Anxiety towards the end of life: Information for patients and carers

This information is sourced from Dr Heather Wells, Clinical Psychologist

Anxiety is a natural response to stresses in our lives and is common in people living with a serious illness.

What is anxiety?

Anxiety is a feeling of worry or fear. It can be helpful in the short term by keeping us alert and ready to act in response to danger. However, if these feelings continue for a long time or are difficult to cope with, they can affect quality of life.

Common symptoms of anxiety
  • restlessness and irritability
  • feeling tired
  • breathlessness
  • not being able to concentrate
  • muscle tension
  • disturbed sleep
  • a constant feeling of dread
  • panic attacks (sudden, intense or overwhelming fear often accompanied by chest pain, dizziness, pounding heart, sweating or shaking)
What can make anxiety worse?

Worrying about the future when you are seriously ill is normal. Issues that can make anxiety worse include:

  • Pain and other overwhelming symptoms
  • End of active treatment for an illness, people may struggle to adjust when their treatment e.g. chemotherapy stops 
  • Being isolated from friends and family
  • Family worries for example, worrying about being a burden or future care of partners or children
  • Financial worries/ Employment/ immigration status/ housing conditions
  • Spiritual distress
Managing anxiety

Here are some approaches that people may find helpful:

This 2 minute video from Every Mind Matters demonstrates a mindful breathing exercise

Recommended Resources

Marie Curie - Symptom Control - Anxiety

Published 20th January 2025

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Palliative care teams

24 hour Advice Line Pembridge Hospice
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24 hour Advice Line Pembridge Hospice

T. 0208 102 5000

W. https://www.pembridgehospice.org/

Pembridge Hospice provides palliative care services and advice to the residents of Brent, Central London, West London and Hammermith and Fulham.

This is a 24 hour, 7 days a week telephone advice line.

Referral form for clinician use only.

 

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
24 hour Helpline Pall24 for North Brent and Harrow
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24 hour Helpline Pall24 for North Brent and Harrow

T. 03000 200 224

This service was formerly known as Single Point of Access (SPA)

This is a 24 hour 7 days a week helpline providing advice for patients, families and professionals, hosted by St Luke's Hospice for residents of Harrow and North Brent.

Urgent rapid response visits can be made to patients registered with a Harrow GP

 

Brent North Community Palliative Care Team - based at St Luke's
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Brent North Community Palliative Care Team - based at St Luke's

T. 020 8382 8013

North Brent Community Specialist Palliative Care Nurse team provides advice and visiting to palliative care patients in North Brent. The team is based at St Lukes Hospice.

Areas: Queensbury, Fryent, Welsh Harp, Barnhill, Kenton, Northwick Park, Preston, Sudbury, Wembley Central, Alperton, Tokyngton

The team can be contacted for referrals Monday to Sunday 8.30am to 4.30pm. 

After 4.30pm the Out of Hours Telephone Advice line 020 8382 8000 operates and calls will be taken by a nurse on St Lukes inpatient unit

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
Brent South Community Palliative Care Team - based at Pembridge Hospice
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Brent South Community Palliative Care Team - based at Pembridge Hospice

T. 020 8102 5000

South Brent Community Specialist Palliative Care Nurse Team provides advice and visiting to palliative care patients in South Brent. The team are based at Pembridge Hospice

Areas: Harlesden, Willesden, Kilburn, Neasden (south of north circular Brent, except the St Raphael's Estate) 

All referrals to be made via the CLCH Single Point of Access Service (SPA) email address and will be processed during working hours of Monday to Friday 9.00am to 4:30pm. Any referrals sent outside of this time period will be processed on the next working day.

For ALL urgent referrals, both in and out of working hours, please also call Pembridge (as per current process) on the 24 hour number above.

For any other email correspondence. clcht.pembridgeunit@nhs.net.

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
District Nurses Night Service Brent
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District Nurses Night Service Brent

T. 020 8102 3456

Calls will be routed directly to the clinical teams that operate after 5.00pm.

St John's Hospice at Home
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St John's Hospice at Home

T. 020 7806 4027

St. John's Hospice provides palliative care services to the residents of Brent and Westminster.

Telephone response will be received within 2 hours.

Inclusions are: Terminal care last 2 weeks of life, 24 hour, admission avoidance, facilitated discharge and respite care escorting a patient.

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
St John's Hospice Inpatient unit
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St John's Hospice Inpatient unit

T. 020 7806 4040 / 07725 258767

W. https://www.stjohnshospice.org.uk/our-care/inpatient-care

St. John's Hospice provides inpatient palliative care services to the residents of Brent, Central London and West London.

