The aim of this project was to develop a systematic approach of the transition to palliative care for patients with terminal blood cancers, such as acute leukaemia. A working group was established to 1) determine palliative factors specific to haematology patients 2) agree upon appropriate levels of care 3) determine processes for referral and documentation 4) formalise an integrated palliative care plan 5) develop a patient information booklet and 6) evaluate outcomes. The project plan was approved by Alfred Health Research and Ethics Committee in December 2010. Recruitment of patients commenced March 2011 and 23 patients were recruited within an 18 month period. Pre and post patient and staff evaluation questionnaires were developed. A 'Haematology Supportive Care Plan' form was developed and implemented. Education sessions for health professionals were delivered on a regular basis. Completed care plans are stored electronically under patient medical records and a copy is given to the patient. Post evaluation was completed post an 18 month period from when patients were initially recruited for the project. Collation of results are currently in process and will be made available for presentation. To conclude, the transition from acute to palliative care of haematology patients is challenging. This study has implemented a coordinated care approach that focuses on optimising communication between staff and patients, early involvement of the palliative care team, management of the transition by a nurse coordinator, documentation of decisions made and provision of written information to patients. The study will evaluate patient acceptance of the transition to palliative care, staff understanding and perception of the transition processes and resource utilisation outcomes.