Paediatric palliative care in Malaysia is underdeveloped, however there’s recent increasing awareness and interest during this speciality. In Sep 2012, the Health Minister of Malaysia launched Associate in Nursing initiative to support a nationwide provision of this service. Aim: This study aims to explore the data and observe of care suppliers and their barriers to referral for palliative care before development of a nationwide service. Design: Self-administered form survey. Participants: Hospital-based medicineians and paediatric nurses. Results: there have been 292 participants (69 paediatricians).