Each year, Pilgrims Hospices support thousands of people across east Kent who are living with life-limiting conditions.
Although hospice care is often associated with beds on in-patient wards, much of Pilgrims’ care takes place in the community – in people’s own homes, and in care homes.
Thanks to skilled, compassionate and dedicated community teams, Pilgrims is able to bring hospice care directly to patients who wish to remain at home, or in familiar surroundings, rather than be on a ward. This includes Hospice at Home, a team of Healthcare Assistants (HCAs) who attend to patients who are at the very end of their life and/or who have suddenly, rapidly deteriorated.
Jo Cottam, a retired NHS Senior Manager turned holiday let owner from Tenterden, experienced Pilgrims’ community care after her mum, Patricia Edwards, was diagnosed with vascular dementia. She shares how Pilgrims supported her mum and their family at the end of Patricia’s life.
Jo shares her story:
“In 2019, my mother was diagnosed with vascular dementia. She lived in a charming cottage on our property, spending her days with us in the main house and returning to her cottage at night.
In early July 2025, Mum’s health took a concerning turn. She stopped eating for about a week, drank less than we hoped, and lost her mobility, making walking (especially navigating steps between our house and her cottage) extremely difficult and distressing for her. My husband, Simon, and her carer, Steve, provided essential support, but we grew increasingly worried.
We decided to keep Mum in her cottage full-time, as moving her was too challenging. This meant constant supervision, as she couldn’t be left alone. Encouraging her to take fluids was a slow, painstaking process of syringing small amounts into her mouth. On 10 July, we called our GP, who visited promptly. He prescribed antibiotics for a possible UTI, end-of-life medications, and arranged a referral to Pilgrims’ Hospice at Home team.
Jo’s mum, Patricia
After a three-day course of antibiotics, Mum began to improve, slowly resuming eating and drinking.
Soon after, I received a call offering additional care support, which we desperately needed. Mum required physical assistance to move between her bed and sofa, constant prompting to eat and drink, and round-the-clock supervision.
Unfortunately, the caller later informed us that no additional care could be arranged immediately, though an equipment assessment was scheduled for the next day.
To our surprise and relief, that evening, two wonderful Hospice at Home carers, Jo and Sandra, arrived and said they would visit Mum twice daily. I was initially apprehensive, as Mum was used to familiar faces, but Jo and Sandra’s warmth and gentle introductions put her at ease. Mum smiled and co-operated fully, a testament to their kind and professional approach.
Over the next few weeks, every pair of hospice carers who visited showed the same compassion, treating Mum with dignity and respect.
They also supported our family, offering practical advice and emotional reassurance in overwhelming moments.
As a former Senior NHS Manager with over 25 years of experience, and with my husband, a retired Consultant Anaesthetist, we both recognise exceptional care when we see it. The hospice carers delivered first-class service.
We were astonished to learn they travelled significant distances to reach us in Tenterden, covering a vast geographical area. The team, led by the remarkable Mandy Hilden, exemplified dedication. Mandy’s hands-on leadership was inspiring – she never asked her team to do anything she wouldn’t do herself.
The carers went above and beyond, ensuring Mum was clean, dressed in her preferred clothes, and had her hair washed and styled. They made her laugh and calmed her anxieties, especially when she became distressed during repositioning, gently reassuring her even when she grabbed them in fear.
The rapport we built with the hospice carers in such a short time was extraordinary.
On 24 July 2025, Caitlin, a Palliative Specialist Care Nurse from Pilgrims, visited to assess Mum for potential future hospice care. Caitlin’s professional yet friendly demeanour brought smiles to Mum’s face. She patiently explained everything and answered our questions thoroughly. At the time, Caitlin was optimistic about Mum’s condition, believing hospice care wouldn’t be needed soon.
Tragically, on 29 July 2025, Mum passed away suddenly and peacefully at home, with us by her side, holding her hand. Caitlin, upon hearing the news, called to offer her condolences and support. Her kindness, taking the time to listen and guide me toward the hospice’s counselling services, meant the world during such a shocking and painful moment.
Pilgrims is an exceptional organisation, dedicated to supporting individuals with terminal illnesses, offering compassionate care in both community settings and specialised units. They prioritise the needs and dignity of each person, ensuring the highest quality of care during their final days.
