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Living Well Service

Living Well Service Referrals

The Living Well service empowers people living with an advanced or terminal illness and their families and carers, to adapt to their lives, with dignity, and provides an active support system to help them anticipate and cope with changes resulting from deteriorating health.

We promote physical, emotional, social and spiritual wellbeing, enabling people to feel more in control, make choices about their current and future care, develop coping strategies, and obtain skills, knowledge and confidence, so they can live as fully as possible until they die.

There are a number of common symptoms and concerns experienced by patients, which can be helped through our Living Well approach. These include physical symptoms as well as emotional, social and spiritual concerns including:

  • Shortness of breath
  • Tiredness
  • Feeling sick, having less appetite
  • Communication or eating problems
  • Pain
  • Difficulties with moving around
  • Feeling worried or low
  • Unable to share feelings with family and friends,
  • Concerned about not having enough information
  • Needing help to address practical matters
  • Fearful about where or how death occurs
  • Concern for their family’s wellbeing after death.

These physical, emotional, social, practical and spiritual issues can all negatively affect a person’s quality of life.

We provide Living Well services wherever they are needed: from our two sites, the Hospice in Farnham and Beacon Centre in Guildford; or in patient’s homes.

All patients have a general assessment focusing on their concerns at the time of referral. Following our discussions we will help to prioritise their needs and can refer to other team members at Phyllis Tuckwell as appropriate. We can also signpost patients to information to help with decisions and choices.

Day Hospice

Day Hospice is part of our Living Well service at the Hospice, providing intensive tailored support for patients with identified specialist palliative care needs for an agreed period of time. While having a strong social component, Day Hospice does not intend to provide ongoing social day care, but it enables patients to access valuable therapeutic activities and groups.

Patients who are appropriate for specialist palliative care and who are willing and able to attend Day Hospice may be referred with one or more of the following:

  • Moderate – high symptom burden precipitated by palliative treatment or disease progression
  • Fragmented care complicated by multiple co-morbidity/polypharmacy
  • Unmet psychological or spiritual needs associated with disease progression and/or multiple loss
  • Family distress related to increasing care needs.
To refer

Contact our Advice & Referral Team (ART) of clinicians and administrators. HCPs can contact them directly to ask for advice about a patient with an advanced or terminal illness, or refer them to the Phyllis Tuckwell service.

The ART team are available 7 days a week, from 8am – 6pm.

01252 729440                PTH.adviceandreferral@nhs.net

Out of hours, calls will be transferred to our In-Patient Unit, who will assist.

Referrals can also be made using our downloadable referral form which needs to be completed by the patient’s GP, Hospital Doctor, Clinical Nurse Specialist or District Nurse and returned to us. Please note, the referral form consists of two pages which will need to be fully completed. Once completed please email PTH.adviceandreferral@nhs.net