Fife Specialist Palliative Care

Increasing numbers of people are living with advanced illness and will benefit from palliative care support.  In many cases palliative care is provided by their usual healthcare team, including their GP, District Nurses and Hospital Teams.  However, some patients, and those important to them will benefit from the support of the Specialist Palliative Care Team.  For patients with complex palliative care needs input from Specialist Palliative Care can be helpful to support their usual Primary Care and other clinical teams, as well as directly supporting and providing information to patients and those important to them.

Specialist Palliative Care Service

The NHS Fife Specialist Palliative Care Service provides support to patients, and those important to them, who are living with advanced illness (both cancer and non-cancer diagnoses) and who have complex physical symptoms or psycho-social or spiritual needs.  The service provides in-patient hospice admissions, day services, reviews of acute hospital in-patients, community speciailist nurse and 24/7 medical advice to professionals by telephone.  Domiciliary visits by senior medical staff are also occasionally possible.

The team is multi-disciplinary with specialist medical and nursing staff, counsellors, occupational therapists, physiotherapists, dietician, pharmacist, complementary therapists and works closely with the Department of Spiritual Care.  The Children and Families Service offers practical advice and emotional support, in all settings, to parents facing preparing and supporting their children to understand the nature of the illness, adjust to changes in the ability of their ill parent, to prepare them for parental death and to offer support with bereavement proceses.  The team will offer either a one-off or short period of assessment (in the community or hospital settings) or ongoing review and follow up depending on need.

There are 19 in-patient hospice beds between the two hopice units (Victoria Hospice in Kirkcaldy and Ward 16 Hospice unit in Queen Margaret Hospital, Dunfermline).  The service also provides support to a 4 GP-led palliative care beds in both the Adamson Community Hospital in Cupar and St Andrews Community Hospital.  A team of Specialist Nurses and Doctors review patients with palliative care needs in the Victoria Hospital, Kirkcaldy.  Community Specialist Palliative Care Nurses review and support patients in their own homes and care homes.  The Victoria Hospice, Kirkcaldy offers a Day Service where people can attend one day per week for input from the multi-disciplinary team.

For general enquiries please contact:

Fiona Mackenzie

Clinical Services Manager

01383 565330


NHS Fife provides accessible communication in a variety of formats including for people who are speakers of community languages, who require Easy Read versions, who speak BSL, read Braille or use Audio formats.

 NHS Fife SMS text service number 07805800005 is available for people who have a hearing or speech impairment.

 To find out more about accessible formats contact:

or phone 01592 729130






We have placed cookies on your computer to improve your experience here. If you do not want us to use cookies you can change your settings at any time.