Palliative & End-of-Life Care at Home in Enfield & London
Compassionate, expert care for people living with a terminal or life-limiting illness — enabling dignity, comfort, and precious time at home, with the people you love, for as long as you wish.
What Is Palliative Care at Home?
Palliative care at home provides expert, compassionate support for people living with a terminal or life-limiting illness — with the goal of ensuring the highest possible quality of life in the time that remains. It addresses physical symptoms, emotional wellbeing, practical daily needs, and the needs of families and loved ones too.
For many people, the wish to die at home — in familiar surroundings, close to family, in a place filled with personal meaning — is profound and deeply important. At Direct2U, we help make that possible. Our palliative care team provides the skilled, gentle, and consistent support that enables people to remain comfortably at home for as long as they wish, with their dignity fully preserved.
Palliative care is not only for the final days of life. It is relevant from the point of a terminal diagnosis, throughout the illness journey, and into the period of grief that follows. We provide support that adapts continuously — from light-touch assistance in the earlier stages, through to intensive 24-hour or live-in care in the final days.
Our carers work closely with GPs, district nurses, Macmillan nurses, hospice teams, and specialist palliative consultants — ensuring that our day-to-day support is always coordinated with and complementary to clinical care.
Our Promises to You and Your Family
When you or a loved one is approaching the end of life, the promises made by those providing care matter enormously. These are the commitments that guide every member of the Direct2U palliative care team.
Dignity, Always
Every aspect of our care — from personal hygiene to medication support — is delivered with complete respect for the person's dignity, privacy, and individual sense of self.
Consistency of Carer
We assign a small, consistent team of carers so that the person and their family are never met by a stranger at this most sensitive time. Familiar faces and trusted relationships matter profoundly.
Comfort-Centred Care
Our focus is entirely on maximising comfort and minimising distress — working closely with clinical teams to manage pain, symptoms, and anxiety with skill and sensitivity.
Respect for Wishes
Every person's advance care plan, personal wishes, cultural and religious preferences, and individual values are documented, understood, and followed without exception.
Family Included
We treat the family as an integral part of the care team — keeping them informed, involving them in decisions, providing respite so they can rest, and offering compassionate support throughout.
Available When Needed
Our team is available 24 hours a day, seven days a week. In the final stages of life, care needs can arise at any hour — and we are there.
What Our Palliative Care Service Includes
Gentle washing, bathing, dressing, and oral hygiene with complete dignity
Supporting prescribed pain management and symptom control regimens
Administering all medications precisely as prescribed by the clinical team
Careful oral hygiene throughout all stages, including non-oral care
Assistance with eating and drinking, including thickened fluids and syringe feeding
Regular repositioning and specialist mattress use to prevent pressure sores
Dignified continence management and catheter care
Safe transfers and gentle mobility support as physical ability changes
Quiet, warm presence, reassurance, and meaningful companionship
Understanding and precisely following the individual's advance care plan
Honouring cultural practices, religious customs, and personal beliefs
Regular liaison with GPs, nurses, Macmillan teams, and hospice staff
Practical and emotional support for family carers, including respite cover
Continuous on-site support in the final stages, including night-sitting
Supporting the family in the final hours and after the passing
Who Our Palliative Care Is For
Our palliative care service is for any person living with a terminal or life-limiting diagnosis who wishes to remain at home — regardless of age, condition, or stage of illness.
Cancer
For individuals at any stage of cancer who wish to remain at home — from managing treatment side effects to full comfort care in the final weeks.
Advanced Dementia
Compassionate, comfort-focused support for people in the final stages of dementia — prioritising familiarity, sensory comfort, and calm, consistent presence.
Progressive Neurological Conditions
End-of-life support for people living with MND, Parkinson's disease, MS, or other progressive neurological conditions in their terminal phase.
Heart and Respiratory Failure
Skilled support for those living with end-stage heart failure, COPD, or other cardiorespiratory conditions requiring intensive management at home.
