TY - JOUR T1 - New UK General Practice Core Standards for Advanced Serious Illness and End of Life Care JF - British Journal of General Practice JO - Br J Gen Pract SP - 114 LP - 115 DO - 10.3399/bjgp18X694913 VL - 68 IS - 668 AU - Catherine Millington-Sanders AU - Bill Noble Y1 - 2018/03/01 UR - http://bjgp.org/content/68/668/114.abstract N2 - In the future, care of the dying will be even more demanding than we already believed. Overall, 160 000 more people in England and Wales will need palliative care by 2040 and there is little to suggest that Scotland and Northern Ireland will fare much better. In this editorial, we wish to introduce new UK General Practice Core Standards for Advanced Serious Illness and End of Life Care — or ‘Daffodil Standards’ (see Box 1). They apply to the care and support of patients with advanced serious illness who have palliative care or end-of-life care needs; they include the support of families and carers. The standards will be piloted at selected practices in spring 2018, with subsequent wider implementation from autumn 2018.Box 1. Daffodil StandardsProfessional and competent staffEarly identificationCarer support — pre- and post-deathSeamless, planned, coordinated careAssess unique needs of the patientQuality care during the last days of lifeCare after deathGeneral practice being hubs within compassionate communitiesBy 2040, we had estimated that annual deaths in England and Wales were projected to rise by 25.4%, with the number of people requiring palliative care also growing by 25.0%, from 375 398 to 469 305 people per year. That was always going to be a stretch for primary care and community services, but it is worse than that. A recent study by Etkind et al has thrown the morbidity trends observed from 2006 to 2014 into the calculation. The principal drivers of need for palliative care will probably be dementia, set to increase from 59 199 to 219 409 deaths per year, and cancer also increasing from 143 638 to 208 636 deaths by … ER -