This discussion paper examines psychosocial provision in the community for dying people, and argues that the new-found commissioning powers of primary care trusts (PCTs) are the key to unlocking better, more integrated care. PCTs are now in the position to: strengthen clinical governance within the new N.I.C.E. guidelines; improve education and training in palliative care provision for primary care professionals, and enhance the role of district and community nurses; identify and spread good practice from hospices, specialist care providers and charitable organisations; work with social services to strengthen and expand provision; and manage and direct services. [Cover details abbreviated]