This chapter includes an overview of the role of the hospice and palliative care approach in advance care planning (ACP). Evidence, issues, challenges, and opportunities are discussed. The challenge of overlapping definitions and consensus about the hospice, palliative care, and advance care planning is highlighted as well as the changing role of the hospice and palliative care and implications for ACP is explored. New types of conversations are discussed e.g. living with dying, managing uncertainty, expectations, ceilings of treatment, investigations and dying in hospices. The way forward such as collaboration, co-ordination, and partnerships with other providers as well as a consistency of approach (within settings, roles, or person to person) is suggested.