Cough: Information for patients and carers

This advice is sourced from Dr Ros Taylor a senior palliative physician

What causes a cough in advanced illness?

There may be a treatable cause of a cough which is unrelated to someone's terminal illness. For example:

  • Chest infection
  • Allergy
  • Acid reflux
  • Underlying lung disease e.g. COPD or asthma
  • Swallowing food/liquid into the airways (aspiration)
What simple measures can patients and carers use to try and improve a cough?

Use simple measures first e.g. steam inhalations or taking honey 

A saline nebuliser can be helpful - ask your GP or pharmacist

If possible avoid lying on your back because this makes coughing ineffective

When does coughing require medical help?

If a cough is not responding to simple measures and disturbing sleep

Coughing up blood 

Signs of a chest infection - such as coughing up green sputum/ or have a high temperature

Becoming more breathless

If there is a cough right at the end of life please see this page which explains the normal changes in breathing that occur at this stage.

Share

Related Services

Hospices

Basildon and Wickford Integrated Care Team
Close

The integrated care team deliver specialist care for palliative and end of life care at home, complex care at home e.g. chemotherapy management of Hickman/PICC lines and support to those who are housebound within their own home including residential homes.

Breatheasy groups
Close

The support group is a way to learn more about living with a lung condition and share your experiences and stories with others.

Brentwood and Billericay Integrated Care Team
Close

The team deliver specialist care for palliative and end of life care at home, complex care at home e.g. chemotherapy management of Hickman/PICC lines and support to those who are housebound within their own home including residential homes.

British Lymphology Society
Close

The British Lymphology Society provides a directory of Lymphoedema treatment services.

Use the website address above to find your local services.

Community Matrons
Close

Community Matrons

T. 0300 300 1712

The Community Matrons team support patients with complex health and palliative care needs. 

Community Nursing Team
Close

The team provides clinical service for palliative care patients in their own home.

Treatments include:

  • Wound management for trauma and chronic wounds.
  • Lower-leg care for various types of ulcerations.
  • Post-operative care, transitioning to GP Practice nurses once ambulant.
  • Administration of medication by injection (excluding oral medications and eye drops).
  • Management of urinary catheters and bowel issues.
  • End of life or palliative care.
  • Supporting self-care for patients and carers, including administering injections, PICC lines, eye drops, and dressings.
Community Wound Care Team: Essex Partnership University Trust
Close

Community Wound Care Team: Essex Partnership University Trust

The team works with healthcare staff in all aspects of the prevention and management of acute and chronic wounds, with specific focus on those patients with hard to heal, complex and/or problematic wound care.

The Tissue Viability and Complex Leg Ulcer Services are part of the community service provided by this team.

Please compete the SystmOne referral form if available.

Referral form for clinician use only.

EPUT Community Wound Care Referral form (DOCX)
District Nursing
Close

The team delivers nursing care to housebound patient's including wound care, assessment, palliative care, medication, pressure ulcer management.

Fair Havens Hospice In Patient Unit
Close

Referrals may be made either by a patient or carer, or any professional directly involved in the patient’s care. Anyone making a referral must have the consent of the patient.

Fair Havens In Patient Unit provides assessment and management of physical symptoms that are proving difficult to control, such as pain, nausea, vomiting, and breathlessness. Respite care is also available for short stays enabling their carers to rest and recuperate. There are 8 beds in the unit.

Some patients may only require a stay for a few days before going home again. Some people choose to receive hospice care several times during their illness, depending on their condition and their wishes.

Please watch this video for more information.

Farleigh Hospice Clinical Advice Line
Close

Farleigh Hospice Clinical Advice Line

T. 01245 455478

W. https://www.farleighhospice.org/advice-support/advice-line

The advice line provides access to a member of the hospice team who is able to give advice on symptoms, nursing care and other needs relating to life-limiting/palliative care needs and available between 8.00am and 8.00pm, 7 days a week.

Please call the advice line when:

  • advice is needed regarding hospice care and support
  • advice or information is needed regarding the management of symptoms
  • concerns about symptoms that need to be addressed before your next scheduled visit/appointment
  • reassurance is required for someone who is anxious about a change in their condition
Farleigh Hospice Inpatient Unit
Close

The specialist Inpatient Unit (IPU) is located in the hospice building in Broomfield, Chelmsford. It provides short-term care for patients needing symptom control, respite, rehabilitation, or end of life care.

There are 10 comfortable rooms, all with Freeview TV, phones, internet access, en-suites, as well as their own private patios, overlooking our beautiful gardens. One of the rooms is specifically designed for young people and their families. 

Information for visitors to the Inpatient Unit (PDF)
Farleigh Hospice Specialist Community Support
Close

Farleigh Hospice Specialist Community Support

T. 01245 455478

The team include Clinical Nurse Specialists, Registered Nurses and Health Care Assistants. They are experts in pain and symptom control and provide:

  • Specialist Physiotherapy
  • Occupational Therapy
  • Complementary Therapy
  • Social Work
  • Counselling 
  • Family Support Practitioners
Hospice Rapid Access Service (HRAS)
Close

The Hospice Rapid Access Service team is a 24 hour services for people with a primary health need, who are rapidly deteriorating, and likely to be entering the terminal/palliative care phase of their illness. 

Havens Hospices, St Lukes Hospice and Farleigh Hospice work together as a collaborative to ensure consistency of care across all of Mid and South Essex.

The Hospices will assess the care needs of the patient and source care that meets the holistic needs of the patient.  This could be care in the home, on an in-patient unit, or in a Nursing Home.

