Carer and staff perceptions of end-of-life care provision: case of a hospice-at-home service

Alison Ward, Judith Sixsmith, Stephen Spiro, Anne Graham, Heather Ballard, Sue Varvel, Jane Youell

Research output: Contribution to JournalArticlepeer-review


People requiring palliative care should have their needs met by services acting in accordance with their wishes. A hospice in the south of England provides such care via a 24/7 hospice at home service. This study aimed to establish how a nurse-led night service supported patients and family carers to remain at home and avoid hospital admissions. Semi-structured interviews were carried out with family carers (n=38) and hospice-at-home staff (n=9). Through night-time phone calls and visits, family carers felt supported by specialist hospice staff whereby only appropriate hospital admission was facilitated. Staff provided mediation between family carer and other services enabling more integrated care and support to remain at home. A hospice-at-home night service can prevent unnecessary hospital admissions and meet patient wishes through specialist care at home.
Original languageEnglish
Pages (from-to)30-36
Number of pages7
JournalBritish Journal of Community Nursing
Issue number1
Early online date28 Dec 2020
Publication statusE-pub ahead of print - 28 Dec 2020


  • Palliative care
  • hospice at home
  • hospital admissions
  • night service
  • end-of-life
  • out-of-hours


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