Additionally, Pilgrims provides a nurturing environment for families, fostering support and understanding throughout the process.
The hospice team’s communication, care, and support for both Mum and our family were exceptional. We are immensely grateful for this vital service, which relies so heavily on charitable donations. Their compassion and professionalism made an unbearable time more bearable, and we cannot thank them enough.”
Pilgrims Hospices provides compassionate, specialist care free of charge to thousands of people in east Kent each year who are living with life-limiting conditions. Support is offered in patients’ homes, in the community, and at our three hospice sites in Canterbury, Thanet and Ashford. We also run a 24-hour advice line.
8th October 2025
Caring in the community: Stephen and Heather’s Hospice at Home story
When Stephen Coles looks back on the care his wife, Heather, received in her final months, he speaks with deep gratitude for the compassion and tenderness shown by the Pilgrims Hospices Hospice at Home team.
Heather, aged 64, had been living with Parkinson’s and Lewy Body Dementia. She died peacefully at home on 29 July 2025, with her husband by her side.
Heather
Heather had enjoyed a long and dedicated career at Benenden Hospital, where she worked for more than 25 years, most recently as Director of Infection Control, before retiring early due to ill health.
Stephen, who also worked at Benenden, cared for Heather at home in Ashford throughout her last year of life. As Heather became more frail and her needs increased, they were supported first by the Pilgrims community team, and later by the Pilgrims Hospice at Home carers.
Stephen and Heather met online in 2011, and their love story began soon after. They shared their first date at The Tickled Trout in Wye and, as Stephen fondly recalls, they both ordered the same meal of liver and bacon.
“I knew straight away she was the one for me,” he said.
As Heather’s condition progressed, their home was adapted to make caring for her easier, with a hospital bed moved into the downstairs room. Stephen stayed close by her side, sleeping nearby to offer reassurance and comfort.
Stephen and Hannah
Heather’s daughter, Hannah, was also a great support to both her mum and stepdad.
When the Hospice at Home team began visiting, Stephen immediately felt the difference their presence made:
“They didn’t just wash and care for Heather,” he explained. “They did so much more than I expected – washing her hair, tending to her so gently and with such kindness. I found their support really helpful for me, too. The level of care and commitment they showed was exceptional.”
The Hospice at Home team specialises in supporting patients and families at the very end of life, providing comfort, dignity, and peace at home.
Mandy Hilden, Team Lead, said:
“We know this is such a difficult time for those we visit, so we make sure we arrive with the right mindset to help both our patient and their family. We can’t make them better, so let’s make it the best end of life that we can.”
Hannah, a yoga teacher, added her own reflections:
“At first, there was an element of disappointment when we realised Mum was too poorly to be moved to the hospice. But we soon saw what the Hospice at Home team could achieve at home – it was extraordinary. The personalised, gentle care made such a difference. We all felt safe, like a weight had been lifted. There was no rush, just calm, attentive support.”
For Stephen, having the Hospice at Home team alongside them made Heather’s wish to remain in her own home possible, surrounded by love.
“After a difficult and tiring year, we were so pleased to have their support,” he said. “They cared for Heather so tenderly and were there until the very end. It gave us the chance to be with her at home, just as she wanted.”
He added: “Both Heather’s and my own children have been a tower of strength during these early weeks after Heather died. It has been a difficult time for us all, but I’ve felt it important to share the message about this very special element of Pilgrims Hospices care. The Hospice at Home team made Heather’s end-of-life journey as comfortable as possible, and we will always be grateful.”
Heather’s family chose a green burial with close family and friends, followed by a celebration of her life at Eastwell Manor, where Hannah teaches yoga. Almost 200 family, friends and colleagues came together that day to remember Heather and celebrate the life of a much-loved wife, mum and friend.
“It was a joy to be surrounded by so much love,” Stephen shared.
In Heather’s memory, the family set up a Facebook fundraising page, which has raised more than £1,400 so far, to be shared between Pilgrims Hospices and the Lewy Body Dementia support group – a lasting tribute to Heather’s life and legacy.
Each year, Pilgrims Hospices care for thousands of people across east Kent, with services provided from its three hospice sites in Ashford, Canterbury, and Thanet, as well as in patients’ own homes. It costs over £17.2 million annually to run these services, much of which comes from the generous support of the local community.
