This paper examines the possible shape of the hospice movement in the year 2000 AD. The number of patients dying from cancer will be similar to today, and cancer will remain the most common disease referred to hospices. After reviewing the key developments during the past fifteen years, the effects of national policy and financial constraint on future developments are examined. Most advances will stem from better organization and more realistically staffed hospices and hospice care teams. This will encourage greater flexibility and imaginative development. Advances will be made in rehabilitation, halfway houses for the elderly frail, and greater involvement with mainstream medical services. The role of home care teams, hospital support teams and day care, coupled with the better use of volunteers will maintain more patients at home and reduce the bed norms to 25 per million. A statement on education and training is made.