Background: The Australian Royal Commission on Quality and Safety in Aged Care identified the need for high quality palliative care for older people to live fully and comfortably as they approach end of life. The workforce in aged care homes (ACHs) lacked skills, systems and education to identify those who would benefit from palliative care and to deliver timely, evidence-informed, palliative care appropriately. The Palliative Aged Care Outcomes Program (PACOP) provides a standardised framework to support appropriate and timely palliative care. Aim To describe PACOP and its impact on individual and ACH palliative care outcomes. Methods PACOP is a structured, person-centred framework guiding routine assessment, early identification and management of residents’ palliative care needs, education for workforce and benchmarking to inform quality improvement. Residents’ demographic and assessment data, routinely collected between 2023 and 2026. Results PACOP-participation has grown from 8 to 530 ACHs with an increase in data reporting from 4 to 124 ACHs. Recognition of the need for palliative care prior to death improved from 72% to 80%. Residents experiencing moderate/severe distress from pain improved but length of time in unstable palliative care phase and palliative care episodes remained variable. Workforce consistently reported positive PACOP impacts on palliative care confidence and skills. Conclusion: PACOP enables identification of deterioration and empowers residents to articulate their needs, wants and preferences—enabling pro-active planning for end-of-life. Understanding characteristics of those dying in ACHs, and review of national data provides opportunity to improve care through shared learnings.