12th September 2025
“I can’t praise the hospice highly enough”: Why David is leaving a gift to Pilgrims in his Will
Pilgrims Hospices cared for David’s wife, Dawn, at the end of her life.
Here, David shares why he has chosen to leave a gift in his Will to Pilgrims.
“My wife, Dawn, battled cancer for 14 years and sadly passed away on 23 July 2024. The service and support that the Pilgrims team provided from the Margate hospice as part of Dawn’s Hospice at Home care package was exemplary. At a time when I was very stressed and highly emotional, the help and understanding that these very kind people gave me was very comforting. My wife was very well cared for and had a perfectly dignified passing and for that I shall be eternally grateful to you.
I would strongly recommend that people should consider leaving something in their Will to Pilgrims Hospices, however small. Pilgrims is a charity, and whilst they do provide a free service to those people who need their help and support at such an emotional time, it shouldn’t be forgotten that it does cost money to actually provide that help and support. They need to continually raise money to continue financing that service.
A personal big thank you for all the help and support that I received from the Pilgrims team. I couldn’t have got through my Dawn’s end-of-life without it. I can’t praise the hospice highly enough.”
–David, Dawn’s husband
Pilgrims Hospices provides compassionate, specialist care free of charge to more than 3,000 people in east Kent each year who are living with life-limiting conditions. Support is offered in patients’ homes, in the community, and at our three hospice sites in Canterbury, Thanet and Ashford. We also run a 24-hour advice line.
16th September 2021
Hospice at Home: “The hidden gem of hospice care”
Pilgrims Hospices offer a wide range of support to people across east Kent who are living with life-limiting conditions – on its wards and in its Therapy Centres in Ashford, Canterbury and Thanet, and also out in the local community within peoples’ own homes.
One such service is Hospice at Home; working with those considered to be within the last 72 hours of life, this vital team of Senior Healthcare Assistants (SHCAs) support families through the dying process at an incredibly difficult and important moment. Between them, they travel across the whole of east Kent to offer their skills and support. They work in shifts from 07:30-21:00, always in pairs.
Mandy Hilden, Hospice at Home Team Leader
The Hospice at Home service began in 2009 and is a small team of seven: Mandy Hilden (Team Leader), Becky Baldwin, Sharon Beal, Daniel Brown, Tracy Fullarton, Sharron Hill and Rachel Kendall-Jones.
Referrals to the service are made via GPs, Pilgrims’ multidisciplinary team, a hospital palliative care team or district nurse, and the Hospice at Home team aim to respond within four hours.
If a patient wants to be discharged from hospice or hospital care to die at home, the team help to make this possible; 24-hour care at home is not available, but the team can visit a couple of times a day to provide support and personal care.
Duties are numerous and varied, and no two days are the same.
The team said:
“We help with personal care and offer emotional support to families and carers. We’re not time-restricted like some care providers are, so it’s nice to be able to give people our full, undivided attention for as long as they need it.
“We have a good relationship with district nursing teams, who we contact if a patient needs medicines administering. We also report any changes in a patients’ condition to them and the palliative specialist nurses, so that their care is joined up and tailored to them.
“Although we can’t offer overnight sits, we can refer to organisations that do so families are able to rest and catch up on some sleep.
“Hospice at Home is the hidden gem of Pilgrims’ care. There’s often an assumption that we only offer inpatient units on the ward, but there’s so much more. It’s such a rewarding role, and it’s a real privilege to be allowed into peoples’ homes at a very difficult time. We’re not there to take over, just to support; you can see the pressure taken off family members when we arrive. It’s lovely to go home knowing you’ve done a good job.
“It can be an emotionally and physically challenging role, but we also have an overwhelming feeling of pride and reward in what we do. It’s a real privilege to be able to support patients and families at an extremely personal time.”
It’s such a rewarding role, and it’s a real privilege to be allowed into peoples’ homes at a very difficult time. We’re not there to take over, just to support; you can see the pressure taken off family members when we arrive. It’s lovely to go home knowing you’ve done a good job.
Hospice at Home team
Hospice at Home has continued to be a much-needed and appreciated service during COVID-19. Early on in the pandemic, no visitors were allowed in the hospice buildings; as people were advised to stay home, more were able to care for loved ones there. This meant that many patients chose to be at home with loved ones at the end of their lives. The team was also deployed to the hospice wards and wider community, supporting where needed, especially at the height of the second wave over Christmas 2020.
