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The Specialist Palliative Care Service is pleased to announce that we offer an enhanced on-call service.  In addition to the availability of 24 hour consultant level advice, over weekends and Bank Holidays we now have one Clinical Nurse Specialist to provide emergency advice and, if necessary, home visits in the two boroughs of Ealing and Hounslow.

The service is available between 9am and 5pm on Saturdays, Sundays and Bank Holidays and is accessed in the first instance on the following number:


020 8242 5817

Rapid Response Team 6pm - 7am daily
020 8967 5126




If there is no answer, alternative numbers are available or a message can be left.  In most cases, these messages will be picked up and responded to within the hour, unless there are extenuating clinical circumstances.



For more information, please feel free to contact Geraldine Nevin or Dr Jane Cowap during office hours Monday to Friday on 020 8967 5179.


We work across 2 boroughs Ealing and Hounslow.  In Ealing there is 23 hour, 7 day a week availability of District Nursing services, while in Hounslow there are DNs available 24 hours a day, 7 days a week (24/7)


The Guidance on Cancer Services; Improving Supportive and Palliative Care for Adults with Cancer (NICE) notes that ‘Commissioners should ensure that medical and nursing services are available on a 24-hour, seven days a week basis for patients with advanced cancer living at home. Account should be taken of the likely needs of patients at night, so that an appropriate balance of qualified nursed (who can undertake specialist interventions in a patient’s home) and care assistants (who can stay for prolonged periods in the home) can be reached.’ 


The Guidance further states that ‘Teams should develop mechanisms to ensure the transfer of clinical information about patients between those providing care 09.00 – 17.00, Monday-Friday, and those providing services and care out of hours....’ and if a patient is to be cared for in a location in which there are no health care professionals with post-registration experience or training in palliative care, the hospital specialist palliative care team should be informed.’


There is in the Guidance a recommendation that the minimum level of service ought to be access to telephone advice at all times with ‘in exceptional cases’ provision for bed-side consultations outside of normal working hours.




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