08
Jan 2026
Data Reveals Poor Timing of Palliative Care for Older Australians
Published in News on January 08, 2026
Newly released national data has highlighted significant delays in older Australians receiving specialist palliative care services, raising concerns among health advocates about the timing and impact of this care on patients and families.
The Australian Institute of Health and Welfare (AIHW) has published linked data based on around 132,000 Australians aged 65 and over who died from predictable illnesses in 2021–22. The figures reveal that many older people are first receiving specialist palliative care just 12 days before death, far shorter than the period widely considered beneficial for quality of life in the final months.
What the Data Shows
According to the AIHW findings, the median time between a person’s first specialist palliative care service and their death was just under two weeks. Health experts argue that earlier access—ideally at least 90 days before death—is associated with better symptom management, fewer hospitalisations, improved decision‑making, and more meaningful time with loved ones.
Camilla Rowland, CEO of Palliative Care Australia (PCA), said that while the data reflects the complexity of care across community, hospital, and aged care settings, the pattern is clear: specialist palliative care often arrives too late to provide the greatest benefit.
Disparities Within Care Settings
The data points to particular disparities for people living in residential aged care, who were less likely to receive specialist palliative care and tended to receive it even closer to death compared with those receiving care at home or in respite settings. Advocates say this shortfall denies many older people and their families valuable time for comfort, conversation, and planning.
This trend has broader implications given Australia’s ageing population, with the number of people aged 85 and over set to rise significantly in coming years.
Why Earlier Palliative Care Matters
Palliative care focuses on improving quality of life for people with life‑limiting conditions by addressing physical symptoms as well as psychological, social and spiritual needs. The World Health Organisation describes palliative care as an approach that “prevents and relieves suffering through early identification, correct assessment and treatment of pain and other problems” for patients and their families.
Experts say that when palliative care begins earlier—rather than as a response in the final days of life—patients often experience better symptom control, reduced emergency hospital visits, and greater support for families. Yet the AIHW data suggests this ideal is often not achieved in practice.
Calls for System Improvements
PCA and other advocates have called for improved access to specialist palliative care, especially for older people in residential aged care and those with complex conditions like dementia. Improving hospital accommodation—private rooms, spaces for companions, and quieter environments—can complement earlier care to ensure a more dignified and comfortable end-of-life experience.
Looking Ahead
As Australia’s population ages, pressure is mounting on policymakers and service providers to ensure palliative care services are timely, equitable, and paired with appropriate hospital accommodation. Earlier referrals to specialist teams, combined with upgraded patient facilities, can help older Australians spend their final days with dignity, comfort, and meaningful support from family.
The AIHW data underscores the importance of both timely palliative care and the quality of hospital environments in improving the end-of-life experience for older Australians.