Aim In the last two decades in Germany some different projects for specialised outpatient palliative care (SAPV) were developed. Since 2007 it is benefit of health insurances; so the number of providers is growing. The main problem is heterogenity of structures and coverage of rural districts. The authors developed an independent palliative care network for provision of rural areas in Saxony, Germany.

Methods Prospective documentation and assessment of achievements of the palliative care network from its beginning as accompanying research.

Results In the last year (7 January 2010 to 7 January 2011) Home Care Sachsen cared for 310 patients (pts); 234 pts. died. 192 pts (82%) could die at home. Average age was 69 years (between 32 and 91 years); 52% of pts were male.

Conclusion Because of lower density of pts, longer distances and poorer level of infrastructure provision of SAPV in rural regions is difficult. The construct of a multi-professional network is a useful way to provide specialised palliative care in an outpatient setting. The high rate of home deaths (82%) is a sign of good quality in outpatient palliative caring. Structure details of the palliative care network will be presented.