TY - JOUR T1 - Supporting the NHS using intense transformational change in a charitable specialist palliative care provider JF - Future Healthcare Journal JO - Future Healthc J SP - e34 LP - e34 DO - 10.7861/fhj.Let-7-3-4 VL - 7 IS - 3 AU - Cate Seton-Jones AU - Nick Dando Y1 - 2020/10/01 UR - http://www.rcpjournals.org/content/7/3/e34.1.abstract N2 - Editor – We share learning from our intense transformational change experienced during lockdown.Following the 16 March 2020 announcement, we began urgent preparations to play our part to meet the needs of patients approaching the end of their lives with both COVID-19 and non-COVID-19 terminal illness. Our aims were to protect the NHS and remain true to our charitable mission of caring compassionately for adults with terminal illness.We responded with pace by redistributing the workforce within our three service areas (inpatient unit, living well and care at home; see supplementary material S2).On our inpatient unit, we adapted our referral scoring system to favour admissions from hospitals to release acute beds, however our local integrated care system designated our ward as a ‘cold site’, due … ER -