Concierge palliative medicine · UK
Palliative care - comfort, control, and care where you choose.
Specialist symptom control and support for serious illness - at home, in a hospice or in hospital, led by consultants in palliative medicine and arranged around the people you love. Alongside treatment, never instead of it.
Why patients choose us
- 01
Consultants in palliative medicine
A named consultant leads - a specialist in symptom control and serious-illness care, working alongside your oncologist or physician rather than replacing them.
- 02
Care where you want to be
Home, hospice, hospital or a mix - we build the package around the place you feel safest, with nursing, equipment and out-of-hours cover arranged, not just promised.
- 03
Independent, and free
We are paid by no provider, so our advice - including when NHS and hospice services are the best answer - is impartial and costs your family nothing.
Indicative pricing
What private palliative care costs in the UK.
Clear, honest ranges across our partner consultants and nursing providers - with equal honesty about what the NHS and hospices provide free. Send the details and we quote firm figures.
In short
A consultant home assessment in our network: £400–£800, arranged within days.
| Procedure | Indicative range | Typical duration | Stay |
|---|---|---|---|
| Palliative medicine consultation (clinic or video) | £250–£450 | 45–60 min | Same week |
| Home visit by palliative consultant | £400–£800 | 60–90 min | Within days |
| Palliative-trained nurse at home (day care) | £30–£55/hour | Flexible | From 48 hours |
| Overnight nursing (night sit) | £250–£450/night | 10–12 hours | From 48 hours |
| Live-in palliative care package | £1,600–£3,000/week | Ongoing | Within a week |
| Symptom-control review (follow-up) | £150–£300 | 30 min | Within days |
| Counselling / family support session | £100–£200 | 50–60 min | Same week |
Costs depend almost entirely on how much hands-on nursing the plan includes - a consultant review programme costs little, a live-in package considerably more. Hospice care in the UK is free, and we say plainly when NHS and charity services mean you should not be paying. We come back with firm figures within one working day.
The problem
Symptom control without waits, care at home that actually arrives, and plans made in calm.
Serious illness exposes every gap in the system - symptom reviews weeks apart, night-time crises with no number to call, wishes never written down. We close those gaps, fast.
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Days, not weeks, to comfort
Uncontrolled pain or breathlessness gets a specialist review within days, and medication changes are checked, not assumed, to have worked.
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A number that answers at 3 a.m.
Every home package we arrange includes genuine out-of-hours cover - because crises do not book appointments.
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Your wishes, written while it is easy
Advance care planning done early and calmly keeps you in charge of every decision that follows.
The journey
From enquiry to recovery - what happens, in order.
One team from first conversation through symptom control, care at home and the support that continues around your family.
Phase 1 · Getting the right help in
Assessment, symptom control, honest planning
Phase 2 · On the day
Care where you choose
Phase 3 · After
Review, 24/7 support, family care
- 01
Before
You tell us what is going on
A short, confidential conversation - by form or phone, from you or a family member. The diagnosis, the symptoms causing most distress, and where care is happening now.
- 02
Before
We come back with a plan
Within one working day: the right palliative consultant, what a first assessment would cover, which services fit - home nursing, hospice, psychology - and honest prices.
- 03
Before
First assessment, unhurried
A long consultation at home or in clinic: symptoms, medicines, what matters most to you, and what you want the months ahead to hold. Family welcome throughout.
- 04
Before
Symptom control, sorted early
Pain, breathlessness, nausea, fatigue, anxiety - medication and non-drug approaches adjusted quickly, with response reviewed in days rather than months.
- 05
On the day
Care at home, built around you
Palliative-trained nurses, night sits where needed, equipment delivered, and a written plan every professional works from - with your GP and district team kept in the loop.
- 06
On the day
Advance care planning, at your pace
What you would and would not want, recorded properly - ReSPECT or advance decisions, power of attorney signposting - so your voice leads every future decision.
- 07
After
Ongoing review, and support around the family
Regular consultant review, 24/7 advice lines, hospice admission if ever needed, and psychological and bereavement support for the people who love you.
