Patients deteriorate in hospital for many reasons. Failures to recognise, escalate and respond appropriately can cause preventable harm. To address this, hospitals have been improving their systems for managing the care of patients who deteriorate.

This guide is intended to help project leads and teams prepare for and implement improvements to their shared goals of care approaches. It sets out why this is important, components to be implemented, available support, and recommended activities during the preparation, implementation and sustain periods.

If you have any queries about these resources, please email

 Shared goals of care principles
 Posters: Shared goals of care principles 
 Shared goals of care forms for use in hospital
Preparation and implementation
Preparation and implementation guide
Shared goals of care project charter template
Stakeholder assessment template
Assessment of current approach to shared goals of care template
Shared goals of care countdown to launch posters
Clinical governance
Clinical governance recommendations for recognition and response systems
Shared goals of care case for change

Awareness and promotion
Factsheet for patients and whānau when having a shared goals of care discussion
Factsheet for senior clinicians responsible for shared goals of care decisions
Factsheet for nurses and allied health workers supporting shared goals of care decisions
Factsheet for response teams supporting shared goals of care decisions
Factsheet: Capabilities for recognising and responding to acute deterioration in hospital
Shared goals of care factsheet for hospital executives
Infographics: Talking to adult patients with a serious illness and at risk of deterioration
An overview of advance care planning in Aotearoa New Zealand
Learning and education modules on understanding bias in health care
Exploring how the way we work impacts the consumer experience

Shared goals of care educational powerpoint
Aotearoa Serious Illness Conversation Guide
Legal framework for medical decision-making

Last updated 28/04/2021