Two doctors at a surgery

The Daffodil Standards

Welcome to the Daffodil Standards for General Practice: The RCGP and Marie Curie UK General Practice Core Standards for Advanced Serious Illness and End of Life Care.

The Daffodil Standards provide a free, evidence-based framework to help practices self-assess and consistently offer the best end of life and bereavement care for patients.

The Standards offer a simple structure to enable practices to be proactive organisations in which continuous learning and simple quality improvement steps are an integral part of care.

“Adopting the Standards has transformed our surgery” - Dr Elizabeth Phillips, Yardley Wood Health Centre

How will the Daffodil Standards help my practice?

Quite simply, the Daffodil Standards will help your whole practice team to spot areas for improvement and build on the good care you already provide.

You know your patients best, and the Daffodil Standards will help you to quickly create a clear, structured approach that’s relevant to your practice, your staff and your patients.

Sign up for free

By registering you and your practice receive a welcome pack and gain access to key updates, top tips, free webinars and opportunities to share learning within a community of practice. Your Daffodil Standards welcome pack will include notebooks, pens, posters and leaflets for you and your team, as well as the Daffodil Mark, which can be displayed to highlight the practice's commitment to excellent end of life care and support for people with advanced serious illness.

Who else has signed up?

Explore the map of practices who are already signed up.

Getting started

The following links give background information on the Daffodil Standards and how to use them.


The Daffodil Standards will help you to:

  • Identify and build on areas of your good practice
  • Self-assess areas for improvement, relevant to your practice, your staff and your patients
  • Share vision to improve end of life and bereavement care with your practice and wider teams
  • Develop robust processes with whole practice team, to consistently support improvements e.g. coding, communication and involvement, feedback methods
  • Share learning and connect with opportunities in your wider system locally

An analogy of growing daffodils can be used to guide you through a quality improvement approach (plan, do, study, act is embedded within it) to the standards across the three levels.

Useful resources

Our resources include:

  • Events and webinars
  • Reflective Group Learning
  • Quality Improvement Criteria Guidance
  • End of Life Care Quality Improvement Resources
  • Useful documents


The RCGP designed the Standards in partnership with Marie Curie, led by Dr Catherine Millington-Sanders, RCGP & Marie Curie National End of Life Care Clinical Champion. Experienced GPs and healthcare professionals supported the process, and helped make sure the Standards fit into the work you’re already doing, rather than adding to your workload.

The development of the Daffodil Standards has been led by:

Dr Catherine Millington-Sanders

Dr Catherine Millington-Sanders

RCGP and Marie Curie National End of Life Care Clinical Champion

Dr Rachael Marchant

Dr Rachael Marchant

RCGP and Marie Curie End of Life Care Clinical Support Fellow

Devolved Nations leads:

  • Dr Scott Jamieson (Scotland)
  • Dr Anish Kotecha (Wales)
  • Dr Grainne Doran (Northern Ireland)

RCGP and Marie Curie would like to acknowledge key organisations consulted during the development of the Daffodil Standards, including experienced clinicians, academics, commissioners, legal experts, patients and carer groups involved in end of life care:

Action Hearing Loss
Age UK
Ambitions for Palliative and End of Life Care Partnership
Association of Palliative Medicine
Bakewell Medical Centre, Derbyshire
British Geriatrics Society
British Heart Foundation
British Medical Association
Caen Medical Centre, North Devon
Care Quality Commission
Carers and Patient End of Life Care Research Network
College of Health Care Chaplains
Compassion in Dying
Compassionate Communities UK
Connecting With People
Cultural Difference at EOLC
Daffodil Standards Academic Review Panel
Dementia UK
Dr Rowlands & Partners, Cwmbran
Goldington Avenue Surgery, Bedford
Gold Standards Framework
Harley Street Medical Centre, Stoke on Trent
Health Education England
Hospice UK
Hucknell Road Medical Group, Nottingham
London Ambulance Service
Longcroft Clinic, Banstead
Marie Curie Devolved Nation Leads
Marie Curie Expert Voices Panel

Much Wenlock and Cressage Medical Practice, Much Wenlock
National Association for Patient Participation
National Bereavement Alliance 
National End of Life Care Programme Board
NHS England
Rangeways Road Surgery, Kingswinford
RCGP Clinical Advisor Network
RCGP Clinical Champions Network
RCGP Devolved Nations Chairs
RCGP Devolved Nations EOLC Leads
RCGP End of Life Care Advisory Group
RCGP Patient and Carer Participation group
RCGP Patient Centred Care project
Royal College of Nursing
Royal College of Physicians
Skills for Care
Skills for Health
Sue Ryder
The Marches Surgery, Herefordshire
The Old Station Surgery, Ilkeston
The Orchard Surgery, Bromborough
The Spa Surgery, Harrogate
Together for Short Lives
University of Cambridge
University of Manchester
West Leeds Family Practice, Farsley
Westfield Surgery, Herefordshire
Whitley House Surgery, Chelmsford
Wye Valley Surgery, High Wycombe
Yardley Wood Health Centre, Birmingham

The launch of the Daffodil Standards raises the opportunity to gain further feedback in order to continue developing these resources to support general practice to give the best possible care and support to all patients living with advanced serious illness and those important to them. If you would like to provide feedback to be considered as part of the next planned review process, please email

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