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The substantive outcome of this enquiry is the 'Healthy End of Life Project (HELP); offering and providing, asking and accepting help'.

End-of-life care requires the collaboration of disability and palliative care services, but for care to achieve palliative care goals, the collaboration must be led by disability services. We outline here an organizational model we have developed from public health principles to manage end-of-life care in community living services.

The understandings of health promotion and community development that inform the current community engagement activities of palliative care services need to be expanded. We suggest that this is more likely to happen if community groups become active in engaging the health services, including palliative care services, rather than by continuing to focus solely on building the services' community engagement capacities. Some strategic opportunities for accomplishing this reorientation will be identified and illustrated as part of the presentation.