Typical start: a consultant involved within days of your first message, with home nursing in place inside a week where needed.
When it helps
When palliative care is the right step.
The situations we help with most - and the one that needs your 24/7 line or emergency services today.
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Symptoms that are not controlled
Pain, breathlessness, nausea or agitation that current treatment is not touching - the core work of palliative medicine, at any stage of illness.
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Alongside active cancer treatment
Palliative care given early, alongside chemotherapy or radiotherapy, improves quality of life - and in some studies, length of it.
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Advanced heart, lung, kidney and liver disease
Palliative care is not only for cancer - advanced organ failure carries symptom burdens every bit as heavy, and just as treatable.
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Dementia and progressive neurological illness
MND, Parkinson’s, advanced dementia - planning ahead while wishes can still be spoken, and comfort protected throughout.
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Repeated hospital admissions
When each crisis brings another ambulance, a proper community palliative plan often breaks the cycle - and keeps you home.
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Families stretched past their limit
Carer exhaustion is a clinical issue. Night sits, respite and honest conversations restore the capacity to keep going.
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Decisions that feel too big
Whether to have another line of treatment, where to be cared for, what to write down - a specialist who has these conversations daily makes them bearable.
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Red flag: a sudden, severe change
New severe pain, sudden breathlessness, spinal cord symptoms or major bleeding in advanced illness needs urgent same-day help - your 24/7 line, out-of-hours team or 999, not a routine appointment.
Procedure options
Palliative care is a whole system of support, not one service.
What each element involves - from specialist symptom control and home nursing to hospices, advance care planning and support for the family.
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Specialist symptom control
Pain, breathlessness, nausea, fatigue, itch, agitation - managed by consultants who do nothing else, with medication changes reviewed in days.
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Palliative care at home
Consultant visits, palliative-trained nurses, night cover and equipment - a hospital-grade team in your own front room.
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Hospice care
Admission for complex symptoms or final days, or day-hospice for therapy and community - we help you understand and access what local hospices offer.
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Hospital support
If you are an inpatient, palliative consultants work alongside your existing team - improving comfort without taking anything away.
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Advance care planning
ReSPECT forms, advance decisions to refuse treatment, preferred place of care, lasting power of attorney signposting - your wishes, written where they will be found.
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Psychological and spiritual support
Counselling for you and your family, and chaplaincy or faith-specific support where wanted - distress is a symptom too.
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Carer and family support
Training for hands-on care, respite arrangements, honest prognostic conversations, and bereavement support that continues afterwards.
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End-of-life care
When time is short: anticipatory medicines in the home, syringe drivers where needed, and a team whose whole purpose is a comfortable, dignified death in the place you chose.
Our vetted UK network
A small panel of palliative specialists, we picked them.
Consultants in palliative medicine and CQC-registered palliative nursing providers across London and the major UK cities. Introductions are made privately and gently, once we understand your situation.
Selection criteria
How we choose every palliative provider in our network.
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Consultants in palliative medicine on the GMC specialist register
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CQC-registered nursing providers with genuine palliative training, not generic care agencies
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24/7 advice and out-of-hours cover written into every home care package
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Working relationships with local hospices, district nursing and your NHS team
Safety and recovery
What to expect afterwards - honestly.
Palliative care is surrounded by myths that add fear to an already hard time. Here are the honest answers to the questions families most need settled.
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Palliative care is not giving up
It runs alongside active treatment, not instead of it. Started early, it improves quality of life, mood and symptom control - and patients who feel better often tolerate treatment better too.
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Morphine, used properly, is safe
Correctly titrated opioids relieve pain and breathlessness without hastening death - decades of evidence say so. Doses start low, rise carefully, and constipation and nausea are pre-empted rather than endured.
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Syringe drivers are a route, not a verdict
A small pump giving steady medication under the skin - used whenever swallowing is hard, sometimes temporarily. It is a delivery method, not a statement about prognosis.
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Sedation myths, addressed
The aim is comfort with as much wakefulness as you want. Drowsiness is managed by adjusting doses and drugs - profound sedation is only ever used for otherwise unrelievable distress, and with consent.
