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Abstract Objectives Anticipation and prompt relief of symptoms among patients with a life-limiting illness is a core element of palliative care. Indigenous Australians commonly encounter cultural barriers in healthcare that may impair outcomes. The Palliative Care Outcomes Collaboration collects patient care data for the purposes of continuous quality improvement and benchmarking, with each recorded care episode divided into phases that reflect a patient s condition. We aimed to investigate differences between Indigenous and non-Indigenous patients in the occurrence and duration of â € unstable phases (which indicate unanticipated deterioration in a patient s condition or circumstances), and determine attainment of the relevant benchmark (resolution of unstable phases in ≤3 days in 90% of cases) for both groups. Design Cohort study. Setting Australia-wide hospital-based and community-based specialist palliative care (1 January 2010 to 30 June 2015). Participants 139 556 ....