Background It is well known that approximately 70% people in the UK have expressed a wish to die at home. Currently only about 20% do so, often due to inadequate provision of care at home. There is a strong strategic drive to develop community-based services to narrow this discrepancy between preference and reality. Understanding the personal experience of patients and carers is essential to ensure provision of patient-centred services that meet their needs at the end of life.

Aim To determine how the views of patients and carers regarding preferred place of care (PPC) for end of life care differs depending on the level of health and social support available to them at home.

Method A short six question survey was distributed to all patients and carers accessing an integrated Specialist Palliative Care service in the North West of England during 1 week. The patient's Specialist Palliative Care key worker followed up any issues that arose from completing the survey.

Results The results will present and discuss the views of service users with regards to: • the PPC of patients and carers given their current level of support at home • patients and carers wishes for community-based services in an ideal world • how the PPC of patients and carers wishes would change if this ideal support were available • patients and carers top three priorities for care in the last weeks and days of life.

Conclusion This survey has identified how patients and carers wishes and preferences for end of life care change depending on the level of support they receive at home. Strategies will be discussed as to how these views could have been incorporated into the redesign of generalist and specialist palliative care services locally.