The Leicestershire Organisation for the Relief of Suffering (LOROS), a hospice-based charity, runs a lymphoedema service and is facing an increase in the number of referrals for the treatment of obesity-related lymphoedema. This article highlights the issues involved and questions the appropriateness of providing treatment for this cohort of patients when the majority of funding is through charitable donations. This is a consideration when planning the strategic direction of the clinic and for lymphoedema services as a whole.
