Support for families, wherever they may be.
Decision making in end‑of‑life care
When a much‑loved companion is living with ongoing illness or pain, nearing the later stages of life, or facing a new diagnosis that feels overwhelming, the choices ahead can feel heavy and uncertain. It can be hard to know what to focus on, or how to make sense of what you are seeing day to day.
From October, as a certified hospice and palliative care veterinarian, I will be offering one‑to‑one, advice‑only conversations for caregivers who would like a quiet, supportive space to think through end‑of‑life decisions. You choose the areas we explore, and together we take the time to understand what feels most helpful for you and your companion.
These conversations may include:
• Understanding your companion’s quality of life • Recognising general signs of chronic pain or distress • Typical patterns in disease progression and changes seen as an animal approaches dying • How anticipatory grief can shape decision‑making and the bond you share • Preparing clear, practical questions for your veterinary team and shaping an advance care plan
This service is supportive, not medical. I do not diagnose, advise on medicines or prescribe, or provide emergency care. Instead, I offer a thoughtful, private conversation to help you feel steadier, more prepared, and less alone.
A 60‑minute session, by video call or phone, is £90 and can be booked online using the button at the top of the website. You can come to me directly, without referral from primary care.
Comfort support – palliative‑informed guidance for changing needs
When your companion’s needs are shifting but it is not yet time to say goodbye, a Comfort Support Review offers gentle, palliative‑informed guidance.
Building on from our end‑of‑life decision‑making conversation, where I learn about your companion’s story and what matters most to your family. That shared understanding helps shape the review and ensures it reflects both your lived experience and the clinical information provided by your primary care team.
Comfort support sits alongside your primary vet’s medical care. Your vet remains responsible for diagnosis and treatment. My role is to reflect on your companion’s comfort, how their symptoms may be changing, and what those changes might mean for the weeks or months ahead. This palliative‑informed lens can gently highlight themes that are not always part of routine clinical decision‑making.
Any reflections or summaries are shared solely with your primary care team, who will decide whether any observations are relevant in supporting your companion in their ongoing care.
The fee for this service is £80, and the review is completed within 2 weeks of receiving your companion’s clinical history.
If you feel this support would be helpful, please speak with your primary care vet first to confirm they are willing to share your companion’s clinical history. Once they have agreed, I can contact them on your behalf. Comfort‑focused support is still developing within veterinary medicine, and some practices may choose to decline. I am always happy to speak with referring clinicians beforehand so we can explore our shared goals of care.
I look forward to working alongside families to bring comfort, clarity, and support during this time.