Cancer (all types combined) is the leading cause of death in Alberta, taking the lives of 6400 Albertans 2022. With steadily rising incidence and mortality rates our capacity to provide high quality end of life care is going to be stretched beyond anything we have seen before. Once approach that would help us meet the challenges ahead is integration of a palliative approach to care which optimizes the use of primary, secondary and tertiary palliative care, based on the complexity of patient care needs and the setting where the patient is receiving care. This will require careful collaboration across programs and sectors in healthcare, but it can be done!