Standards

The National Palliative Care Standards clearly outline the expectations for compassionate and appropriate specialist palliative care. As part of the development process they were mapped against other standards relevant to palliative care including:

• The Australian Commission on Safety and Quality in Health Care (ACSQHC) National Safety and Quality Health Service (NSQHS) Standards (Version 2).
• The ACSQHC National Consensus Statement: Essential elements for safe and high-quality end-of-life care.
• The ACSQHC National Consensus Statement: Essential elements for safe and high-quality paediatric end-of-life care.
• The Accreditation Standards, as identified in the Quality of Care Principles 2014 and administered by the Australian Aged Care Quality Agency (AACQA).
• The previous version of Palliative Care Australia’s Standards for Providing Quality Palliative Care for all Australians (2005) (633kb pdf).

Since publication of the National standards in 2018, other relevant standards have been released including the Aged Care Quality Standards. Although they do not refer to the provision of palliative care, reference is made to end-of-life care and three of the standards are particularly relevant:

• Standard 1: Consumer dignity and choice
• Standard 2: Ongoing assessment and planning with consumers
• Standard 3: Personal care and clinical care.

Implementing standards

While standards describe what is expected, guidance helps us with the ‘how to’ of meeting expectations. Implementation strategies designed to meet standards will depend on the context of care.

In support of the standards for specialist palliative care, PCA provides services with a secure online Palliative Care Self-Assessment portal (PaCSA portal). This helps services to self-assess their activity against the National Palliative Care Standards. Many nurses will be aware of the standards, and those in specialist palliative care may have some involvement in working towards or completing a PaCSA self-assessment.

PCA have also developed Service Development Guidelines to communicate expectations in relation to service availability and workforce and system capabilities. In recognition of some differences between adult and paediatric care a Paediatric Addendum to the service guidelines was also published in late 2018.

The Australian Commission on Safety and Quality in Health Care has also developed resources to support high-quality end-of-life care in the hospital setting. This includes an End-of-Life Care Audit Toolkit designed to help services examine and improve the quality of their end-of-life care.

About palliative care: About specialist palliative care

Video from Palliative Care NSW