Palliative Care: North Derbyshire

Stephen Kinnock Excerpts

Wednesday 17th December 2025 Westminster Hall

[The Minister for Care (Stephen Kinnock)]

It is a real pleasure to serve under your chairship, Dr Huq, and I really thank my hon. Friend the Member for Chesterfield (Mr Perkins) for raising this important issue.

This year, I have seen at first hand—at the Wigan and Leigh hospice, the Noah’s Ark Children’s hospice in Barnet, and Katherine House hospice in Staffordshire—the vital role that hospices play in our communities, so I completely understand why my hon. Friend speaks so passionately about Ashgate hospice. And I will take a moment to thank everyone working or volunteering in the hospice care sector over Christmas, especially those who are spending Christmas day away from their own families just to bring a bit of joy to the people they care for.

This Government want a society where every person receives high-quality and compassionate care, from diagnosis through to the end of life. Hospices and wider palliative and end-of-life care services will play a key part in our efforts to shift more care out of hospitals and into the community. However, we inherited a palliative and end-of-life care system that is under pressure and we absolutely recognise the financial challenges that hospices face as a result of rising costs and reduced charitable income.

Let me echo what my hon. Friend said by also commending his constituents who came together to put their time, effort and money into fundraising. The fact that they managed to save two beds at Ashgate hospice from closing shows how important the hospice is to the wider community, even if challenges clearly remain.

Most hospices are charitable and independent organisations that receive some statutory funding for providing NHS services. The amount of funding that charitable hospices receive varies, both within and between ICB areas. Such variation can often be explained by the level of demand in a particular area, but it can also be explained by the totality and the type of provision from both NHS services and non-NHS services, including charitable hospices, within each ICB area.

Although the majority of palliative and end-of-life care is provided by NHS staff and services, of course voluntary sector organisations also play a vital part in supporting people at the end of their life. That is why a year ago, almost to the day, we announced a £100 million capital funding boost for adult hospices and children’s hospices, in order to ensure that they have the best physical environment in which to provide care.

Ashgate hospice is receiving over £845,000 of that money over the two years of funding and Blythe House hospice, another hospice in north Derbyshire, is receiving just under £160,000. All of this capital funding is a once in a generation investment into hospices in England, which will guarantee future savings by making them more sustainable, including by fixing draughty windows, repairing old boilers, installing solar panels, fixing roofs, etc.

We are also providing £26 million in revenue funding to support children and young people’s hospices that serve north Derbyshire. This year, Bluebell Wood children’s hospice is receiving £986,000, and Rainbows hospice for children and young people is receiving £1,462,000. Our priority was to protect children’s hospices from facing a cliff edge of yearly funding cycles through multi-year settlements, so we were delighted to confirm that this funding would be in place for the next three financial years. This money will be at least £26 million each year, adjusted for inflation, allocated via ICBs to children’s hospices in England, or around £80 million over the three years in total.

Having said all that, I do not for one second want to give the impression that I am downplaying the issues that my hon. Friend the Member for Chesterfield has raised, nor do I believe that this money is a silver bullet for all the issues we face. As he points out, integrated care boards are responsible for the commissioning of palliative care services to meet the needs of the people they serve. My understanding is that what NHS Derby and Derbyshire ICB calls its core contract value—the baseline funding in the contract with Ashgate hospice—has increased by 55% since 2022, which represents a higher share compared with uplifts the ICB has provided for other NHS services through its hospital trusts and other providers.

I am aware that the ICB has been working with the Ashgate team over several months to understand why their costs have risen significantly over the last financial year. It has also offered £100,000 towards an independent review, which would be linked to a future service specification—in other words, the way in which the ICB provides funding to the hospice in future. Derby and Derbyshire ICB has committed to develop a new service specification for palliative and end-of-life care to inform its contracting going into 2026-27, and to engage on a new model of palliative and end-of-life care across the ICB cluster, aligning to the three shifts set out in the 10-year plan and delivered through the neighbourhood health model of delivery.

However, it is clear from my hon. Friend’s speech that there are two sides to this story. It appears that there is a gulf in understanding between the ICB on the one hand and the management team of Ashgate and the community on the other—that is clear from everything my hon. Friend has said and from other interventions. I would therefore be more than happy to broker a discussion between the ICB, concerned Members of Parliament and the hospice to get to the bottom of what is going on, so that everyone is on the same page as to what is happening with the costs, where the problems lie in terms of provision and ensuring we do everything we can to retain this vital service. It feels like the dialogue between the ICB and the management team at the hospice is not working, and I am more than happy to intervene, to help to make that work. Perhaps I could sit down and discuss that further with my hon. Friend and other colleagues.

As I said earlier, the delivery of healthcare is largely devolved in England, and ICBs are responsible for the commissioning of palliative care services to meet the needs of local people. Beyond the £100 million of capital funding and the £80 million of revenue funding for children’s hospices, we are not able to offer additional funding from the centre as things stand, although we are looking at and exploring other opportunities. As I told the sector in a speech to the Hospice UK conference in Liverpool last month, I know that this is not the message the sector wants to hear, and it is certainly not the message that I want to deliver. But with the public finances in the state they are in—the state that we inherited them in—I have to recognise that the Chancellor has made some tough trade-offs to support our public services, especially the NHS, in the context of our debt interest payments surpassing the entirety of our education budget as things stand.

In these challenging circumstances, we are trying to support the sector in other ways. We are developing the first ever palliative care and end-of-life care modern service framework, or MSF, for England. That will be aligned with the ambitions set out in our 10-year health plan. We will closely monitor the shift towards strategic commissioning of palliative and end-of-life care services to ensure that services start bringing down variation in access and quality. While there is a lot of diversity in contracting models across the hospice sector, we will consider contracting and commissioning arrangements as part of this framework. In the long term, this will aid sustainability and help hospices to plan ahead.

The MSF will not just drive improvements to services that patients receive at the end of life; it will start helping ICBs to address challenges and variation in access, quality and sustainability. Further support is being provided to ICBs through the recent publication of NHS England’s strategic commissioning framework and medium-term planning guidance, which set out in black and white how ICBs should understand current and projected demand on services and associated costs, creating an overall plan to more effectively meet these needs through neighbourhood health. The medium-term planning guidance acknowledges the importance of high-quality palliative and end-of-life care. The guidance makes it clear that, from April next year, ICBs and providers must focus on reducing unnecessary non-elective admissions and bed days from high-priority cohorts—which include, importantly, people with palliative care and end-of-life care needs—and on enabling patients who require planned care to receive specialised support closer to home. That will be at the heart of the neighbourhood health service that we look to build. It is important to emphasise that the cohort of people who are reaching the end of life is a prioritised cohort within the framework of the shift to a neighbourhood health model.

I hope that those measures will reassure my hon. Friend the Member for Chesterfield of this Government’s commitment to the sustainability of the palliative and end-of-life care sector, including hospices such as Ashgate hospice. We will continue to work with NHS England in supporting ICBs to effectively commission the palliative and end-of-life care that is needed by their local populations. The work that our hospices do to support people in the sunset of their lives, to support families in their grief and to give such families bereavement counselling at their most vulnerable moments is utterly priceless. It is a sad reflection of the dire fiscal position that we inherited and the dire state of our public services in general that we cannot give more than the extra support that I have outlined, but we are doing everything that we can to support the sustainability of the sector in the long term while tackling inequalities and unwarranted variation in the quality and quantity of service provision.

To sum up, strategic commissioning of palliative and end-of-life care services is not working anything like as well as we want, frankly, across the country. It is clear that where there are gaps in an ICB’s understanding of the totality of the health and care needs of its population and in the capacity of partners and stakeholders in its ICB area to meet those needs, that process is not working as well as it needs to. That is what the modern service framework for palliative and end-of-life care seeks to address. We do not have many MSFs—we have commissioned, I think, three or four in total across the entirety of what the Department of Health and Social Care is doing—so that MSF reflects the importance that we attach to palliative and end-of-life care.

