Specialist Palliative Care

End of life care is the term used to describe the support and care given to people in the last year of their life. It helps people with advanced, progressive or incurable illness to live as well as possible until they die. End of life care also includes support for people’s partners, families and informal carers, both before and after someone’s death.

The point at which end of life care begins depends on individual need. It may last a few days or many months. End of life care begins when someone needs it and continues for as long as they need it.

Palliative care

End of life care includes palliative care. This is care which concentrates on relieving symptoms rather than on cure. It provides whatever support is needed to the patient and their family. The support may be physical, psychological, social, spiritual or practical, and is based on the individual care needs of the patient and his or her family.

Palliative care is a form of holistic care because it deals with the whole person, rather than with just one aspect of his or her care. Specialist palliative care is provided by a multi-professional team which has undergone recognised specialist palliative care training.

Our Specialist Palliative Care Team

We are a team of nurses and doctors who have specialist knowledge in palliative care and are employed by Harrogate and District NHS Foundation Trust and part funded by Saint Michael’s Hospice.

We support people who have advanced progressive illness and complex needs such as cancer, end stage heart failure, respiratory disease and progressive neurological conditions. We visit patients in wards and outpatient departments at Harrogate District Hospital, in nursing/residential homes and in their homes in Harrogate and the surrounding district.  We work closely with the other services offered by Saint Michael’s Hospice.

We offer specialist palliative care support at any stage by:

  • Helping to control difficult pain and other symptoms as soon as possible after they arise;
  • Helping patients and their relatives to understand the patient’s illness and how it may affect them;
  • Discussing complex worries and concerns;
  • Helping patients and families and professional teams plan for the future;
  • Meeting with other professionals to discuss the wishes of patients and their relatives, to ensure they are considered and met wherever possible.

Specialist palliative care is provided by professionals who are highly qualified and experienced. We work closely with GPs, consultants and multi-professional teams who have overall responsibility for patient care. We aim to complement the care they are already providing to manage symptoms and to enhance quality of life.

Please visit our Pharmacy page to find out more about access to end of life medicines in the community.

Working hours

We are in the office between 8.30-9.30am Monday-Friday. For the rest of the day, we are not always available to take calls, so please leave a message on our confidential answerphone and we shall return calls as soon as possible.


We accept referrals from patients, carers, GPs and via medical, nursing and therapy staff working in any care setting.

Key staff

Specialist Palliative Care Doctor: Dr Cath Siller

Clinical Nurse Specialist (Team Leader): Charlotte Rock

Clinical Nurse Specialist: Tracey Goldsbrough, Kelly Barnes, Emma Harvey, Tricia Keogh

Administrator: Emma Baker

Useful links

Patient Leaflets