Havens Hospices – havenshospices.rapidaccess@nhs.net (Southend, Castle Point and Rochford)

Farleigh Hospice -  contactteam.fh@nhs.net (Chelmsford, Maldon and the Dengie, Braintree and the surrounding areas)

St Luke’s Hospice - Stlukes.oneresponse@nhs.net (Basildon and Thurrock)

Integrated Respiratory Team
Close

Integrated Respiratory Team

T. 0300 300 1712

The Respiratory team provide five services:

  • chronic case management of complex COPD patients,
  • Home Oxygen service assessment and re assessment of patients in the community on oxygen therapy or that may fit criteria for oxygen therapy
  • Pulmonary Rehabilitation exercise and education for those with diagnosed respiratory disease bar asthma
  • Breathlessness and diagnostics ARTP accredited spirometry performing and interpritation for suport diagnosis of obstructive and restrictive respiratory disease
  • FeNo testing, respiratory virtual ward pathway for patient with a diagnosed respiratory conditon bar asthma using early supported discharge measures and admission avoidance for those that fit criteria and are clinically indicated
Little Havens Hospice
Close

Little Havens provides specialist care and support for babies, children and young people requiring specialist in-patient care for symptom management, respite and end of life care.

LymphConnect
Close

LymphConnect is an online platform developed to help manage lymphoedema or lipoedema, understand more about the condition, share experiences and get support and advice.

 

Lymphoedema Service
Close

The team provides clinical expertise, support and practical help for those with Lymphoedema and live across Mid Essex.

Palliative Care Nursing Team
Close

The palliative care team aims to provide support and management of physical symptoms such as pain, and also provide psychological, social and spiritual care to patients and their families.

St Francis Hospice Complementary Therapy
Close

St Francis Hospice Complementary Therapy

T. 01708 753319 ext. 2268

W. https://www.sfh.org.uk/patient-therapies

Complementary therapies can help control symptoms and help to deal with day-to-day life.

The therapies available are:

  • Aromatherapy
  • Massage
  • Reflexology
  • Mindfulness
  • Reiki
St Francis Hospice Inpatient Unit
Close

St Francis Hospice Inpatient Unit

T. 01708 723593 / 01708 753319 ext. 2317

W. https://www.sfh.org.uk/the-hospice-ward

For patients requiring specialist in-patient care for symptom management and end of life care.

St Francis Hospice Patient Therapies
Close

St Francis Hospice Patient Therapies

T. 01708 753319  ext. 2220

W. https://www.sfh.org.uk/patient-therapies

The patient therapies team help with a range of symptoms through groups and individual sessions to help managing pain and symptoms.

The team consistes of:

  • Physiotheraphy
  • Occupational therapy
  • Complementary therapy
St Francis Hospice Referral Hub
Close

St Francis Hospice Referral Hub

T. 01708 758606

W. https://www.sfh.org.uk/make-a-referral

The St Francis Hospice's referral hub can be accessed by those facing a life limiting condition. 

Please refer a patient or making a self-referral to access hospice services.

St Francis Hospice Specialist Community and Crisis Support
Close

St Francis Hospice Specialist Community and Crisis Support

T. 01708 758643 / 01708 758610 ext. 2266

W. https://www.sfh.org.uk/crisis-support

The team are clinical specialists that are experts in pain and symptom control.

Urgent advice ia available 24 hours, 365 days a year.

St Luke's Hospice Clinical Outpatients
Close

St Luke's Hospice Clinical Outpatients

T. 01268 524973 / 01268 526259

W. https://www.stlukeshospice.com/clinical-outpatients

St Luke's Hospice Clinical Outpatients team offers convenient, accessible and specialist key clinical procedures and palliative care, in a relaxed environment with appointments to meet your wellbeing and lifestyle needs. 

Key clinical procedures offered to outpatients:

  • Advance Care Planning clinics
  • Ascetic and Pleural drainage
  • Blood product transfusions
  • Clinical Nurse Specialist symptom management clinic
  • CVC line care
  • Intravenous fluids
  • IV Bisphosphonates infusions
  • IV Iron Infusions
  • Long term condition clinic – supporting heart failure, renal and liver conditions
  • Venepuncture

The service opening hours are 9.00am to 5.00pm.

St Luke's Hospice In Patient Unit
Close

St Luke's Hospice provide specialist in-patient care for symptom management and end of life care.        

There are a total of 7 beds and 1 emergency bed in Basildon.

Hospice Rapid Access Service (HRAS) with 6 Beds in Thurrock.

St Luke's Hospice Physiotherapy Support
Close

St Luke's Hospice Physiotherapy Support

T. 01268 526259

W. https://www.stlukeshospice.com/physiotherapy-support

St Luke's Hospice Physiotherapy team can help when living with a life limiting illness.  Specialist Physiotherapists and Occupational Therapists will listen and assess to support independence and aid mobility to manage symptoms and positively impact quality of life and wellbeing.

Family and loved ones are also supported in their caring roles. Advice, guidance and techniques on how to safely move and handle someone when caring for them can be accessed through conversation with the Physiotherapy team.

The offer includes:

  • individual assessments to help provide appropriate equipment, e.g. mobility aids
  • personalised treatment plans including non-drug pain relief treatments and exercises to improve mobility, independence and balance
  • treatments to assist with shortness of breath, fatigue or insomnia
  • group exercise classes and confidence building

Rehabilitative care is also provided by our Occupational Therapy team. 

St Luke's Hospice South Essex Lymphoedema Service (SELS)
Close

St Luke's Hospice South Essex Lymphoedema Service (SELS)

T. 01268 524973

W. https://www.stlukeshospice.com/lymphoedema-support

St Luke's Hospice provides the specialist Lymphoedema care team could provide care to you if you are living with primary Lymphoedema, secondary Lymphoedema and Lipoedema. The team can provide clinical expertise, support and practical help for those with any these conditions and live across South Essex.

