This is my first post so sorry for any incorrect terminology etc.  My husband was diagnosed and treated for breast cancer six years ago and given the all clear 18 months later.  You'll have gathered from the title that it's come back all guns blazing and has spread to the bones (spine, ribs), liver and left eye.  He's also been diagnosed with non-Hodgkins Lymphoma which is bubbling in the wings and he has a heart condition but that's the least of our worries at present.  The medical team have confirmed that it is advanced cancer, Stage 4, and so it's only a matter of time.   He's been under treatment since March of last year and has been holding his own but now things are progressing fairly rapidly.  The mets in his liver started to increase quickly recently so he was put on a regime of chemo tablets, two weeks on, one week off.  This completely knocked him for six and so he's decided to stop taking the chemo immediately and he's also stopped his heart medication.  I cannot blame him - he went from being able to enjoy life as long as he took things slowly to being sick, losing weight fast and feeling like he wanted to die whilst taking the chemo.  So now we wait.  I would appreciate any advice on how to plan for the future - should we be talking to the hospice now or is too early to discuss Macmillan nursing assistance if he wants to stay at home?  He's still up and about, driving etc so I feel it might be too early but I feel I should have a plan ready for when it's needed - because when its needed I'm not sure I'll be in a fit state to plan anything.  Advice from anyone who has been through (or is going through) something similar would be really appreciated.  Thank you.