Within New Zealand, the need has been identified for the delivery of innovative, coordinated, efficient and more effective palliative care for all population groups, and specifically for Maori. The Liverpool Care Pathway for the Dying Patient (LCP), an internationally adopted, multi-setting, evidence-based, integrated care tool for planning, decision-making, and documenting health care, is now widely used throughout New Zealand. During its introduction here, 'cultural goals' of care were added to localise the tool within this cultural context. This tri-phase, mixed method, three-year study aims to investigate those cultural goals, examining - specifically in relation to Maori - how those goals were developed, and what their effects on care provision have been. Based on those findings, work will be undertaken with Maori communities to transform the New Zealand version of the LCP into a tool to best facilitate culturally appropriate end-of-life care for Maori.