In the medium-term planning guidance, we have also emphasised that the palliative and end-of-life care cohort will be a top priority for our neighbourhood health strategy and the shift from hospital to community. That is what is happening at the strategic level, but I understand that at the constituency level, it also matters what is really happening for the community of my hon. Friend the Member for Chesterfield and the worrying issues around Ashgate hospice. On the detail of what is going on there, I would be very happy to work with him to see what we can do with the ICB and other key players and stakeholders to address the specifics of that issue. There is a strategic challenge, but also an opportunity, for us and a more specific issue on which I would be happy to work with him. Dr Huq, I am happy to give the floor back to my hon. Friend for any closing remarks he wishes to make.

[Dr Rupa Huq (in the Chair)]

This is a 30-minute debate so, as I said in the preamble, a wind-up speech is prohibited, but the two of you can confer after the debate.

[Stephen Kinnock]

Oh, okay. Does my hon. Friend wish to intervene?

[Mr Perkins]

I welcome tremendously what the Minister said. It is important to get on record the 55% increase since 2022 because many people contact me to say, “Why have you made cuts?”. Actually, though Ashgate has a £250,000 a month shortfall in what it is spending, there have not been any cuts—it is important that people understand that. I welcome the Minister’s intention to broker a discussion; I am keen to take him up on that offer. Neither staff nor fundraisers are sure of what they know on this issue. They would welcome someone independent coming in to provide that space between the ICB and the hospice. I welcome what the Minister said about the neighbourhood funding model and his recognition that the sector is in crisis, but right now we need, on a local basis, to address the matters that he has raised. I thank him for his commitment to do so.

[Stephen Kinnock]

We have a plan for next steps and I look forward to discussing those with him further.

Motion lapsed (Standing Order No. 10(6)).

Government Response to NHS Dentistry Consultation: Quality and Payment Reforms

Stephen Kinnock Excerpts

Tuesday 16th December 2025 Written Statements

[The Minister for Care (Stephen Kinnock)]

I wish to update the House following the Government’s recent public consultation on quality and payment reforms to the NHS dentistry contract.

Restoring NHS dentistry is one of the Government’s top priorities.

The Government remain committed to fundamental reform of the dental contract by the end of this Parliament, with a focus on matching resources to need, improving access, promoting prevention and rewarding dentists fairly, while enabling the whole dental team to work to the top of their capability. This is our ambition, and it will take time to get right.

We held a public consultation over July and August, on a package of proposals to address some of the pressing issues that dentists and dental teams are experiencing. Ensuring payment reflects the support patients require, creating a culture that rewards and improves quality of care, and further embedding the principles of skill mix within NHS delivery are all critical steps to improve access to NHS dental services for those who need it most.

We received over 2,250 responses to the consultation, including from members of the dental sector as well as members of the public. I want to thank those who shared their thoughts and experiences, which have helped us to refine our proposals.

Overall, the response to the consultation was positive and therefore the Government intend to proceed with implementing all the proposed changes, with some adjustments to specific proposals in response to consultation feedback. For example, we have revised and improved the payment structure for the unscheduled and urgent care proposal, to work better for dentists and patients.

The final set of changes are designed to help deliver our mission to build an NHS fit for the future, and are intended to:

secure the manifesto commitment to provide additional urgent dental care appointments by embedding urgent care into the dental contract, supported by increased payments for dentists delivering this care, making it easier for patients to get rapid support for urgent dental needs through the NHS;

introduce new clinical and payment structures specifically designed to provide better care for patients with gum disease or significant decay who require more intensive treatment;

support increased use of cost-effective evidence-based prevention interventions for children, reducing the opportunities for tooth decay;

introduce a new payment for denture modifications, relining and repairs, better supporting providers to manage the costs associated with delivering these treatments;

support a reduction in clinically unnecessary check-ups, helping dentists to focus care on patients with the greatest need and avoiding patients being overtreated, and therefore overcharged for care;

improve care quality by introducing quality improvement activities and funded appraisals, allowing teams to focus on the quality of care they deliver and to evaluate performance; and,

provide support to the profession by extending discretionary support payments and developing a model contract and NHS handbook for dental teams, helping them to feel part of the wider NHS.

The proposed changes are intended to deliver benefits for both patients and the profession and represent a move away from some of the features of the current unit of dental activity payment model, which dental teams have told us is a barrier to delivering NHS care.

The Government will introduce the proposals from April 2026 onwards and the specific timing for the delivery of each proposal will be communicated to the sector in due course.

These changes build on the Government’s wider dental rescue plan, including providing additional urgent dental care appointments and £11 million in 2025-26 for the national supervised toothbrushing programme for three to five-year-olds including over 4 million free toothbrushing products in the most deprived areas to protect children’s teeth, thanks to a groundbreaking partnership between the Government and Colgate-Palmolive. In addition, community water fluoridation will be expanded across the north-east of England, to reduce tooth decay and inequalities in dental health.

[HCWS1172]

Mental Health Bill [Lords]

Stephen Kinnock Excerpts

Consideration of Lords message
Monday 8th December 2025 Commons Chamber

[The Minister for Care (Stephen Kinnock)]

I beg to move, That this House agrees with Lords amendments 19B and 19C.

It is a privilege to return to the Mental Health Bill in this House for what I hope will be the final time in its passage. Thanks to the constructive and collaborative approach from Members across this House and noble Lords in the other place, we have been able to reach an amended and improved version of the Bill so that we can begin our vital work on the code of practice. In particular, I pay tribute to my ministerial colleague, Baroness Merron, for her outstanding work on this Bill.

The Bill sits alongside the 10-year plan, which sets out our ambitious reform agenda to transform the NHS and make it fit for the future. We know that there is much more to do to improve outcomes, to tackle unacceptable waiting times for care and to fully meet the needs of the population in a tailored, personalised and timely way. We will overhaul how mental health support is delivered in England to drive down waits and improve the quality of care, backed by a whole-of-society approach to preventing mental illness and to intervening early.

Last week, we announced the launch of an independent review into prevalence and support for mental health conditions, attention deficit hyperactivity disorder and autism. We are launching this review to understand the rises in prevalence and demand on services, to ensure that people receive the right support at the right time and in the right place. People who need it will access high-quality and compassionate mental health support at an earlier stage, and more people will recover or live well with mental illness.

We will go further to improve the quality and transparency of care, working with experts and people with lived experience. We will publish a new modern service framework for severe mental illness, setting consistency in clinical standards across the country so that patients and families get the best-quality, evidence-based treatment and support.

[Jim Shannon (Strangford) (DUP)]

First, I welcome what is coming forward. I ask for clarification on something that has been brought to my attention. I seek the Minister’s advice and support. Lords amendment 19B relates to the appointment of a nominated person where no local authority holds parental responsibility for the patient. Does the Minister agree that there must be more emphasis on the voice of the child in the legislation, and that the child should have some preference when it comes to representation?

--- Later in debate ---

[Stephen Kinnock]

Yes, we absolutely do agree. As the hon. Gentleman will hear as I proceed with my speech, we have three options in respect of what will happen in exactly the scenario that he has mentioned, and that has been very much the spirit of the amendment on which we have agreed with the other place.

We will put patient feedback and outcomes front and centre by improving the transparency of reporting across in-patient and community mental health services. We will introduce an early warning system so that we can intervene earlier, using patient and staff feedback and clinical information to identify services that are at risk of providing poor-quality care. That is alongside our commitments to roll out mental health support teams in schools and colleges to full national coverage by 2029, to employ an extra 8,500 mental health workers by the end of the Parliament, and to pilot new 24/7 neighbourhood mental health centres across the country. Once implemented, this long-awaited and transformational Bill will give patients greater choice and autonomy and enhanced rights and support, and will ensure that everyone is treated with dignity and respect throughout their treatment.

