Collaboration in Assisted Dying Care

The End of Life Choice Act in Aotearoa came into effect in November 2021 legalising Assisted Dying for eligible individuals with a terminal illness. Nelson Tasman Hospice adopted a position of conscientious objection, viewing Assisted Dying and palliative care as distinct services, while respecting the rights of patients to choose Assisted Dying. This position has never been one of isolation. From the outset, we have actively sought opportunities to collaborate with Assisted Dying providers to ensure that patients and whānau experience care that is seamless, respectful, and grounded in compassion.

Building Collaborative Pathways

In early 2023, a joint communication pathway was developed between Nelson Tasman Hospice and local Assisted Dying providers. Since then, regular meetings and updates have strengthened relationships, providing clarity for colleagues and smoother processes for patients. As the regional Assisted Dying team observed: “The good communication between the Assisted Dying team and Hospice helps patients to navigate services at a difficult time.”

Our own teams have also seen the benefits, particularly the value of having clear processes and regular opportunities for interface with Assisted Dying providers. These connections enhance care for patients and families, while also supporting staff wellbeing through shared understanding and consistent practice

Insights for Our Data

Since the legislation came into force, a small number of patients on our service have chosen Assisted Dying. These experiences have highlighted the importance of timely applications, coordinated planning, and skilled communication between Nelson Tasman Hospice and the Assisted Dying Team.

While Hospice staff are not directly involved in the provision of Assisted Dying, collaboration has ensured that patients are able to access services safely and respectfully, while continuing to receive the highest standard of palliative care from our team of doctors, nurses, and allied health colleagues.

Looking Ahead

In November 2024, the Ministry of Health released the first scheduled review of the End of Life Choice Act. Government parties have agreed that any changes will be introduced through Members’ Bills, and legislative amendments are expected. Regardless of these developments, collaboration will remain central to our approach. This includes maintaining strong relationships with Assisted Dying providers, equipping our team to respond with confidence and
compassion, and communicating openly with patients, whānau, and the wider community.

At the heart of this work lies our shared commitment to ensuring that every interaction is grounded in respect, empathy, and partnership.

He waka eke noa – We are all in this together.

If you have any questions, reach out to us – 03 546 3950