Quality End of Life Care for All (QELCA©) program

The QELCA© (Quality End of Life Care for All) program is an innovation in end of life care education. It is designed to enable and empower teams of health and social care practitioners from acute, community or home care settings to lead on the delivery of high quality care to patients and families at the end of life.

What needs does QELCA© address?

People are living longer often with complex comorbidities or frailty resulting in significant challenges for healthcare systems worldwide. Providing education and training to those who deliver the bulk of care at end of life is one strategy to ensure that dying is managed in all care settings with skill and compassion.

Who delivers the QELCA© program?

The program is designed to be delivered by hospice or specialist palliative care professionals who already have valuable skills in managing the symptoms (physical, psychosocial and spiritual) experienced at end of life. The same person-centered approach is used to support and enable generalist colleagues to improve end of life care in the settings in which they work.

Where is QELCA© delivered?

QELCA© was originally developed and delivered in the UK by St Christopher’s Hospice, a world renowned leader in palliative care. The program is now offered worldwide by registered QELCA© trainers. In Canada, the program is provided by the Montreal Institute for Palliative Care.

Who are the QELCA© program participants?

Teams benefiting from the QELCA© program comprise between four and eight people from the same organization, preferably clinical managers with the authority to work together to lead change. They can either be an interdisciplinary team or all of the same discipline according to the needs and preference of the organization.

How is the QELCA© program taught?

The QELCA© program comprises an initial five-day session delivered either in one working week or spread over two weeks. Three of the five days are spent in the classroom. Two of the five days are practice-based shadowing a palliative care practitioner.


The five-day session is followed by six work-based Action Learning sessions to be held monthly. During these sessions, the team, facilitated by the same QELCA© Trainers, work together to overcome obstacles and, where possible, implement changes into practice.

Day 1 Classroom Day 4 Practice
Day 2 Practice Day 5 Classroom
Day 3 Classroom Followed by:

Six monthly Action Learning sessions

The QELCA© program is accredited through City & Guilds, the leading worldwide skills development organization, as well as SOFEDUC (Société de formation et d’éducation continue).

What makes QELCA© successful?

Success of the QELCA© program depends on full support from the organization. Managers of participants will be asked to sign an agreement that they will provide protected time – not only to attend the five-day programme but also the six monthly Action Learning sessions, – as well as time to work on the change projects and to complete the assignments.


For more information on QELCA©, contact info@ispm.ca.