Let me now briefly outline some of the commitments made by my ministerial colleague Baroness Merron in the other place. In response to the amendment tabled by Baroness May, the Government announced plans to launch a consultation on emergency police powers of detention. The consultation will look at in particular, but will not be limited to, sections 135 and 136 of the Mental Health Act 1983, as well as exploring joint working approaches across organisations. We have committed ourselves to working with stakeholders as we define the scope of the consultation.

In the other place, following engagement with Baroness Berridge, the Government tabled amendments in lieu regarding the appointment of a nominated person for a child under 16 who lacks competence. The amendment states that if no local authority has parental responsibility, an approved mental health professional—an AMHP—must appoint a person who has parental responsibility, a person named in a child arrangements order as a person with whom the relevant patient is to live, or a person who is a special guardian. If there is no suitable person with parental responsibility who is willing to act, the AMHP must consider the child’s wishes and feelings when deciding whom to appoint.

This amendment clarifies whom AMHPs should appoint as the nominated person, and gives priority to those with parental responsibility. We intend to use the code of practice to outline what factors and nuances an AMHP should consider when making the appointment decision. If the AMHP later discovers that another of those on the list is more suitable to act as the nominated person, the legislation allows him or her to terminate the appointment of the nominated person and appoint the special guardian instead.

I thank Members on both sides of the House for their support for the Bill, and look forward to hearing their contributions.

[Dr Luke Evans (Hinckley and Bosworth) (Con)]

I have talked about roads and bridges throughout the duration of the Bill. We have now reached the end of the long road that was, of course, embarked on by Baroness May in 2018 with the independent Wessely report, which was the foundation of this legislation. It constitutes a cross-party, cross-departmental look at how we can improve the lives of people with the most serious mental health issues.

I was pleased to hear the Minister start to talk about the difference between mental health and mental wellbeing. That is fundamental when it comes to dealing with our policies and how we will take the country forward, because while not everyone has a serious mental health problem, everyone has problems with their mental wellbeing. Ensuring that we have that distinction worked out will be vital to providing the right support for the right people in the right place, and, ultimately, that is what the Bill is dedicated to doing. I have talked in the House about why that is so important. This Bill, above all others, deals with the most vulnerable people in society—those who are seriously mentally unwell—so I am pleased that we have reached a stage at which we can take it forward and put it into law.

I was also pleased to hear the Minister comment on the amendment from the other place, and the concerns raised by Baroness Berridge. I understand the points that he has tried to make and the clarifications that the Government have tried to introduce in relation to the amendment. He has said that he will look at the code of conduct in respect of the seriously difficult positions in which mental health professionals might find themselves during an evening of dealing with a parent who is contesting with a child the question of who is to be the nominated person. I am glad that the Government are looking at the code of practice, and we will not be dividing the House tonight.

That being said, as with the 10-year plan that the Government have brought forward, there is a synergy here. The synergy is this: Members on both sides of the House agree with the thrust of the 10-year plan and this Bill, but the problem is that there is no delivery chapter. That was the Opposition’s concern when the Government were taking the Bill forward. As the Minister conceded in Committee, it will be a challenge, but without a delivery plan it becomes very difficult.

--- Later in debate ---

[Dr Danny Chambers (Winchester) (LD)]

I thank Members across the House for the constructive way in which they have all contributed towards this long-awaited Bill. In the last 40 years, attitudes to mental health and the treatments available have changed significantly, so these reforms and updates are very much needed and very much supported by everyone here.

On Lords amendment 19B, we welcome the important addition. All children and young people deserve appropriate care and support when undergoing treatment for mental health problems, including the safeguarding of a nominated person. Each and every child going through the system deserves to be properly represented by a responsible adult, so we are grateful for the amendment and we are pleased to lend it our support. While we understand that the remit of this Bill very much focuses on in-patient mental health care, we cannot ignore the wider context in which this Bill needs to operate. Even the best in-patient system will struggle if we fail to invest in the preventive and early intervention services that keep people well in the first place.

The hon. Member for Hinckley and Bosworth (Dr Evans) mentioned the difference between mental wellbeing and mental health issues, and ensuring that we protect people’s mental wellbeing before they go on to develop mental health issues. If we are serious about preventing people from reaching crisis point, we need to ensure that the many community-based initiatives, which the Minister and others have spoken about, are strengthened. That is why we will continue to champion walk-in mental health hubs, having a mental health professional in every school and a sort of mental health MOT check-up at key points in individuals’ lives.

It has been an honour to contribute to this Bill. I want to thank the Minister for his meaningful engagement with all Members across this House for the best part of a year. My one ask of him tonight is to again consider restoring the suicide prevention grant to voluntary, community and social enterprise organisations, because I keep meeting charities and organisations that have benefited from it. It is really important that we support community organisations that can help identify when someone is reaching crisis point, because so many people who take their own lives are not in contact with NHS services.

Finally, I pay tribute to all the frontline workers in mental health in clinical and community settings. Nurses, counsellors, psychiatrists, doctors, therapists, support staff, carers and charities prop up a system that is complicated, underfunded and challenging to work in, and we want them to know that we appreciate all the efforts that they continually make. The Liberal Democrats will keep pushing until mental health is given the same urgency, care and attention as physical health.

[Stephen Kinnock]

With the leave of the House, I will make some brief concluding remarks. I am very grateful to Members of this House for their contributions both today and throughout the passage of this Bill. I believe that by drawing on the lived experience of both Members and our constituents, we will be able to strengthen the intended impact of this legislation on people with serious mental illness and their loved ones. The passage of this Bill has seen the best of parliamentary commitment and co-operation, and the conduct of Members and peers has been collaborative and well-intentioned throughout.

For too long, mental health reform legislation has sat on the shelf. This Government made a manifesto commitment to modernise the Mental Health Act 1983, and we have delivered that within our first Session, providing an opportunity to transform the way we support those with severe mental illness and providing patients with greater choice and autonomy. I am reminded of what a patient in the 2018 independent review said:

“I felt a lot of things were done to me rather than with me”.

This Bill takes forward many of the changes put forward by the independent review, the recommendations of which were rightly shaped by the views of patients, carers and professionals.

Many have asked about next steps and implementation. Post-Royal Assent, our first priority will be to draft and consult on the code of practice. We will engage with people with lived experience and their families and carers, staff and professional groups, commissioners, providers and others to do that. The code will go to public consultation, as well as being laid before Parliament before final publication. Alongside the code, we will develop the necessary secondary legislation. We will then need time to train the existing workforce on the new Act, regulations and the code. We estimate full implementation will take around 10 years due to the time needed to train the workforce and the need to ensure that the right community support is available. This timeframe necessarily spans multiple spending review periods and multiple Parliaments, so we are limited in the detail we can give about future spend and timelines. But we have committed to an annual written ministerial statement on implementation. This commitment will last for the 10 years or until the Bill is fully implemented, whichever is sooner.

[Dr Evans]

I appreciate that the Minister cannot commit to a financial spending envelope now, but is it not the case that the mental health investment standard is something that the Government could commit to?

[Stephen Kinnock]

Yes, I was just coming on to that, because the hon. Gentleman raised it in his speech. We are protecting the mental health investment standard in real terms, as it will rise in line with inflation. Our position is quite straightforward. We feel that for far too long the NHS has been run by a series of input-based targets which micromanage frontline leaders, while failing to ensure improvements in patient experience and care. We are bringing the era of command and control to an end, setting frontline leaders free to innovate and run their services as they know best.