Organ Failure
Comfort care for individuals in the terminal phase of renal failure, liver disease, or multi-organ failure who have chosen to remain at home.
Any Terminal Diagnosis
Our palliative care service is available to any individual with a terminal prognosis who wishes to receive end-of-life care in their own home.
Working in Partnership with Your Palliative Care Team
Direct2U does not provide clinical palliative care — that is the role of your GP, district nurse, Macmillan nurse, and hospice team. Our role is to provide the daily care, comfort, and human presence that enables clinical care to be most effective.
A good palliative care arrangement at home involves many professionals working together — each contributing their expertise to the person’s comfort and dignity. District nurses manage clinical symptoms and administer medications. Macmillan nurses provide specialist palliative advice and emotional support. The GP coordinates the overall medical plan.
Direct2U provides the continuous, daily, human layer of care — the presence in the home between clinical visits. We ensure the person is never alone or uncomfortable, that medications are taken as prescribed, that personal care is delivered with the utmost gentleness, and that family members feel supported and not alone in carrying the weight of this time.
We attend multidisciplinary meetings where appropriate, follow the agreed care and advance care plan without exception, and communicate any changes in the person’s condition promptly to the clinical team.
We work alongside:
- General practitioners (GPs)
- District and community nurses
- Macmillan and Marie Curie nurses
- Hospice at Home services
- Specialist palliative consultants
- Occupational and physiotherapy teams
- Social workers and care managers
- Chaplaincy and spiritual care services
Arranging Palliative Care at Home with Direct2U
We understand that reaching out at this time takes courage. Our team handles every palliative care enquiry with the sensitivity, compassion, and urgency it deserves.
A Compassionate First Contact
When you call or contact us, you will speak to a senior member of our team who understands completely the gravity of this time. We listen first. We ask only what we need to know. There is no form-filling rush and no pressure of any kind.
Rapid Assessment
We arrange a home assessment as quickly as possible — often the same day or the following morning. We meet with the individual, their family, and wherever possible their district nurse or GP, to understand the current situation and design the right care package.
NHS CHC Fast Track
If the person is eligible for NHS Continuing Healthcare under the Fast Track pathway, Direct2U can support and expedite this application. Fast Track CHC can fund palliative care rapidly at no cost to the individual.
Care Begins — Immediately if Needed
In cases of urgency, care can begin within hours of the initial contact. We assign a small, consistent team, follow the care plan precisely, and remain in close communication with the family and clinical team throughout.
Funding Palliative Care at Home
Funding should never be a barrier to receiving palliative care at home. There are several routes available, and our team can help you access the right one quickly.
NHS CHC Fast Track
The most important funding route for palliative care. Anyone with a rapidly deteriorating condition and limited life expectancy may qualify for NHS Continuing Healthcare under the Fast Track pathway — which can fund 24-hour palliative home care rapidly at no cost to the individual or their family. Direct2U can guide you through this process.
Learn more about fundingLocal Authority Funding
Those who do not qualify for NHS CHC may be entitled to a funded care package from the Local Authority following a social care needs assessment. Direct2U works with North London boroughs to deliver Local Authority-funded palliative packages.
Learn more about fundingPrivate Arrangements
Families choosing to arrange palliative care privately are welcome. We provide transparent, compassionate pricing with no hidden charges. Private care can begin immediately without waiting for a funding assessment — which is sometimes critical given the time-sensitive nature of palliative care.
Learn more about fundingSupport for the Whole Family
End-of-life care is not only about the person who is ill. The needs of families, partners, and close friends are just as real, and just as important to us.
Respite for Family Carers
Family members often carry an exhausting level of responsibility. Our respite cover allows them to rest, sleep, and spend time as a loved one — not a carer — when that matters most.
Clear, Honest Communication
We keep families informed at every stage — gently, clearly, and honestly. If anything changes in the person's condition or comfort, we let the family know promptly and liaise with the clinical team immediately.
