Children's Hospice at Home Nurses

The children's hospice at home nursing team is partly funded by The Pepper Foundation and is managed by Rennie Grove Hospice Care.   The team of specialist nurses offer specialist palliative nursing care to children and young people up to 19 years of age with a life-threatening or life-limiting illness.  The nurses work with families to provide care and support for each child in their own home and the on-call service is available 24 hours a day, 365 days of the year.  They work in partnership with all other professionals involved with the child and family to ensure co-ordination of care.This means that patients and their families feel supported and in control. They know that help is is never more than a phone call away.

Watch the Children's Hospice at Home nurses at work!

A Day in the Life – a short film following the Children's Hospice at Home nurses visiting 4 different families caring for children with life-limited or life-threatening illnesses in their own home. (4 minutes)

With a Little Help from Our Friends – a more in depth look at the work of the team across Buckinghamshire and Hertfordshire. 

‘You could almost open the door to a Pepper children’s nurse then walk out – they’ll know just what’s needed.’  Tim, father of Sophie, a children's nursing team patient


area map

The service is provided free of charge for children throughout North West Hertfordshire and the Chilterns area of Buckinghamshire and is responsive, flexible and tailored to meet the needs of individual families.

In 2015 an additional nurse was recruited which has enabled support to be offered to more families in North West Hertfordshire - the service has expanded into St Albans and Harpenden.

Care and support may include:

  • Symptom control and management with specialist paediatric palliative care medical support
  • Hands-on nursing care
  • End of life care to enable a child and family to remain in his or her own home when they want to
  • Short break care, usual around three hours.  May include social activities for the child where appropriate
  • 24/7 telephone link which families can access for advice, support and visits when required
  • Emotional support for the child and the family
  • Pre and post bereavement support for parents 
  • Sibling support in  the form of one-to-one sessions and/or as part of the Pepper Sibling Group
  • Support with transition into adult services

We recognise that a terminal illness does not just affect the patient; the rest of the family are also affected. Family support has always been an integral part of the team's philosophy of care.  

Families incur no charge for using the service   


The paediatric service receives less than 20% in statutory funding.  As a registered charity, Pepper relies heavily on the generosity of the local community to help us support this vital service.

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