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Background During the pandemic, the hospice provided and funded a collaborative project with primary care colleagues to improve advance care planning (ReSPECT) in care homes. Despite repeated effort, we were unable to secure ongoing statutory funding for the service. Without financial support, the charity could no longer sustain it. We notified commissioners and GP partners that the service would cease, and subsequently approached each Primary Care Network (PCN) to explore direct commissioning opportunities.Aims Increase the number of residents discussing and documenting their wishes.Improve the quality of documentation to support emergency clinical decision making.Increase the number of residents achieving preferred place of care (PPC)/preferred place of death (PPD).Method The service launched in two PCNs in June 2024, followed by a third shortly after. Each PCN commissions a specialist palliative care nurse at varying capacities to undertake conversations and document residents’ end of life wishes. We established KPIs and monthly reporting to assess quantitative and qualitative impact. A custom EMIS template was developed to share information across systems, ensuring a complete patient record in primary care.Results PCN 1 (10 months’ data)18.75 hrs/week.116 new ACPs.100 reviews/updates.35 MDTs attended.PPC/PPD registered 216.PCN 2 (10 months’ data)7.5 hrs/week.67 new ACPs.67 reviews/updates.0 MDTs (written reports submitted).PPC/PPD registered 134.PCN 3 (7 months’ data)15 hrs/week.59 new ACPs.17 reviews/updates.6 MDTs attended.PPC/PPD registered 76.One PCN has extended the service to include housebound patients. A further PCN is commissioning the service to commence in June.Conclusion A 12-month evaluation will be conducted, with findings presented to the remaining PCNs to expand the service.Feedback examples include:‘This service is invaluable to our home and residents. We get a fast and reliable service to help meet the residents’ needs’‘ReSPECT forms are completed in a very professional manner, all families are informed’.