The annual death rate in the UK from Chronic Obstructive Pulmonary Disease (COPD) approaches that from lung cancer [1]. Palliative care in this group of patients is challenging in terms of the assessment and provision of their emotional, physical, psychological, spiritual and social needs and cares as patients and their families live with dying from a progressive illness. Palliative care is defined as the active holistic care of patients with advanced progressive illness. It includes management of pain and other symptoms and provision of psychological, social and spiritual support.