Palliative Care Victoria alarmed at lack of funding to help terminally ill Victorians
Dying Victorians are being forced on to waiting lists for palliative care or being pushed into overcrowded hospitals instead of receiving care at home because of funding shortfalls, experts warn.
Kelly Rogerson, chair of Palliative Care Victoria, has sounded the alarm that the state's at-home care system is in crisis following years of underfunding by the Victorian government, with at least an extra $20m needed to restore service levels.
She revealed that 79 people die each day in Victoria without access to palliative care, and that terminally ill patients are frequently told to seek treatment in hospitals rather than stay at home due to budget issues.
'It just doesn't make sense,' Ms Rogerson said.
'We've got this massive increase of our ageing population and terminal illness trajectories, but we're a small piece of focus from a Department of Health point of view.
'People are only getting care in the last weeks of their life rather than actually living well, which is what palliative care is all about.'
Data from Palliative Care Victoria showed 62 per cent of people who wanted to die at home were actually being admitted to hospital instead.
Ms Rogerson added this was resulting in huge 'pressure on hospitals' and called for an urgent funding injection from the Allan government to help struggling services.
Her call comes after funding was cut in the 2024-25 budget. This was despite a report in 2022, commissioned by Palliative Care Victoria, which found 75 per cent of service providers don't believe they can meet future demand, with a projected $91m annual shortfall in the state's sector by 2025.
In comparison, in NSW the sector was boosted in 2022 with an extra $734m to be injected into the end-of-life care system over five years.
Despite warnings of underfunding, a Victorian government spokesperson said: 'Every Victorian deserves access to compassionate, high-quality end-of-life care when and where they need it.'
'We've invested more than $182m to expand access to palliative care across Victoria, including year on year increase.'
Opposition health spokeswoman Georgie Crozier slammed the state's action on the issue as tone deaf.
'Labor needs to immediately correct the underfunding of essential palliative care services, so that support and dignity can be provided to those patients at the end of their life,' she said.
In one case raised with the Herald Sun a mother-of-three dying of cancer was not able to get assistance for help to care for her young children due to funding issues.
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The Advertiser
a day ago
- The Advertiser
'Doesn't bring her back': death in custody preventable
An Aboriginal woman's newborn baby was ripped from her arms soon after giving birth while in prison. But Heather Calgaret was not given any mental health support after this traumatic event. Over the next two years behind bars, the mother-of-four became obese, developed type 2 diabetes and suffered depression before being denied parole. She died in custody in November 2021 after given an inappropriately prescribed injectable opioid substitution. Countless missed opportunities to prevent the 30-year-old's death in custody were outlined by a coroner on Monday, as her family and supporters filled the courtroom. "Not only was her passing preventable, she should never have passed in the manner that she did," Victorian coroner Sarah Gebert said as she delivered a 300-page finding. The proud Yamatji, Noongar, Wongi and Pitjantjatjara woman had been six months' pregnant when she arrived at Dame Phyllis Frost women's prison in July 2019. The removal of her baby girl just after giving birth, because she had been denied access to the prison's Living with Mum program, was a "pivotal" moment, the coroner found. "Heather had her other children removed ... and her family had been affected by the Stolen Generation," Ms Gebert said. "Each of these factors would be expected to produce a range of both trauma-related symptoms and feelings of despair." Ms Calgaret was not given access to a psychologist while at Dame Phyllis and her mental health declined. About six months before her death, Ms Calgaret pleaded in a letter to be released on parole. She explained the See Change program she was required to complete was not available at Dame Phyllis and asked to do it outside prison. "I have four children that need me. I believe I have suffered enough," Ms Calgaret wrote in the letter. She begged for someone to "please read and answer my letter", but it was never forwarded onto the parole board. The coroner said Ms Calgaret had been eligible to be considered for parole more than a year earlier, about seven months after her sentence for aggravated burglary was imposed. It wasn't until October 2021 - a month before she died - that she was told her parole application had been denied because of a lack of