Forty-one of 68 palliative care clinicians responded to an anonymous questionnaire assessing the attitudinal, training, management, and support needs for introducing audit. Most respondents (88%) felt it was a good idea; reservations concerned the increase in work load. Although 66% of respondents had received audit training, only 39% were currently involved in audit. Respondents identified a need for more information and feedback, experienced assistance, and support. These concerns have to be addressed by health care managers if audit is to be successfully maintained. Current training sessions do not adequately meet staff needs; palliative care staff require an advanced audit training that includes staff motivation, analysis of results, and the provision of feedback.