Palliative & End of Life
Care at Home

Specialist nurse-led palliative and end of life care enabling adults and children to remain at home — with clinical dignity, symptom control, and family support. Fast-Track CHC, syringe driver management, and 24/7 nursing across England, Wales and Scotland.

CQC Rated Good Fast-Track CHC Adult & Paediatric 24/7 Urgent Response

Call 0330 678 3014 Email a Referral

Let's Talk

Dying at Home — With Clinical Support

The majority of people express a preference to die at home. Yet without adequate clinical support in place, families are forced into hospital admissions that no one wanted — often in the final hours of life.

Ambition24direct provides the clinical nursing support that makes home-based death possible — syringe driver management, symptom control, overnight nursing, and coordination with the specialist palliative care team. We are not a hospice at home service. We are a nurse-led clinical provider that works alongside hospice teams, Macmillan nurses, and specialist palliative consultants to deliver the clinical component of home-based end of life care.

Fast-Track CHC referrals accepted 24/7. If a patient is rapidly deteriorating and requires urgent care at home, call our clinical team directly on 0330 678 3014. We treat Fast-Track as a clinical emergency — not a standard referral queue.

Conditions we provide palliative care for:

  • Advanced cancer

  • Motor Neurone Disease (MND)

  • Huntington's Disease

  • Advanced heart failure

  • Advanced COPD and respiratory failure

  • End-stage neurological conditions (MS, Parkinson's, ABI)

  • Paediatric life-limiting conditions

  • Frailty and multi-morbidity end of life

Clinical Care We Provide

Palliative Clinical Interventions

  • Syringe driver setup, management, and medication review

  • Subcutaneous medication administration — anticipatory prescribing

  • Symptom management — pain, breathlessness, nausea, agitation

  • Oral and buccal medication administration

  • Tracheostomy and ventilator management where co-existing

  • PEG and enteral feeding management

  • Catheter management and continence care

  • Pressure area and skin integrity management

Comfort, Dignity & Family Support

  • Personal care with dignity and comfort as clinical priorities

  • Mouth care and comfort measures

  • Repositioning and pressure relief

  • Overnight waking nursing — reducing family burden

  • Family support and communication

  • Coordination with GP, palliative team, and hospice

  • Verification of expected death support (where nurses are trained)

  • Bereavement signposting for families

Paediatric Palliative Care

Paediatric end of life care carries its own clinical, emotional, and family dynamics. Our paediatric palliative packages are led by nurses with specific paediatric experience, working alongside children's hospices, paediatric palliative care teams, and community children's nursing.

Life-Limiting Conditions in Children

  • SMA Type 1 — palliative and end-of-life pathway

  • Trisomy 13 and 18

  • Severe congenital conditions

  • Childhood cancer end of life

  • Metabolic and genetic conditions

  • Progressive neurological conditions

Who Commissions Paediatric Palliative Packages

  • Children's Continuing Care teams — Fast-Track CCA

  • Children's hospitals and paediatric palliative care teams

  • Children's hospices commissioning home support

  • Community children's nursing teams

How to Refer an End of Life Package

Speed matters. We treat end of life referrals as urgent — always.

1

Call Our Clinical Team — 24/7

For Fast-Track or urgent end of life referrals, call 0330 678 3014 and state it is an end of life or Fast-Track referral. Our on-call clinical lead responds directly — not a call centre. Email or WhatsApp for less urgent planned referrals.

2

Clinical Assessment

We conduct a rapid telephone or in-person assessment — reviewing the individual's current clinical status, symptom burden, preferred place of death, and family support. We confirm what nursing model is needed and what we can put in place and when.

3

Care In Place

For end of life Fast-Track packages, we aim to have care in place within 24 hours. We liaise directly with the GP, palliative team, and pharmacy to ensure anticipatory medications are prescribed and available before nursing commences.

Frequently Asked Questions

  • Yes. Fast-Track CHC for rapidly deteriorating or end of life patients is a referral pathway we handle 24 hours a day. Call 0330 678 3014 and state it is a Fast-Track referral — our on-call clinical lead will engage directly. We work with the ICB to confirm the package while getting nurses in place simultaneously where the clinical situation requires it.

  • Yes. Syringe driver setup, monitoring, and medication changes are core competencies for our palliative care nursing team. We work with the prescribing GP or palliative team to ensure the correct anticipatory medication and dose ranges are prescribed and available, and we manage the driver in accordance with the clinical prescription.

  • Yes — and this is the model we actively encourage. We provide the nursing hours and clinical interventions; the specialist palliative team provides the clinical leadership on symptom management and medication. We attend MDT meetings, communicate clearly with all teams involved, and do not operate in clinical isolation.

  • Yes. Overnight nursing — whether waking nights or sleeping nights — is available for end of life packages. This reduces family exhaustion during an incredibly difficult period and ensures clinical safety through the night. We discuss the appropriate overnight model during the clinical assessment.

  • Yes. Paediatric palliative and end of life homecare is available through our children's complex care service — working alongside children's hospices, paediatric palliative care teams, and community children's nursing. We accept urgent referrals from Children's Continuing Care teams 24/7.

Urgent End of Life Referral

For Fast-Track and end of life referrals, call us directly — do not use email. Our clinical team responds 24 hours a day.

Phone (24/7) 0330 678 3014

Email (non-urgent) : bookings@a24direct.co.uk

WhatsApp : 07723 503 976

Call 0330 678 3014 Email a Referral

CQC Rated Good  |  Established 1996  |  A24 Group Ltd

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