suitable accommodation. On November 22, a doctor gave her a dosage of opiate replacement therapy that was too high for her tolerance level. Ms Calgaret's sister Suzzane, who was housed with her at the prison, found her struggling to breathe the following morning. She shook Ms Calgaret to let her know it was time for the daily count, but her younger sister was not moving. A "code black" was called and she was taken to hospital where she died four days later. The Correct Care Australasia doctor had "lacked the careful consideration required" to prescribe the injectable drug, the coroner said. She found Ms Calgaret would not have died if she had not been given the drug, or if she had been supervised afterwards. Suzzane Calgaret welcomed the findings but said it should not have taken her sister's death for changes to be made. "I hope they just have learned from this because it's taken my sister's life, my mum's daughter's life," she said outside court. "There's a reason now for her passing and that reason has been justified by the outcome, but it doesn't bring her back." Ms Gebert issued 16 recommendations, including monitoring women who give birth in custody for post-natal mental health treatment. She encouraged Justice Health to work with the government and stakeholders to improve the psychological services available at the prison and their care of inmates with chronic health issues. Ms Gebert said the parole application process should be reviewed to ensure it does not undermine the integrity of prison sentencing. 13YARN 13 92 76 Lifeline 13 11 14 An Aboriginal woman's newborn baby was ripped from her arms soon after giving birth while in prison. But Heather Calgaret was not given any mental health support after this traumatic event. Over the next two years behind bars, the mother-of-four became obese, developed type 2 diabetes and suffered depression before being denied parole. She died in custody in November 2021 after given an inappropriately prescribed injectable opioid substitution. Countless missed opportunities to prevent the 30-year-old's death in custody were outlined by a coroner on Monday, as her family and supporters filled the courtroom. "Not only was her passing preventable, she should never have passed in the manner that she did," Victorian coroner Sarah Gebert said as she delivered a 300-page finding. The proud Yamatji, Noongar, Wongi and Pitjantjatjara woman had been six months' pregnant when she arrived at Dame Phyllis Frost women's prison in July 2019. The removal of her baby girl just after giving birth, because she had been denied access to the prison's Living with Mum program, was a "pivotal" moment, the coroner found. "Heather had her other children removed ... and her family had been affected by the Stolen Generation," Ms Gebert said. "Each of these factors would be expected to produce a range of both trauma-related symptoms and feelings of despair." Ms Calgaret was not given access to a psychologist while at Dame Phyllis and her mental health declined. About six months before her death, Ms Calgaret pleaded in a letter to be released on parole. She explained the See Change program she was required to complete was not available at Dame Phyllis and asked to do it outside prison. "I have four children that need me. I believe I have suffered enough," Ms Calgaret wrote in the letter. She begged for someone to "please read and answer my letter", but it was never forwarded onto the parole board. The coroner said Ms Calgaret had been eligible to be considered for parole more than a year earlier, about seven months after her sentence for aggravated burglary was imposed. It wasn't until October 2021 - a month before she died - that she was told her parole application had been denied because of a lack of suitable accommodation. On November 22, a doctor gave her a dosage of opiate replacement therapy that was too high for her tolerance level. Ms Calgaret's sister Suzzane, who was housed with her at the prison, found her struggling to breathe the following morning. She shook Ms Calgaret to let her know it was time for the daily count, but her younger sister was not moving. A "code black" was called and she was taken to hospital where she died four days later. The Correct Care Australasia doctor had "lacked the careful consideration required" to prescribe the injectable drug, the coroner said. She found Ms Calgaret would not have died if she had not been given the drug, or if she had been supervised afterwards. Suzzane Calgaret welcomed the findings but said it should not have taken her sister's death for changes to be made. "I hope they just have learned from this because it's taken my sister's life, my mum's daughter's life," she said outside court. "There's a reason now for her passing and that reason has been justified by the outcome, but it doesn't bring her back." Ms Gebert issued 16 recommendations, including monitoring women who give birth in custody for post-natal mental health treatment. She encouraged Justice Health to work with the government and stakeholders to improve the psychological services available at the prison and their care of inmates with chronic health issues. Ms Gebert said the parole application process should be reviewed to ensure it does not undermine the integrity of prison sentencing. 