Carers must be identified and assessed by health professionals before acting on this information. Seriously ill people often want to spend their last days of life at home being cared for by family or friends. This website details how carers, who are looking after a very ill person at home, can be taught to give extra (top-up) doses of medication under the skin to the person they are caring for when they experience ‘breakthrough’ symptoms (that is, symptoms not controlled by their regular medication). This will be in addition to the care they are already receiving. There is also a Lincolnshire policy on this procedure. However the Helix protocol has been adapted for Covid-19

The site aims to offer up-to-date, evidence based information and guidance on professional aspects of palliative care. You are members of the East Midlands Cancer Network.