PACED was formed in 2017 so that more people in Eastern Europe and Central Asia (EECA) receive high quality palliative care.

While education is at the heart of PACED's work, we are involved in a range of activities to help ensure palliative care reaches all those who need it.
Our Trustees and Advisers include leaders in the field of palliative care in the UK, EECA and globally.
Our Trustees and Advisers include leaders in the field of palliative care in the UK, EECA and globally.
Nyuta Federmesser
Founder the VERA Hospice Charity Fund, the first Russian charity supporting hospices and their patients
Robert Twycross
One of the pioneers of modern hospice and palliative medicine
Dmitry Yampolskiy
Lawyer, media manager, entrepreneur, Chairman of
the Board at VERA Hospice Charity Foundation
Mike Mandelbaum
Chief Executive
Mike Mandelbaum joined PACED in 2021,
bringing 30 years' experience in healthcare, international development and the charity sector
Our Trustees and Advisers include leaders in the field of palliative care in the UK, EECA and globally.
Tilda Publishing
Stephen Connor
Executive Director of the Worldwide Hospice Palliative Care Alliance (WHPCA)
Julia Downing
Chief Executive of the International Children's Palliative Care Network
Esmina Kayibhanova
Deputy Director for Education at the Centre for Palliative Care in Moscow
Gulnara Kunirova
President of the Kazakhstan Palliative Care Association
Daniela Mosoiu
Director for Education, National Strategy and Development at HOSPICE Casa Sperantei in Bucharest
Fiona Rawlinson
Programme Director for postgraduate palliative care at Cardiff University
Our Trustees and Advisers include leaders in the field of palliative care in the UK, EECA and globally.
PACED works to improve palliative care in Eastern Europe and Central Asia, including the Caucasus. Although we support the Baltic states, our primary focus is on countries outside the European Union.
Eastern Europe: Belarus, Moldova, Russian Federation, Ukraine

Caucasus: Armenia, Azerbaijan, Georgia

Central Asia: Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan

Baltics: Estonia, Latvia, Lithuania
Eastern Europe and Central Asia's palliative care services began improving in the 1990s, but the rate of progress has varied greatly between and within countries.

Every country in the region is in the lowest quartile of European countries for the consumption of strong opioids per capita – the most widely used proxy indicator for the availability of pain relief. This is typical of many resource poor countries, where only basic medical care is available for most health conditions and palliative care is rarely a priority.

PACED tackles these issues through a focus on education: building the skills and knowledge of health and care professionals, raising standards of palliative care education, and supporting the development of individual services.
Support the professional development of health and care workers to develop their knowledge, skills and attitudes in providing palliative care

There is an urgent need for an online palliative care information and education platform for EECA, as PACED's stakeholder consultations have shown. This platform should be trustworthy, well-structured and clinically relevant, and reflect differences in countries' legislation, standards and cultures.

PACED is developing a Knowledge Hub in Russian and English which will become a 'one-stop shop' of comprehensive, accurate and high quality content. It will provide a wide range of free to access content including structured learning programmes, webinars, and guidance for managing services.
Help raise standards of palliative care teaching in undergraduate, postgraduate and specialist settings

Palliative care education in medical and nursing schools is often taught by people working in isolation from other educators and without the support of a palliative care department. This can affect standards of teaching due to:

insufficient clinical experience among teachers

a lack of exposure to new and emerging issues in palliative care

few opportunities to share experience and practice with other teachers

limited access to high quality, up-to-date and contextually relevant teaching resources.

PACED will develop a multi-faceted programme that provides resources and support for educators. This will include facilitating contact and collaboration between palliative care educators in EECA, providing skills and knowledge updates, and making new teaching resources available.
Implement targeted palliative care development initiatives in focus countries
Advancing palliative care in a country requires the aligned support of government, opinion leaders, the palliative care professional community and wider society. Securing the place of palliative care on the health policy agenda and developing services that reach all parts of the population is a complex process which takes a different path in each country. PACED will work with stakeholders to support governments as they improve policy, practice and resource for palliative care.

Local leadership is key, so PACED will encourage, support and empower stakeholder groups with the aim of strengthening national palliative care leadership. PACED will identify and support champions who can progress the policy agenda, as well as individuals or groups who can make a meaningful contribution to increasing educational skills levels.

Shortly before the Covid pandemic, PACED worked with St Christopher's Hospice in London to deliver a week-long Quality End of Life Care for All (QELCA©) training course to a multi-professional team of seven people from Georgia including hospice managers, clinicians, human rights advocates and lawyers. This facilitated the creation of a strategic leadership team to drive improvements in palliative care in Georgia.
We encourage and support cooperation and joint learning between countries in EECA
PACED believes in local ownership and leadership, and that collaboration between countries in the region can:

  • encourage and provides a space for shared learning between professionals working in similar cultural and political contexts

  • create opportunities to use regional political and health fora and initiatives to promote palliative care

  • provide a mechanism to advance palliative care through greater national and regional ownership.

As one element of this theme which cuts across PACED's work, we are planning the launch of an EECA edition of ehospice, the global online news and information resource that publishes news, commentary and analysis from the world of hospice, palliative and end of life care.
PACED's vision is of a world where everyone with a life-threatening illness or at the end of life receives pain relief and high quality holistic care, and their families have access to the support they need
PACED's mission is to increase palliative care knowledge and skills and build leadership to advance the provision of palliative care in Eastern Europe and Central Asia.
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