I also remind the Opposition spokesman that we are investing £473 million in capital funding in mental health nationally over 2026-27 to 2029-30. That funding will: support the establishment of a 24/7 neighbourhood mental health service; deliver mental health emergency departments, known as crisis assessment centres; expand neighbourhood mental health services; eliminate inappropriate out-of-area placements; and increase crisis accommodation for people with learning disabilities and autism. I gently say to the hon. Gentleman that when we see a rising tide lifting all the boats, we are connecting our mental health spend to that rising tide. We are then seeing a rise in real terms on what this Government are spending on mental health across the board.

I am very happy to again meet the hon. Member for Winchester (Dr Chambers), the Liberal Democrat spokesman, and look at that particular issue. He raised it in Committee. I hope that some of the things I have just set out will help very much on the tragedy of suicide in our country. We are very conscious of how much we need to do to combat that.

I put on record my thanks to all Members and noble peers who have paid such a close interest in the development of the proposals, along with the officials and parliamentary staffers who have supported us to do so. The officials involved in the Bill are too many to mention, but I would like to pay tribute to colleagues in my private office, Emily Cowhig and Penny Sherlock, who have done such sterling work on the Bill, supporting me and the entire team throughout.

Transforming mental health care for the most vulnerable patients with serious mental illness requires the Bill to pass into statute. I am therefore grateful to hon. Members for their support in enabling us to do so.

Lords amendments 19B and 19C agreed to.

Oral Answers to Questions

Stephen Kinnock Excerpts

Tuesday 25th November 2025 Commons Chamber

[Ben Goldsborough (South Norfolk) (Lab)]

9. What steps his Department is taking to improve access to NHS dental services in Norfolk.

[The Minister for Care (Stephen Kinnock)]

NHS dentistry is out of reach for too many people, and that issue is felt particularly acutely in rural areas such as Norfolk. This Government are rolling out extra urgent dental appointments across the country, and we will be making further improvements for patients to come in from April 2026. NHS dentistry was left to rot for 14 years under the Conservatives; Labour is putting it on the road to recovery.

[Ben Goldsborough]

After 16 months of a Labour Government, the share of adults in Norfolk seen by a dentist has risen from barely scraping 30% to well over 40%—lots done, but lots more to be done. The University of East Anglia proposed a dental school as part of the solution. Will the Minister work with Department for Education colleagues to ensure that the Office for Students and other bodies give it the green light?

[Stephen Kinnock]

I, too, am absolutely delighted that more patients can see a dentist in Norfolk but, as my hon. Friend says, there is a long way to go. We are certainly not complacent, but we are showing that it is possible to turn things around. I am also pleased that the University of East Anglia has been approved as a dental school by the General Dental Council. The Office for Students has statutory responsibility for allocating dental school places, but I fully agree that UEA would be a good candidate for any additional Government-funded places allocated in future.

[Several hon. Members rose—]

[James Wild (North West Norfolk) (Con)]

The Minister told the Health and Social Care Committee that the spending envelope for dentistry would be confirmed by the end of the summer at the latest. Is the Office for Students still waiting for a ministerial direction to launch that competition for new places, so that UEA can bid along with others and so that we can get training places in Norfolk for the first time?

[Stephen Kinnock]

The hon. Gentleman is right: it is the Government’s responsibility to give a steer to the Office for Students, and we are very close to being able to put that together. I am expecting some advice from my officials later in the week, and I shall be happy to keep the hon. Gentleman updated on further progress.

[Josh Dean (Hertford and Stortford) (Lab)]

10. What steps his Department is taking to tackle health inequalities impacting women in the NHS.

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[Gregory Stafford (Farnham and Bordon) (Con)]

13. If he will publish a national strategy for palliative care.

[The Minister for Care (Stephen Kinnock)]

I am delighted to have announced in a written ministerial statement yesterday that the Government are developing a palliative care and end-of-life care modern service framework for England. The modern service framework will be aligned with the 10-year health plan, prioritising shifting care out of hospitals and into the community to ensure personalised, compassionate support for individuals and their families.

[Gregory Stafford]

There has been cross-party and cross-charity campaigning for this strategy, so I welcome the fact that the Minister has announced it. However, hospices across the country and especially in my constituency are telling me that their biggest problem is the national insurance rise. For example, a children’s hospice that covers my constituency tells me that the £90,000 extra it has to pay in national insurance could have funded three nurses. What discussions has the Minister had with the Chancellor ahead of tomorrow’s Budget to ensure that hospices, and indeed other health and social care organisations, are exempt from any national insurance rises, either in the past or in the future?

[Stephen Kinnock]

I thank the hon. Gentleman for his question. I notice he did not welcome the fact that we are supporting the hospice sector with a £100 million capital funding boost and £80 million in revenue funding for children’s hospices over three years. We also notice that Conservative Members do like to welcome the additional investment generated from the last Budget, but they do not seem to welcome the means by which it was generated, so I would say to them: what would they cut or what taxes would they put up to pay for what we are doing to get our NHS back on its feet and fit for the future?

[Alistair Strathern (Hitchin) (Lab)]

I welcome the Government’s commitment to a strategy for palliative care, which is as overdue as it is important, but it will mean nothing for hospices that are not able to last out until it comes into effect. Garden House hospice in my constituency is facing a crucial funding shortfall, and although the capital funding from the Government that came through earlier this year is incredibly welcome, it is still just short of filling the cash-flow gap it needs to fill to secure its operations. Would the Minister meet me to see what further work the integrated care board may be able to do to protect this vital hospice serving my constituents?

[Stephen Kinnock]

I am very pleased that the measures we have taken have provided financial support. I absolutely recognise the challenging financial position, and I would of course be more than happy to meet my hon. Friend to discuss that further.

[Mr Connor Rand (Altrincham and Sale West) (Lab)]

14. What steps his Department is taking to improve cancer care.

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[Jacob Collier (Burton and Uttoxeter) (Lab)]

T2.   It is great news that we are starting to see NHS dentists return to Burton upon Trent, but my constituents in Uttoxeter are still without an NHS dentist for adults. For a growing town of over 16,000 people, when can my constituents expect to put a smile on their face?

[The Minister for Care (Stephen Kinnock)]

I thank my hon. Friend, who is a tireless campaigner on this issue. We want to see more dentists in Burton and Uttoxeter, and across the country, which is why we are offering dentists £20,000 to work in underserved areas. We are making it a requirement for new dentists to practice in the NHS through our tie-in policy. We are also making additional urgent appointments available across the country, including for my hon. Friend’s constituents in Burton and Uttoxeter.

[Mr Speaker]

I call the shadow Secretary of State, the birthday boy!

--- Later in debate ---

[Katrina Murray (Cumbernauld and Kirkintilloch) (Lab)]

T4.   There is a higher prevalence of multiple sclerosis in Scotland than in any other part of the UK. What steps is the Department taking to ensure that people living with MS can access both a timely diagnosis and equitable specialist care, regardless of where they live in the UK?

[Stephen Kinnock]

My hon. Friend raises an important point, and I would be more than happy to meet her to discuss it, because I think the complexity of what she raises needs some detail.

[Mr Speaker]

I call the Liberal Democrat spokesperson.

--- Later in debate ---

[Sarah Dyke (Glastonbury and Somerton) (LD)]

T7. In Somerset, only 41% of children have seen an NHS dentist in the past two years, which is well below the national average. Ben from Somerton is a single parent of four children. He lives in an NHS dental desert and worries about the health of his children’s teeth. There is no way he can pay for private dental care, as he can barely afford to pay for his children’s food. Ahead of the Budget tomorrow, can the Minister confirm what action he is taking?

[Stephen Kinnock]

We have the interim reforms, and our response on those will be published very soon. We are working on the long-term reform of the NHS dentistry contract with the British Dental Association, and I would be happy to keep the hon. Lady updated on our progress.

