11 Feb
Question
Hospices

The debate focused on the UK government's support and funding for hospices, highlighting recent investments while addressing funding challenges faced by these vital institutions. MPs from different constituencies raised concerns about the adequacy and distribution of both immediate and long-term funding for hospices, emphasizing their critical role in community healthcare and end-of-life care.

£100 million

Capital funding boost for hospices over 2023-2024.

Key Points of the Debate:

  • Government Support: The government announced a £100 million capital funding boost for adult and children's hospices over the next two years, with the intent of improving IT systems and outreach services.
  • NHS Funding Contribution: Concerns were raised about the reliance on donations, with hospices seeking clarity on long-term funding and distribution processes, particularly from integrated care boards.
  • National Insurance Concerns: The potential impact of national insurance hikes on hospices was noted, with calls for the government to review this impact.
  • Sustainability and Strategy: There was a strong emphasis on developing a sustainable funding strategy, with discussions involving stakeholders to ensure funding clarity before the fiscal year ends.
  • Devolved Administrations: The need for discussions on funding formulas and devolved settlements was highlighted, especially concerning the Barnett formula's application in Scotland and Northern Ireland.
£26 million

Revenue funding specifically for children's hospices for 2025-2026.

Quality of Responses: Minister Kinnock provided detailed replies, outlining ongoing strategic discussions, recent roundtables with stakeholders, and potential policy directions to address long-term funding sustainability in hospice care.

Outcome

The session reinforced the government's commitment to supporting hospices, both in immediate funding terms and through strategic planning for the future. However, anxiety over funding approaches persisted among MPs, with calls for improved clarity and distribution assurances.

Key Contributions

James NaishMP
Labour

Acknowledged the funding boost but raised concerns about redundancies at Nottinghamshire hospice. Asked for government support in sustaining the care quality and community-based services.

Stephen KinnockMinister
Labour

Echoed appreciation for Nottinghamshire hospice's work. Stressed the importance of investment for improving IT systems and outreach services.

Kate OsamorMP
Labour

Highlighted the reliance of North London Hospice on donations. Sought assurance on long-term funding plans amidst delays from integrated care boards.

Harpreet UppalMP
Labour

Witnessed the work of local hospices. Addressed long-term funding struggles, calling for hospice inclusion in the 10-year NHS plan.

Mr Peter BedfordMP
Conservative

Expressed concern about the impact of national insurance contributions on Leicestershire hospices, urged a tax rise reversal.

Stephen GethinsMP
SNP

Paid tribute to hospice workers and questioned the impact of national insurance hikes. Urged for full Barnett consequentials transfer to devolved administrations.

Mr Gregory CampbellMP
DUP

Emphasized the need for a reflective funding formula for hospices in Northern Ireland. Advocated for ministerial discussions on funding review.

Original Transcript
James Naish
Rushcliffe
Lab
Question
UIN: 902682

6. What steps his Department is taking to support hospices.

Kate Osamor
Edmonton and Winchmore Hill
Lab/Co-op
Question
UIN: 902683

7. What steps his Department is taking to support hospices.

Harpreet Uppal
Huddersfield
Lab
Question
UIN: 902697

20. What assessment his Department has made of the adequacy of long-term funding for hospices.

The Minister for Care
Stephen Kinnock

Hospices provide vital care and support for patients and their families at the most difficult time. I am very proud that this Government have provided a £100 million capital funding boost for adult and children’s hospices over this year and next.

We are currently finalising the delivery mechanism for this funding, and we are pleased that Hospice UK is standing ready to distribute the money to local hospices across England. We are also providing £26 million of revenue funding for children’s hospices in England in 2025-26.

James Naish

While I wholeheartedly welcome the £100 million capital funding boost for hospices announced before Christmas, 17 members of staff at Nottinghamshire hospice, which is a large community-based hospice serving my constituency that provides care for family members in their own homes, have recently been told they are at risk of redundancy.