Thurrock Integrated Care Team
Close

This community palliative care team delivers specialist care for palliative and end of life care at home, complex care at home e.g. chemotherapy management of Hickman/PICC lines and support to those who are housebound within their own home including residential homes.

Tissue Viability Service: North East London Foundation Trust
Close

Tissue Viability Service: North East London Foundation Trust

T. 0300 300 1831 ext. 52798

This service is for any persons over the age of 18 and supports the management of complex wound care, via clinic based appointments, or homevisits depending on the need of the service user.

Tissue Viability Service: PROVIDE
Close

Tissue Viability Service: PROVIDE

T. 0300 1310 111

W. https://providehealth.org.uk/tissue-viability-service/

This service is for any persons over the age of 18 and supports the management of complex wound care, via clinic based appointments, or homevisits depending on the need of the service user.

Please complete the SystmOne referral form.

Lymphoedema services

Basildon and Wickford Integrated Care Team
Close

The integrated care team deliver specialist care for palliative and end of life care at home, complex care at home e.g. chemotherapy management of Hickman/PICC lines and support to those who are housebound within their own home including residential homes.

Breatheasy groups
Close

The support group is a way to learn more about living with a lung condition and share your experiences and stories with others.

Brentwood and Billericay Integrated Care Team
Close

The team deliver specialist care for palliative and end of life care at home, complex care at home e.g. chemotherapy management of Hickman/PICC lines and support to those who are housebound within their own home including residential homes.

British Lymphology Society
Close

The British Lymphology Society provides a directory of Lymphoedema treatment services.

Use the website address above to find your local services.

Community Matrons
Close

Community Matrons

T. 0300 300 1712

The Community Matrons team support patients with complex health and palliative care needs. 

Community Nursing Team
Close

The team provides clinical service for palliative care patients in their own home.

Treatments include:

  • Wound management for trauma and chronic wounds.
  • Lower-leg care for various types of ulcerations.
  • Post-operative care, transitioning to GP Practice nurses once ambulant.
  • Administration of medication by injection (excluding oral medications and eye drops).
  • Management of urinary catheters and bowel issues.
  • End of life or palliative care.
  • Supporting self-care for patients and carers, including administering injections, PICC lines, eye drops, and dressings.
Community Wound Care Team: Essex Partnership University Trust
Close

Community Wound Care Team: Essex Partnership University Trust

The team works with healthcare staff in all aspects of the prevention and management of acute and chronic wounds, with specific focus on those patients with hard to heal, complex and/or problematic wound care.

The Tissue Viability and Complex Leg Ulcer Services are part of the community service provided by this team.

Please compete the SystmOne referral form if available.

Referral form for clinician use only.

EPUT Community Wound Care Referral form (DOCX)
District Nursing
Close

The team delivers nursing care to housebound patient's including wound care, assessment, palliative care, medication, pressure ulcer management.

Fair Havens Hospice In Patient Unit
Close

Referrals may be made either by a patient or carer, or any professional directly involved in the patient’s care. Anyone making a referral must have the consent of the patient.

Fair Havens In Patient Unit provides assessment and management of physical symptoms that are proving difficult to control, such as pain, nausea, vomiting, and breathlessness. Respite care is also available for short stays enabling their carers to rest and recuperate. There are 8 beds in the unit.

Some patients may only require a stay for a few days before going home again. Some people choose to receive hospice care several times during their illness, depending on their condition and their wishes.

Please watch this video for more information.

Farleigh Hospice Clinical Advice Line
Close

Farleigh Hospice Clinical Advice Line

T. 01245 455478

W. https://www.farleighhospice.org/advice-support/advice-line

The advice line provides access to a member of the hospice team who is able to give advice on symptoms, nursing care and other needs relating to life-limiting/palliative care needs and available between 8.00am and 8.00pm, 7 days a week.

Please call the advice line when:

  • advice is needed regarding hospice care and support
  • advice or information is needed regarding the management of symptoms
  • concerns about symptoms that need to be addressed before your next scheduled visit/appointment
  • reassurance is required for someone who is anxious about a change in their condition
Farleigh Hospice Inpatient Unit
Close

The specialist Inpatient Unit (IPU) is located in the hospice building in Broomfield, Chelmsford. It provides short-term care for patients needing symptom control, respite, rehabilitation, or end of life care.

There are 10 comfortable rooms, all with Freeview TV, phones, internet access, en-suites, as well as their own private patios, overlooking our beautiful gardens. One of the rooms is specifically designed for young people and their families. 

Information for visitors to the Inpatient Unit (PDF)
Farleigh Hospice Specialist Community Support
Close

Farleigh Hospice Specialist Community Support

T. 01245 455478

The team include Clinical Nurse Specialists, Registered Nurses and Health Care Assistants. They are experts in pain and symptom control and provide:

  • Specialist Physiotherapy
  • Occupational Therapy
  • Complementary Therapy
  • Social Work
  • Counselling 
  • Family Support Practitioners
Hospice Rapid Access Service (HRAS)
Close

The Hospice Rapid Access Service team is a 24 hour services for people with a primary health need, who are rapidly deteriorating, and likely to be entering the terminal/palliative care phase of their illness. 

Havens Hospices, St Lukes Hospice and Farleigh Hospice work together as a collaborative to ensure consistency of care across all of Mid and South Essex.

The Hospices will assess the care needs of the patient and source care that meets the holistic needs of the patient.  This could be care in the home, on an in-patient unit, or in a Nursing Home.

