Introduction: Palliative care is an essential element of any comprehensive and integrated healthcare system, and access to palliative care is a fundamental human right. The proportion of people in need of palliative care is rising globally. Objective: To describe and compare the palliative care service delivery system to support patients who need palliative care in England and Sri Lanka. Methods: Description and comparison based on expert consultation, reviewing governmental policy, web sites, other documents, and relevant scientific literature. Results: England has a long history of evolution in palliative care, and the country has a well-established palliative care delivery system. Sri Lanka is a developing country with a short history of palliative care initiatives compared to England. However, Sri Lanka has a robust healthcare system in which the integration of palliative care services has already been implemented. Numerous effective initiatives used in England in delivering palliative care services successfully could be adapted and utilized to strengthen the palliative care delivery system in Sri Lanka. Conclusion: Although England has a well-developed and comprehensive palliative care delivery system, compared to Sri Lanka, both countries still showcase the need for further improvement in services. Specific palliative care initiatives applied in England could be incorporated to strengthen and improve the services in Sri Lanka.
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