Table 1 Characteristics of use of the Ambitions

Ambition 1 (Each person is seen as an individual)

(1) Provision of guiding principles

(2) Quality improvement

(3) Education & training

(1) Specialist palliative care

(2) Education & training

(3) Hospice

(1) Personalised care planning

(2) Education & training

(3) Those important to the dying person / Evidence & information

(1) Ambition 3

All other Ambitions also represented

Ambition 2 (Each person gets fair access to care)

(1) Provision of guiding principles

(2) Quality improvement

(3) A tool for review / Education & training

(1) Hospice

All other settings (primary care, secondary care, care homes, specialist palliative care, domically care, education and training & community organisation) equally represented

i.e. Ambition 2 being used across or with different settings and partners

(1) Personalised care planning

(2) Shared records

(3) Education & training

(4) Co-design

All Ambitions equally represented

Ambition 3 (Maximising comfort and wellbeing)

(1) Provision of guiding principles

(2) Quality improvement

(3) Service design

(1) Specialist palliative care

(2) Hospice

(3) Care homes / Education & training / Community organisations

(1) Shared records

(2) Education & training

(3) Leadership

Ambitions 1, 2 & 4 considered more applicable than Ambitions 5 & 6

i.e., suggests services being organised around principles of person-centred care

Ambition 4 (Care is coordinated)

(1) A tool for review

(2) Provision of guiding principles / Business case development / Identification of partner organisations / Education & training

(1) Primary care

(2) Secondary care / Care homes / Social care / Specialist palliative care

(1) Evidence & information

(2) Leadership

(3) Personalised care planning / Those important to the dying person / Co-design

(1) Ambition 1

All other Ambitions also represented

Ambition 5 (All staff are prepared to care)

(1) Provision of guiding principles

(2) Quality improvement

(3) Education & training

(1) Secondary care

(2) Education & training

(3) Primary care/ Social care / Care homes / Hospice / Community hospitals / Specialist palliative care

(1) Education & training

(2) Personalised care planning / Shared records / Evidence & information / Those important to the dying person / 24/7 care / Leadership

All Ambitions equally represented, except for Ambition 6 (not cited)

Ambition 6 (Each community is prepared to help)

(1) Provision of guiding principles / Cite in local policy / Identification of partner organisations / Education & training

All settings equally represented

(1) Personalised care planning / Evidence & information Those important to the dying person / Education & training / Co-design / Leadership

(1) Ambition 1 / Ambition 3