There appears to be an assumption that care for people with advanced chronic disease should move from a chronic disease management (CDM) model of clinical care to a palliative care model. There is growing evidence, however, that appropriate care should combine elements of both active disease managementand a palliative approach, as neither model alone can meet the needs of people with advanced chronic disease [7,43,44]. Each model has distinct characteristics which are important for the care of people with advanced chronic disease.