[Mr Connor Rand (Altrincham and Sale West) (Lab)]

T8. I am proud that this Government have invested record amounts into our national health service. In Altrincham and Sale West, the results are clear: waiting lists down 10 months in a row, extra investment in local GP surgeries and, most recently, a new skin cancer diagnostic centre at Altrincham hospital, ensuring early intervention at the heart of local healthcare. Does the Secretary of State agree that this is exactly the change we were elected to deliver?

--- Later in debate ---

[Pippa Heylings (South Cambridgeshire) (LD)]

T9. Two weeks ago, when I asked the Government whether they had had discussions with the Cambridgeshire integrated care board on the 16,000-strong petition to save beds at the Arthur Rank hospice, I was informed that it would not be possible to provide a response within the usual time period. I have a simpler request today: will the Minister meet me and the new Central East integrated care board to discuss how to identify need and strategically commission beds?

[Stephen Kinnock]

Yes, I am happy to meet the hon. Lady.

[Peter Swallow (Bracknell) (Lab)]

Bracknell is a life sciences superpower, with Eli Lilly, Sandoz and Boehringer Ingelheim all having a footprint in our town. What can we do to speed up clinical trial set-up to help to deliver the next generation of treatments for our NHS?

--- Later in debate ---

[Sonia Kumar (Dudley) (Lab)]

I have seen at first hand how severe musculoskeletal conditions such as lower back pain can devastate someone’s ability to work, have relationships and sleep, as well as their overall wellbeing. The education of more than 1 million children is disrupted by MSK conditions due to missed schooling and fragmented, hard-to-navigate services. Will the Minister therefore prioritise MSK conditions in phase 2 of the modern service framework and confirm when that will be published?

[Stephen Kinnock]

I pay tribute to my hon. Friend for saving the Ladies Walk health centre in her constituency, which the Conservatives were trying to shut. We are advancing modern service frameworks for conditions where we can swiftly and significantly raise the quality of care. The National Quality Board makes recommendations on future modern service frameworks; its next meeting is on 8 December.

[Sir Roger Gale (Herne Bay and Sandwich) (Con)]

It is estimated that there are some 200 highly qualified Ukrainian dentists resident as refugees in the United Kingdom. They could be working for the health service, but, because of the moribund attitude of the General Dental Council, they are not allowed to do so. Can we try to drag the GDC into at least the 20th century so that those talents can be utilised?

[Stephen Kinnock]

I thank the right hon. Gentleman for that question. I met the GDC recently. It has completed the procurement of the new management agent to run the overseas registration examination, and I am confident that we will see a significant boost in the numbers—that is coming onstream very quickly. However, I agree with the right hon. Gentleman: it has been too slow, and it needs to speed up.

[Sarah Smith (Hyndburn) (Lab)]

About 38% of children in my constituency are sadly growing up in poverty. This Government are committed to ensuring the best start in life for all children, so in addition to the increase in mental health support teams in schools, does the NHS workforce plan currently address the vital need for trained specialist community public health nurses in schools?

Palliative Care and End-of-life Care

Stephen Kinnock Excerpts

Monday 24th November 2025 Written Statements

[The Minister for Care (Stephen Kinnock)]

I am delighted to announce to the House today that the Government are developing a palliative care and end-of-life care modern service framework for England, with a planned publication date of spring 2026. This will be aligned with the ambitions set out in the recently published 10-year health plan, which prioritises shifting care out of hospitals and into community settings to ensure personalised, compassionate support for individuals of all ages and their families.

This Government recognise that there are increasing numbers of people living with multiple complex conditions, that we have an increasing ageing population, and that there are tens of thousands of children and young people with life-limiting or life-threatening conditions.

We acknowledge the significant challenges currently facing the sector, including:

Delays in early identification of individuals approaching the end of life;

Inconsistencies in commissioning practices across integrated care boards;

Workforce challenges in both universal and specialist services;

Gaps in 24-7 palliative care provision; and

Limited uptake and integration of personalised care and support planning, including advance care planning.

In recognition of these challenges, we are prioritising this cohort, as referenced in NHS England’s medium-term planning framework, which commits to an immediate focus on reducing unnecessary non-elective admissions and bed days from high-priority cohorts, including those at the end of life.

A palliative care and end-of-life care modern service framework will drive improvements and enable ICBs to address these challenges through the delivery of high-quality, high-value, personalised and equitable care.

Consequently, the modern service framework will put in place a clear and effective mechanism to deliver a fundamental improvement to the care provided. This will enable adoption of evidence-based interventions that are proven to make a difference to patients and their families. Examples include earlier identification of need, care delivered closer to home by integrated generalist and specialist teams and strengthened out-of-hours community health support, including dedicated telephone advice.

We have already begun to engage with sector stakeholders on how to improve access, quality and sustainability in palliative care and end-of-life care and will continue to engage with them to shape and deliver this vision. We want a society where every person receives high-quality, compassionate care from diagnosis through to the end of life, and we recognise that access to high-quality, personalised palliative care and end-of-life care can make all the difference to patients and their loved ones.

[HCWS1087]

Unpaid Carers: Inequalities

Stephen Kinnock Excerpts

Thursday 20th November 2025 Westminster Hall

[The Minister for Care (Stephen Kinnock)]

It is a pleasure to serve under your chairship, Ms Vaz. I thank my hon. Friend the Member for Shipley (Anna Dixon) for securing this vital debate. I pay tribute to her for her career-long dedication to adult social care and so many of the issues we are debating today. I also pay tribute to all the powerful and moving contributions we have heard today, many about personal experience, engagement with constituents and the stories we hear every day about the pivotal role that unpaid carers play in our care system, which are truly inspiring and uplifting.

Every day, unpaid carers step up to sustain the health and wellbeing of millions of people across our country. Every day, they step up quietly and without expectation to support loved ones, neighbours and friends. I offer my heartfelt thanks, particularly on Carers Rights Day: thank you for the compassion, the commitment and the resilience you show.

As Minister for Care, it has been my priority to listen directly to unpaid carers through discussions with carers of all ages, including during Carers Week. I have heard at first hand the realities of balancing care, work, education and personal wellbeing. Those conversations have been moving, honest and often humbling. They have reinforced just how essential it is that we continue to recognise and support the people who provide so much care to so many, and who hold so much of our health and care system together.

As I said at the Carers UK “State of Caring” conference earlier this year, we have made genuine progress over the last three decades. The profile of the role of unpaid carers has undoubtedly grown, and awareness of their contribution is undoubtedly greater. Despite that, true equality of opportunity remains out of reach for far too many. My ambition is clear: that carers who want to work can do so without being penalised; that young carers can learn, develop and dream, just like their peers; and that caring must not lead to long-term damage to a person’s health, wealth or wellbeing.

The data shows the scale of the challenge: unpaid carers are 16% more likely to have multiple long-term health conditions, and providing just 10 hours of care a week can significantly reduce someone’s likelihood of being employed and increase their risk of loneliness. These pressures compound existing inequalities linked to gender, ethnicity, socioeconomic background or age. We must continue to shine a light on these disparities, listen to carers’ voices and design support that genuinely helps them to thrive.

The Government remain committed to ensuring that unpaid carers receive the right support at the right time in the right way. Under our 10-year health plan, unpaid carers will be recognised as partners in preparing personalised care and support plans. Their practical knowledge and experience will help to shape more responsive and realistic plans for the people they support.

Early identification remains key. Too many carers still go unnoticed and unsupported. We will increase the information captured across the health and care system, enabling earlier intervention and more tailored help. We will also introduce a dedicated “My Carer” section in the NHS app, which will allow carers to book appointments, access information and communicate more effectively with clinical teams. That will not only support carers but streamline interactions across the system.

