A study conducted for the Dr. Charles A. Janeway Child Health Centre, St. John's, Newfoundland, determined that pediatric oncology patients and their families had needs that were not being met by the existing program of care. The article describes those needs, and then outlines the multidisciplinary palliative home care program that was established by the health centre to address them. The program's procedures of operation and follow-up, and the evaluation process are discussed.