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We Need Your Voice To Be Heard
We Need Your Voice To Be Heard

Scoop

time15-05-2025

  • Health
  • Scoop

We Need Your Voice To Be Heard

The unprecedented strain on hospices comes despite the recent release of the Report Sustainable Funding for Hospice Services, by research agency Martin Jenkins. The report shows that Hospice is a smart investment for the health system. Hospices around Aotearoa are at risk of cutting services as underfunding by the government pushes them to the brink. Last year Hospice provided free care to nearly 11,000 people who died last year, almost a third of all deaths in NZ, along with another 9,000 people living with a terminal illness. This came at a cost of $226 million. While the government provided $114 million, hospices had to raise $112 million from Hospice Op shops, community donations, fundraising and bequests, just to keep going. Wayne Naylor, Chief Executive, Hospice New Zealand, which represents New Zealand's 32 hospices, says without fairer funding, hospices are at risk of disappearing. 'This week is Hospice Awareness Week and our message is loud and clear, if the Government doesn't act now to invest fairly in hospice care, it is patients and their loved ones who will pay the price. Hospices are already facing major disruption and reducing offerings. Without more funding, we risk losing these vital services when people need them most,' says Mr Naylor. The unprecedented strain on hospices comes despite the recent release of the Report ' Sustainable Funding for Hospice Services, by research agency Martin Jenkins. The report shows that Hospice is a smart investment for the health system. Through providing free, end-of-life care to thousands of New Zealanders every year and keeping people out of Emergency Departments and expensive hospital beds, local hospices are providing taxpayers at least $1.59 in health benefits for every dollar of government funding, Hospice care in the community relieves an already overstretched health system which would otherwise have to care for the thousands of patients and families who use it. Mr Naylor says that a new sustainable funding model needs to be implemented, rather than just talked about. 'We now need to have hard conversations about future funding, particularly as the demand for hospice care continues to rise, as our population grows older and lives longer. It is predicted that the number of people needing palliative care will increase by 50% by 2040. 'We want the government to act and invest now if it is to appropriately meet current and growing future need for high quality end of life care,' says Mr Naylor. A Post Code Lottery Many communities are not in a position to provide the additional millions of dollars required to keep services free, never mind-expanding hospice care and extending it to those currently missing out because of where they live or their diagnosis. 'We can't keep relying on the generosity of community to keep our doors open, when costs far exceed our funding 'says Barbara Grout, Chief Executive of Hospice Tairāwhiti. 'We are making savings in non-clinical areas where possible but there's no room to expand our services to meet the needs of a growing population with complex needs.' Cutbacks hospices are already making include reduced inpatient beds, keeping vacant roles vacant, restricting admissions and reduced community services. Hospices are also having to use their own doctors and nurses to help fill the gaps that GPs and aged care facilities are not able to do at present. 'It is the persistent case of post-code lottery that the Government says it wants to remove with its health reforms. Many people are missing out due to their diagnosis, age and where they live.' says Mr Naylor. 'The situation all hospices are in, means having to make some unprecedented decisions this year. 'We don't want to end up in the crisis currently facing hospices in the UK – where dying people cannot access the care they need when they need it most.' Notes: In Numbers: In 2023/2024 Hospice across Aotearoa: • Provided care to 19,151 people, plus their whānau. • Cared for 10,860 people who died. • Provided 313,911 face-to-face visits. • Made 394,215 telephone and telehealth calls to patients and whānau members. • 40% of hospice patients died in their own home (vs general population stats) • Provided 25,105 grief and loss contacts. • Had to raise over $112m through their second-hand retail shops, fundraising, donations, and other sources, including from reserves, to keep afloat. What a shortage of funds looks like in terms of disruption and responding to patient needs: • Reduction in inpatient beds • Delays and freezes on recruitment • Restricting admissions and stricter on referrals (meaning those patients on the periphery of need are missing out) • Reduced community care – ie stopping the hospital liaison nurse service that helps to support a safe discharge from hospital back into the community • Nurses for In-patient beds moving to 12-hour shifts • An inability to grow in line with demand is, in itself, a barrier to delivering equitable and timely access to high-quality palliative care. • Using hospice doctors and nurses to fill the gaps that GPs and ARC facilities are not able to do at present. Sustainable Funding for Hospice Services: This report's economic case is both compelling and conservative: • Every $1 taxpayers invest in hospice services yields at least $1.59 in system savings • Hospices currently save the health system $110 million per year in direct clinical costs • They generate $48 million in quality-of-life benefits for patients and their whānau like • Hospice care reduces ED admissions and hospitalisations • Hospices directly support primary and aged residential care teams