Havens Hospices – havenshospices.rapidaccess@nhs.net (Southend, Castle Point and Rochford)

Farleigh Hospice -  contactteam.fh@nhs.net (Chelmsford, Maldon and the Dengie, Braintree and the surrounding areas)

St Luke’s Hospice - Stlukes.oneresponse@nhs.net (Basildon and Thurrock)

Integrated Respiratory Team
Close

Integrated Respiratory Team

T. 0300 300 1712

The Respiratory team provide five services:

  • chronic case management of complex COPD patients,
  • Home Oxygen service assessment and re assessment of patients in the community on oxygen therapy or that may fit criteria for oxygen therapy
  • Pulmonary Rehabilitation exercise and education for those with diagnosed respiratory disease bar asthma
  • Breathlessness and diagnostics ARTP accredited spirometry performing and interpritation for suport diagnosis of obstructive and restrictive respiratory disease
  • FeNo testing, respiratory virtual ward pathway for patient with a diagnosed respiratory conditon bar asthma using early supported discharge measures and admission avoidance for those that fit criteria and are clinically indicated
Little Havens Hospice
Close

Little Havens provides specialist care and support for babies, children and young people requiring specialist in-patient care for symptom management, respite and end of life care.

LymphConnect
Close

LymphConnect is an online platform developed to help manage lymphoedema or lipoedema, understand more about the condition, share experiences and get support and advice.

 

Lymphoedema Service
Close

The team provides clinical expertise, support and practical help for those with Lymphoedema and live across Mid Essex.

Palliative Care Nursing Team
Close

The palliative care team aims to provide support and management of physical symptoms such as pain, and also provide psychological, social and spiritual care to patients and their families.

St Francis Hospice Complementary Therapy
Close

St Francis Hospice Complementary Therapy

T. 01708 753319 ext. 2268

W. https://www.sfh.org.uk/patient-therapies

Complementary therapies can help control symptoms and help to deal with day-to-day life.

The therapies available are:

  • Aromatherapy
  • Massage
  • Reflexology
  • Mindfulness
  • Reiki
St Francis Hospice Inpatient Unit
Close

St Francis Hospice Inpatient Unit

T. 01708 723593 / 01708 753319 ext. 2317

W. https://www.sfh.org.uk/the-hospice-ward

For patients requiring specialist in-patient care for symptom management and end of life care.

St Francis Hospice Patient Therapies
Close

St Francis Hospice Patient Therapies

T. 01708 753319  ext. 2220

W. https://www.sfh.org.uk/patient-therapies

The patient therapies team help with a range of symptoms through groups and individual sessions to help managing pain and symptoms.

The team consistes of:

  • Physiotheraphy
  • Occupational therapy
  • Complementary therapy
St Francis Hospice Referral Hub
Close

St Francis Hospice Referral Hub

T. 01708 758606

W. https://www.sfh.org.uk/make-a-referral

The St Francis Hospice's referral hub can be accessed by those facing a life limiting condition. 

Please refer a patient or making a self-referral to access hospice services.

St Francis Hospice Specialist Community and Crisis Support
Close

St Francis Hospice Specialist Community and Crisis Support

T. 01708 758643 / 01708 758610 ext. 2266

W. https://www.sfh.org.uk/crisis-support

The team are clinical specialists that are experts in pain and symptom control.

Urgent advice ia available 24 hours, 365 days a year.

St Luke's Hospice Clinical Outpatients
Close

St Luke's Hospice Clinical Outpatients

T. 01268 524973 / 01268 526259

W. https://www.stlukeshospice.com/clinical-outpatients

St Luke's Hospice Clinical Outpatients team offers convenient, accessible and specialist key clinical procedures and palliative care, in a relaxed environment with appointments to meet your wellbeing and lifestyle needs. 

Key clinical procedures offered to outpatients:

  • Advance Care Planning clinics
  • Ascetic and Pleural drainage
  • Blood product transfusions
  • Clinical Nurse Specialist symptom management clinic
  • CVC line care
  • Intravenous fluids
  • IV Bisphosphonates infusions
  • IV Iron Infusions
  • Long term condition clinic – supporting heart failure, renal and liver conditions
  • Venepuncture

The service opening hours are 9.00am to 5.00pm.

St Luke's Hospice In Patient Unit
Close

St Luke's Hospice provide specialist in-patient care for symptom management and end of life care.        

There are a total of 7 beds and 1 emergency bed in Basildon.

Hospice Rapid Access Service (HRAS) with 6 Beds in Thurrock.

St Luke's Hospice Physiotherapy Support
Close

St Luke's Hospice Physiotherapy Support

T. 01268 526259

W. https://www.stlukeshospice.com/physiotherapy-support

St Luke's Hospice Physiotherapy team can help when living with a life limiting illness.  Specialist Physiotherapists and Occupational Therapists will listen and assess to support independence and aid mobility to manage symptoms and positively impact quality of life and wellbeing.

Family and loved ones are also supported in their caring roles. Advice, guidance and techniques on how to safely move and handle someone when caring for them can be accessed through conversation with the Physiotherapy team.

The offer includes:

  • individual assessments to help provide appropriate equipment, e.g. mobility aids
  • personalised treatment plans including non-drug pain relief treatments and exercises to improve mobility, independence and balance
  • treatments to assist with shortness of breath, fatigue or insomnia
  • group exercise classes and confidence building

Rehabilitative care is also provided by our Occupational Therapy team. 

St Luke's Hospice South Essex Lymphoedema Service (SELS)
Close

St Luke's Hospice South Essex Lymphoedema Service (SELS)

T. 01268 524973

W. https://www.stlukeshospice.com/lymphoedema-support

St Luke's Hospice provides the specialist Lymphoedema care team could provide care to you if you are living with primary Lymphoedema, secondary Lymphoedema and Lipoedema. The team can provide clinical expertise, support and practical help for those with any these conditions and live across South Essex.

Thurrock Integrated Care Team
Close

This community palliative care team delivers specialist care for palliative and end of life care at home, complex care at home e.g. chemotherapy management of Hickman/PICC lines and support to those who are housebound within their own home including residential homes.

