 Study Design The study is designed as a prospective randomised controlled trial. Eligible patients from the departments of oncology, cardiology and respiratory medicine at Aarhus University Hospital will be included in the study and randomised in two groups: one receiving usual care and the other receiving usual care and ACP. Patients will be recruited from one department at a time, allowing the recruitment period to be up to six months for each department. Because patients with terminal cardiac and respiratory diseases are known to have more unpredictable life expectancy than cancer patients, initial recruitment will be from cardiology and respiratory medicine departments, respectively.9 This procedure will enhance the possibility of the estimated number of deaths in all three diagnose groups to be registered within the study period see power calculation below. The research group has a long and ongoing close cooperation with the departments mentioned and collaboration has been established. 