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This viewpoint paper focuses on the important role played by hospices in the UK in providing specialised end-of-life care for older people with complex needs – particularly for the growing number who choose to die at home. With demand for such care growing, the paper highlights the funding issues facing the independent hospice sector and the implications for hospices of receiving more state funding. The purpose of this paper is to highlight the challenges that hospices in the UK face in providing home-based palliative and end of life care for older people.

This a viewpoint paper informed by recent reports and research findings, as well as the author’s own work within the hospice sector.

The demand for specialised community-based and home-based palliative and end-of-life care is growing. The Covid-19 pandemic prompted wider discussion about what constitutes both “a good death” and good end-of-life care. This confirmed that most older people would prefer to end their lives free from pain, in familiar surroundings and not in hospital.

The specialised end-of-life care provided by hospices is rated highly by the regulator and the communities which they serve. In recent years, more attention has been given to providing “hospice at home” services, but coverage is limited largely due to lack of funding, the bulk of which comes from charitable fundraising. To provide a more equitable service, the fragility of the hospice funding model needs to be addressed.

If the state expands its funding of hospice care, it is important that charitable fundraising also continues to take place and is encouraged. This will help ensure that the good links between hospices and local stakeholders are maintained.

The funding of the hospice sector in the UK has been the subject of several reports both by governmental and non-governmental bodies, several in the last year. However, it is an issue of growing importance and the whole subject needs a fuller airing in academic circles.

This paper aims to highlight current finding issues relating to the provision of hospice care services which are largely provided by the independent sector and heavily reliant on charitable fund raising. The primary focus is on the UK, but it is an issue of relevance to many other countries around the world.

The paper is an opinion piece informed by contemporary reports, official publications and research findings, as well as the author’s own work within the hospice sector.

As with many other countries around the world, the bulk of hospice funding in the UK comes from charitable donations of various kinds. However, the impact of COVID-19 highlighted both the fragility of this funding model and the precarious nature of hospice sector finances currently.

This is an issue of growing importance that affects older people and their families not only in the UK but in all countries with ageing populations. Hospices play an important role in providing end-of-life care and, with demand for services steadily rising due to demographic trends, there are important questions about the sustainability of the current hospice funding model.

Issues of funding require a much higher level of engagement from policymakers if hospice care is going to continue to play a significant part in achieving a good death for people from all sections of society.

Although hotly debated within the hospice sector and in official reports, this issue has yet to be properly examined within academic circles.

This paper comments on emerging themes derived from recent official publications on older people's advocacy in the UK. There is an examination of relevant policy documents and the responses from service user groups. Discussion includes: clarity in defining advocacy; the nature of the advocacy relationship; sustained and reliable financing of advocacy services; the uneven nature of provision; lack of inter‐agency connectivity; the need to establish national standards for advocacy; problems of mental capacity; and advocacy for care home residents and for minority groups. The need for and direction of further research is proposed.

This article is based on a small‐scale study into a tai chi class for older people at risk of falling. The aims of the research were first, to explore what benefits the class members felt they derived from practising tai chi and second, and more specifically, whether or not the class members actually practised tai chi at home. The study was based on two broad assumptions. The first being that the practice of tai chi has benefits for older people at risk of falling. The second assumption being that, such benefits that might result from tai chi, increase with more frequent practice. The latter assumption prompted the desire to investigate whether the class members practised tai chi at home. It was hoped that if it was discovered that class members derived benefits from tai chi, and were, for whatever reason, prevented from practising at home, that some solutions could be found in order to facilitate further practice.The research revealed, somewhat surprisingly, that the members did not believe that tai chi had necessarily reduced their risk of falling. However, notwithstanding this, their commitment to tai chi was very strong. The findings suggest that tai chi had a symbolic value for this predominantly middle‐class group. It allowed them to ‘buy into’ a third age lifestyle, despite increasing intimations of entering the fourth age. The members used tai chi, not only to improve balance and fitness, but also as a means of achieving a positive self‐image. It was therefore an age‐resisting strategy that operated on both a physical and symbolic level.

Based on a case study, this paper discusses the issues raised and problems faced when trying to negotiate access to the system of statutory reviews for older people residing in care homes in England. Efforts to recruit participants proved to be more difficult than anticipated. However, the prolonged period of field negotiation yielded its own set of data with which to better understand the adult social care system in England. The paper provides a critical reflection on the reasons behind the care managers’ reluctance to participate and the strategies employed to deflect attention or resist involvement. The discussion provides a broader context in order to allow for wider applicability of the findings across other similar situations.

Older care home residents who are assisted financially by their local authority have to have their placements reviewed at least annually. Such reviews provide an opportunity for the older person and their relatives to comment on the care that they receive.One of the themes that emerged from a recent study into the care home review system in one local authority was that older people who self‐fund do not have this opportunity and that this was inequitable. This paper discusses the possible benefits of extending the review system to include self‐funders, together with some of the issues that this might raise.

This paper originates from accessing the Cornwall Council website (Cornwall Council, 2010) in order to download the report of the serious case review into the murder of Steven Hoskin for teaching purposes on a Post‐Qualifying Social Work programme. However, there were another two serious case review reports posted, which were also relevant to the course. This reflective piece follows from a reading of the executive summary of one of them ‐ the Serious Case Review report into the death of JK (a 76‐year‐old female) in 2008 in Cornwall (Cornwall & Isles of Scilly Safeguarding Adults Board, 2009). While adult safeguarding is everybody's business, because of the original reason for accessing the report, the paper approaches the issues primarily from a social work perspective.