The team holistically accompanies patients in their journeys – from identifying when they’re nearing the end of life, providing last offices for loved ones, and caring for the family afterwards.
They continued:
“Most SHCA skills are transferable to other roles, particularly when working on the hospice wards, which we have often covered as a team. During the pandemic, we’ve regularly supported our colleagues at this very challenging time.
“Our team became trainers for local nursing and residential homes, showing staff how to ‘don and doff’ PPE correctly. We also assisted a nursing home that was in crisis when their staff and residents all contracted COVID.”
The team’s compassion and commitment is reflected in feedback from families they have supported:
“The carers who came twice a day were amazing, they helped wash my dad, used his favourite body spray, combed his hair. He looked so much more himself and comfortable afterwards, with dignity.”
“The support I received caring for my sister was unbelievable, the team were amazing with everything. I felt like I had gained two more special sisters during this difficult time.”
“They looked after my father daily, looking after his personal needs. They were and are amazing. As soon as they started with us, their confidence and manner calmed us all down. A ray of light in a very bleak time.”
Kate White, Head of Nursing at Pilgrims, said: “Hospice at Home offer an invaluable service to those wishing to die at home by attending their home to give expert personal care in the last few days of life. They are able to take the time to support the patient and their loved ones at a most difficult time, with compassion and dedication. I receive numerous compliments from family members who’ve been so grateful and relieved for their input, as it means the patient’s wish to die at home is fulfilled. The team is vital to our overall hospice service, giving people choice and an alternative to inpatient care.”
Main image, L-R: Rachel Kendall-Jones, Sharon Beal, Daniel Brown, Sharron Hill, Tracy Fullarton, Becky Baldwin
Each year Pilgrims Hospices give care and comfort to over 2,500 people in east Kent who are coming to terms with an illness that sadly cannot be cured. The charity support patients to live life as well as possible until the very end, free from pain and distress.
14th September 2021
Valued volunteer Dea will be sadly missed at Pilgrims Hospices
Long-time Pilgrims volunteer, Dea Martindale from Sturry, passed away under the care of the hospice she supported and loved on 23 August 2021.
Dea who was 79, had been diagnosed with motor neurone disease in October 2020 and had become more unwell suddenly in early August 2021.
She spent a short while in the Canterbury hospice before returning home under Pilgrims’ Hospice at Home care team.
Corrina Collins, Dea’s daughter said: “Mum was extremely proud to be a volunteer at the hospice, it was an important part of her life and very much her priority in her retirement years. She was a member of the reception team and had been known to sit with patients who had no family or visitors to give them comfort and support.
“My sister Nichola and I can’t thank the Hospice at Home team enough, they were absolutely amazing; just like angels. They were not only wonderful with Mum in her final few days, but a tower of strength for us too. Nothing was too much trouble, and they were indeed a great comfort to us all.”
Dea with social worker Lynne Digby during a marketing photo shoot for Pilgrims
Over her 24 years of dedicated volunteering for the local end-of-life charity, she was often seen on a Sunday afternoon and always during the festive season, supporting wherever she could. After her husband Ken was cared for on the Canterbury hospice ward, she became a regular member of the hospice reception team. She also volunteered within the Therapy Centre, helping service users with crafting activities, lunches and plenty of cups of tea. Her generous and smiling nature would often get her involved with the Pilgrims marketing team, being part of photo shoots to promote hospice services. She was also a keen fundraiser, supporting the fundraising team at events including Summer and Christmas fairs. Car boot sales were also something she enjoyed over a number of years, she collected and stored goods to sell, raising tens of thousands of pounds to help keep Pilgrims’ valuable services running.
Corrina added: “Mum was an independent and strong lady, it was crushing to see her become poorly so quickly. However, it’s been lovely to hear the nurses speak so fondly of her and to know she was truly valued as a volunteer.
Mum was extremely proud to be a volunteer at the hospice, it was an important part of her life and very much her priority in her retirement years.
Corrina, Dea’s daughter
Adrian Matthews, Pilgrims Hospice Services Manager said: “I took over as Site Manager at Canterbury three and a half years ago and as such took over the volunteers on reception as their manager.
“I have to say, Dea will forever stick in my memory as one of my trusted members of the team but I would hope as a friend as well.