Our shift towards a neighbourhood health service will increase the integration of health and care services, and it will bring multidisciplinary teams—GPs, nurses, social care professionals, pharmacists and others—closer to people’s homes. Working alongside unpaid carers, these teams will be better placed to deliver joined-up, community-centred support, focused on the health and care that people really need.

We know that caring can have a profound impact on mental health. That is why we are expanding access to talking therapies and digital tools, and piloting neighbourhood mental health centres, offering round-the-clock support for people with more severe needs.

[Richard Foord]

Can I ask the Minister what definition of neighbourhood he is using, and does it recognise communities such as market towns?

[Stephen Kinnock]

As a ballpark figure, we are looking at 50,000 residents, but we will be open to developing multi-neighbourhood infrastructure that would cover closer to something like 250,000 residents. It will depend, to some extent, on how it works in the 43 pilot sites in our neighbourhood health implementation plan. We do not want to have too many top-down diktats like the disastrous 2012 Lansley reforms; this is much more about a bottom-up, organic approach to developing a neighbourhood health service. Approximately 50,000 residents will be the starting point.

[Jim Shannon]

What the Minister is referring to is very positive; as always, I have a quick ask. The policy he is outlining seems very plausible and workable, so can I ask him to share those thoughts with the Northern Ireland Assembly and the Health Minister, Mike Nesbitt? I think that the two Ministers are in regular contact, so it could be done through that.

[Stephen Kinnock]

I will be very happy to do that. We have launched the 43 sites, so I would be happy to share the documentation on how we launched them and the terms of reference. [Interruption.] I can see the representative from my private office is taking notes.

[Daniel Francis]

I do not expect an answer now, but can I also ask the Minister to take away a point about the complexity of some of these disabilities? Sometimes people are under several different consultants in several different hospitals, perhaps for a neurological condition, for their sight, for epilepsy and so on. I am thinking about both the complexity of the different apps, and different parts of apps, used by different NHS trusts and hospitals, and the complexity of the distances travelled —it is the carer who manages all those aspects. How can we take that away and support the carer in managing the care of the person for whom they are caring?

[Stephen Kinnock]

I absolutely agree with my hon. Friend’s points; I think that neighbourhood health, as a strategy, addresses his points about both the proximity and complexity. By definition, through shifting from hospital to community, we are addressing the proximity point. The fact that neighbourhood health will be based on multidisciplinary teams creates the idea of a one-stop shop for the patient, where their complex needs are addressed in one place.

To ensure that local areas can meet their duties under the Care Act, the 2025 spending review allows for an increase of more than £4 billion in additional funding for adult social care in 2028-29, compared with 2025-26, to support the sector in making improvements. The Health and Care Act 2022 strengthened expectations around identifying and involving carers and ensuring that services are shaped by carer feedback.

NHS England is helping local systems to adopt best practice through co-produced tools, case studies and events such as Carers Week and the Commitment to Carers conference. Initiatives such as GP quality markers for carers, carer passports and digital proxy access are already making a real difference and increasing the number of carers who are identified in the NHS.

Balancing paid work and caring responsibilities remains a significant challenge, and too many carers risk financial hardship as a result. That should never be the case. Supporting carers to remain in or return to work is central to our plan for a modern, inclusive labour market. Employers benefit enormously from the skills, dedication and experience that carers bring. That is why in April we increased the carer’s allowance earnings limit to £196 a week—the largest rise since its inception in the 1970s—meaning that carers can now earn up to £10,000 a year without losing the allowance.

The Carer’s Leave Act, which came into force in April 2024, gives employees one week of unpaid leave each year to help to manage planned caring commitments. We are now reviewing how the Act is working in practice, listening to carers and to employers of all sizes. That includes exploring the potential benefits and implications of introducing paid carer’s leave. To ensure transparency, and as hon. Members have noted, the Department for Business and Trade yesterday published the terms of reference for that review and we will hold a public consultation in 2026 on employment rights for people balancing work and care.

Young carers make an extraordinary contribution, often taking on responsibilities far beyond their years. Our ambition is that every young carer should receive the support that they need to succeed at school and beyond. This autumn, we published key stages 2 and 4 attainment data for young carers for the first time—an important step in understanding and addressing the educational disadvantage that they face. Reforms across education and children’s social care will strengthen identification and support. Ofsted’s new inspection framework, introduced on 10 November, explicitly references young carers in the expected standards for inclusion, safeguarding and personal development.

Local authorities must identify young carers who may need support and assess their needs when requested. We strongly support the “No Wrong Doors for Young Carers” memorandum of understanding that promotes collaboration across children’s and adults’ services, health partners and schools. I encourage all local authorities to adopt it.

NHS England is supporting the identification of young carers through GP guidance and improved data sharing. It is also leading a cross-Government project, co-produced with young carers and voluntary, community and social enterprise partners, to support identification, strengthen support pathways and join up services across education, health and local organisations. Engagement workshops have already helped to shape the next young carers summit, in early 2026.

Our 10-year plan sets out strong foundations for change, and we are now fully focused on delivery. Baroness Casey’s independent commission will shape the cross-party and national consensus around longer-term reforms, including proposals for a national care service. As noted by the shadow Secretary of State, the right hon. Member for Daventry (Stuart Andrew), however, supporting unpaid carers requires commitment across Government. That is why I chair a ministerial working group, working closely with my counterparts at the DWP, the DBT and the Department for Education, to ensure that our policies reflect the realities of caring.

My hon. Friend the Member for Shipley and others asked about the Government’s response to the Sayce review. I can confirm that we will publish that response this year and I am receiving regular updates from DWP colleagues on that matter. Additionally, our research arm, the National Institute for Health and Care Research, is evaluating local carer support programmes to identify what works and where improvements are needed.

As we look to the future, prevention must sit at the heart of our approach. Too many carers reach crisis point before they receive help. That not only places huge strain on families, but leads to avoidable pressure on hospitals, primary care and social services. By intervening earlier—through better identification in primary care, strengthened community networks and improved signposting —we can ensure that carers receive the right support before challenges escalate.

[Anna Dixon]

I thank the Minister for his response. Given what we know about carer burnout and the need for short breaks, and given the data that suggests local authority funding cuts have resulted in less support being available, will there be work between the NHS—with its increased budget—and local authorities to look at how we can get back to having more breaks for carers?

[Stephen Kinnock]

There is a consistent message that comes through in my conversations with carers about the importance of respite and regular breaks. We know that they are not a luxury. When carers reach exhaustion, the wellbeing of the carer and the person they support is compromised. We are working with local authorities and integrated care boards to ensure that they meet their statutory duty for carers’ breaks and that provision is transparent, fair and personalised. I absolutely take my hon. Friend’s point: that duty is clear, written down and statutory; the question is about making it happen in practice. We must monitor that closely.

Addressing the inequalities faced by unpaid carers requires a cultural shift as much as a policy one. We must build a society that values care, where caring is recognised as a shared responsibility rather than a private burden, and where employers, communities and public services all play their part. Changing culture takes time, but we have already seen encouraging progress. Businesses are increasingly recognising the value of carer-friendly workplaces. Schools are becoming more aware of the pressures faced by young carers. Health professionals are finding new ways to involve carers as genuine partners. These changes—these shifts—matter, as they represent the foundations of a more compassionate and inclusive society.

As we continue this vital work, I remain committed to ensuring that the voices of carers young and old inform every stage of policy development. It is only by listening attentively, engaging meaningfully and responding boldly that we can continue to deliver the change that carers rightly expect. I hope that today’s debate has given everyone a sense of what the Government are working on and, once again, I pay tribute to all hon. Members who have spoken.

