From the basic standards of hospital and residential care to questions about assisted suicide, debates around end of life issues are rarely out of the news. This succinct guide represents current pastoral and theological thinking in the Church of England and offers guidelines for ethical decision-making and the highest standards of pastoral care in often complex and challenging situations. Chapter One outlines the theological and ethical framework for the Church's contribution to end of life debates Chapter Two explores the questions to be asked about physician assisted suicide Chapter Three considers the ethical and pastoral issues involved in organ donation Chapter Four offers a hospital chaplain's perspective on healthcare issues towards the end of life. In addition, a useful reference section includes key documents from the Church of England.