The district nursing service provides comprehensive, general health services for adults and elderly people in their home or community setting across the whole of Fife. The service provides a wide range of specialist nursing assessment including palliative and end of life care to develop comprehensive patient centered care plans of nursing care in conjunction with patient’s families and carers. The district nursing teams work with a wide multi-professional group to deliver a high standard of nursing care. The service can include intervention from specialist areas such as Palliative outreach team, Palliative care team and Marie Curie