What’s the Future of Hospice Care?

Earlier in March, an independent report, Sustainable Funding for Hospice Services, was released by public policy and economic specialists Martin Jenkins. Commissioned by Tōtara Hospice, Hospice Waikato, Otago Community Hospice, Harbour Hospice, and Nelson Tasman Hospice on behalf of the 28 publicly contracted hospice providers across Aotearoa, the report confirms what we’ve long known—hospice care is a smart investment. For every $1 of government funding, hospice care delivers $1.59 in economic and social value while reducing pressure on hospitals by preventing unnecessary admissions and emergency department visits. Despite this, government funding covers only around 50% of operational costs on average, but for Lake Taupo Hospice, it is even lower leaving us facing a growing financial crisis.

What happens if hospice services cannot continue? Without specialist hospice care, patients with life-limiting illnesses will have fewer options for comfort and dignity at the end of life. Many will face longer hospital stays, increased emergency visits, or be left without adequate support at home. Families and carers will shoulder a greater burden, navigating complex medical needs without expert guidance. In 2024, the nationwide hospice funding gap for clinical services alone was $9.4 million, projected to reach $196 million by 2043. Each year, expenses rise by 6-8%, yet there is no dedicated national funding model to ensure fair and sustainable support. Firstly, we need our government to step up and secure sustainable funding for hospices, ensuring that this essential service remains available to all who need it. Secondly, we need our community to continue standing with us—through advocacy, donations, and fundraising—so we can keep delivering world-class hospice care. We extend our gratitude to Martin Jenkins and the hospices that commissioned this critical report, which can be accessed in full HERE