This article outlines the response of a palliative care unit to the targets set out in A Vision for the Future (DoH/NHSME 1992). The authors explain how the unit has evaluated the existing service, using audit and quality assurance techniques, and how changes have been implemented to the benefit of staff and patients alike

In 1992, the health department set out A Vision for the Future targets for nursing, midwifery and health visiting following a consultation exercise (DoH/NHSME 1992). The aim of the targets is to give nurses clear and specific goals relating to patient care, professional development and the healthcare market. It has been suggested that the targets will enable nurses to raise their profile and demonstrate their effectiveness, helping them to be in a position of control rather than be controlled by events (Wright 1994).