Early and timely identification of patients with deteriorating health conditions has been highlighted as a priority area within NHS Lothian. Marie Curie aims to pilot an IT application resource to support good practice in identification and assessment of patients at risk of deterioration in GP surgeries across the region. This project would look to develop a software package within Vision 360 (already used by GP’s). By adding functionality to the Vision 360 software package, this will allow identification of patients at risk of deterioration and prompt healthcare professionals to instigate anticipatory care planning. We would look to initially work with ten GP practices, ideally over a two year period if funding permits.This project is closely linked to the Lothian palliative care redesign programme in which Marie Curie is partnering with NHS Lothian and the Oak Foundation.