“An absolute gem of a person and someone I am very proud to have come to know.”
Dea received the Lord Mayor of Canterbury community service award in 2013 for her work at the hospices.
A Pilgrims team member said: “It is with great sadness that we say good-bye to Dea, she will be missed by all of us, and will remain a wonderful testament to the amazing work that our volunteer workforce do at the hospices.”
Dea with her daughters, Corrina and Nichola
Dea had discussed with her daughters a bucket list of things that she wanted to achieve over the past year, which included some strong wishes for her funeral arrangements and to ensure her very last car boot sale took place.
“Me and Mum’s very close friend Jenny, were able to carry out her boot sales wishes, selling about 90% of the items gathered with all money being donated to Pilgrims Hospices, the remaining items have been given to the Pilgrims Hospices shops. I know Mum was really pleased and satisfied that she was able to make this final commitment to her much loved hospices” added Corrina.
Although Dea was unable to fulfil her bucket list due to COVID restrictions and her rapidly failing health, the daughters’ plan to tick one of their mum’s wishes from the list by taking a trip to the South Bank and sipping cocktails in her memory.
Dea’s funeral will take place on Monday 27 September at Barham Crematorium at 3:20pm.
Each year Pilgrims Hospices give care and comfort to over 2,500 people in east Kent who are coming to terms with an illness that sadly cannot be cured. The charity support patients to live life as well as possible until the very end, free from pain and distress.
12th October 2018
Rosemary shares a Hospice at Home experience
Rosemary Lamb shares her experience of Pilgrims Hospice at Home services from her home in Herne Bay.
My husband William, or Bill as he was always known to everyone, was 74 years old when he passed away earlier this year. After many years coping with chronic restrictive pulmonary disease (CRPD), Bill’s health deteriorated, he spent more time in hospital, and after being admitted in December 2017, was referred to Pilgrims Hospices for more tailored support.
We came along to Pilgrims Hospices to meet with the Community Team, here we gained a greater knowledge of the services that could help Bill to manage his symptoms and help him to stay independent for as long as possible.
His wishes were to remain at home with family in his final days, this was made easier with the support of the Hospice at Home Team from Pilgrims.
Bill, a local milkman and tradesman who was born and bred in Sturry near Canterbury. I was a dental receptionist from Canterbury, we met while walking through the old bus station at Canterbury and our journey began right there. We were married for 54 years and apart from a few years living in Herne Bay, we raised our family of three daughters Jane, Julie and Sharon in Sturry.
We used Pilgrims Therapy Centre that offered breathing and relaxation classes amongst many others. Going to the hospice had a comforting feel, just like home, with a lounge to relax and meet others who were being supported by the charity. It was never a place that held any fear for us, everyone was there to help us make positive decisions and there was never a doubt that Bill’s care and wellbeing was of the highest priority for everyone we came into contact with. We never considered the hospice, as a place to die, more as a place to share our experiences and benefit from the wonderful care team and their depth of knowledge and experience.
They had a natural understanding of what Bill needed along with supporting me and the family as his carers.
Rosemary.
Mandy Hilden from Pilgrims Hospice at Home with Rosemary
I attended Carers Days at the hospice, which gave her an opportunity to meet other people coping with similar situations. It definitely helped me feel more confident, knowing there are so many others who felt the same. Talking really helped.
I attended relaxation classes with Bill and almost had to pinch myself, I was so close to falling asleep, it was marvellous.
As Bill became housebound the Hospice at Home team were wonderful, helping to manage Bill’s everyday needs, keeping him smiling and also supporting me with their kindness, nothing was too much trouble.
They had a natural understanding of what Bill needed along with supporting me and the family as his carers. Mandy from the Hospice at Home Team helped to organise a hospital bed for our home when Bill became bedbound. The Hospice at Home visits were welcomed by both of us, we felt supported and care for, he was so much, he was so much happier, relaxed, at ease and was treated with dignity and respect in every instance.
We, as a family, felt the services given from the charity were fantastic and thank them for helping to make Bill’s days at home very precious to all of us.
Each year Pilgrims Hospices charity support hundreds of local people coping with a life limiting illness and their families. The charity offers a range of services: from end of life care given on its wards, Hospice at Home, Community Care and its Wellbeing and Social Programme, supporting people after they are diagnosed, to live well and stay independent.
