So, why is access so unequal?
Access to palliative care remains patchy and inconsistent. Local health strategies vary - some make no mention of palliative care at all, while others include it without clear delivery plans. Services can depend heavily on where someone lives.
Care is also often prioritised for those with cancer, leaving people with chronic non-cancer conditions, such as advanced heart or respiratory disease, at a disadvantage.
The authors also highlight the persistent myth that palliative care is only for the very end of life. But research shows early, personalised support can ease symptoms, improve wellbeing, and reduce unnecessary hospital stays.
“Palliative care is a vital, cost-effective component of modern healthcare systems,” said Professor Higginson. “Its holistic approach—addressing physical, psychological, social and spiritual needs—benefits both patients and caregivers, particularly those with chronic conditions who frequently rely on NHS services.”