Voluntary assisted dying care navigators in Victoria are transforming end-of-life care by guiding patients through legal and administrative complexities, ensuring dignity and choice. This article explores their vital role, the growing demand, and how families can access these services.
What Are Voluntary Assisted Dying Care Navigators?
Voluntary assisted dying (VAD) care navigators are specialized professionals who help terminally ill patients and their families understand and navigate the legal process of accessing assisted dying. Established in Victoria in 2019, when it became the first Australian state to legalize VAD, these navigators provide crucial support from initial inquiry to the final moments.
They act as a bridge between patients, medical practitioners, and the legal requirements, offering emotional and practical guidance. As Kristen Kappel, a navigator with four years of experience, describes, the role involves attending deaths and providing comfort, making it both emotionally demanding and deeply rewarding.
The Growing Need for VAD Navigators Across Australia
All Australian states and the Australian Capital Territory now have lawful VAD, with the Northern Territory expected to table legislation soon. Despite VAD accounting for only 2% of all deaths nationally, data from Go Gentle shows increases in assessments and uptake since 2024 in every state with available data.
This rising demand has put pressure on navigators, who often handle chaotic phone lines and diverse callers, including patients and family members. The service is publicly accessible, but navigators have historically remained out of the public eye, making awareness a key challenge.

How Navigators Help Patients and Families
Navigators assist with understanding eligibility criteria, coordinating medical assessments, and ensuring all legal documentation is completed correctly. They also provide emotional support, helping families prepare for the death of a loved one in a dignified and peaceful manner.
For many, the navigator’s role is about restoring control. As Kappel notes, attending deaths can be “beautiful” when the patient’s wishes are honored, but it requires resilience and empathy.

Comparison of VAD Services in Australia (2024-2025)
| State/Territory | VAD Legal Status | Navigator Availability | Uptake Trend |
|---|---|---|---|
| Victoria | Legal since 2019 | Established navigator service | Soft increase |
| New South Wales | Legal since 2023 | Navigators being trained | Rising |
| Queensland | Legal since 2021 | Navigators available | Significant increase |
| Australian Capital Territory | Legal since 2024 | Navigators in development | Initial uptake |
| Northern Territory | Legislation pending | Not yet established | N/A |
Key Takeaways for Patients and Families
- VAD care navigators provide free, confidential support to eligible patients.
- Navigators help demystify the legal and medical processes, reducing stress.
- Contact details for navigators are publicly available, but awareness is still growing.
- Emotional support is a core part of the service, benefiting both patients and loved ones.
- With VAD expanding across Australia, more navigators are needed to meet demand.
FAQ: Voluntary Assisted Dying Care Navigators
Who can access voluntary assisted dying care navigators?
What does a care navigator do?
Is the care navigator service free?
How has the demand for navigators changed recently?
As voluntary assisted dying becomes more widely accepted and accessible, care navigators remain essential in helping patients chart a course for choice, dignity, and peace. If you or a loved one are considering VAD, reaching out to a navigator can provide clarity and comfort during a difficult time.
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