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Planning ahead protects you
Advance care plans and powers of attorney are not morbid paperwork - they are how your voice stays in charge if illness ever takes it. We help get them done while it is easy.
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When to call for help, day or night
Uncontrolled pain or breathlessness, new confusion or agitation, inability to take medicines, or a family reaching breaking point - the 24/7 line exists precisely for this. Never wait for morning.
Reading your care plan
Your palliative care plan in four parts. Read the last one first.
Wherever care is happening - home, hospice or hospital - the plan your team works from keeps to the same shape.
A quiet reminder
These documents carry heavy words - we go through them with you, gently.
If you or your family would like us to talk through the care plan, the medicines or the advance care planning documents, just ask. There is no hurry and no charge.
- 01 Header
Diagnosis, stage and what matters to you
The illness in plain language - and, given equal weight, your stated priorities: where you want to be, what you want to avoid, who speaks for you.
- 02 Technique
The symptom plan
Each symptom, the medicines and doses treating it, the anticipatory medicines in the house, and exactly what to give - and who to call - if things change.
- 03 Findings
The care package
Who is coming, when, and to do what - consultant reviews, nursing shifts, equipment, and how the team communicates with your GP and NHS services.
- 04 Impression
Your advance care plan
Read this first: your recorded wishes - resuscitation decisions, preferred place of care, treatment limits - and where every professional can find them at 3 a.m.
Recognised by major UK insurers
Insurer cover for palliative care varies widely - consultations and some home nursing may be covered, and several insurers offer specific end-of-life benefits, while hospice care is free. We check every route, including NHS continuing healthcare funding, before you spend anything.
Frequently asked
Everything families ask us about palliative care.
Quick, honest answers on what palliative care is, treatment alongside it, dying at home, costs and the NHS.
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What is palliative care - and is it the same as end-of-life care?
Palliative care is specialist care focused on relieving symptoms and improving quality of life in serious illness - pain, breathlessness, nausea, anxiety - for you and your family. End-of-life care is one part of it, for the final weeks and days. Many people receive palliative care for months or years, often alongside active treatment.
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Does accepting palliative care mean stopping treatment?
No. Palliative care runs alongside chemotherapy, immunotherapy, heart failure treatment or dialysis - its job is to make you feel as well as possible while other teams treat the disease. Landmark research in lung cancer found early palliative care improved quality of life and, notably, survival.
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Can I be cared for - and die - at home?
Usually, yes, with the right package: palliative nursing, night cover where needed, anticipatory medicines in the house, equipment, and a 24/7 number your family can call. Most people say they would prefer to die at home; proper planning is what turns that preference into what actually happens.
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How much does private palliative care cost in the UK?
A consultant assessment is £250–£450 (home visits £400–£800). Palliative-trained nursing runs £30–£55 an hour, night sits £250–£450, and live-in packages £1,600–£3,000 a week. Hospice care in the UK is charitably funded and free. We quote firm figures - and tell you honestly where NHS and hospice services make private spending unnecessary.
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What does the NHS provide?
A great deal: GP and district nursing, community palliative nurses, hospice care (free, charity-run), and hospital palliative teams - all at no cost. The gaps are speed, continuity and hours of hands-on care at home, which is where private consultants and nursing most often add value. We build plans that use both systems well.
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When should palliative care start?
Earlier than most people think - at diagnosis of any life-limiting illness with symptoms or big decisions ahead, not in the final weeks. Early involvement means better symptom control, fewer crisis admissions, plans made calmly, and - the evidence suggests - better quality of life for longer.
Related treatments
Looking for something else?
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Pain management
Specialist pain medicine beyond palliative settings.
Learn more -
Oxygen therapy
Assessment and home oxygen for breathlessness.
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Cognitive behaviour therapy
Psychological support through serious illness.
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Complementary + alternative medicine
Evidence-aware supportive therapies.
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Home nursing
Nursing care in your own home.
Learn more -
All tests & procedures
Every test and procedure we arrange.
Learn more