Tissue Viability Service: North East London Foundation Trust
Close

Tissue Viability Service: North East London Foundation Trust

T. 0300 300 1831 ext. 52798

This service is for any persons over the age of 18 and supports the management of complex wound care, via clinic based appointments, or homevisits depending on the need of the service user.

Tissue Viability Service: PROVIDE
Close

Tissue Viability Service: PROVIDE

T. 0300 1310 111

W. https://providehealth.org.uk/tissue-viability-service/

This service is for any persons over the age of 18 and supports the management of complex wound care, via clinic based appointments, or homevisits depending on the need of the service user.

Please complete the SystmOne referral form.

Palliative care teams

Basildon and Wickford Integrated Care Team
Close

The integrated care team deliver specialist care for palliative and end of life care at home, complex care at home e.g. chemotherapy management of Hickman/PICC lines and support to those who are housebound within their own home including residential homes.

Breatheasy groups
Close

The support group is a way to learn more about living with a lung condition and share your experiences and stories with others.

Brentwood and Billericay Integrated Care Team
Close

The team deliver specialist care for palliative and end of life care at home, complex care at home e.g. chemotherapy management of Hickman/PICC lines and support to those who are housebound within their own home including residential homes.

British Lymphology Society
Close

The British Lymphology Society provides a directory of Lymphoedema treatment services.

Use the website address above to find your local services.

Community Matrons
Close

Community Matrons

T. 0300 300 1712

The Community Matrons team support patients with complex health and palliative care needs. 

Community Nursing Team
Close

The team provides clinical service for palliative care patients in their own home.

Treatments include:

  • Wound management for trauma and chronic wounds.
  • Lower-leg care for various types of ulcerations.
  • Post-operative care, transitioning to GP Practice nurses once ambulant.
  • Administration of medication by injection (excluding oral medications and eye drops).
  • Management of urinary catheters and bowel issues.
  • End of life or palliative care.
  • Supporting self-care for patients and carers, including administering injections, PICC lines, eye drops, and dressings.
Community Wound Care Team: Essex Partnership University Trust
Close

Community Wound Care Team: Essex Partnership University Trust

The team works with healthcare staff in all aspects of the prevention and management of acute and chronic wounds, with specific focus on those patients with hard to heal, complex and/or problematic wound care.

The Tissue Viability and Complex Leg Ulcer Services are part of the community service provided by this team.

Please compete the SystmOne referral form if available.

Referral form for clinician use only.

EPUT Community Wound Care Referral form (DOCX)
District Nursing
Close

The team delivers nursing care to housebound patient's including wound care, assessment, palliative care, medication, pressure ulcer management.

Fair Havens Hospice In Patient Unit
Close

Referrals may be made either by a patient or carer, or any professional directly involved in the patient’s care. Anyone making a referral must have the consent of the patient.

Fair Havens In Patient Unit provides assessment and management of physical symptoms that are proving difficult to control, such as pain, nausea, vomiting, and breathlessness. Respite care is also available for short stays enabling their carers to rest and recuperate. There are 8 beds in the unit.

Some patients may only require a stay for a few days before going home again. Some people choose to receive hospice care several times during their illness, depending on their condition and their wishes.

Please watch this video for more information.

Farleigh Hospice Clinical Advice Line
Close

Farleigh Hospice Clinical Advice Line

T. 01245 455478

W. https://www.farleighhospice.org/advice-support/advice-line

The advice line provides access to a member of the hospice team who is able to give advice on symptoms, nursing care and other needs relating to life-limiting/palliative care needs and available between 8.00am and 8.00pm, 7 days a week.

Please call the advice line when:

  • advice is needed regarding hospice care and support
  • advice or information is needed regarding the management of symptoms
  • concerns about symptoms that need to be addressed before your next scheduled visit/appointment
  • reassurance is required for someone who is anxious about a change in their condition
Farleigh Hospice Inpatient Unit
Close

The specialist Inpatient Unit (IPU) is located in the hospice building in Broomfield, Chelmsford. It provides short-term care for patients needing symptom control, respite, rehabilitation, or end of life care.

There are 10 comfortable rooms, all with Freeview TV, phones, internet access, en-suites, as well as their own private patios, overlooking our beautiful gardens. One of the rooms is specifically designed for young people and their families. 

Information for visitors to the Inpatient Unit (PDF)
Farleigh Hospice Specialist Community Support
Close

Farleigh Hospice Specialist Community Support

T. 01245 455478

The team include Clinical Nurse Specialists, Registered Nurses and Health Care Assistants. They are experts in pain and symptom control and provide:

  • Specialist Physiotherapy
  • Occupational Therapy
  • Complementary Therapy
  • Social Work
  • Counselling 
  • Family Support Practitioners
Hospice Rapid Access Service (HRAS)
Close

The Hospice Rapid Access Service team is a 24 hour services for people with a primary health need, who are rapidly deteriorating, and likely to be entering the terminal/palliative care phase of their illness. 

Havens Hospices, St Lukes Hospice and Farleigh Hospice work together as a collaborative to ensure consistency of care across all of Mid and South Essex.

The Hospices will assess the care needs of the patient and source care that meets the holistic needs of the patient.  This could be care in the home, on an in-patient unit, or in a Nursing Home.

