Palliative care improves the quality of life for patients and their families facing life-threatening illnesses. In India, economically weak families struggle to access palliative care due to high treatment costs and insufficient healthcare infrastructure. littleMORE supports cancer patients and their caregivers at Tata Memorial Hospital with material, financial, nutritional, and moral support. The organization aims to provide palliative care through OPD services and residential facilities. A needs assessment study highlighted the demand for dedicated palliative care, current care provisions, access barriers, and challenges faced by stakeholders. Key findings emphasize the need for financial assistance, emotional support, and caregiver relief to ensure well-being.