It is difficult to collect statistical data on the efficacy of complementary therapies because of the individualistic nature of these treatments. The care of prisoners who are dying has been an area of controversy in the UK, particularly following the report of the young man dying within a hospice who remained shackled until near to death. Key points Care of dying prisoners has been a contentious issue over the past years. The Wisdom Hospice has been successful in improving the quality of life for both prisoners and their families. Prisoners are part of the community and should have a similar quality of care.
Hospices provide symptom control and support to both patient and family.
The evolution of the palliative care system in France has been characterised by a rapid increase in the number of mobile teams, coupled by limited growth of fixed units. This new method of palliative care, however, poses new questions. Key points Mobile palliative care units help in the care of patients in hospital wards. This facilitates continuity of care and avoids the need to transfer terminally ill patients to fixed palliative care units. The mobile teams must promote the principles of palliative care within the wider community.