Havens Hospices – havenshospices.rapidaccess@nhs.net (Southend, Castle Point and Rochford)

Farleigh Hospice -  contactteam.fh@nhs.net (Chelmsford, Maldon and the Dengie, Braintree and the surrounding areas)

St Luke’s Hospice - Stlukes.oneresponse@nhs.net (Basildon and Thurrock)

Integrated Respiratory Team
Close

Integrated Respiratory Team

T. 0300 300 1712

The Respiratory team provide five services:

  • chronic case management of complex COPD patients,
  • Home Oxygen service assessment and re assessment of patients in the community on oxygen therapy or that may fit criteria for oxygen therapy
  • Pulmonary Rehabilitation exercise and education for those with diagnosed respiratory disease bar asthma
  • Breathlessness and diagnostics ARTP accredited spirometry performing and interpritation for suport diagnosis of obstructive and restrictive respiratory disease
  • FeNo testing, respiratory virtual ward pathway for patient with a diagnosed respiratory conditon bar asthma using early supported discharge measures and admission avoidance for those that fit criteria and are clinically indicated
Little Havens Hospice
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Little Havens provides specialist care and support for babies, children and young people requiring specialist in-patient care for symptom management, respite and end of life care.

LymphConnect
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LymphConnect is an online platform developed to help manage lymphoedema or lipoedema, understand more about the condition, share experiences and get support and advice.

 

Lymphoedema Service
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The team provides clinical expertise, support and practical help for those with Lymphoedema and live across Mid Essex.

Palliative Care Nursing Team
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The palliative care team aims to provide support and management of physical symptoms such as pain, and also provide psychological, social and spiritual care to patients and their families.

St Francis Hospice Complementary Therapy
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St Francis Hospice Complementary Therapy

T. 01708 753319 ext. 2268

W. https://www.sfh.org.uk/patient-therapies

Complementary therapies can help control symptoms and help to deal with day-to-day life.

The therapies available are:

  • Aromatherapy
  • Massage
  • Reflexology
  • Mindfulness
  • Reiki
St Francis Hospice Inpatient Unit
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St Francis Hospice Inpatient Unit

T. 01708 723593 / 01708 753319 ext. 2317

W. https://www.sfh.org.uk/the-hospice-ward

For patients requiring specialist in-patient care for symptom management and end of life care.

St Francis Hospice Patient Therapies
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St Francis Hospice Patient Therapies

T. 01708 753319  ext. 2220

W. https://www.sfh.org.uk/patient-therapies

The patient therapies team help with a range of symptoms through groups and individual sessions to help managing pain and symptoms.

The team consistes of:

  • Physiotheraphy
  • Occupational therapy
  • Complementary therapy
St Francis Hospice Referral Hub
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St Francis Hospice Referral Hub

T. 01708 758606

W. https://www.sfh.org.uk/make-a-referral

The St Francis Hospice's referral hub can be accessed by those facing a life limiting condition. 

Please refer a patient or making a self-referral to access hospice services.

St Francis Hospice Specialist Community and Crisis Support
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St Francis Hospice Specialist Community and Crisis Support

T. 01708 758643 / 01708 758610 ext. 2266

W. https://www.sfh.org.uk/crisis-support

The team are clinical specialists that are experts in pain and symptom control.

Urgent advice ia available 24 hours, 365 days a year.

St Luke's Hospice Clinical Outpatients
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St Luke's Hospice Clinical Outpatients

T. 01268 524973 / 01268 526259

W. https://www.stlukeshospice.com/clinical-outpatients

St Luke's Hospice Clinical Outpatients team offers convenient, accessible and specialist key clinical procedures and palliative care, in a relaxed environment with appointments to meet your wellbeing and lifestyle needs. 

Key clinical procedures offered to outpatients:

  • Advance Care Planning clinics
  • Ascetic and Pleural drainage
  • Blood product transfusions
  • Clinical Nurse Specialist symptom management clinic
  • CVC line care
  • Intravenous fluids
  • IV Bisphosphonates infusions
  • IV Iron Infusions
  • Long term condition clinic – supporting heart failure, renal and liver conditions
  • Venepuncture

The service opening hours are 9.00am to 5.00pm.

St Luke's Hospice In Patient Unit
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St Luke's Hospice provide specialist in-patient care for symptom management and end of life care.        

There are a total of 7 beds and 1 emergency bed in Basildon.

Hospice Rapid Access Service (HRAS) with 6 Beds in Thurrock.

St Luke's Hospice Physiotherapy Support
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St Luke's Hospice Physiotherapy Support

T. 01268 526259

W. https://www.stlukeshospice.com/physiotherapy-support

St Luke's Hospice Physiotherapy team can help when living with a life limiting illness.  Specialist Physiotherapists and Occupational Therapists will listen and assess to support independence and aid mobility to manage symptoms and positively impact quality of life and wellbeing.

Family and loved ones are also supported in their caring roles. Advice, guidance and techniques on how to safely move and handle someone when caring for them can be accessed through conversation with the Physiotherapy team.

The offer includes:

  • individual assessments to help provide appropriate equipment, e.g. mobility aids
  • personalised treatment plans including non-drug pain relief treatments and exercises to improve mobility, independence and balance
  • treatments to assist with shortness of breath, fatigue or insomnia
  • group exercise classes and confidence building

Rehabilitative care is also provided by our Occupational Therapy team. 

St Luke's Hospice South Essex Lymphoedema Service (SELS)
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St Luke's Hospice South Essex Lymphoedema Service (SELS)

T. 01268 524973

W. https://www.stlukeshospice.com/lymphoedema-support

St Luke's Hospice provides the specialist Lymphoedema care team could provide care to you if you are living with primary Lymphoedema, secondary Lymphoedema and Lipoedema. The team can provide clinical expertise, support and practical help for those with any these conditions and live across South Essex.

Thurrock Integrated Care Team
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This community palliative care team delivers specialist care for palliative and end of life care at home, complex care at home e.g. chemotherapy management of Hickman/PICC lines and support to those who are housebound within their own home including residential homes.

Tissue Viability Service: North East London Foundation Trust
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Tissue Viability Service: North East London Foundation Trust

T. 0300 300 1831 ext. 52798

This service is for any persons over the age of 18 and supports the management of complex wound care, via clinic based appointments, or homevisits depending on the need of the service user.