This is an inpatient unit with 18 beds

Please contact for admissions for advice and Community Specialist Palliative Care.

The office hours are Monday to Friday 8.30am to 4.30pm. Referrals received in the morning are triaged the same afternoon, and those received in the afternoon are triaged the following working day.

If urgent, please follow up the referral by calling us on 020 7806 4040. Out of hours, urgent referrals will be discussed with the consultant on call.

Referral form for clinician use only.

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St Luke's Hospice at Home
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St Luke's Hospice at Home

T. 0208 382 8020 / 8050

St. Lukes Hospice@Home provides palliative care services to the residents of North Brent and Harrow. Respite and bridging packages of care are available for end of life patients.

Please contact the team between Monday to Saturday 9.00am to 5.00pm.

The email can be used for fast track referrals.

Referral form for clinician use only.

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Cancer services

24 hour Helpline Pall24 for North Brent and Harrow
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24 hour Helpline Pall24 for North Brent and Harrow

T. 03000 200 224

This service was formerly known as Single Point of Access (SPA)

This is a 24 hour 7 days a week helpline providing advice for patients, families and professionals, hosted by St Luke's Hospice for residents of Harrow and North Brent.

Urgent rapid response visits can be made to patients registered with a Harrow GP

 

Cancer Black Care
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Cancer Black Care

T. 0734 047 1970

W. https://www.cancerblackcare.org.uk/

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Macmillan Cancer Support
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Macmillan provide cancer information, support and help everyone with cancer live life as fully as they can.

Visit the website to get help with paying bills, advice on benefits or treatment, or to just chat.

Maggie’s
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Maggie’s

T. 0300 123 1801

W. https://www.maggies.org/

Maggie's has a network of centres in many locations throughout the UK. It provides free information about cancer, financial benefts and offers emotional and social support to people with cancer, as well as their family, and friends.

Marie Curie
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Marie Curie

T. 0800 090 2309

W. https://www.mariecurie.org.uk/

Marie Curie provide support for patients and carers through terminal illness.

Find information and support through the telephone helpline and online chat via their website.

Other services include Marie Curie nurses, Hospice care, helper and companion services.

OUTpatients
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St John's Hospice Lymphoedema Care
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The lymphoedema care provided is free to NHS patients registered with a GP within our catchment area. The NHS service is provided within St John and St Elizabeth Hospital under the hospice or at Charing Cross Hospital.

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Young lives vs Cancer

W. https://www.younglivesvscancer.org.uk/

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Adult social care services

Adult Social Care Brent
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Adult Social Care Brent

T. 020 8937 4300

W. https://www.brent.gov.uk/adult-social-care/about-adult-social-care

Adult Social Care provides practical support to people to stay safe and well.  These services are usually provided in people's homes, care homes or in the community. Thre is also support for people who are caring for an adult family member or friend, access to personal care and home care services.

Wellbeing services

Age UK
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Age UK

T. 0800 678 1602

W. https://www.ageuk.org.uk/

Age UK provide information and support on financial, legal, health and wellbeing for older people. They support via their advice line, befriending service and day centres.

Marie Curie
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Marie Curie

T. 0800 090 2309

W. https://www.mariecurie.org.uk/

Marie Curie provide support for patients and carers through terminal illness.

Find information and support through the telephone helpline and online chat via their website.

Other services include Marie Curie nurses, Hospice care, helper and companion services.

Carer's groups

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Brent Carers Centre

T. 020 3802 7070

W. https://brentcarerscentre.org.uk/

Brent Carers Centre deliver a whole range of support services to address the social, emotional and financial issues that carers experience.

Carers Trust
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Carers UK
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Carers UK

T. 020 7378 4999

W. https://www.carersuk.org/

Carers UK offers information and support to carers across the UK. There is an online forum and local support groups for carers. 

Counselling services

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British Association for Counselling and Psychotherapy (BACP)

T. 0145 588 3300

W. https://www.bacp.co.uk/

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Talking therapies

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British Association for Counselling and Psychotherapy (BACP)

T. 0145 588 3300

W. https://www.bacp.co.uk/

British Association for Counselling and Psychotherapy signposts people to appropriate counselling services across the UK. Please search for a qualified counsellor on the ‘How to find a therapist’ page. 

