Existing research shows that nurses working in palliative and end-of-life care contexts including care homes often experience stress, sometimes reporting a lack of confidence in and knowledge about managing pain and controlling symptoms in spite of their significant responsibilities in this area of patient care.In addition, nurses sometimes feel they have too much responsibility without the necessary professional status or power to execute this effectively.International community-based research shows that nurses sometimes perceive that GPs lack experience and expertise in care of the dying.Research in care homes has shown a lack of collaboration and communication between care home staff and GPs about patient care,which impedes the quality of end-of-life care.