Introduction As people live longer with multidimensional health and end of life care needs, palliative care provision is becoming increasingly complex. Demands on our Services are changing; therefore, as new models of care emerge, enabling patients to live well becomes Severn Hospice’s focus.

Method At the beginning of 2018 Day Services were restructured to secure leadership and maintain momentum taking this important initiative forward. Several Hospices across England were scoped, observational studies began and attendance at the APDS over consecutive years maintained in order to network and benchmark progress. Feedback was collated from staff, referrers and patients to establish if services were fit for purpose. Several patient case studies were completed leading to the restructure and rebranding of services.

Results A phased approach towards new structures of care was applied over a 12-month period. This incorporated a triage system with an 8-week assessment programme, a drop-in networking coffee morning and an education programme. This structure was supplemented by craft workshops, complementary therapy, guest visitors, music workshops, Look Good Feel Better, voluntary agencies, specialist nurses and the Multi-disciplinary team. The overhaul of our literature and promotion was essential in raising the profile of these services and the overall success of this project. The focus remained on patient engagement, enablement and self-care throughout. Staff were supported during the transition with additional training, project days and team away days. All team members tackled complex, unknown territory, receiving outstanding patient feedback in return.

Conclusion From 2019 Day Services continue to successfully coordinate these services and are always looking for ways to increase accessibility and choice for our local population. Referral rates and contacts continue to increase. Joint working with other agencies has improved making the transition between services more.