 Practical Execution The researcher the applicant will be provided with a list of patients who will attend the outpatient clinic the following day. Using an identification tool see Appendix 1 the researcher will assess the patients, identifying those patients anticipated to be in need of palliative and supportive care. Patients data are found in Electronic Patient Files EPJ. After the patients have been seen by staff in the outpatients clinic, the researcher will ask the doctor in the clinic whether heshe would be surprised if this patient died within the next 6-12 months. i.e. The surprise Question. 10 If the answer is no, the patient will be enrolled in the study. Within two days hereafter the patient will be contacted by mail and later by telephone. Information about ACP will be given written and verbally. If the patient accepts, informed written consent is obtained. Returning consent form blank or not responding after two reminders will be considered a decline. Patients will be randomised by usual standards; non-research staff will carry out the randomisation using sealed envelopes containing allocation cards assigned by random numbers. All patients included in the study will receive a questionnaire concerning quality of care see questionnaire data. The patients are also asked to point out a close relative who is likely to accept participation. Participating relatives will be approached in order to fill in questionnaires during the patients trajectory and in the bereavement period see questionnaire data. 