Facilitated by Dr Olivia Farrer, this seminar explores why conversations about dying and end-of-life care are so often delayed, despite growing evidence that earlier discussions can improve outcomes for patients, families, and health systems. Bringing together clinical and research perspectives, the session examines the challenges of recognising when a palliative approach is needed, alongside the realities of communication and care delivery within acute healthcare settings. With insights from RePaDD members including Associate Professor Tim To and Dr Claudia Virdun, the seminar highlights the individual, organisational, and systemic factors that shape end-of-life conversations and considers opportunities to support more timely, person-centred care.