Suicide: Reducing the Stigma

Stephen Kinnock Excerpts

Wednesday 19th November 2025 Westminster Hall

[The Minister for Care (Stephen Kinnock)]

It is a real pleasure to serve under your chairship, Mr Mundell. I am very grateful to the hon. Member for Richmond Park (Sarah Olney) for securing this debate on such a vital topic. I pay tribute to her constituent Philip Pirie, who has been such a strong advocate on this issue. His campaigning and advocacy has absolutely helped us to shape where we are today.

I am also very grateful to other hon. Members for their valuable and profoundly moving and honest contributions. We heard many examples, some very high profile and in many cases household names, such as Ricky Hatton and Gary Speed, and others heroes from people’s local communities. Their heroic families have done so much to reach out and campaign on these issues. I knew Hefin David very well. The tragedy of Hefin is impossible to put into words, but my hon. Friend the Member for Caerphilly (Chris Evans) really did pay a fitting tribute to him. and I am sure his family greatly appreciate that.

Every suicide is a profound tragedy, leaving families, friends and communities devastated. As we work to improve prevention and support, we must also confront the stigma that too often stops people seeking help, speaking openly or being met with understanding. That is why we are committed to delivering the suicide prevention strategy for England, which aims to address the risk factors contributing to suicide and ensure fewer lives are lost to suicide, as well as working across Government to improve support for those who have self-harmed or who are bereaved by suicide.

Our manifesto committed to a renewed focus on preventing suicides, as one of the biggest killers in this country. Poor mental health is one of the strongest risk factors for suicide, but we know that suicide is complex and that there are a range of other influencing factors outside the mental health system that we also need to address, including those identified in our suicide prevention strategy: financial difficulty and economic adversity, substance misuse, harmful gambling, domestic abuse, physical illness, and social isolation and loneliness. These are complex pressures, and we are working across Government and beyond to better understand them and deliver on our commitment to tackle them.

Beyond the risk factors and priority groups, one of the key visions of the suicide prevention strategy is to reduce the stigma surrounding suicide and mental health, so that people feel able to seek help, including through the routes that work best for them. That includes raising awareness that suicide is not inevitable. Around a quarter of people who take their own life are in contact with mental health services. Through the delivery of the 10-year health plan, we will transform the mental health system to ensure that people are accessing the right support at the right time.

Nearly three quarters of people who take their own life are not in contact with NHS mental health services, but many are in contact with wider services. We will ensure that our delivery of the 10-year health plan, which focuses on intervening early so that people can access high quality and compassionate support at an earlier stage, also considers how we can support those at risk of suicide when they are not in contact with those services. Our cross-Government approach to suicide prevention will help us to make the most of key interaction points both within and outside public services and address risk factors for suicide for everyone, not just those in contact with the NHS.

Steady progress has been made through joint working with our colleagues in the NHS, the voluntary sector and academia and with a wide range of other partners, all of whom play a key, crucial and valuable role in prevention, early intervention and support.

[John Slinger]

On the point about the various organisations, governmental or otherwise, that are involved, will my hon. Friend join me in commending the work of Rugby borough council, which has partnered with the charity I mentioned earlier, Back and Forth Men’s Mental Health, to put plaques on benches across the council’s parks? These support plaques state:

“There’s no need to sit alone.”

They also encourage local businesses to sponsor them, which is a really good example of how the private sector, local government and the charitable sector can work together to make sure more men can gain access to support—not necessarily by calling a phone line, but just when they are in the park.

[Stephen Kinnock]

I absolutely join my hon. Friend in paying tribute to Rugby borough council. That sounds like an excellent initiative that we should explore in other parts of the country, if that is suitable. He is right that there is almost an ecosystem of different groups now. In my constituency we have the Men’s Shed and a fantastic walking group for men called Mal’s Marauders, which does fantastic work. That is great to see, and I am a huge fan and supporter of what it does and stands for.

A lot of this is about having that organic development at the grassroots, because that is where it is best placed; it is not always for the Government or the authorities to come in—in some ways, that might not be appropriate. We should do whatever we can to encourage these things, and our £3.6 million programme and our £3 million programme are absolutely about being co-designed with these groups; they are not a top-down process at all, but something that should be organic and from the bottom up.

It is important to highlight the fact that this debate falls on Wednesday 19 November, which is both International Men’s Day and the day when we are launching the first ever men’s health strategy for England. Despite huge progress over the past century, men still live too much of their lives in poor health and die too young. Our vision for the strategy is simple yet ambitious: to improve the health of all men and boys in England. The strategy includes tangible actions to improve access to healthcare; provide the right support to enable men to make healthier choices; develop healthy living and working conditions; foster strong social, community and family networks; address societal norms; and tackle health challenges and conditions. By addressing the broader barriers that prevent men from accessing support, including the stigma surrounding mental health and suicide, we can take meaningful steps towards reducing avoidable deaths and ensuring that every man feels able to seek help when he needs it most.

Today, through the men’s health strategy, we are launching a groundbreaking partnership with the Premier League to tackle male suicide and improve health literacy, building on the Premier League’s Together Against Suicide campaign.

[Chris Evans]

Like me, the Minister represents a rugby stronghold and he will know of instances of ex-sports players committing suicide. We have already spoken about some high-profile cases, including Gary Speed and Ricky Hatton, but there are others who stop playing at lower levels and then develop feelings of isolation and lack of identity. When the Minister speaks to the Premier League and other sporting institutions, will he ensure that ex-sportsmen have the necessary support once they retire from the game?

[Stephen Kinnock]

My hon. Friend is right. I do not know whether there is a connection, but it is possible that some of the perhaps more macho attitudes in some sporting environments are connected to the difficulties that some men—particularly men in those environments—have in reaching out, talking and being honest and open about their feelings. There may well be a connection. However, I hope that other sporting federations—the Rugby Football Union, the Welsh Rugby Union or whichever sporting association it might be—will look at what the Premier League is doing, and that we will perhaps see a blossoming of these initiatives across other sports and sporting disciplines.

The Premier League’s reach is unmatched. The partnership will engage men who are less likely to seek help and more likely to suffer in silence, meeting them in spaces that they trust, rather than waiting for them to access traditional health services.

[Dr Luke Evans]

It is great to hear about the Together Against Suicide partnership with the Premier League, but will the Minister explain how it works? Having looked at the details, it appears to be run in conjunction with the Samaritans. Is extra funding coming from the Premier League or from the Government to run the scheme? If the Samaritans provide the signposting, how are they being supported? In essence, it looks like an area to people together. Is that correct?

[Stephen Kinnock]

There are 11 premier league clubs that have signed up so far. The most visual way in which the partnership will manifest itself is through the advertising hoardings, which will be given over for periods of the game to advertise our Every Mind Matters campaign. That will offer talking therapies and an online mental health tool that we have developed. Anybody in the stadium—often there are 50,000, 60,000 or 70,000 spectators—can see that information flashing up. In some stadiums, there will also be mental health experts—wearing visible materials to show who they are and what they do—who people can come and talk to. The scheme is quite devolved, so each club will do things in a slightly different way. The Premier League is covering all the costs, so this is an entirely Premier League-funded partnership, with us providing the content, the steering and the opportunity to engage with the programmes, and the clubs are looking after the rest.

[Chris Vince]

That is a really exciting initiative. Is there scope for it to be extended beyond premier league clubs to lower-league clubs, down to Harlow Town? If it is successful, will the Minister talk to the English Football Association about lower-league clubs taking part?

[Stephen Kinnock]

Absolutely—we believe the sky is the limit. As I mentioned to my hon. Friend the Member for Caerphilly, we are clear that we see this as the first step. Clearly, premier league clubs are high profile, so hopefully people will look at the partnership, learn from it and say, “Yes, that is something that we can do.” Fingers crossed that it takes off.

