“…The United Hospitals of North Midlands NHS Trust in England similarly expects its staff to meet the competences set out in the EPICC Standard, which has been adopted in full in its Spiritual Care Policy Document (UHNM, 2019). A major strength of the EPICC Standard and the Matrix, underpinning it, is that they were based on strong international evidence (Attard et al, 2019a, 2019b; van Leeuwen et al, 2009; Ross et al, 2014, 2016, 2018). Construction of the EPICC Standard through a transparent, rigorous, structured and intensive iterative process (as described in this paper) with input from participants from diverse cultural and professional backgrounds (education, research, practice, policy, management, service users) across 21 European countries is a further strength.…”