top of page


Image by thom masat

Step care

Trial examines the feasibility and effectiveness of early palliative care (STEP Care) introduced at transition points in the illness, compared to usual care for people with advanced cancer

A Randomised study to examine feasibility of Standardised, Early Palliative (STEP) Care for patients with Advanced Cancer.

The (STEP) Care clinical trial is testing the standardization of timing of integration of palliative care, thereby reducing variation and improving access to best care. 


International evidence suggests palliative care introduced ‘early’ alongside usual  care results in better outcomes for people with cancer and their families, yet the definition of ‘early’ varies meaning there is substantial variation in clinical practice. We have established ‘transition points’ when standardised early palliative (STEP) care should be integrated across a series of cancers.



Philip, J., & Collins, A. (2019). Defining 'transition points' in the illness course as standardised times to integrate palliative care. PROGRESS IN PALLIATIVE CARE, 28(1), 1-3. doi:10.1080/09699260.2019.1689325


Collins, A., Sundararajan, V., Le, B., Mileshkin, L., Hanson, S., Emery, J., & Philip, J. (2022). The feasibility of triggers for the integration of Standardised, Early Palliative (STEP) Care in advanced cancer: A phase II trial. FRONTIERS IN ONCOLOGY, 12, 12 pages. doi:10.3389/fonc.2022.991843


bottom of page