What is Hospice at Home?

Hospice at home puts the patient and those close to them first, enabling patients with advanced illness to be cared for where they feel most comfortable. Wherever possible, we believe that patients should be given a choice of where they would like to be cared for and for some individuals with a life-limiting and progressive illness that place is in their own home.

Patients should be able to choose where they are treated

Hospice at Home is a key part of our flagship Emergency End of Life Response Team (EELRT), an initiative which enables people to be where they wish to be at the end of life; at home or in their usual care home, rather than in a busy hospital.

EELRT is a partnership between Rowans Hospice, Portsmouth Hospitals University NHS Trust, and Hampshire and Isle of Wight Healthcare NHS Foundation Trust.

We are working together, across boundaries to enable people to spend their final days in their preferred place of care. This is achieved by Call Before Convey for those at home, & Rapid Assessment for those in hospital.   You can read more about EELRT here.

Call Before Convey

EELRT Call Before Convey is there to support when somebody is in the final days of life, in urgent need of help to avoid being admitted to hospital. Those healthcare professionals, for example paramedics, responding to this emergency can refer to EELRT for Hospice at Home support.

Rapid Assessment in Hospital

If somebody is in their final days at Queen Alexandra Hospital, EELRT can rapidly assess to enable a safe, efficient discharge to their preferred place. Hospice at Home will then provide ongoing support.

For those assessed by EELRT who wish to spend their final days at Rowans Hospice, an urgent inpatient referral will be made.

For those patients who do not live within the Rowans Hospice catchment area, the EELRT assessor will liaise with the relevant teams to try and support a rapid discharge home or to their local Hospice.

What does the Hospice at Home service offer?

Whether the referral has come via EELRT or other routes, our Hospice at Home service provides practical nursing care and advice in the community, available 24 hours a day.

Our highly trained team work with community services and other healthcare professionals to provide similar care to that which is available in the Hospice (‘Virtual Ward’), supporting patients to remain in the comfort and familiarity of their own home or rest home at end of life.

Medical advice from a senior doctor is always available to the Hospice at Home team when needed.

The Hospice at Home service and team provide:

  • End-of-life care to patients in their home  or care home to prevent unwanted hospital admissions.
  • Help with personal care, management of symptoms and administration of medication, ensuring that physical, emotional and spiritual needs are met.
  • A combination of planned and responsive visits from our nurses and healthcare assistants, with medical advice from our team when required. All you need to do to receive a responsive visit is to call us at any time, day or night.
  • Support in times of change, for example following discharge from inpatient care or during periods of rapid change in someone’s health.
  • Advice and psychological support for the patient and their family and carers, including  around wellbeing and quality of life.
  • Assistance with advance care planning, recording someone’s wishes for their future care.
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How do I, or my loved one, get referred to the Hospice at Home service?

If you or a loved one would like to be referred to the Hospice at Home service, speak to your health/social care professional. This could be your GP, hospital professional or community nurse. They can then refer you to our service.

If you would like to speak to us before you request a referral, please call us on 023 9225 0001, or email rowanshospice.psehpcsh@nhs.net. We will be happy to answer any questions you have about our Hospice at Home service and to provide guidance if you require it on how to obtain a referral from your healthcare professional.

Image showing two Rowans Hospice Hospice at Home nurses

What happens after myself or a loved one gets referred?

  • One of our Hospice at Home team will first review your referral and if needed, speak to other healthcare professionals to obtain information about your condition and treatment.
  • A member of the team will then be in contact to arrange a first assessment.

What does the service cost?

The service is free to those with a life-limiting and progressive illness who require palliative and end- of-life care services in the last year of their life.

As a charity, we rely solely on donations. If you would like to make a donation to support us, please visit our donate page.