Main findings

• The author provides an overview of the key factors and their influence on the delivery of quality lymphoedema care to patients in the end stages of life.
• The account is described from the perspective of the lymphoedema practitioner, the delivery model of the National Health Service (NHS) lymphoedema service provision in the UK and the service specification.
• The objective of the article is to raise awareness of the significance of the factors to lymphoedema practitioners and NHS commissioners of lymphoedema services for consideration as part of the tendering process.