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AIHW data shows palliative care pressure

Palliative Care Australia (PCA) chief executive Camilla Rowland has welcomed the release of the Palliative Care Services in Australia report from the Australian Institute of Health and Welfare (AIHW).

“This AIHW data gives us a snapshot of how palliative care is delivered in hospitals and specialist palliative care units. The data is an important piece of the puzzle as government seeks to make reforms in primary care and aged care, which PCA hopes will improve access to palliative care,” she said.

“[The report found] the number of palliative care-related hospitalisations is increasing at a faster rate than for all hospitalisations – a 23 per cent increase compared with a 12 per cent overall increase over the five years up to 2020-21.

“Increasing hospitalisations have a huge impact on the workings of our health system and perhaps means that people aren’t getting the choice they deserve at the end of their life.”

As AIHW points out, the ageing of Australia’s population is a major contributor to this growth. In the wake of the Aged Care Royal Commission two years ago, one of the other markers the sector is watching is data that points to better access to palliative care within residential aged care.

Ms Rowland said commissioners made 12 recommendations that specifically pointed to the need for palliative care to be better understood and embedded within aged care.

“There is a great deal of positive and much-anticipated reform in aged care, but because the changes are so recent, we are waiting for data showing what we hope is increasing access to palliative care for aged care residents,” she said.

The 2023-2024 Australian Budget made significant investments in strengthening primary health and aged care; the results of that will hopefully become evident in future data releases from AIHW.

“For most people with a life limiting illness, whether they are living at home or in an aged care facility – local GP’s, nurses, and allied health professionals can deliver the palliative care needed – outside of the hospital and specialist palliative care system, but many don’t have the training to do so,” Ms Rowland said.

“We are partners in the health and aged care reforms that all Australians are calling for and we look forward to using this AIHW data and working with the government on their important agenda.”

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