We Need Your Voice To Be Heard
We Need Your Voice To Be Heard

Scoop

time15-05-2025

  • Health
  • Scoop

We Need Your Voice To Be Heard

Hospices around Aotearoa are at risk of cutting services as underfunding by the government pushes them to the brink. Last year Hospice provided free care to nearly 11,000 people who died last year, almost a third of all deaths in NZ, along with another 9,000 people living with a terminal illness. This came at a cost of $226 million. While the government provided $114 million, hospices had to raise $112 million from Hospice Op shops, community donations, fundraising and bequests, just to keep going. Wayne Naylor, Chief Executive, Hospice New Zealand, which represents New Zealand's 32 hospices, says without fairer funding, hospices are at risk of disappearing. 'This week is Hospice Awareness Week and our message is loud and clear, if the Government doesn't act now to invest fairly in hospice care, it is patients and their loved ones who will pay the price. Hospices are already facing major disruption and reducing offerings. Without more funding, we risk losing these vital services when people need them most,' says Mr Naylor. The unprecedented strain on hospices comes despite the recent release of the Report ' Sustainable Funding for Hospice Services, by research agency Martin Jenkins. The report shows that Hospice is a smart investment for the health system. Through providing free, end-of-life care to thousands of New Zealanders every year and keeping people out of Emergency Departments and expensive hospital beds, local hospices are providing taxpayers at least $1.59 in health benefits for every dollar of government funding, Hospice care in the community relieves an already overstretched health system which would otherwise have to care for the thousands of patients and families who use it. Mr Naylor says that a new sustainable funding model needs to be implemented, rather than just talked about. 'We now need to have hard conversations about future funding, particularly as the demand for hospice care continues to rise, as our population grows older and lives longer. It is predicted that the number of people needing palliative care will increase by 50% by 2040. 'We want the government to act and invest now if it is to appropriately meet current and growing future need for high quality end of life care,' says Mr Naylor. A Post Code Lottery Many communities are not in a position to provide the additional millions of dollars required to keep services free, never mind-expanding hospice care and extending it to those currently missing out because of where they live or their diagnosis. 'We can't keep relying on the generosity of community to keep our doors open, when costs far exceed our funding 'says Barbara Grout, Chief Executive of Hospice Tairāwhiti. 'We are making savings in non-clinical areas where possible but there's no room to expand our services to meet the needs of a growing population with complex needs.' Cutbacks hospices are already making include reduced inpatient beds, keeping vacant roles vacant, restricting admissions and reduced community services. Hospices are also having to use their own doctors and nurses to help fill the gaps that GPs and aged care facilities are not able to do at present. 'It is the persistent case of post-code lottery that the Government says it wants to remove with its health reforms. Many people are missing out due to their diagnosis, age and where they live.' says Mr Naylor. 'The situation all hospices are in, means having to make some unprecedented decisions this year. 'We don't want to end up in the crisis currently facing hospices in the UK – where dying people cannot access the care they need when they need it most.' Notes: In Numbers: In 2023/2024 Hospice across Aotearoa: • Provided care to 19,151 people, plus their whānau. • Cared for 10,860 people who died. • Provided 313,911 face-to-face visits. • Made 394,215 telephone and telehealth calls to patients and whānau members. • 40% of hospice patients died in their own home (vs general population stats) • Provided 25,105 grief and loss contacts. • Had to raise over $112m through their second-hand retail shops, fundraising, donations, and other sources, including from reserves, to keep afloat. What a shortage of funds looks like in terms of disruption and responding to patient needs: • Reduction in inpatient beds • Delays and freezes on recruitment • Restricting admissions and stricter on referrals (meaning those patients on the periphery of need are missing out) • Reduced community care – ie stopping the hospital liaison nurse service that helps to support a safe discharge from hospital back into the community • Nurses for In-patient beds moving to 12-hour shifts • An inability to grow in line with demand is, in itself, a barrier to delivering equitable and timely access to high-quality palliative care. • Using hospice doctors and nurses to fill the gaps that GPs and ARC facilities are not able to do at present. Sustainable Funding for Hospice Services: This report's economic case is both compelling and conservative: • Every $1 taxpayers invest in hospice services yields at least $1.59 in system savings • Hospices currently save the health system $110 million per year in direct clinical costs • They generate $48 million in quality-of-life benefits for patients and their whānau like • Hospice care reduces ED admissions and hospitalisations

Hospice celebrates awards for nursing team
Hospice celebrates awards for nursing team

