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Hospice without walls.

Polly Edwards

Clinical Senior Lecturer, Department of Palliative Care and Policy, King's College School of Medicine and Dentistry, London, UK

Palliative care has undergone a rapid expansion in the UK over the past 30 years, resulting in the development of inpatient beds, home care services, day care services, and hospital palliative care teams. Evaluation of these services suggests greater patient and carer satisfaction, improved symptom control, and a reduction of hospital stay. This book documents the development of a hospice-at-home service in West Cumbria, providing a home nursing service, medical domicillary visits, day centre twice a week, and access to a specialist lymphodema clinic. It is, in essence, an uncritical description of the development of this service from the initial fundraising meeting to the service 10 years on. It reviews the role of the members of the team involved in the development of the service in an uncritical way, but there is no clear discussion of multidisciplinary working within the local area. For example, it is not clear how the . . . [Full text of this article]