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An Isle of Wight End of Life Care Strategy for adults -- a strategic priority at national, regional and local level -- has been developed and successfully implemented on the Island. Over the last couple of years almost every area of Island health care has been working to improve care and choice for those at the end of their lives. An integrated palliative care team has been established at St Marys. In the community we have improved access to nursing care, training and equipment. Important and useful policies have been implemented. Especially impressive has been the enthusiasm and commitment from everyone who has helped to make this project successful. This entry was a finalist in the 2011 NHS Isle of Wight Awards. For more information visit www.iow.nhs.uk/awards.