Hospice at Home appeal

“Please support the service that enabled our husband and brother to spend his last, treasured days at home.”

The family of James Barber, a young Christchurch father who spent his final days surrounded by loved ones thanks to expert hospice care at home, is urging the public to support the Hospice at Home service that made this possible.

James was just 37 when he died of bladder cancer in 2023.

Thanks to the Hospice at Home team, he was able to remain in the comfort of his own home, close to his wife and baby daughter, receiving the care he needed with dignity and compassion.

Now, his family is asking for help to ensure more families can have the same choice.

Hospice at Home, run by the Macmillan Unit hospice and funded by the charity Macmillan Caring Locally, provides 24/7 expert care to patients with a life limiting illness.

The service currently supports around 200 patients each year in Christchurch, Bournemouth and surrounding areas, through an average of 2,700 home visit – But demand is growing and the charity needs help to expand and secure its future.

James’ sister, Jade Carpenter, said: “When we found out James was terminally ill, the only thing he wanted was to spend as much time with his family as possible. Hospice at Home made that possible.

“They were there when we needed them, either just a phone call away, or at other times visiting daily to help with medication and care. They supported James with such dignity, and they supported us too as a family. We want others to have that same chance.”

Since James’ passing, Jade has given birth to a baby boy – named in honour of his uncle.

“We’re asking people to support Hospice at Home so that more families can have the comfort, care, and choice that we had,” she said.

Christchurch-based structure company Mar-Key has helped to create a moving short film of Jade talking about James’ care with the expertise of Pulse8 Video, Production, in support of the appeal.

“I would like to urge people to donate if they can,” Jade added. “This support will help others who wish to spend their final days at home, surrounded by love.”

Fundraising and Communications Director for Macmillan Caring Locally, Lin Sharp added: “The Hospice at Home Appeal is providing our community with access to round the clock clinical care when they need it most.

“We would like to thank those who have donated to Macmillan Caring Locally in the past, but we need your help to raise further funds every year so we can provide this specialist care for many more people like James, who wish to be at home with their families during their final days. Please can you help us secure the future of our Hospice at Home service.”

Jade’s moving video can be seen on YouTube here. You can donate to our Hospice at Home Appeal here.

List of pharmacies 

 Pharmacy name and address

Phone Number

100 hour pharmacy

 Locality

Asda Pharmacy

St Pauls Road, Bournemouth,BH8 8DL

01202 298900

Yes

Bournemouth East

Castle Lane Pharmacy
482 Castle Lane West Bournemouth, BH8 9UD

01202 772110

Yes

Bournemouth West

Ferndown Pharmacy
487 Ringwood Road, Ferndown, BH22 9AG

01202 892666

Yes

East Dorset

Tesco Extra Pharmacy
Yarrow Road, Mannings Heath Poole, BH12 4NX

01202 457447 or 01202 367447

Yes

Parkstone

Asda Pharmacy
West Quay Road, Poole, BH15 1JQ

01202 207000

Yes

Poole Central

Equipment – www.redcross.org.uk Is useful for wheelchairs and other equipment

Guide for people nearing end stage of life : https://intranet.rbch.nhs.uk/uploads/palliative/documents/What-to-Expect.pdf

Brief Drugs List for GPs

 

Pain/breathlessness:

Morphine sulphate 2.5-5mg SC PRN (10mg in 1ml injection)

(alternative if taking PO or eGFR<30 – Oxycodone 1 – 2.5mg SC PRN (10mg in 1ml injection))

[Please take background opioid into account when prescribing doses for anticipatories]

Anxiety/distress:

Midazolam 2.5-5mg SC PRN (10mg in 2ml injection)

Secretions:

Glycopyrronium 200mcg SC PRN (600mcg in 3ml injection)

(alternative for secretions: Hyoscine Butylbromide 20mg/ml injection)

Nausea :

Levomepromazine 6.25mg SC PRN (25mg in 1ml injection)

(alternative for nausea: Haloperidol 1.5mg SC PRN (5mg in 1ml injection)

Water for injection

Dexamethasone 3.3mg SC OD-BD (equivalent to 4mg PO) if risk of steroid withdrawal/Addisons during terminal phase.

Day/Time Example Timetable
Monday – AM

9am MMU Ward Hand over; 9:30am Tour of MMU

10m Consultant Ward Round, MMU

Monday – PM

12pm Ward Nurses – syringe driver administration (treatment room)

1:30 Nursing Handover – MMU (ward office)

MMU – Admission Assessment(s) with ward doctor

Tuesday – AM

9am Ward Hand over

9:20am Referrals Meeting on MMU

10am Community visiting with Specialist Nurse

Tuesday – PM

12:30 Journal Club – MMU (doctors office)

2pm Introduction to Patient and Family Support Team

3pm Introduction to Welfare and benefits Advisor

Wednesday – AM

9am Ward Hand over

9:20am Referrals Meeting on MMU

10am Consultant ward round – MMU

Wednesday – PM

2pm Doctor/Nurse Home Visit with Specialty Doctor

Thursday – AM

9:15am Multi-Disciplinary Team Meeting on MMU

Thursday – PM

2pm Introduction to Palliative Rehabilitation with Physiotherapist

3pm Introduction to Complex Discharge Planning in terminal illness

Friday – AM

Hospital Palliative Care Team Ward Visits

Friday – PM

2pm Introduction to Personalised Care Plan for the Last Days of Life with End of Life Care Nurse

4pm Debrief / sign off