The Lancet Commission on the Value of Death:
bringing death back into life

Vision

We are working towards a world where death, dying and grieving are recognized as a part of life and the opportunity for healthy dying and healthy grieving is available to everyone.

Background

The Lancet Commission on the Value of Death is a wide ranging, global, and interdisciplinary exploration of death, dying and grieving. Published in 2022, it sets out the five principles of a realistic utopia for death, dying, and grieving, a radical vision of how these universal events could be experienced in the future.

The Realistic Utopia

The social and structural determinants of death, dying, and grieving are tackled

The social, structural, and political determinants of health such as employment, income, education, gender, physical environment, discrimination, policies and access to services, determine not only how people live but also how they die and grieve. Understanding and tackling these are essential if experiences of dying and grieving are to be improved.

Conversations and stories about everyday death, dying, and grief become common

Death and grief literacy are the ability to navigate death, dying and grieving systems. They are essential skills for all and should be supported and developed across societies.

Dying is understood to be a relational and spiritual process rather than simply a physiological event

Relationships are fundamental when dying and grieving but this is often ignored, with a focus instead on clinical aspects. Spiritual care receives even less attention. Relationships and spiritual aspects must be prioritised.

Networks of care lead support for people dying, caring, and grieving

Healthy dying or grieving requires many inputs, supports and contributions. People dying or grieving should have networks they can draw on, with both lay and professional members. These networks should challenge traditional power dynamics, with all participating as equals

Death is recognized as having value

Death is integral to life. Though it can be difficult or distressing, death must be recognised as important and valued across societies. We see the re-valuing of death as fundamental to achieving the realistic utopia.

Death, dying, and grieving systems

Death, dying and grieving systems are the many inter-related social, cultural, economic, religious, and political factors that determine how death, dying and bereavement are understood, experienced and managed.

The principles of the realistic utopia intend to transform death, dying, and grieving systems around the world. Through the Lancet Commission, we created an example of a complex systems map for care when someone is dying. Use the magnifying tool to explore different parts of the map.

Map Legend

Get Involved

Sign up now to receive regular updates and invitations to relevant events on the Lancet Commission on the Value of Death.

Webinars

Commission Launch Webinar 31st January 2022

Commission Launch Webinar 31st January 2022

During this Lancet Webinar, listen to a discussion and debate on the value of death and how to bring death back to life. Hear from the Commissioner co-chairs, Richard Smith and Libby Sallnow, along with Commissioners and external experts to reflect on the Commission’s...

read more

Podcasts

What about death? May 2023

What about death? May 2023

On today’s episode of What About Death!?, Tsultrim speaks with Dr Libby Sallnow, a palliative care consultant and researcher from London in the UK. Dr Sallnow has been a leader in developing social and public health approaches to death, dying and loss for over two decades and she was recently the first author of the Lancet Commission “The Value of Death: Bringing Death Back into Life.” This fascinating commission explores how we understand death in the 21st Century and considers the implications of the various systems that determine how we die. Dr. Sallnow offers insights into how we can develop a “realistic utopia” in relation to dying, death and grief that is hopeful, intentional and actually values dying and death.

read more
Health Foundation October 2022

Health Foundation October 2022

What to do about dying? – with Richard Smith and Libby Sallnow. We don’t like to think about death. To many, death and dying have no value and are relegated to the margins of our lives.

But about half a million of us in Britain die each year, mostly in our 80s, with half of us dying in our usual place of residence – in our own bed.

With palliative care stretched and family and friends often left unsupported, what could be an enriching and meaningful phase of life can become over-medicalised, transactional and feared.

read more
Public Health Disrupted: Season 2, episode 4: Dignity, decency, dying

Public Health Disrupted: Season 2, episode 4: Dignity, decency, dying

Welcome to the monthly podcast series from UCL Health of the Public presented by Doctor, writer and TV presenter Xand Van Tulleken and community health psychologist, UCL lecturer and self-proclaimed hippie Rochelle Burgess.

