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Built to Last? Help us secure the future of children’s palliative care

Right now, families caring for seriously ill children aren’t getting the care they need, because our children’s palliative care sector just isn’t built to last. Shockingly, the extent to which they can access the palliative care they need depends on where they live.

Family life filled with precious memories should never depend on a postcode. Discover whether 24/7 end of life care at home meets the needs of seriously ill children where you live. Then build a children’s palliative care sector that lasts by signing our open letter.

Teddy at Demelza, 2024

An ICB is an NHS organisation which commissions and plans health services for their local area in England.

Good news

Your local NHS body plans and funds 24/7 end of life care at home for seriously ill children in your area. But remember, this isn’t the case for everyone.

Bad news

Your local NHS body does not plan and fund 24/7 end of life care at home for seriously ill children in your area.

Good and bad news

Unfortunately, 24/7 end of life care at home for seriously ill children is only partially planned and funded in your area.

Watch this space

Your local NHS body has told us that it is developing a service specification for 24/7 end of life care at home for seriously ill children.

We are still trying to find out

We were unable to ascertain from your local NHS body whether it is planning and funding 24/7 end of life care at home for seriously ill children.

Join the campaign for fairer end of life care for seriously ill children

Bereaved mother Clare is advocating for fairer children’s palliative care following her experience of caring for her son, Oliver, who died from a brain tumour when he was 11 years old.

Dear Prime Minister,

Right now, the system is failing thousands of families like mine.

My son Oliver was diagnosed with a brain tumour in 2022. In 2023, following treatment, his tumour returned. There would be no cure.

We wanted Oliver to die at home, but it wasn’t a given that this could happen. After being told that it would be very difficult to put a care package in place, I made a nuisance of myself. I spent hours on the phone pushing to try and get things moving.

Just before he died our friends and family took shifts to be with Oliver, and nurses worked beyond their hours to cover the care he needed.

In the end, Oliver died peacefully.

But to get to that point cost a lot. Families like mine aren’t getting the care they need, because of where they live.

You have the power to change this.

Yours sincerely
Clare Buchanan

Goal 2,500 signatures

1548 people have signed so far

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Read Clare's letter in full

Dear Prime Minister

I am writing to you today not as a concerned citizen, but as a bereaved mum who had to fight to get her son the care he needed at the end of his life. I am writing to ask that you review the way that children’s palliative care is funded. Because right now, the system is failing thousands of families like mine.

My son Oliver was diagnosed with an aggressive brain tumour in December 2022 at the age of 10. In September 2023, following radiotherapy, chemotherapy and a successful surgery, his tumour returned, and we were given the devastating news that there were no further treatment options to cure him.

We suddenly had to pivot from planning treatment, to planning his end of life. I just knew that Oliver needed to be at home for as long as possible, before being moved to his grandparents’ house where we shared so many special memories.

While some of the palliative care that Oliver received helped us as a family, like support from our children’s local hospice, when it came to end of life care at home for Oliver, things became much harder. After being told that it would be very difficult to put a care package in place for this to happen, I was forced to take on the task myself – instead of spending precious time with Oliver.

I made a nuisance of myself. I spent hours on the phone, pushing to try and get things moving. Ultimately it was because of that and the goodwill of nurses who wanted to help that we got something in place – not because they were being funded to do so.

In mid-November 2023, Oliver’s health started to decline. And by December, in the last two weeks before he died, our friends and family took shifts to be with Oliver through the night, and nurses worked beyond their contracted hours to cover the care he needed.

In the end, Oliver died peacefully and without pain. It was a good experience, if you can describe it as that.

But to get to that point cost a lot. I honestly thought that when your child is dying, you would have 24/7 care at home, funded by the state. But it turns out, that just isn’t the case.

Families like mine aren’t getting the care they need, and aren’t able to make choices about their child’s end of life, because of where they live. So many feel abandoned and overwhelmed by a system that is failing them. I know there is an endless list of health and care issues in the UK, all clamouring for budget and recognition and all with enormous merit. But when we are unable to prioritise or meet the needs of our dying children, something in our society is broken beyond repair.

How do we live in a world where parents aren’t able to give their dying child the best end of life experience? How is it okay that children like my beautiful Oliver aren’t treated as a priority?

You have the power to change this, but time is short for seriously ill children. Please act now to build a children’s palliative care sector that lasts.

Yours sincerely,

Clare Buchanan

In England, we think there is a £310m funding gap for children's palliative care. It's just 0.16% of NHS England's annual budget and 70 times smaller than its increase in 2024/25.
There are also some worrying workforce shortages. The NHS currently employs 973 Community Children's Nurses. Roughly 4,000 more are needed to meet safe staffing levels.
All of this has left families feeling abandoned and overwhelmed. Only half (50%) feel well supported, while nearly half (47%) feel like they have no help with practical or financial matters.

I had to fight for the right end of life care for my son

When Clare settled in the North West of England, she never thought she’d be fighting for her child’s care because of where she’d chosen to live.

Oliver died peacefully on 2 December 2023. Clare, Oliver’s mum, describes his death as “a good experience, if you can describe it as that.” But this isn’t the case for all seriously ill children across the UK.

Clare made herself heard to get access to the care she felt that Oliver needed. She says “I am very aware of how this time can unravel for families. So, we count ourselves lucky.”

The area where Clare lives is one of 39 in England which don’t, or only partially, provide 24/7 end of life care at home. This needs to change.

A graphic of a map with the text: only a minority of local NHS bodies across the UK plan and fund 24/7 end of life care at home for seriously ill children.

Our latest report: Built to Last? The State of Children's Palliative Care in 2025

Every child deserves the chance to live a full life, supported by care that enables them to thrive. Children’s palliative care provides this essential support to seriously ill children and their families – helping them spend precious time together and accessing the care they need, when and where they need it.

Yet our new report shows that despite some progress in the past year, families struggle to access this specialist support. Not because of the complexity of their needs, but because of where they live.

Our system is continuing to fail too many seriously ill children.

Donate today to help seriously ill children and their families