Five people are diagnosed with Parkinson’s in Lothian each week, with 2,500 people living with the condition. There are four recognised stages of the condition: Diagnostic, maintenance, complex and palliative, with the latter stage lasting up to 2.2 years. As the disease progresses, the medications for it become less effective, and non-movement manifestations of the condition (continence issues / psychiatric changes / dementia) become more prevalent. In the later stages, standard medication for Parkinson’s becomes less effective and may be reduced or withdrawn. We kept a record of all people with Parkinson’s in Lothian dying since 2019, and wish to examine the cause(s) of death from the death certificates, and correlate these with the stage and duration of the disease. By doing so, we aim to better identify the trajectory of illness and how best, and when, to intervene to ensure that the palliative stage of the disease is optimised for the patient.