New study into Virtual Reality in a palliative care setting

Categories: Care, Featured, and Research.

A new study published in the American Journal of Hospice and Palliative Medicine looks at the potential of personalised virtual reality (VR) in palliative care, following a feasibility trial with patients at Royal Trinity Hospice.

The study aimed to explore whether repeated sessions of personalised VR experiences could help alleviate symptoms in palliative care patients.

Between 2018 and 2020, 26 Royal Trinity Hospice patients with a life-limiting condition took part in the trial, which was led by Trinity’s Head of Patient and Family Support, Letizia Perna-Forrest and delivered in partnership with VR specialists Flix Films, who provided pro bono support, expertise and equipment.

The study into this little-researched area concludes that it is feasible to complete repeated VR sessions within a palliative care population and that future research should explore the structure and effectiveness of VR in a full trial.

Royal Trinity Hospice has been making innovative use of VR for several years in partnership with Flix Films. This has included using VR as a resource for hospice patients to enjoy “bucket-list” experiences; by providing immersive learning scenarios for clinical staff; through a myth-busting VR tour that allows patients to view the hospice before visiting and as an engaging fundraising tool.

Letizia Perna-Forrest, Head of Patient and Family Support at Royal Trinity Hospice said:

“Palliative patients and their physical and psychological symptoms are at the heart of our clinical work at Trinity. It was an absolute honour to work on this study and to lay the foundation for future research in this area.

“None of this could have been possible without Flix Films and the patients who took part and who so kindly gave their time. They’ve helped make a difference in the way this technology will be used in the future. It will be exciting to see the possibilities that this rapidly changing technology unlocks as it is adopted more widely in healthcare settings and offers ever more powerful experiences.

“We have seen so many innovative uses of technology in healthcare during the pandemic. We have witnessed the potential of all types of technology to transform the way we deliver care and communicate in healthcare. I hope this is just the beginning of the story for VR in palliative care settings and beyond”


Leon Ancliffe, Managing Director at Flix Films said:

“In 2016 I turned up at the office of Trinity’s Chief Executive Dallas Pounds clutching a pair of plastic VR goggles, a smartphone and a head full of ideas. I have always been passionate about exploring the possibilities of VR in healthcare, an area I feel has been overlooked. Little research and money had gone into VR in healthcare at the time, but I hoped that Flix could make a significant impact and build confidence with VR technology in this sector.

“Dallas was instrumental in breathing life into the project, suggesting a partnership between Flix and Trinity to undertake a full, ethically approved clinical study. The appointment of Letizia Perna-Forrest as a research partner enabled the study to gain pace and we were excited to begin delivering patient experiences.

“The response from patients contributing to the study was overwhelming. Each had a unique reaction to their experience, which was a privilege to witness and demonstrated the importance of the research. We hope that their invaluable feedback can now be used to help inform future VR usage within the sector.

“We are incredibly grateful to all contributors, but particularly the patients, some of whom are sadly no longer with us, whose contribution to the evolution of VR and technology in palliative care is invaluable. We encourage further research into this innovative use of VR, as we feel we have only scratched the surface, but hope to have opened the eyes of others who can continue this important journey with us as Flix VR.”

The study has been published in the American Journal of Hospice and Palliative Medicine and is available to read online here:



Polly Balsom


About Royal Trinity Hospice

Royal Trinity Hospice is England’s oldest hospice and the local hospice for central and south west London. We believe that every moment matters so we go above and beyond to help our patients and their families make the very best of every moment they have left.

Trinity cares for over 2,550 patients every year, providing free expert end of life and palliative care to adults with life-limiting conditions. Over 80% of our patients receive our specialist care wherever they call home. The rest are cared for in our inpatient unit at our Clapham base. In 2019 Trinity celebrated a care rating of “outstanding” from the CQC – the highest possible rating from the health and social care regulator.

Through individual and group support, our team of experts helps our patients to stay comfortable, active, independent, mobile and well for longer. Our teams also support the emotional, physical, practical and spiritual needs of our patients, their friends and families.

T- @TrinityHospice

I – @royaltrinityhospice

F – RoyalTrinityHospice


About Flix VR:

Flix VR is subsidiary Flix Films. We combine expertise in traditional film making with the vast potential of Virtual Reality (VR). From 360 interactive training to captivating virtual tours and life changing bucket list experiences, consumers are turning to us for virtual, immersive experiences. We provide unique opportunities and research, adopting VR as a transformative method of content delivery.



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