want them and can swallow safely. Mouth care is very important, because a dry mouth is uncomfortable: keep the lips moist and the mouth clean using the products and method in their care plan. Decisions about clinically assisted hydration are made by the clinical team with the person and their family. Anticipatory medicines, sometimes called just in case medicines, are often prescribed in advance so they are available quickly for pain, breathlessness, nausea, agitation or noisy breathing, especially out of hours. Know whether the person has them and where they are. The person may still be able to hear until very close to death. Keep talking to them gently, tell them what you are doing, and encourage family to speak to them and hold their hand.
Symptoms and comfort
Common symptoms towards the end of life include pain, breathlessness, nausea and vomiting, constipation, anxiety, agitation or restlessness, and noisy breathing. Symptoms have many causes, and the right response depends on the cause, so observe carefully and report. Pain is not always reported. People with dementia or who cannot speak may show pain through facial expressions, groaning, restlessness, guarding part of the body, changes in behaviour or refusing care. Pain assessment tools designed for people who cannot tell you, such as the Abbey Pain Scale, help. Report pain promptly, and report if pain relief does not seem to be working. Symptoms that are not controlled must be escalated, including at night, weekends and bank holidays, through the out of hours GP, district nurses or the specialist palliative care advice line. Non drug comfort measures make a real difference. Change the person's position regularly and carefully to relieve pressure and aid breathing, following their care plan and moving and handling plan. Keep them clean, dry and comfortable, with good mouth, eye and skin care. For breathlessness, sit them upright if they wish, open a window or use a fan towards the face, and stay calm. Reduce noise and bright light. For restlessness, check for causes such as a full bladder, constipation, pain or being too hot, and provide familiar voices, music or touch. Some people have a syringe pump, which gives medicines under the skin continuously. Registered nurses set it up and manage it. Your role is to observe and report: if the alarm sounds, the site looks red or swollen, the line is disconnected, or the person's symptoms change. Never adjust it yourself. Noisy breathing near the end of life, caused by secretions the person can no longer clear, can be distressing for families but is not usually distressing for the person. Repositioning may help; report it so the nurse can consider medicine, and explain it gently to relatives.
Emotional, spiritual and cultural support
Approaching the end of life can bring many feelings: fear, sadness, anger, guilt, regret, relief or peace. People may worry about pain, about being a burden, about the people they will leave behind, or about what happens after death. Loss starts before death: loss of independence, of roles, of their home, of their future. Listen without judging, accept the feelings the person has, and do not tell them how they should feel. Spiritual needs are about meaning, hope, love and connection, and are not only religious. Some people want to reflect on their life, put things right with someone, or leave something behind, such as letters, recordings or a memory box. Others want to pray, receive sacraments, or have a faith leader visit. Ask what would help, and support them to do what matters to them. Culture and faith shape practices around dying and death. For example, some people want family present at all times, readings or prayers at the bedside, particular positioning of the bed, or specific practices immediately after death. Do not assume based on a person's background: ask the person and their family, and record their wishes in the care plan. Dignity matters throughout. Keep the person clean and well presented in the way they would want, close doors and curtains during personal care, use their preferred name, and talk to them, not over them. Some people want company, others want time alone; respect their choice while checking on them regularly and making sure they can call for help. Low mood is common, but depression is not inevitable and can be treated. Report signs such as persistent hopelessness, withdrawal or talk of wanting to die sooner, so the person can be offered support.
Families, carers and working together
The people important to someone who is dying may be family, friends, partners or neighbours. Many are also carers, and may not see themselves that way. They may be exhausted, anxious, grieving before the death, or in conflict with each other. Recognise their knowledge of the person and, where they wish, support them to keep doing things for their loved one, such as helping with mouth care or feeding. Give families honest, clear information within what you are permitted to share, and involve the nurse or senior for medical questions. Explain what changes they may see, such as changes in breathing, so they are not frightened. Make them welcome, offer drinks, somewhere to rest, and privacy, and make sure they know how to reach the person's care team. Tell them they can go home to rest and that you will call them if there is a change, if that is what they want. Carers are entitled to a carer's assessment from their local authority, and may benefit from support from organisations such as hospices, carers' centres and bereavement services. Be alert to young carers, children or young people who help care for a family member, who may need support of their own. Good end of life care depends on working in partnership: the person, their family, care staff, the GP, district and palliative care nurses, hospices, pharmacists, social workers, chaplains and faith leaders. Share relevant information promptly and accurately, including the person's wishes, so they do not have to repeat themselves. Know the referral routes to specialist palliative care. Use handovers and records to make sure everyone knows the plan, especially out of hours. Grief is a natural response to loss and is different for everyone. People may move between focusing on their loss and getting on with daily life. After a death, offer families time and compassion, and information about bereavement support.