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CNWL Talking Therapies Service

T. 01895 206 800

W. https://talkingtherapies.cnwl.nhs.uk/

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Support is available for a range of difficulties, such as low mood or depression, anxiety, and stress, phobias, physical health anxiety, PTSD and Insomnia.

Mind
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Mind

T. 0300 102 1234

W. https://www.mind.org.uk/

Provides information, advice and support to anyone with a mental health problem through its helpline and website. 

Pharmacies

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Carters Pharmacy

T. 020 8903 4222

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 524-526 High Road, Wembley, HA9 7BS

Opening hours: Monday to Friday 9.00am to 7.00pm. Saturday 9.00am to 6.00pm

Churchills Pharmacy
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Churchills Pharmacy

T. 020 8907 3511

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 207 Kenton Road, Harrow, HA3 0HD

Opening hours: Monday to Friday 9.00am to 7.00pm. Saturday 9.00am to 1.00pm

G.Lowe Pharmacy
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G.Lowe Pharmacy

T. 020 8904 4197

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 203 East Lane, North Wembley, HA0 3NG

Opening hours: Monday to Friday 9.00am to 7.00pm. Saturday 9.30am to 5.00pm

Gimmack Pharmacy
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Gimmack Pharmacy

T. 020 8452 2418

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 177 Cricklewood Broadway, London, NW2 3HT

Opening hours: Monday to Friday 9.00am to 6.30pm. Saturday 9.00am to 6.00pm

Greenfield Pharmacy
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Greenfield Pharmacy

T. 020 8969 4474

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 61 Chamberlayne Road, London, NW10 3ND

Opening hours: Monday to Friday 9.00am to 7.00pm. Saturday 9.00am to 6.00pm

Health Pharmacy
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A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 122 Winderemere Avenue, Wembley, HA9 8RB

Opening hours: Monday to Friday 9.30am to 6.00pm. Saturday 10.00am to 1.00pm

Kings Pharmacy
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Kings Pharmacy

T. 020 7625 8582

W. https://www.kingspharmacy.london/

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 343 Kilburn High Road, Kilburn, NW6 7QB

Opening hours: Monday to Friday 9.00am to 7.00pm. Saturday 10.00am to 2.00pm

Leigh Pharmacy
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Leigh Pharmacy

T. 020 8205 6729

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address:  278 Church Lane, London, NW9 8LU 

Opening hours: Monday to Friday 9.00am to 6.00pm. Saturday 9.30am to 1.00pm

Peace Pharmacy
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Peace Pharmacy

T. 020 8904 2071

W. https://peacepharmacy.co.uk/

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address:  14 The Broadway, Preston Road, Wembley, HA9 8JU

Opening hours: Monday to Saturday 9.00am to 10.00pm. Sunday 9.30am to 10.00pm

Rushton Pharmacy
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Rushton Pharmacy

T. 020 8904 6145

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 275-277 Preston Road, Harrow, HA3 0PS

Opening hours: Monday to Wednesday and Friday 9.00am to 6.30 pm. Thursday 9.00am to 6.00pm. Saturday 9.00am to 3.00pm

S&S Chemists
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S&S Chemists

T. 020 8965 1328

W. https://sandschemists.co.uk/

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 40 Harrow Road, Wembley, HA9 6PG

Opening hours: Monday to Friday 9.00am to 7.00pm. Saturday 9.00am to 1.00pm

Sudbury Chemist
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Sudbury Chemist

T. 020 8908 2451

W. https://www.sudburychemist.co.uk/

A community pharmacy which stocks common palliative medicines to support people being cared for at home.

Address: 879 Harrow Road, Wembley, HA0 2RH 

Opening hours: Monday to Friday 9.00am to 6.30pm. Saturday 9.00am to 5.00pm.

Tyrest Pharmacy
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Tyrest Pharmacy

T. 020 8204 2412

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 427-429 Kenton Road, Middlesex, HA3 0XY

Opening hours: Monday to Friday 9.00am to 7.00pm. Saturday 9.00am to 2.00pm

Wembley Pharmacy
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Wembley Pharmacy

T. 020 8795 3636

W. https://wembleypharm.co.uk/

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 183 Ealing Road, Wembley, HA0 4LW

Opening hours: Monday to Saturday 9.00am to 10.00pm. Sunday 12.00pm to 5.00pm

Friendship and support

Compassionate Neighbours
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Compassionate Neighbours can support by:

  • Visiting weekly for a cup of tea and a chat, offering friendship and a listening ear
  • Helping you do the things you like doing
  • Helping you stay connected to your friends and the community

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