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The views and opinions expressed in our blog series are those of the authors and are not necessarily supported by CareSearch, Flinders University and/or the Australian Government Department of Health.
A significant feature of the 2019-20 Federal Budget for healthcare professionals, and patients and their carers was that it foreshadowed a shift in funding arrangements for chronic disease management within primary care for people aged over 70. Katharine Silk, Innovation and Integration Manager at Australian Healthcare & Hospitals Association (AHHA) discusses how the federal budget may impact primary care nurses.
Most Australians have an expectation that their GP will be able to provide them with the care they need when they are unwell, or at least make sure that they are linked in with the right services. While most GPs feel they have a role to play in caring for patients at the end-of-life, many do not feel confident in doing so.
Recognised barriers to providing palliative care include patient complexity, inadequate training, inadequate access to resources and poor communication from specialists or treating teams.
Palliative care and advance care planning is, and should be, part of the normal scope of practice of all primary care providers. To support this ELDAC has developed the primary care toolkit with relevant information and resources.
The number of Australians over the age of 65 is rising, and during the next three decades, the proportion of the population aged over 85 will more than double. This demographic change is driving significant growth in demand for aged care. The availability of home care packages has significantly expanded in the last decade to allow people to be cared for in their homes including those that require palliative care. A shift in the complexity of people moving into residential aged care has also occurred; people are older, frailer and have more complex care needs. Across the spectrum of aged care services there is a need and expectation for people to have their end-of-life needs met.