Care after death and caring for yourself
When a person dies, care continues. If the death was expected, follow your workplace's procedure: note the time, inform the senior or nurse, and contact the person responsible for verifying the death, such as a registered nurse, doctor or paramedic trained to do so. If the death was unexpected or there are any concerns, do not move the person or remove anything, and call 999 and your manager, as the police and coroner may need to be involved. Care after death is carried out with dignity and respect for the person's wishes, culture and faith, following national guidance such as Hospice UK's care after death guidance and your policy. It usually includes laying the person flat with a pillow under the head, closing the eyes and mouth if possible, washing and dressing them as their family or faith requires, and making them presentable for family to visit. Some faiths have specific practices and may prefer family or faith members to carry them out, so check the care plan and ask. Wear gloves and an apron, and follow infection control precautions. Record and safeguard the person's property and valuables, and record who they were given to. Since 9 September 2024, every death in England and Wales is reviewed by a medical examiner or referred to a coroner. The death is registered, usually by a relative, within five days of the medical examiner's office confirming it can be registered. Knowing this helps you explain to families what happens next. Caring for someone who is dying and their family is a privilege, but it can affect you deeply. You may feel sadness, grief or distress, especially if you knew the person well or the death reminds you of your own losses. This is normal. Take time to reflect, talk to colleagues, use debriefs and supervision, and access your employer's support. Know the limits of your role and ask for help when you need it. Looking after yourself means you can keep giving compassionate care.
The things your team must remember.
- Palliative care is about quality of life; end of life care usually covers the last year of life
- Ask what matters to the person, and follow their advance care plan and preferred place of care
- A DNACPR decision is only about CPR; all other care and treatment continue
- Changes in breathing, skin, eating and drinking can mean the last days of life: report them
- Pain and other symptoms that are not controlled must be escalated promptly, including at weekends
- Families need information, time and compassion; carers may need their own support
- Care after death is carried out with dignity and respect for the person's culture and faith
Not a slideshow once a year. Training that sticks.
CareStream delivers end of life / palliative care training in the hub your team already uses, grounded in best practice and your own policies, so it fits your care setting and not a generic template.
Short teaching sections and a real care scenario, then an assessment that checks understanding.
Staff complete it in over 60 languages, while your records stay in English.
A wrong answer triggers a short follow-up lesson and a fresh question, so the gap is closed.
Automatic reminders at 90, 30 and 7 days, with a live compliance dashboard.
From your dashboard to your team, in the CareStream hub.
Training is delivered in the hub each staff member logs into. You allocate the modules, they complete them in their own language, and you get the completion records and certificates for your CQC evidence, with any gaps closed by automatic follow up training.
Assign End of Life / Palliative Care to each staff member in seconds. No course builder and no setup for each person.
Staff work through the module on any device, in over 60 languages, teaching then checking understanding. A wrong answer sends a short follow up lesson.
See live completion status and a certificate for every person, ready as evidence for CQC.
Any step, in their language, in one tap.
Care teams are diverse and training should not leave anyone behind. On any lesson or question, a staff member taps the language button and the whole step flips into the language they think in. They understand it properly, and your records stay in English.
- One tap flips any lesson or question into their language, instantly.
- Over 60 languages, with no setup and no separate versions to manage.
- Completions and certificates stay in English for your CQC evidence.
Try the language buttons in the preview above.
Built for real learning, not box ticking
Every CareStream course goes further than a lesson and a quiz. These features come as standard on every course, giving your staff a richer way to learn and giving you the evidence to prove it.
Every course is built on recognised UK guidance and cites its sources, from NICE and Skills for Care to the NHS and the legislation itself.
A plain English glossary of the technical terms in each course. A simple way to support every learner, including staff with English as a second language.
A quick knowledge check before the lesson is compared with the final assessment, so every certificate comes with evidence of how much the course actually taught.
After passing, staff record what they will do differently in their day to day work. Their reflection is saved to their training record and shown with their certificate.
A printable one page takeaway of the outcomes, key points and key terms. Perfect for staff files, supervision conversations and the staff room wall.
A printable checklist for managers to confirm skills in practice, with a sign off section. It completes the picture beyond the knowledge assessment.
Wrong answers become lessons, not failures
Most e learning marks an answer wrong and moves on. CareStream does not. Every wrong answer triggers an automatic follow up loop that teaches the point again and rechecks it, so no knowledge gap is left behind.
A wrong answer immediately opens a short lesson explaining the point, so the gap is closed there and then.
A fresh question on the same point checks the lesson has landed. The loop repeats until it has.
Staff move on to the next module and their certificate once they genuinely know the answer, not just after one lucky guess.
Why choose CareStream?
Training built for the care sector, delivered the way busy teams actually learn.
- 90+ care-specific training courses
- Bitesize, engaging lessons your staff actually finish
- Mapped to the Care Certificate & CQC standards
- Available in 60+ languages
- Instant certificate on completion
- Flexible learning, anytime, on any device
- Content kept up to date with UK care regulations
- Time to complete: 1 hour
Frequently asked questions.
Is End of Life / Palliative Care training mandatory in care settings?
How often should staff complete End of Life / Palliative Care training?
Can CareStream deliver End of Life / Palliative Care training in other languages?
Does the training include an assessment?
More CPD Certified training your team may need
Every course below is certified by The CPD Certification Service, delivered in the hub, in any language. Add any of these to your basket.