13YARN 13 92 76 Lifeline 13 11 14 An Aboriginal woman's newborn baby was ripped from her arms soon after giving birth while in prison. But Heather Calgaret was not given any mental health support after this traumatic event. Over the next two years behind bars, the mother-of-four became obese, developed type 2 diabetes and suffered depression before being denied parole. She died in custody in November 2021 after given an inappropriately prescribed injectable opioid substitution. Countless missed opportunities to prevent the 30-year-old's death in custody were outlined by a coroner on Monday, as her family and supporters filled the courtroom. "Not only was her passing preventable, she should never have passed in the manner that she did," Victorian coroner Sarah Gebert said as she delivered a 300-page finding. The proud Yamatji, Noongar, Wongi and Pitjantjatjara woman had been six months' pregnant when she arrived at Dame Phyllis Frost women's prison in July 2019. The removal of her baby girl just after giving birth, because she had been denied access to the prison's Living with Mum program, was a "pivotal" moment, the coroner found. "Heather had her other children removed ... and her family had been affected by the Stolen Generation," Ms Gebert said. "Each of these factors would be expected to produce a range of both trauma-related symptoms and feelings of despair." Ms Calgaret was not given access to a psychologist while at Dame Phyllis and her mental health declined. About six months before her death, Ms Calgaret pleaded in a letter to be released on parole. She explained the See Change program she was required to complete was not available at Dame Phyllis and asked to do it outside prison. "I have four children that need me. I believe I have suffered enough," Ms Calgaret wrote in the letter. She begged for someone to "please read and answer my letter", but it was never forwarded onto the parole board. The coroner said Ms Calgaret had been eligible to be considered for parole more than a year earlier, about seven months after her sentence for aggravated burglary was imposed. It wasn't until October 2021 - a month before she died - that she was told her parole application had been denied because of a lack of suitable accommodation. On November 22, a doctor gave her a dosage of opiate replacement therapy that was too high for her tolerance level. Ms Calgaret's sister Suzzane, who was housed with her at the prison, found her struggling to breathe the following morning. She shook Ms Calgaret to let her know it was time for the daily count, but her younger sister was not moving. A "code black" was called and she was taken to hospital where she died four days later. The Correct Care Australasia doctor had "lacked the careful consideration required" to prescribe the injectable drug, the coroner said. She found Ms Calgaret would not have died if she had not been given the drug, or if she had been supervised afterwards. Suzzane Calgaret welcomed the findings but said it should not have taken her sister's death for changes to be made. "I hope they just have learned from this because it's taken my sister's life, my mum's daughter's life," she said outside court. "There's a reason now for her passing and that reason has been justified by the outcome, but it doesn't bring her back." Ms Gebert issued 16 recommendations, including monitoring women who give birth in custody for post-natal mental health treatment. She encouraged Justice Health to work with the government and stakeholders to improve the psychological services available at the prison and their care of inmates with chronic health issues. Ms Gebert said the parole application process should be reviewed to ensure it does not undermine the integrity of prison sentencing. 13YARN 13 92 76 Lifeline 13 11 14 An Aboriginal woman's newborn baby was ripped from her arms soon after giving birth while in prison. But Heather Calgaret was not given any mental health support after this traumatic event. Over the next two years behind bars, the mother-of-four became obese, developed type 2 diabetes and suffered depression before being denied parole. She died in custody in November 2021 after given an inappropriately prescribed injectable opioid substitution. Countless missed opportunities to prevent the 30-year-old's death in custody were outlined by a coroner on Monday, as her family and supporters filled the courtroom. "Not only was her passing preventable, she should never have passed in the manner that she did," Victorian coroner Sarah Gebert said as she delivered a 300-page finding. The proud Yamatji, Noongar, Wongi