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<h3>Background</h3> The Dudley Group NHS Foundation Trust has implemented the Gold Standard’s Framework (GSF) across all adult inpatient areas to support recognition of patients in the last year of life and the development of individual plans of care. Since implementation, discussions were recorded on a static end-of-life document in a patient’s electronic patient record (EPR) together with paper care plans. Following feedback from staff, there was a request to evolve from a document into a ‘live’ end-of-life flowsheet that incorporated the care plans. This review describes the process and impact of this transition. <h3>Methods</h3> After consultations with stakeholders, key priorities for the live flowsheet were identified and shared with the local digital transformation team. A new end-of-life flowsheet was developed and tested before its launch in April 2025. The flowsheet built on the strengths of the previous document, integrating more aspects of individualised care planning linked to patients’ GSF codes. The launch was supported by education from the specialist palliative care team. <h3>Results</h3> The transition to a live flowsheet has been effective, with a record 82% of deaths across the trust recognised as GSF Red or Amber in August 2025. The new flowsheet supports staff to record discussions and preferences in a structured manner, including chaplaincy support preferences, review of non-essential medications, and documentation of information shared with patients and families. This has reduced duplication and enabled more cohesive patient care. <h3>Conclusion</h3> The staff-led transition to a live GSF flowsheet has enhanced end-of-life care documentation and planning. It has improved patient recognition and enabled real-time, personalised care planning that supports multidisciplinary communication and reduces administrative burden. Ongoing evaluation will ensure continued engagement and identify further opportunities for integration.