G39 Delivering Optimum Care at Journey's End: A Comparison of Barriers to End of Life Care Plans Between a Paediatric Oncology Specialist Centre in the USA and a District General Hospital in UK

End of life care is a challenging but vital aspect for children with life-threatening conditions, requiring parental discussion to plan appropriately. Parents express a need for open and honest information, delivered in a sensitive and timely manner. In adults, advanced care discussions (ACD) result in end of life care closer to patient preference, aligning care with patients’ wishes. However there is often patient dissatisfaction regarding the...