Tissue Viability Service: PROVIDE
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Tissue Viability Service: PROVIDE

T. 0300 1310 111

W. https://providehealth.org.uk/tissue-viability-service/

This service is for any persons over the age of 18 and supports the management of complex wound care, via clinic based appointments, or homevisits depending on the need of the service user.

Please complete the SystmOne referral form.

Pharmacies

Basildon and Wickford Integrated Care Team
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The integrated care team deliver specialist care for palliative and end of life care at home, complex care at home e.g. chemotherapy management of Hickman/PICC lines and support to those who are housebound within their own home including residential homes.

Breatheasy groups
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The support group is a way to learn more about living with a lung condition and share your experiences and stories with others.

Brentwood and Billericay Integrated Care Team
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The team deliver specialist care for palliative and end of life care at home, complex care at home e.g. chemotherapy management of Hickman/PICC lines and support to those who are housebound within their own home including residential homes.

British Lymphology Society
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The British Lymphology Society provides a directory of Lymphoedema treatment services.

Use the website address above to find your local services.

Community Matrons
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Community Matrons

T. 0300 300 1712

The Community Matrons team support patients with complex health and palliative care needs. 

Community Nursing Team
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The team provides clinical service for palliative care patients in their own home.

Treatments include:

  • Wound management for trauma and chronic wounds.
  • Lower-leg care for various types of ulcerations.
  • Post-operative care, transitioning to GP Practice nurses once ambulant.
  • Administration of medication by injection (excluding oral medications and eye drops).
  • Management of urinary catheters and bowel issues.
  • End of life or palliative care.
  • Supporting self-care for patients and carers, including administering injections, PICC lines, eye drops, and dressings.
Community Wound Care Team: Essex Partnership University Trust
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Community Wound Care Team: Essex Partnership University Trust

The team works with healthcare staff in all aspects of the prevention and management of acute and chronic wounds, with specific focus on those patients with hard to heal, complex and/or problematic wound care.

The Tissue Viability and Complex Leg Ulcer Services are part of the community service provided by this team.

Please compete the SystmOne referral form if available.

Referral form for clinician use only.

EPUT Community Wound Care Referral form (DOCX)
District Nursing
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The team delivers nursing care to housebound patient's including wound care, assessment, palliative care, medication, pressure ulcer management.

Fair Havens Hospice In Patient Unit
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Referrals may be made either by a patient or carer, or any professional directly involved in the patient’s care. Anyone making a referral must have the consent of the patient.

Fair Havens In Patient Unit provides assessment and management of physical symptoms that are proving difficult to control, such as pain, nausea, vomiting, and breathlessness. Respite care is also available for short stays enabling their carers to rest and recuperate. There are 8 beds in the unit.

Some patients may only require a stay for a few days before going home again. Some people choose to receive hospice care several times during their illness, depending on their condition and their wishes.

Please watch this video for more information.

Farleigh Hospice Clinical Advice Line
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Farleigh Hospice Clinical Advice Line

T. 01245 455478

W. https://www.farleighhospice.org/advice-support/advice-line

The advice line provides access to a member of the hospice team who is able to give advice on symptoms, nursing care and other needs relating to life-limiting/palliative care needs and available between 8.00am and 8.00pm, 7 days a week.

Please call the advice line when:

  • advice is needed regarding hospice care and support
  • advice or information is needed regarding the management of symptoms
  • concerns about symptoms that need to be addressed before your next scheduled visit/appointment
  • reassurance is required for someone who is anxious about a change in their condition
Farleigh Hospice Inpatient Unit
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The specialist Inpatient Unit (IPU) is located in the hospice building in Broomfield, Chelmsford. It provides short-term care for patients needing symptom control, respite, rehabilitation, or end of life care.

There are 10 comfortable rooms, all with Freeview TV, phones, internet access, en-suites, as well as their own private patios, overlooking our beautiful gardens. One of the rooms is specifically designed for young people and their families. 

Information for visitors to the Inpatient Unit (PDF)
Farleigh Hospice Specialist Community Support
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Farleigh Hospice Specialist Community Support

T. 01245 455478

The team include Clinical Nurse Specialists, Registered Nurses and Health Care Assistants. They are experts in pain and symptom control and provide:

  • Specialist Physiotherapy
  • Occupational Therapy
  • Complementary Therapy
  • Social Work
  • Counselling 
  • Family Support Practitioners
Hospice Rapid Access Service (HRAS)
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The Hospice Rapid Access Service team is a 24 hour services for people with a primary health need, who are rapidly deteriorating, and likely to be entering the terminal/palliative care phase of their illness. 

Havens Hospices, St Lukes Hospice and Farleigh Hospice work together as a collaborative to ensure consistency of care across all of Mid and South Essex.

The Hospices will assess the care needs of the patient and source care that meets the holistic needs of the patient.  This could be care in the home, on an in-patient unit, or in a Nursing Home.

Havens Hospices – havenshospices.rapidaccess@nhs.net (Southend, Castle Point and Rochford)

Farleigh Hospice -  contactteam.fh@nhs.net (Chelmsford, Maldon and the Dengie, Braintree and the surrounding areas)

St Luke’s Hospice - Stlukes.oneresponse@nhs.net (Basildon and Thurrock)

Integrated Respiratory Team
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Integrated Respiratory Team

T. 0300 300 1712

The Respiratory team provide five services:

  • chronic case management of complex COPD patients,
  • Home Oxygen service assessment and re assessment of patients in the community on oxygen therapy or that may fit criteria for oxygen therapy
  • Pulmonary Rehabilitation exercise and education for those with diagnosed respiratory disease bar asthma
  • Breathlessness and diagnostics ARTP accredited spirometry performing and interpritation for suport diagnosis of obstructive and restrictive respiratory disease
  • FeNo testing, respiratory virtual ward pathway for patient with a diagnosed respiratory conditon bar asthma using early supported discharge measures and admission avoidance for those that fit criteria and are clinically indicated
Little Havens Hospice
Close

Little Havens provides specialist care and support for babies, children and young people requiring specialist in-patient care for symptom management, respite and end of life care.

LymphConnect
Close

LymphConnect is an online platform developed to help manage lymphoedema or lipoedema, understand more about the condition, share experiences and get support and advice.

 

Lymphoedema Service
Close

The team provides clinical expertise, support and practical help for those with Lymphoedema and live across Mid Essex.

Palliative Care Nursing Team
Close

The palliative care team aims to provide support and management of physical symptoms such as pain, and also provide psychological, social and spiritual care to patients and their families.

St Francis Hospice Complementary Therapy
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St Francis Hospice Complementary Therapy

T. 01708 753319 ext. 2268

W. https://www.sfh.org.uk/patient-therapies

Complementary therapies can help control symptoms and help to deal with day-to-day life.

The therapies available are:

  • Aromatherapy
  • Massage
  • Reflexology
  • Mindfulness
  • Reiki
St Francis Hospice Inpatient Unit
Close

St Francis Hospice Inpatient Unit

T. 01708 723593 / 01708 753319 ext. 2317

W. https://www.sfh.org.uk/the-hospice-ward

For patients requiring specialist in-patient care for symptom management and end of life care.

St Francis Hospice Patient Therapies
Close

St Francis Hospice Patient Therapies

T. 01708 753319  ext. 2220

W. https://www.sfh.org.uk/patient-therapies

The patient therapies team help with a range of symptoms through groups and individual sessions to help managing pain and symptoms.

The team consistes of:

  • Physiotheraphy
  • Occupational therapy
  • Complementary therapy
St Francis Hospice Referral Hub
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St Francis Hospice Referral Hub

T. 01708 758606

W. https://www.sfh.org.uk/make-a-referral

The St Francis Hospice's referral hub can be accessed by those facing a life limiting condition. 

Please refer a patient or making a self-referral to access hospice services.

St Francis Hospice Specialist Community and Crisis Support
Close

St Francis Hospice Specialist Community and Crisis Support

T. 01708 758643 / 01708 758610 ext. 2266

W. https://www.sfh.org.uk/crisis-support

The team are clinical specialists that are experts in pain and symptom control.

Urgent advice ia available 24 hours, 365 days a year.

St Luke's Hospice Clinical Outpatients
Close

St Luke's Hospice Clinical Outpatients

T. 01268 524973 / 01268 526259

W. https://www.stlukeshospice.com/clinical-outpatients

St Luke's Hospice Clinical Outpatients team offers convenient, accessible and specialist key clinical procedures and palliative care, in a relaxed environment with appointments to meet your wellbeing and lifestyle needs. 

Key clinical procedures offered to outpatients:

  • Advance Care Planning clinics
  • Ascetic and Pleural drainage
  • Blood product transfusions
  • Clinical Nurse Specialist symptom management clinic
  • CVC line care
  • Intravenous fluids
  • IV Bisphosphonates infusions
  • IV Iron Infusions
  • Long term condition clinic – supporting heart failure, renal and liver conditions
  • Venepuncture

The service opening hours are 9.00am to 5.00pm.

St Luke's Hospice In Patient Unit
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St Luke's Hospice provide specialist in-patient care for symptom management and end of life care.        

There are a total of 7 beds and 1 emergency bed in Basildon.

Hospice Rapid Access Service (HRAS) with 6 Beds in Thurrock.

St Luke's Hospice Physiotherapy Support
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St Luke's Hospice Physiotherapy Support

T. 01268 526259

W. https://www.stlukeshospice.com/physiotherapy-support

St Luke's Hospice Physiotherapy team can help when living with a life limiting illness.  Specialist Physiotherapists and Occupational Therapists will listen and assess to support independence and aid mobility to manage symptoms and positively impact quality of life and wellbeing.

Family and loved ones are also supported in their caring roles. Advice, guidance and techniques on how to safely move and handle someone when caring for them can be accessed through conversation with the Physiotherapy team.

The offer includes:

  • individual assessments to help provide appropriate equipment, e.g. mobility aids
  • personalised treatment plans including non-drug pain relief treatments and exercises to improve mobility, independence and balance
  • treatments to assist with shortness of breath, fatigue or insomnia
  • group exercise classes and confidence building

Rehabilitative care is also provided by our Occupational Therapy team. 

St Luke's Hospice South Essex Lymphoedema Service (SELS)
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St Luke's Hospice South Essex Lymphoedema Service (SELS)

T. 01268 524973

W. https://www.stlukeshospice.com/lymphoedema-support

St Luke's Hospice provides the specialist Lymphoedema care team could provide care to you if you are living with primary Lymphoedema, secondary Lymphoedema and Lipoedema. The team can provide clinical expertise, support and practical help for those with any these conditions and live across South Essex.

Thurrock Integrated Care Team
Close

This community palliative care team delivers specialist care for palliative and end of life care at home, complex care at home e.g. chemotherapy management of Hickman/PICC lines and support to those who are housebound within their own home including residential homes.

Tissue Viability Service: North East London Foundation Trust
Close

Tissue Viability Service: North East London Foundation Trust

T. 0300 300 1831 ext. 52798

This service is for any persons over the age of 18 and supports the management of complex wound care, via clinic based appointments, or homevisits depending on the need of the service user.

Tissue Viability Service: PROVIDE
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Tissue Viability Service: PROVIDE

T. 0300 1310 111

W. https://providehealth.org.uk/tissue-viability-service/

This service is for any persons over the age of 18 and supports the management of complex wound care, via clinic based appointments, or homevisits depending on the need of the service user.

Please complete the SystmOne referral form.

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