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Palliative care needs assessment.

Unprecedented changes are taking place in the UK National Health Service (NHS) and never before has so much attention been given to palliative care. In a short report for a British Medical Association (BMA) News Bulletin (Reid, 2004) John Reid, the Secretary of State for Health, declared that patient services are being transformed as the vision for the NHS is renewed (Department of Health (DoH), 2004a). He mentioned patients’ ‘needs’ five times in this short report. The overriding stance was of choice, meeting need and empowered patients.