Otago Daily Times

time14-05-2025

  • Health
  • Otago Daily Times

Hospice celebrates awards for nursing team

Otago Community Hospice nurses Sally Hanrahan (left) and Selena Branson pictured at the Southern Nursing Excellence Awards. PHOTO: SUPPLIED The dedication and outstanding work of two Otago Community Hospice nurses was recognised at this week's Southern Nursing Excellence Awards. Sally Hanrahan, an enrolled nurse, who has worked in the Otago Community Hospice Inpatient Unit for 35 years, received a clinical excellence award. This award recognises nurses who provide exceptional nursing care and role model clinical excellence in their practice. Selena Branson, from the Hospice Residential Support Team, received a rising star award. This award recognises nurses who have already made significant contributions to the nursing profession early in their career and inspire and encourage others. Otago Community Hospice director of nursing and clinical services Louise Ingham said, in a statement, the organisation was ''so proud of their achievements". "They are a shining example of the dedication and skill our clinical team bring to everything they do." "Our team are not only skilled in managing symptoms and supporting decision-making, but also in the subtle, human art of accompanying people through some of the most profound moments of life," Ms Ingham said. Ms Hanrahan and Ms Branson are part of a dedicated team of health care professionals that deliver holistic, responsive, and evidence-based care to people and whānau across Otago. "At Otago Community Hospice, our commitment to providing expert, specialist palliative care is deeply rooted in the skills and experience of our team, and nowhere is this more evident than within our nursing and whānau support workforce," Ms Ingham said. The Southern Nursing Excellence Awards recognise nurses across the whole health sector. Ms Ingham said it was timely, during Hospice Awareness Week, to acknowledge and celebrate the special work of palliative care nurses.

Struggling Hospice Nurses Shattered By Pay Equity Changes
Struggling Hospice Nurses Shattered By Pay Equity Changes

Scoop

time12-05-2025

  • Health
  • Scoop

Struggling Hospice Nurses Shattered By Pay Equity Changes

Press Release – New Zealand Nurses Organisation NZNO delegate and hospice nurse Donna Burnett says hospice nurses are demoralised and angered by last weeks announcement. This year's Hospice Awareness Week comes as hospices struggle to keep their doors open because of a lack of Government funding and nurses' chances of fair pay shattered by the removal of their pay equity claim, NZNO says. The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) hospice pay equity claim was filed in late-2023 covering 27 hospices employing its members. That claim, alongside nine others for NZNO, were thrown out by the Government last week with its to pay equity law changes. Hospice New Zealand today said Te Whatu Ora had refused to adjust their funding so hospice nurses and health care assistants could be paid the same as their hospital counterparts. Hospices could not afford to fund the widening pay gap as at least 35% of hospice nurses' wages came from fundraising and donations because of chronic underfunding of the sector. NZNO delegate and hospice nurse Donna Burnett says hospice nurses are demoralised and angered by last week's announcement. 'Hospices are already facing service cutbacks, with a strong possibility of closures in small region because of the current lack of funding. It is not sustainable. On top of this, at the swipe of a pen and a blink of an eye, Government pulled pay equity out from under us.' Due to New Zealand's aging population, the crisis for hospices will only worsen if the Government doesn't step up and properly fund the sector, she says. 'We are meant to be raising awareness about hospices this week, but the reality is people need to be aware of what's happening to us nurses and health care assistants because it impacts our patients. 'Without pay equity and a fully funded sector, hospices will keep losing nurses and health care assistants to better paying hospitals or overseas health systems. 'Dying New Zealanders and their whānau have enough to worry about without not being able to access hospice care because of short staffing which is a direct result of Government decisions,' Donna Burnett says.

Struggling Hospice Nurses Shattered By Pay Equity Changes
Struggling Hospice Nurses Shattered By Pay Equity Changes

Scoop

time12-05-2025

  • Health
  • Scoop

Struggling Hospice Nurses Shattered By Pay Equity Changes

This year's Hospice Awareness Week comes as hospices struggle to keep their doors open because of a lack of Government funding and nurses' chances of fair pay shattered by the removal of their pay equity claim, NZNO says. The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) hospice pay equity claim was filed in late-2023 covering 27 hospices employing its members. That claim, alongside nine others for NZNO, were thrown out by the Government last week with its to pay equity law changes. Hospice New Zealand today said Te Whatu Ora had refused to adjust their funding so hospice nurses and health care assistants could be paid the same as their hospital counterparts. Hospices could not afford to fund the widening pay gap as at least 35% of hospice nurses' wages came from fundraising and donations because of chronic underfunding of the sector. NZNO delegate and hospice nurse Donna Burnett says hospice nurses are demoralised and angered by last week's announcement. "Hospices are already facing service cutbacks, with a strong possibility of closures in small region because of the current lack of funding. It is not sustainable. On top of this, at the swipe of a pen and a blink of an eye, Government pulled pay equity out from under us." Due to New Zealand's aging population, the crisis for hospices will only worsen if the Government doesn't step up and properly fund the sector, she says. "We are meant to be raising awareness about hospices this week, but the reality is people need to be aware of what's happening to us nurses and health care assistants because it impacts our patients. "Without pay equity and a fully funded sector, hospices will keep losing nurses and health care assistants to better paying hospitals or overseas health systems. "Dying New Zealanders and their whānau have enough to worry about without not being able to access hospice care because of short staffing which is a direct result of Government decisions," Donna Burnett says.

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