Annual CertificateMental Health Awareness
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Bulk discounts from 10+ licences
One-off CertificateCare Certificate
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Bulk discounts from 10+ licences
Annual CertificateCOSHH (Control of Substances Hazardous to Health)
Annual COSHH training for care, domestic, laundry, kitchen and maintenance staff in any adult social care setting. Built on the Control of Substances Hazardous to Health Regulations 2002 and Health and Safety Executive guidance, it covers what counts as a hazardous substance, how harm happens, hazard pictograms and safety data sheets, COSHH assessments and controls, safe use and storage, gloves and skin care, body fluids and medicines, and dealing with spills and exposure. Eight lessons with scenarios and activities, then a final assessment.
Bulk discounts from 10+ licences
Annual CertificateFood Hygiene
Annual food hygiene refresher for care workers who prepare, handle or serve food, or support people to eat and drink, in any adult social care setting. Built on the Skills for Care statutory and mandatory training guide and Food Standards Agency guidance for care homes, it covers why food safety matters, personal hygiene and fitness to work, chilling, cooking and reheating, cross contamination, cleaning, the 14 allergens, texture modified diets, gift food, and recording and reporting. Eight lessons with scenarios and activities, then a final assessment.
Bulk discounts from 10+ licences
Annual CertificateGDPR / Data Protection
Annual data protection and data security refresher for everyone working in adult social care, meeting the Data Security and Protection Toolkit expectation of yearly staff training. Built on UK GDPR, the Data Protection Act 2018 as amended in 2025, ICO guidance and the Caldicott Principles, it covers the data protection principles, confidentiality and lawful sharing, people's rights, recording and storing information, cyber threats and scams, paper records and devices, and recognising and reporting data breaches. Eight lessons with scenarios and activities, then a final assessment.
Bulk discounts from 10+ licences
Annual CertificateGeneral Health & Safety Awareness
Annual health and safety refresher for everyone working in adult social care, in care homes, people's own homes, supported living and day services. Built on the Skills for Care statutory and mandatory training guide and Health and Safety Executive guidance for health and social care, it covers your legal duties, risk assessment, common hazards in care, hazardous substances, security and lone working, work related stress and your own wellbeing, responding to accidents and sudden illness, and reporting. Eight lessons with scenarios and activities, then a final assessment.
Bulk discounts from 10+ licences
Annual CertificateInfection Prevention and Control
Annual infection prevention and control refresher for care workers in residential, nursing, home care, supported living and day services. Built on the Skills for Care statutory and mandatory training guide, NHS England's national infection prevention and control manual and the adult social care IPC resource, it covers the chain of infection, standard precautions and your role, hand hygiene, PPE, recognising and reporting infection, outbreaks, cleaning, laundry and spills, waste, sharps and exposure incidents. Eight lessons with scenarios and activities, then a final assessment.
Bulk discounts from 10+ licences
Annual CertificateMedication Administration and Competency
Annual medication administration refresher for care workers who support people with medicines in care homes, home care and supported living. Built on the Skills for Care statutory and mandatory training guide, NICE guidance SC1 and NG67 and CQC medicines guidance, it covers the law and your role, common medicines, consent, capacity and covert administration, preparing to administer, administration techniques, recording and monitoring, controlled drugs and storage, and errors and your limits. Eight lessons with scenarios and activities, a final assessment, then an observed practical assessment by your employer.
Bulk discounts from 10+ licences
Annual CertificateMoving and Handling of People
Annual moving and handling of people refresher for care workers who assist and move people in care homes, nursing homes, home care and supported living. Built on the Skills for Care statutory and mandatory training guide and Health and Safety Executive guidance, it covers the law, how backs are injured, risk assessment, safe handling principles, moving and positioning with dignity, hoists and slings, other equipment and falls, and the limits of your role. Eight lessons with scenarios and activities, a final assessment, then an observed practical assessment by your employer.
Bulk discounts from 10+ licences
Give your team end of life / palliative care training that actually sticks.
Buy your licences, allocate them in seconds, and let the evidence build itself.
Compared
Three ways to train a care team.
These modules are written and kept current by us, so your managers do not have to write or maintain them. We have compared what each approach does rather than naming providers, because products change and this should still be true next year.
| CareStream | A generic e-learning library | A trainer you book | |
|---|---|---|---|
| Try a real lesson and a real question before you buy | |||
| Learning outcomes and time to complete stated up front | |||
| Written lesson sections, each with its own illustration | |||
| Interactive exercises after the lesson that teaches them, in every module | |||
| Assessment in every module, with the key points to revisit | |||
| Taken in any of sixty plus languages | |||
| A wrong answer triggers a follow-up lesson, not just a re-sit | |||
| Practical sign-off by a manager where the subject needs it | |||
| Completion files itself into your training matrix and evidence pack | |||
| Bought one module at a time, with no annual contract |
Generic libraries are often cheaper per learner. They teach a national standard rather than being built, updated and evidenced around the way a CQC-registered service is actually inspected.
Care policies
Every module is written from a policy
If the policy behind it is out of date, the training inherits that. Sixty six policies written for your service, checked against current law and read by a person before they carry your name, from £39.
