From assisted suicide to the basic standards of nursing and residential care, debates around end of life issues are rarely out of the news. This succinct guide represents current thinking in the Church of England and offers a framework for ethical decision making and the highest standards of pastoral care in often complex and challenging situations. Chapter One outlines the theological and ethical basis for Church’s contribution to end of life debates Chapter Two explores the dynamics of decision making in hospital based end of life care Chapter Three considers issues in organ donation Chapter Four explores the ethics and the wider impact of assisted suicide.