Practical Support
We help with the practical tasks that families often struggle with — household maintenance, medication management, liaising with professionals, and ensuring the home remains a calm, comfortable environment.
Emotional Support
Our carers understand grief. They are present not only as care professionals but as compassionate human beings. Families often tell us that knowing someone trustworthy is present gives them a quality of peace that nothing else can provide.
Bereavement Signposting
After the person passes, we provide families with information and signposting to specialist bereavement support services — including counselling, peer support groups, and national organisations.
Cultural and Religious Practices
We understand and support the specific cultural, religious, and personal practices that are important to the individual and their family around the time of death — treating every tradition with complete respect.
What Families Have Said
“My mother died at home, as she had always wished. In her final three weeks, Direct2U were with us every day and through the nights. I cannot find words adequate to describe what their care meant to our family. They were gentle, skilled, and completely present. They treated my mother with a grace and tenderness that I will carry with me for the rest of my life. She was peaceful. She was comfortable. She was at home. That was everything.”
— Catherine F., daughter of a Direct2U palliative care client, Enfield
Palliative Care — Questions We Are Often Asked
If you have a question that is not answered here, please call us on +44 (0) 7394 616696 — we are here, any time.
Palliative care at home provides expert, compassionate support for people living with a terminal or life-limiting illness — helping to manage symptoms, maintain comfort and dignity, and enable the person to remain at home for as long as they wish, surrounded by the people and things they love.
Direct2U understands that palliative care needs can arise urgently. We are able to arrange palliative home care rapidly — often within 24 to 48 hours of initial contact. For urgent situations, please call us directly on +44 (0) 7394 616696 and we will prioritise your call.
Yes. Direct2U provides 24-hour and live-in end-of-life care for people who wish to die at home. This includes round-the-clock personal care, comfort care, medication support, emotional presence, and coordination with the wider palliative care team.
We provide practical and emotional support to families and close friends throughout the end-of-life journey — including respite cover so carers can rest, clear communication at every stage, guidance on what to expect, and signposting to specialist bereavement support after the person passes.
Yes. People with a terminal diagnosis may qualify for NHS Continuing Healthcare under the Fast Track pathway, which can fund palliative home care rapidly at no personal cost. Local Authority funding and private arrangements are also available. Our team can help you navigate the funding process quickly.
NHS CHC Fast Track is an expedited funding pathway for palliative care. A clinician — usually the person's GP or specialist — completes a Fast Track Checklist confirming that the person has a rapidly deteriorating condition with a limited life expectancy. Once approved by the Integrated Care Board, funding can be in place within days. Direct2U can help guide families through this process.
Yes. Our carers are trained and experienced in providing comfort care in the final hours and moments of life. They are present with the individual and their family, ensuring the person is comfortable, peaceful, and not alone. We coordinate closely with the GP and district nurse to ensure clinical protocols are followed.
Related Care Services
We Are Here When You Need Us
If you are looking for palliative care at home for yourself or someone you love, please do not hesitate to call or write to us. We understand how difficult this time is, and we are here to help — gently, promptly, and without pressure.
Speak to Our Palliative Care Team
We are here any time. All enquiries are handled with complete sensitivity and in full confidence.
Mon–Fri: 9:00am – 5:00pm
Saturday: 10:00am – 2:00pm
For urgent palliative care, please call us directly — we will prioritise your request.
If you or your family are in need of additional support, the following organisations may be of help:
- Macmillan Cancer Support: 0808 808 00 00 (free, 7 days a week)
- Marie Curie Support Line: 0800 090 2309 (free, 7 days a week)
- Cruse Bereavement Support: 0808 808 1677
- Sue Ryder Grief Support: suerydergrief.org
- NHS End of Life Care: england.nhs.uk/end-of-life-care
Direct2U Care is a care provider, not a clinical service. For clinical palliative advice, please speak to your GP or specialist.
Every Moment at Home Matters
If you or someone you love is living with a terminal illness and wishes to remain at home, Direct2U is here to help make that possible — with compassion, skill, and complete dedication.