The West Midlands Palliative Physicians (WMPCP) symptom control guidelines include regular input from doctors at Birmingham St Mary’s Hospice which you may find useful.

Please note that these guidelines are a summary of the current practice of specialists across the West Midlands region, and there may be slight local variations in emphasis and practice.  If you need further advice or to refer your patient to us, please do not hesitate to contact the HoBS (Hospices of Birmingham and Solihull) Professionals line on 0121 809 1821.

Click here to access the West Midlands Palliative Care Physicians symptom control guidelines

If a patient is approaching end of life, you may need to prescribe anticipatory or injectable medication.  You will also need to prescribe these medications on an administration chart or ‘yellow card’ to allow the District Nurses to administer medications in the home.  Syringe drivers can also be prescribed on these cards.


To find out about referrals, please click through to our referral page or you can contact HoBS on 0121 809 1900.

Read the WMPCP guidelines Contact us for more advice