WhatsApp Us 01666 719049
Honest, unhurried, no pressure to proceed

How do you know
when it's time?

A calm, vet-led quality of life assessment for your dog or cat — in your own home, across the Cotswolds. We help you understand your pet's comfort and find clarity, with no obligation to decide anything on the day.

Emma Wilkes BVetMed MRCVS
Assessment at home, from £200
Written report included

One of the hardest parts of loving an older or unwell pet is the question that has no easy answer: are they still happy, and how will I know when they're not? Many owners tell us they fear acting too soon — and just as many fear leaving it too late. A quality of life assessment exists to take that weight off your shoulders.

It is a structured, compassionate conversation and gentle clinical examination, carried out at home by Emma Wilkes BVetMed MRCVS (RCVS No. 6585433), a veterinary surgeon since 2010 with a particular interest in geriatric care. Rather than relying on a feeling alone, we look at your pet's comfort objectively — and then talk you through, honestly, what we see.

An assessment is not a decision. Sometimes it reassures you that your pet still has good days ahead, and helps you plan how to protect them. Sometimes it confirms what your heart already suspected, and gives you the confidence to let go gently. Either way, you leave with clarity instead of guesswork — and there is never any pressure to proceed.

The quality of life scale

Vets often use a recognised quality of life framework — sometimes summarised as the HHHHHMM scale — to assess a pet's wellbeing across seven areas. We use it as a starting point for an honest conversation about your individual pet, not as a rigid score.

H

Hurt

Is your pet's pain well controlled? Can they breathe comfortably? Adequate pain relief is the foundation of good quality of life.

H

Hunger

Are they eating enough, willingly? Has appetite faded, or do they need hand-feeding or coaxing to eat at all?

H

Hydration

Are they drinking enough and staying hydrated? Dehydration is common in unwell pets and affects how they feel day to day.

H

Hygiene

Can they stay clean and comfortable? Pets who can no longer groom themselves, or who soil where they lie, can lose dignity and develop sores.

H

Happiness

Do they still show joy — a greeting, a wag, interest in you or their surroundings? Or do they seem withdrawn, anxious, or disconnected?

M

Mobility

Can they move enough to do what they need to — get up, go outside, change position? Or are they struggling, falling, or unable to rise?

M

More good days than bad

Perhaps the most telling measure of all. When the good days clearly outnumber the bad, quality of life is being maintained. When bad days begin to outnumber the good — and the things your pet loved are no longer possible — it is a sign that their quality of life is declining.

Signs your pet's quality of life may be changing

Every animal is different, and a single sign rarely tells the whole story. But these are the changes owners most often notice. If several feel familiar, an assessment can help you make sense of them.

In dogs

  • Struggling to stand, climb stairs, or settle comfortably
  • Reluctance to walk, play, or greet you as they used to
  • Loss of appetite, or needing to be hand-fed
  • Accidents indoors in a previously house-trained dog
  • Panting, restlessness, or pacing that suggests discomfort
  • Withdrawing, hiding, or seeming "not themselves"

In cats

  • Hiding away, or no longer seeking out company
  • Stopping grooming — a dull, matted, or unkempt coat
  • Eating much less, or losing weight steadily
  • Difficulty getting to or using the litter tray
  • Sleeping far more, or struggling to get comfortable
  • No longer jumping up, or reluctant to move at all

You don't need to wait until things are clearly wrong. If you've noticed changes and simply aren't sure what they mean, that uncertainty is reason enough to ask. We're always happy to talk things through first — call or WhatsApp 01666 719049, with no obligation.

Your home quality of life assessment

A gentle home visit

We come to you, so your pet is assessed where they're most relaxed — no stressful car journey or clinic waiting room. We work at your pace, with no rush.

A full clinical assessment

Emma examines your pet thoroughly and reviews their history, comfort, mobility, appetite and behaviour — using the quality of life framework alongside her clinical judgement.

An honest, kind conversation

We tell you what we genuinely see — clearly and compassionately. We'll discuss options for keeping your pet comfortable, and what to expect next, whatever you decide.

A written report

You receive a written summary of the assessment, and — if you'd like — we communicate directly with your regular vet so everyone caring for your pet is aligned.

How it works

Simple, calm, and entirely without pressure — so you can focus on your pet.

1

Get in Touch

Call or WhatsApp 01666 719049. We'll talk through your concerns and arrange a time that suits you.

2

We Come to You

Emma visits your home and gently assesses your pet in their own familiar surroundings.

3

An Honest Discussion

We talk you through what we've found, answer every question, and explain your options — with no rush and no pressure.

4

Clarity & Support

You receive a written report and, if you wish, we liaise with your regular vet. Whatever you decide, we're here.

No surprises. No hidden costs.

All prices include the home visit. We are always upfront about costs before you commit to anything. A quality of life assessment carries no obligation to proceed to anything further.

Quality of Life Assessment

Home visit, full clinical assessment, written report, and communication with your regular vet.

From
£200

At-Home Euthanasia

Should the time be right, a peaceful, dignified farewell at home — only ever at your pace. Learn more →

From
£300

Frequently Asked Questions

What is a pet quality of life assessment?

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A quality of life assessment is a calm, structured conversation and clinical examination that helps you understand how comfortable your pet really is. A vet looks at pain, appetite, hydration, hygiene, mobility, and how many good days your pet is having compared to bad ones — then talks you honestly through what it means and what your options are. It is not a decision in itself; it is a way to make a hard decision with clarity rather than guesswork.

How do I know if it's the right time to say goodbye?

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There is rarely a single obvious moment. Many owners use the idea of "more good days than bad" — when the bad days begin to outnumber the good, and the things your pet loved are no longer possible or enjoyable, quality of life is declining. A vet-led assessment using a recognised scale (often summarised as the HHHHHMM scale: Hurt, Hunger, Hydration, Hygiene, Happiness, Mobility, and More good days than bad) gives you an objective framework rather than relying on a feeling alone.

What happens during a home quality of life assessment?

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Emma comes to your home, examines your pet gently, and discusses their history, comfort, mobility, appetite and behaviour with you. You will receive an honest opinion, a written report, and — if you wish — communication with your regular vet. There is never any pressure to make a decision on the day, and no obligation to proceed to euthanasia.

How much does a quality of life assessment cost?

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A home quality of life assessment with Till We Meet Again starts from £200, which includes the home visit, a full clinical assessment, a written report, and communication with your regular vet. Please call or WhatsApp 01666 719049 for a confirmed quote.

Is a quality of life assessment only for very old pets?

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No. While many assessments are for elderly pets, they are just as valuable for any pet living with a chronic illness, a recent serious diagnosis, declining mobility, or a condition that is gradually worsening. An assessment can also be reassuring — sometimes it confirms your pet still has good quality of life and helps you plan how to protect it.

You don't have to decide alone

If you're worried about your pet, or simply unsure what to do next, please reach out. We'll listen, and help you find clarity — gently, and with no pressure whatsoever.

WhatsApp 01666 719049