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Warning

The Borders Specialist Palliative Care aims to provide advice and support to patients and relatives to those who have advanced life shortening conditions and are experiencing complex symptoms and /or have unmet needs.

The teams consist of medical, nursing and allied health professionals who are experts in complex symptom management and care in dying, and can also support with Advance Care Planning, emotional and psychosocial support and practical advice as required.

Specialist Palliative Care Services in Borders region consist of:

  • Community Palliative Care Team – Team of Clinical Nurse Specialists (CNSs) with Palliative Medicine Consultant Support
  • Margaret Kerr Unit – Acute Specialist Palliative Care In-Patient Unit. 8-bedded specialist setting with multidisciplinary team
  • Borders General Hospital Palliative Care Outreach Team (Referrals are internal only from other hospital teams)

Who to refer, who not to refer, how to refer

Who can refer:

Any healthcare professional can refer although we request that the patient’s own GP is aware of the referral

Who to refer:

  • Patients over 16 years (and their families and informal carers) with complex problems associated with active advanced and progressive illness, irrespective of underlying diagnosis.
  • ‘Complex problems’ are defined as those which are: severe and unable to be managed by current care team or setting. Please consider early contact with the team if you have any questions regarding referral.
  • If requesting an inpatient admission: the person must have active, progressing Life shortening condition resulting in complex physical, psychosocial, emotional and/or spiritual problems.

Who not to refer:

  • People who do not have specialist palliative care needs
  • People who do not have a life shortening condition.
  • Chronic pain patients

Please contact the team for advice if unsure.

How to refer:

Referrals for Community Specialist Palliative Care Servies can be sent on Referral Form (link here) and emailed to: palliative.careteam@borders.scot.nhs.uk. Please note access to Margaret Kerr Unit from the Community can only be considered with Community Palliative CNS input.

A phone call is often helpful to highlight urgent needs and to provide background – please use phone number as below.

The team is available Mon- Friday 8.30am-4.30pm (except Bank Holidays).

Primary care management

For professional advice on patients known the Specialist Palliative Care Team:

Monday-Friday 08.30 to 16.30 (Except bank holidays), please phone: 01896 827914 OR Monday – Friday 0900 – 1700 Borders General Hospital Switchboard 01896 826000 and request to be put through to the Palliative Care Bleep

For professional advice out with the above hours, please contact the 1st on call palliative care doctor who can be accessed via hospital switchboard on 0131 536 1000

For syringe driver medicines compatibilities please check Syringe pump / driver compatibles | Right Decisions initially.

Further links to useful clinical information can be found in the Resources Tab on this page

 

Local service details

Margaret Kerr Unit (Acute Specialist Palliative In-Patient Unit)

Borders General Hospital

Melrose

TD6 9BS

01896 827914 (0830 – 1700 Mon – Fri)

01896 827919 (Nurses Station, re current inpatients only)

palliative.careteam@borders.scot.nhs.uk

 

 

Borders Community Palliative Care Team

Borders General Hospital

Melrose

TD6 9BS

Phone 01896 827914 (0830 – 1700 Mon – Fri)

palliative.careteam@borders.scot.nhs.uk

 

 

Borders General Hospital Specialist Palliative Care Outreach Team

Margaret Kerr Unit

Borders General Hospital

Melrose

TD6 9BS

Phone 01896 827914 (0830 – 1700 Mon – Fri)

palliative.careteam@borders.scot.nhs.uk

 

Out of Hours Advice:

For specialist palliative care advice Monday-Friday 5pm-9am and Weekends/Public Holidays:

Please contact the 1st on call palliative care doctor via hospital switchboard on 0131 537 6000.

  • Advice is provided by either a consultant or palliative care registrar/specialty doctor with direct consultant support

Editorial Information

Last reviewed: 29/07/2025

Next review date: 29/07/2027

Author(s): Dr. Jennifer Brennock.

Author email(s): Jennifer.brennock@borders.scot.nhs.uk.