Hospice Isle of Man provides specialist palliative care to Isle of Man residents. This means provision of direct care, professional advice to healthcare colleagues and education.First established as a charity in 1983, Hospice Isle of Man is an independent healthcare provider, governed by the same clinical governance requirements as Isle of Man Department of Health which means that all staff employed by the Hospice are highly qualified health care professionals whose responsibility is to continuously improve all services provided. Nearly 400 patients are referred to Hospice each year with 200 admitted to the In-patient unit. The Day Therapy Unit has more than 1,000 attendances per year. This comes at a cost of over £5 million per year, of which a £600,000 cash grant plus additional help is given to the Hospice by the Isle of Man Government.Hospice at Home provides nearly 1,000 hours for the adults patients allowing them to be nursed at home and 5,000 hours for children to help parents have a break from caring. Most of the income comes from fundraising events, regular donations and legacies. 85% of the income is spent directly on patients' care. All hospice services are provided totally free to patients and their families.