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The views expressed are those of the authors and not of the panel.","Recent government guidance, \"End of Life Care Strategy: Promoting High Quality Care for All Adults at the End of Life\" and \"Guidance on Cancer Services: Improving Supportive and Palliative Care for Adults with Cancer\", has raised the profile of end-of-life-care (EOLC). However, historically care has been poorly organised, with large gaps in provision depending on geography and diagnosis. Some of these gaps are a result of confusion over roles and responsibilities, and a reluctance or lack of confidence among health and social care professionals in providing this care and engaging with patients and carers in a meaningful way at the end of life. This report forms part of the wider inquiry into the quality of general practice in England commissioned by The King’s Fund, focusing specifically on the quality of end-of-life care (EOLC). 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Implementation of the strategy has proved challenging, however, for a number of reasons: death and dying remain taboo subjects; the number of people dying is rising, putting extra pressure on end-of-life care services; budgets are likely to be limited in the coming years. To help those who have responsibility for implementing the strategy, The King’s Fund organised the Sir Roger Bannister Summit at Leeds Castle in November 2009 at which senior policy-makers, clinicians, managers, officials and academics could share the challenges and suggest practical solutions. Delivering better care at end of life: the next steps includes papers given at the summit - covering issues including commissioning, hospice and hospital care, quality markers, challenges for providers’ and an account of the debate generated. It identified 10 critical actions to help the successful implementation of the strategy. 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