Community Team

Most people living with a life limiting disease would like to stay living in their own home. Our community palliative care team work to achieve this by forming a vital link between home and the expertise of hospice care.

The nursing team consists of 12 clinical nurse specialists overseen by the Director of Clinical Services. They are based at both Woking Hospice and Sam Beare and work alongside GP’s to ensure seamless care in the community. They visit any care setting: in the patient’s home, or a nursing or care home and accept referrals based on need rather than diagnosis; any progressive, life threatening illness. They visit patients 7 days a week and provide a 24 hour advice line.

Referrals are usually received from health care professionals, and this will prompt a call from a clinical nurse specialist. The clinical nurse specialist will then provide telephone advice and if necessary arrange a home visit. An initial visit would last one hour, to make a full assessment of physical, spiritual, social and financial needs. Future visits, ideally with this same nurse, and co-ordination of care will then be agreed. Personal care is the responsibility of the district nursing service.

The CNS is qualified to provide complex symptom control to enable adjustment and maintaining quality of life for the patient and carers. If appropriate they will discuss future preferences for care, including decisions regarding treatment options and care settings.

Further referrals will then be made to the wider team where appropriate to:

Medical team
Occupational Therapy
Counselling Team
Daycare Service
Complementary Therapy
Spiritual Care Team
Carers Support

Contact us

We provide a 7 day a week 8am-8pm visiting service and operate a 24 hr Advice Line, as part of the Hospice at Home service.

If you would like to find out more, please call us on 01483 881750.