Specialist Palliative Care Audit and Guidelines Group (SPAGG)

SPAGG are a multidisciplinary group of Palliative Care Specialists and End of Life Care clinical leaders working in Birmingham, Solihull, Sandwell, Wolverhampton and Walsall. They produce evidence based guidance on clinical care, pathways and service provision. They also plan and co-ordinate regional audit relevant to Specialist Palliative and End of Life Care and provide opportunities for research collaboration at our local level. Contact: spaggroup@outlook.com

Please click on the links below to download the SPAGG files.


These Guidelines are intended for use by healthcare professionals and the expectation is that they will use clinical judgement, medical, and nursing knowledge in applying the general principles and recommendations contained within.
Recommendations may not be appropriate in all circumstances and the decision to adopt specific recommendations should be made by the practitioner taking into account the
individual circumstances presented by each patient and available resources.
While SPAGG takes every care to compile accurate information , we cannot guarantee its correctness and completeness and it is subject to change. We do not accept responsibility for any loss, damage or expense resulting from the use of this information.