Specifications include, but are not limited to: The Massachusetts Department of Public Health (DPH) seeks a Massachusetts hospice licensed under M.G.L. chapter 111 section 57D with recent pediatric palliative care experience, or the willingness to recruit and train staff, to provide Pediatric Palliative Care Services in Essex County to children under age 19 with life-limiting diagnoses and their families. Services are to improve the quality of life of the child and family by meeting the physical, emotional and spiritual needs experienced during the course of illness, death and bereavement. The program will complement existing services and, DPH assumes, most will be provided in the home. They will be appropriate for children with a wide range of life-limiting illnesses even when cure remains a possibility. Services will be consultative and direct care.