In September 2011, the Weldmar Hospicecare Trust (Weldmar) held its 21st anniversary conference Complexities of Care – Ensuring Excellence in End of Life Care. The conference explored the need to meet the changing and growing expectations of hospice users and how this can be achieved at a time of significant demographic challenges and global economic crisis. To meet this challenge the Weldmar has innovatively reconfigured its services with the aims of building capacity, and further improving its offer, within existing resources. Andy Pring, South West Public Health Observatory, was a guest speaker at the conference. In this video he examines the demographic challenge.