Palliative Care in Sierra Leone (PCSL) is a fundraising UK based charity supporting both patient care and health professional education. The charity changed its name in 2021 from UK Friends of the Shepherd’s Hospice to PCSL in order to broaden access to palliative care in Sierra Leone. The aim of the charity is to fund the provision of sustainable palliative care in a country which has long struggled with some of the world’s worst health outcomes. The Government of Sierra Leone introduced Free Healthcare for pregnant and lactating mothers and children under five. Extreme poverty prevents most families from accessing health care.