Can the Minister please expand on how the Government will support organisations such as this to continue to deliver excellent care in the community?

Kate Osamor

North London Hospice in my constituency has a site in Winchmore Hill that receives one third of its funding from the NHS, with the rest coming from the generosity of the public. Many of its services, such as out-patients and wellbeing, are funded entirely by donations.

While it welcomes the announcement of the £100 million in funding, what assurances can the Government provide about long-term hospice funding, given the significant delays in accessing funding from integrated care boards this year?

Hospices are anxious to seek clarity about the allocation and distribution of this funding.

Stephen Kinnock

I thank my hon. Friend for that question. On her point about long-term funding, last week I chaired a roundtable with key stakeholders from the sector, and we were absolutely focused on developing a plan to secure the long-term sustainability of the sector.

We cannot go back to the cliff edge that we have had over the last few months, primarily due to the utterly chaotic and shambolic way in which the Conservative party managed our system in the past.

Harpreet Uppal
11:58

I have had the privilege of witnessing at first hand the exceptional work of my local hospices, Forget Me Not children’s hospice and the Kirkwood. However, as my hon.

Friends the Members for Rushcliffe (James Naish) and for Edmonton and Winchmore Hill (Kate Osamor) have stated, they are also struggling with long-term funding pressures and have had to make the difficult decision to reduce services and staff.

What further work are the Government doing to ensure that hospices thrive, and to ensure that end-of-life care is included in the 10-year NHS plan?

Stephen Kinnock
11:58

I thank my hon. Friend for that question. One of the three shifts that the 10-year plan will deliver is shifting more healthcare out of hospitals and into the community.

In the context of the plan, we are having discussions about the long-term sustainability of the palliative and end-of-life care sector, including hospices.

As we develop the plan, we will be carefully considering policies in this area, with input from the public, patients, health staff and our stakeholders. As I mentioned in response to my hon.

Friend the Member for Edmonton and Winchmore Hill (Kate Osamor), last week I was pleased to chair a roundtable to discuss long-term strategies for hospices to get palliative and end-of-life care, including hospices, on to a more sustainable footing after 14 years of Tory neglect and incompetence.

Mr Peter Bedford
Mid Leicestershire
Con

Leicestershire is home to some superb hospices, such as Rainbows and LOROS, both of which are set to be massively impacted by the hike in national insurance contributions.

Given the important work that these hospices do, particularly for people at the end of their lives, will the Minister urge the Chancellor to reverse this pernicious tax rise?

Stephen Gethins
Arbroath and Broughty Ferry
SNP
11:59

First, may I pay tribute to those who work in hospices? I think we can all agree that they do an astonishing job. The Minister will agree that the national insurance hike has had an impact on those who work in hospices.

Can he assure me that when it comes to the Scottish Government’s funding—I acknowledge the 14 years of Tory misrule and the funding settlements that were handed down—any Barnett consequentials will be passed on in full to the devolved Administrations?

Stephen Kinnock
11:59

We have seen the biggest settlement in many years for our health and care system across the country.

It is now up to the SNP Government in Edinburgh to absorb and deliver that funding in a way that will actually improve services in Scotland—something that we have not seen for a very long time under the misrule of the Scottish National party.

Mr Gregory Campbell
East Londonderry
DUP
11:59

The magnificent work done by those who work in hospices, including the four in Northern Ireland, needs to be reflected in the funding formula.

Will the Minister undertake to discuss with ministerial colleagues the need for the Treasury to review that funding formula, particularly in relation to devolved settlements?

Stephen Kinnock
11:59

From the roundtable discussions, and from subsequent discussions we have been having with the sector, it is clear that we need to look at the long-term funding issue. We faced a cliff edge towards the end of last year. That is not the right way to do things.

We must start getting the funding discussions moving so that, well in advance of the end of this financial year, the funding situation for the palliative and hospice sector is much clearer.

All content derived from official parliamentary records