Somewhere between the oncologist's appointment and the pharmacy bill, most families in Mumbai end up googling "home nursing for cancer patients" at eleven at night. There are dozens of results. Most of the websites look reasonably similar — teal colour schemes, a nurse in a white coat, a WhatsApp number. It's genuinely hard to tell, from the outside, which of these agencies has actually handled a chemotherapy patient before and which one is a general home-nursing setup that added "cancer care" to its list of services last month.

We've sat on both sides of this conversation — as the agency being evaluated, and, honestly, as people who've had to find care for our own relatives. So this isn't a sales pitch dressed up as a guide. It's the list of questions we'd actually want a family member to ask before signing up with anyone, including us.

Ask who is actually coming to your house

"We have trained nurses" is not an answer. Ask for the specific qualification — GNM, B.Sc Nursing, or an ANM with oncology experience — and ask how many cancer cases that particular nurse has handled, not the agency as a whole. A large agency can have twenty excellent nurses and two who've never managed a chemo port before. You want to know who is walking into your home, not who's on the company brochure.

Ask what happens outside their working hours

This is the question most families forget, and the one that matters most at 2 AM when a fever spikes. Does the agency have an actual on-call escalation process, or does the visiting nurse simply leave at the end of her shift with no one covering the gap? Ask them to walk you through, step by step, what happens if something goes wrong overnight. If the answer is vague, that's your answer.

Check whether they'll actually talk to your oncologist

Good home cancer care isn't independent of your hospital — it runs on your oncologist's instructions. Ask whether the agency is willing to coordinate directly with your treating doctor, follow written protocols, and share updates back. An agency that's uncomfortable being in that loop, or that positions itself as an alternative to your hospital rather than an extension of it, is not the right fit for anything beyond very basic support.

Get the pricing in writing, itemised

Mumbai home care pricing varies a lot — a few hours of nursing a week costs nothing like round-the-clock live-in care. What you want isn't a low number; you want an honest, itemised one, so you know exactly what you're paying for and what would push the cost up later (an additional night shift, equipment rental, a second attendant). Agencies that give a vague "we'll discuss after assessment" answer aren't necessarily hiding something, but ones that refuse to give any structure at all, even roughly, are worth being cautious about.

Ask about the handover, not just the hire

What happens if the assigned nurse falls sick, or simply isn't the right personality fit for your parent? A good agency has a plan for continuity — a backup nurse who's already briefed on the case, not someone starting from zero. Ask this before you need the answer, not during a crisis.

Trust your gut on the small things

Did the person on the assessment call actually ask about the diagnosis, the current treatment stage, and the home setup — or did they just quote a price? Small details tell you a lot. A team that's genuinely used to cancer cases will ask about the chemo protocol, whether there's a central line, what the mobility situation is, before they even get to numbers.

None of this needs to take more than one honest phone call. The families who end up happiest with their home care setup are almost always the ones who asked a few blunt questions upfront, rather than the ones who picked whoever answered the WhatsApp message fastest.