and Pitjantjatjara woman had been six months' pregnant when she arrived at Dame Phyllis Frost women's prison in July 2019. The removal of her baby girl just after giving birth, because she had been denied access to the prison's Living with Mum program, was a "pivotal" moment, the coroner found. "Heather had her other children removed ... and her family had been affected by the Stolen Generation," Ms Gebert said. "Each of these factors would be expected to produce a range of both trauma-related symptoms and feelings of despair." Ms Calgaret was not given access to a psychologist while at Dame Phyllis and her mental health declined. About six months before her death, Ms Calgaret pleaded in a letter to be released on parole. She explained the See Change program she was required to complete was not available at Dame Phyllis and asked to do it outside prison. "I have four children that need me. I believe I have suffered enough," Ms Calgaret wrote in the letter. She begged for someone to "please read and answer my letter", but it was never forwarded onto the parole board. The coroner said Ms Calgaret had been eligible to be considered for parole more than a year earlier, about seven months after her sentence for aggravated burglary was imposed. It wasn't until October 2021 - a month before she died - that she was told her parole application had been denied because of a lack of suitable accommodation. On November 22, a doctor gave her a dosage of opiate replacement therapy that was too high for her tolerance level. Ms Calgaret's sister Suzzane, who was housed with her at the prison, found her struggling to breathe the following morning. She shook Ms Calgaret to let her know it was time for the daily count, but her younger sister was not moving. A "code black" was called and she was taken to hospital where she died four days later. The Correct Care Australasia doctor had "lacked the careful consideration required" to prescribe the injectable drug, the coroner said. She found Ms Calgaret would not have died if she had not been given the drug, or if she had been supervised afterwards. Suzzane Calgaret welcomed the findings but said it should not have taken her sister's death for changes to be made. "I hope they just have learned from this because it's taken my sister's life, my mum's daughter's life," she said outside court. "There's a reason now for her passing and that reason has been justified by the outcome, but it doesn't bring her back." Ms Gebert issued 16 recommendations, including monitoring women who give birth in custody for post-natal mental health treatment. She encouraged Justice Health to work with the government and stakeholders to improve the psychological services available at the prison and their care of inmates with chronic health issues. Ms Gebert said the parole application process should be reviewed to ensure it does not undermine the integrity of prison sentencing. 13YARN 13 92 76 Lifeline 13 11 14
Sydney Morning Herald
a day ago
- Sydney Morning Herald
An Indigenous woman's baby was taken from her. It was a ‘pivotal moment' before she died in prison
Aboriginal and Torres Strait Islander readers are warned that the following article contains images and names of deceased people. An Indigenous woman's newborn had been taken from her, she had been denied parole and then a doctor prescribed her a high dose of synthetic opiates leading to her death. Heather Calgaret's death in custody was preventable and her health in prison had deteriorated from the moment her baby was removed from her at birth, a coroner found on Monday. 'Not only was her passing preventable, she should never have passed in the manner that she did,' Victorian Coroner Sarah Gebert said as she delivered a 300-page finding following an inquest. The 30-year-old Yamatji, Noongar, Wongi and Pitjantjatjara woman had been six months pregnant when she arrived at Dame Phyllis Frost women's prison, in Melbourne's outer west, in July 2019. The removal of her daughter – which Calgaret had described as 'hell' – was a pivotal moment in her overall health decline while in custody, Gebert found. She experienced depression, grief, shame and trauma from the child's removal and separation from her three other children, became obese and was diagnosed with diabetes over her next two years in prison. Calgaret pleaded to be released on parole about six months before her death, writing a letter expressing frustration as one of her parole conditions was to complete a program that was not available. 'I have been told I need to complete the See Change program to complete parole. Dame Phyllis Frost is not running it,' she wrote, as she asked to be permitted to complete the program outside prison.
Sydney Morning Herald
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- Sydney Morning Herald
Making the hospo industry safer: Good Food calls for Cultural Change Champion nominees
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