We’re calling this podcast Public Health Disrupted because that’s exactly what we want to do. We are going to be breaking down disciplinary, sectoral and geographic boundaries to really understand the diverse and complex issues impacting our health.

read more
Survival of the Kindest August 2022

Survival of the Kindest August 2022

This week’s Survival of the Kindest podcast is a joint interview between Professor Allan Kellehear, Dr Libby Sallnow, Dr Richard Smith and myself. Richard was editor of the British Medical Journal for 25 years. Libby and Richard are lead authors in the Lancet Commission On The Value Of Death.

read more
Lancet launch podcast February 2022

Lancet launch podcast February 2022

The story of dying in the 21st century is the story of paradox. Many people are overtreated in hospitals with families and communities relegated to the margins, at considerable cost. COVID-19 has meant people have died the ultimate medicalised deaths, often alone but for masked staff in hospitals and intensive care units, unable to communicate fully with family. But in other settings, including in some lower income countries, many people remain undertreated, dying of preventable conditions and without access to basic pain relief.

read more

Blogs & Media

Doing death differently

Doing death differently

A community workshop for Dying Matters Week 2024 Book your place: https://www.eventbrite.co.uk/e/doing-death-differently-tickets-878619974997 Download the flyer  

read more
Swedish Radio [Swedish]

Swedish Radio [Swedish]

Fascinerande kvinnor och en ny syn på livets slut: Sara Heyman, London

London onsdag,

Jag tycks ha en förmåga att fastna för fascinerande kvinnor i historien som inte fått den uppmärksamhet de förtjänar. Och kvinnorna jag fastnar för verkar ha en gemensam nämnare: de är alla sjuksköterskor.

Den första är, förstås, Florence Nightingale. Hon är förvisso berömd, men trots det inte särskilt känd för allt hon åstadkom.

read more
BBC News Brasil [Portuguese]

BBC News Brasil [Portuguese]

Há algo de errado na forma que lidamos com a morte e precisamos fazer alguma coisa para mudar isso.

Essa é a principal conclusão de um relatório produzido pela Lancet Commission on the Value of Death, a Comissão sobre o Valor da Morte da revista científica Lancet, um grupo de especialistas que se reuniu para investigar o que significa morrer nos tempos atuais.

read more
Evidence based nursing Blog

Evidence based nursing Blog

This week’s blog is written by Dr Sarah Russell (@LearnPEOLC), Lead Nurse for Palliative and End of Life Care, Portsmouth Hospitals University NHS Trust. Sarah is also a Florence Nightingale Foundation (@FNightingaleF) Alumni Champion. She is also a member of the British Geriatrics Society, End of Life Special Interest Group and Co-author, The Lancet Commission on the Value of Death (#ValueofDeath).

read more
BMJ Blogs

BMJ Blogs

Rapid Response:
Re: The origins, development, and context of the Lancet Commission on the Value of Death
Dear Editor,

Thank you, Richard Smith [1], for providing a beacon for us to see what we should all “want, demand and need” [2] when it comes to death and dying. Let`s hope that it will guide both the BMJ and The Lancet [3] in all their endeavours. The article describes how, because they “wanted to avoid a purely medical view of death and dying,” they “assembled a group of Commissioners including a wide range of people: social scientists, a philosopher, religious leaders, an author, journalists, and health professionals, including an oncologist, nurse, GP, surgeon, public health, and palliative care physicians”. Their central idea was “that death and dying belong to everybody, not just to health professionals and palliative care physicians, a specialty that is sometimes seen as “owning death.””

read more
European Association of Palliative Care

European Association of Palliative Care

Death, dying, and loss are universal human experiences, but the contention of a new Lancet Commission is that they have become unfamiliar, disconnected, and unbalanced. For the next in our Palliative Care and Public Health blog series, Dr. Libby Sallnow tells us why.

read more

Realistic Utopia

Coming soon: An interactive world map examples of the realistic utopia around the world.

Use the Get Involved form below to submit your project to be included on the map

Get Involved

To keep up to date with news, events and future activities with the Value of Death, please sign up below: