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<h3>Background</h3> Emergency Departments (EDs) and ambulance services are increasingly involved in the care of patients approaching the end of life. Despite national policy emphasising high-quality, equitable end-of-life (EOL) care, delivery within urgent and emergency care settings remains challenging. In the UK, EOL care is provided across 235 Type 1 EDs and 14 ambulance trusts, yet there is limited national-level information describing leadership, training, and access to specialist palliative care support across these services. <h3>Methods</h3> Freedom of Information (FOI) requests were distributed to NHS Trusts and Health Boards providing all 235 UK Type 1 EDs, and to all 14 UK ambulance trusts. Requests explored the presence of medical and nursing EOL or palliative care leadership roles, access to specialist palliative care advice, availability of anticipatory medications, staff education and training, local clinical guidance, and access to spiritual or cultural support. Data were analysed descriptively. <h3>Results</h3> Data was collected between October and December 2025. Responses were received so far from 132 Type 1 EDs and 11 ambulance trusts. Among EDs, a minority reported a named medical EOL or palliative care lead, while nursing leadership roles were more commonly identified. Access to specialist palliative care advice was widely reported but varied in delivery, most frequently via telephone advice lines or in-reach services. EOL training was commonly described but showed substantial variation in frequency, content, and format, often embedded within induction or delivered on an ad hoc basis. Ambulance trusts reported marked variation in EOL caseloads and conveyance rates. All responding services had access to specialist palliative care advice, typically available 24 hours. Acceptance of DNACPR documentation was broad, though access to anticipatory medications and formal EOL guidance varied between trusts. <h3>Conclusions</h3> This national FOI study demonstrates considerable variation in EOL care leadership, training, and infrastructure across UK emergency and pre-hospital care. While access to specialist advice is common, greater consistency in leadership roles, training provision, and clinical guidance may strengthen the delivery of high-quality end-of-life care for patients, families, and clinicians in urgent and emergency settings.