Background One in five households lacks access to a private or shared garden in London. The hospice is positioned in two-acre grounds which provides a serene outdoor space for patients and families. The launch of Living Well outpatient services in May 2023 aimed to expand reach with individual and group support.

Aim To facilitate enjoyable and meaningful activities through gardening, fostering social interaction, skill development, cognitive stimulation and therapeutic benefits within the setting of the hospice garden.

Method The intervention consists of three groups, each meeting for four sessions over an eight-week period:

• The Patient Group, led by a Senior Occupational Therapist, accommodates six patients. Weekly activities focus on planting, providing patients with an opportunity to engage in meaningful tasks while being encouraged to invite their carers if required.

• The Carers Group, led by a Senior Counsellor and the Head Gardener, caters to six carers, engaging in outdoor activities e.g. planting in patio planters or raised beds.

• The Bereaved Relatives Group, led by a Senior Counsellor and the Head Gardener, provides support for up to six clients. Activities centre around planting as a therapeutic outlet for grieving.

Results The groups are in the initial phase of delivery. Gardening group for patients = 8. Gardening group for carers = 2. Gardening group for bereavement = 3.

Conclusion Utilising gardening as a therapeutic and social support tool in the hospice’s garden setting offers a holistic approach to care, promoting wellbeing and resilience among patients, carers, and bereaved relatives. Through structured group sessions, participants engage in meaningful activities, fostering a sense of community and connection while benefiting from the therapeutic elements of gardening. This approach underscores the hospice’s commitment to enhancing the quality of life for individuals facing life-limiting illnesses and supporting families through the journey of care and bereavement.