Alpha Palliative Care follows the hub and spoke model, since most of the patients who need palliative care, need to be cared for at their respective residences. This model gives a wider reach through multiple hospices and associated Link centers, ensuring palliative care is not out of anyone’s reach. The model works as follows: the hub, is the Hospice working at the district level and the spokes are Link Centers working at block panchayat levels. Alpha Hospices are essentially designed for symptom control, not for long term stay. Alpha Hospice, a home with basic hospital facility, is open 7*24 hours where people experiencing pain, nausea, vomiting, breathlessness and various other difficulties can be admitted for symptom control for a few hours or a few days and then return home to their families or move to a care home in the absence of a family. Alpha Link centres ,the spokes in the model, provide home care services. Link centres at the block panchayat levels comprising of a team of nurses, physiotherapists, drivers and visiting doctors provide regular home care services , the backbone of Alpha Palliative care’s service delivery mechanism.