End of Life Care

We can find it difficult to talk openly about death and dying and receiving the news that someone we care for is nearing the end of their life can be difficult and distressing. Help and support is available from a range of sources including those involved in providing care for the person that you care for whether their life ends at home, in a hospital, hospice or care home. It is also important that the needs of the carer is recognised and that appropriate support is available for both the carer and cared for.   

Below is information about support and information you can access locally and nationally. You can also contact us to talk about any support we can help you with.

The Person Being Cared For

There are things you can do to make sure others know which medical treatment(s) you would want to refuse and how you would like to be cared for, should a time come when you cannot make or communicate these decisions yourself. Preparing an advance decision to refuse treatment (often called an advance decision or a ‘living will’) and an advance statement are two things you can do.

Advance Statement gives us an opportunity to  us to express anything that is important to us about how we would like to be cared for and where we would prefer to die if we are no longer able to do that ourselves. More information can be found here >>

Advance Decision is a decision that you can make now to refuse a specific type of treatment at some point in the future and will only be used at the time you lose the ability to make your own decisions about your treatment. This decision must be written, signed and witnessed. More information can be found here >>

In Hackney

St Joseph’s Hospice cares for and supports people aged over 18 years who have a life-limiting condition which cannot be cured, or who have a terminal illness. In-patient, day hospice, community-based and out-patient services are available to people living in the City of London and the boroughs of Hackney, Tower Hamlets and Newham.

St Joseph's Hospice offers a wide range of palliative care services including:

  • nursing and medical care 
  • emotional support
  • practical advice
  • physical and psychological therapies
  • spiritual care (for those who want it)
  • social and creative activities.  

If you would like to talk to them about making a referral or whether you or someone you know is eligible to receive care here, please contact St Joseph's First Contact team on 0300 30 30 400.


The Palliative Care Team at Homerton Hospital provides specialist palliative and end of life care to any patient living with serious or life-limiting illness (this includes patients with cancer and non-cancer diagnoses) and offers support to families and carers. They manage complex symptoms such as pain, nausea, breathing difficulties, and fatigue among others. Recognising that the spiritual, emotional, psychological, and practical worries can be as important as the physical problems, they provide support with these aspects of care.

Their team includes a medical consultant, a lead nurse palliative care, clinical nurse specialists, a social worker, and clinical psychologists. They are an advisory service and we cover all areas of the hospital, and Mary Seacole Nursing Home. All patients seen remain under the care of their referring medical or ward team. 


Below is a link to other support available no matter where you or the person you care for lives.