The value of hospice care in New Zealand

The government is encouraged to recognise the value of hospice care in New Zealand, according to Jane Williams, Board Chair at Hospice Tairāwhiti and Deputy Chair at Hospice New Zealand. Williams believes the hospice care throughout New Zealand is undervalued.

“One-third of people dying from life-limiting illnesses in the country receive hospice support, demonstrating the significant role hospices play in end-of-life care,” states Williams. “With the escalating demand on our health care system, hospice care reduces the cost to the government. Hospices are providing taxpayers at least $1.59 in health benefits for every dollar of government funding. These benefits stem from cost savings to the health system and improved patient outcomes—most significantly, the quality-of-life improvements resulting from better pain and symptom control.”

Without ongoing concerted and committed investment by the government, hospices throughout New Zealand—such as Tairāwhiti Hospice—may struggle to meet the growing and complex care needs of their communities.

“Our Tairāwhiti community is amazing in the support they give Hospice through donations from fundraising and bequests,” says Williams. “Time and time again, we are humbled by the generosity and compassion shown by individuals, families, and local organisations. Whether it's coins dropped into a collection bucket, a community event organised to raise funds, or a bequest left as a legacy of love, every contribution makes a meaningful difference. It’s this unwavering support that allows us to continue providing care, comfort, and dignity to those facing life-limiting illness. We are truly grateful to be part of such a kind and giving community. But just like other hospices around New Zealand, the demand for palliative care services is escalating and is expected to rise by 53% in the next 18 years. This is not sustainable.”

A sustainable palliative care system holds significant value for New Zealand’s health care system. Evidence shows that hospice services ease pressure on the wider health system and are acutely aware of inequities due to rurality and ethnicity. Early delivery of palliative care reduces unnecessary hospital admissions and the use of acute health services. Hospice care provides benefits not only to individuals but also to caregivers and the bereaved.

“Nationwide, there’s a call to action,” says Williams. “We are asking the government to stabilise the sector. We are asking the government to implement consistent regional funding allocations, develop a funding model to secure long-term financial stability, and invest in workforce sustainability. When one considers the value of a sustainable and equitable palliative care system to our communities and to the government—why wouldn’t our government invest?”