As part of the men’s health strategy launch, we also announced the suicide prevention support pathfinders programme for middle-aged men. The programme will invest up to £3.6 million over three years in areas of England where middle-aged men face the greatest risk of suicide. It will support new ways of embedding effective, tailored support for middle-aged men and create clearer, more joined-up pathways into existing local suicide prevention systems. For over a decade, middle-aged men have faced the highest suicide rates of any age group. They account for around a quarter of all deaths by suicide in England. That is a shocking statistic, and it is why middle-aged men are identified as a priority group in the suicide prevention strategy for England.

It is important that we do not simplify the picture. The national confidential inquiry into suicide and safety in mental health found that of men aged 40 to 54 who died by suicide, 67% had been in contact with health and partner agencies in the three months before they took their own life, and 43% had been in contact with primary care services in the three months before they died. That tells us something vital: a significant proportion of men do reach out, presenting an opportunity to make the most of every interaction with men who may be at risk of suicide. Our responsibility as a Government is to ensure that when men take that step, the services they encounter are accessible, joined up and genuinely equipped to meet their needs. That is what the pathfinders programme will do.

By improving engagement with healthcare and improving access to the right support, we can begin to dismantle the stigma that continues to cost too many men their lives. In April this year, NHS England published its “Staying safe from suicide” guidance, which strengthens the approach to suicide prevention across mental health settings. It promotes a holistic, person-centred approach, rather than using stratification tools to determine risk. The guidance directly aligns with the aim of our suicide prevention strategy and reflects our commitment to continually improving mental health services, particularly by identifying risk assessment as an area where we must go further.

The implementation of the guidance has been supported by a new NHS England e-learning module, which launched in September, to help ensure that staff across services are confident and equipped to apply the guidance in practice. The NHS medium-term planning framework, published last month, states that in 2026-27, integrated care boards must

“ensure that mental health practitioners across all providers”

undertake the e-learning

“and deliver care in line with the Staying safe from suicide guidance.”

The Minister with responsibility for women’s health and mental health, who sits in the other place, wrote directly to crucial stakeholders across the sector—including the chief coroner, the Charity Commission, the Professional Standards Authority for Health and Social Care, and the British Psychological Society—to promote the guidance and the e-learning module, and I am pleased to say that the response has been overwhelmingly positive. By way of example, the Charity Commission circulated information about the e-learning to around 5,000 charities involved in suicide prevention or mental health support—an encouraging demonstration of the sector’s commitment to improving safety and support for those at risk.

More widely, we are improving mental health services so that people are met with the right support. We recognise that expanding and equipping the workforce will take time, but I am pleased to say that we have hired almost 7,000 extra mental health workers since July 2024. Mental health remains a core priority for the NHS. That is why we are investing £688 million to transform services, including £26 million to support people in mental health crisis.

As part of the 10-year health plan’s commitment to transforming how the whole health and care system works, we are introducing neighbourhood mental health care for adults, which will bring community, crisis and in-patient care together in a single, seamless offer. Six neighbourhood mental health centres are already operating 24 hours a day, seven days a week, offering open-access support to anyone who needs it. Co-delivered with primary care, the voluntary and faith sectors, and local specialist services, the centres make it easier for people to seek help in their own communities, without judgment or barriers.

[Sojan Joseph]

Will the Minister give way?

[Stephen Kinnock]

I am very tight on time, but I will give way briefly before wrapping up.

[Sojan Joseph]

A recent study shows that many people are reaching out to artificial intelligence chatbots to seek mental health support. The Government are putting so many new initiatives in place; does the Minister agree that we need to publicise them more, so that people do not seek incorrect information from AI chatbots?

[Stephen Kinnock]

I absolutely agree. This is a human challenge, and humans need to take it on. That is what we will do. There is nothing more human that going to a premier league football match, so I hope that that will be a good way of raising awareness, just as my hon. Friend says.

As we reflect on the lives lost and the families forever changed, we reaffirm our commitment to tackling stigma, improving support and ensuring that everyone feels able to speak up, ask for help and be heard. I thank the hon. Member for Richmond Park again for raising this crucial issue.

Oral Answers to Questions

Stephen Kinnock Excerpts

Tuesday 21st October 2025 Commons Chamber

[Neil Duncan-Jordan (Poole) (Ind)]

4. Whether he has made an assessment of the potential merits of increasing ringfenced NHS funding for children’s hospices to £30 million by 2030.

[The Minister for Care (Stephen Kinnock)]

Children’s hospices provide crucial support, but for too long they have faced the cliff edge of annual funding cycles. I am really proud that we have provided certainty with a three-year funding settlement of £80 million, giving children’s hospices the stability and predictability they need to plan properly and focus on caring for seriously ill children and their families and loved ones. I am sure that the hon. Member will join me in welcoming the certainty that we have delivered for the sector.

[Neil Duncan-Jordan]

I absolutely welcome the Government’s announcement last week that funding for children’s hospices will be extended for the next three years and will rise in line with inflation. Julia’s House is one such hospice that serves families in my constituency. However, children’s hospices still face challenges in accessing funding from local NHS bodies and councils, addressing workforce shortages and holding integrated care boards to account for the way in which they commission children’s palliative care, so what reassurance can the Minister give that children’s hospices will benefit from sustainable financial support both now and in the future?

[Stephen Kinnock]

I am delighted that Julia’s House hospice received £525,000 from the allocation. I am sure that was very welcome to the staff and the families. It is also worth noting that, of the £100 million allocation that we made to capital funding, £12 million went to children’s hospices. That is an increase on top of what we have just been talking about. Of course, there are challenging times for funding, but we have also provided the sector with a huge amount of certainty and stability.

[Paul Holmes (Hamble Valley) (Con)]

This funding is welcome, but hospices such as Mountbatten in my area are still making cuts because of the budgetary choices that the Chancellor made and ICB practices. This is a multi-year funding settlement, but multi-year funding settlements need to be longer. Will the Minister commit to including all hospices in a longer multi-year funding settlement for stability in the sector?

[Stephen Kinnock]

I find it quite extraordinary that Opposition Members come to this House and lecture us on the sustainability of funding, given the way in which they crashed the economy and left us in a dire fiscal position. I would have hoped that the hon. Gentleman would welcome the fact that, rather than the annual funding cliff edge that they left for vital children’s hospices services, we have moved to a three-year funding settlement. His criticism beggars belief.

[Steve Darling (Torbay) (LD)]

5. What progress his Department has made on the implementation of the new hospital programme.

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[Katie Lam (Weald of Kent) (Con)]

9. What assessment he has made of the potential impact of the increase in employer’s national insurance contributions on general practices.

[The Minister for Care (Stephen Kinnock)]

Thanks to the decisions taken by the Chancellor at the Budget, we are investing an extra £1.1 billion in general practice—the biggest increase in a decade. That funding has allowed us to recruit an extra 2,000 GPs, agree a contract for the first time in four years, and introduce online access. Does the hon. Member welcome that investment, or would she cut it?

[Katie Lam]

GPs surgeries across the Weald of Kent, including in Woodchurch and Charing, tell me how much they struggle with rising staff costs, and the national insurance increases in last year’s Budget put huge pressure on them. Alongside the investment that the hon. Gentleman just mentioned, what discussions have he or his colleagues from the Department of Health and Social Care had with Treasury colleagues about protecting GP partnerships from further NI burdens in the upcoming Budget?

[Stephen Kinnock]

Again, I find it extraordinary that Conservative Members have the brass neck to ask those kinds of questions. They created the mess, and now they are criticising us—it is a bit like the arsonists heckling the firefighters. Patient satisfaction in general practice has risen from 67% last year to 75% this year, and the proportion of patients reporting difficulty contacting their practice has fallen from 18.7% in July 2024 to 10.6% in May 2025. We are just getting started, and I did not hear the hon. Lady welcome the investment.

[Sir Gavin Williamson (Stone, Great Wyrley and Penkridge) (Con)]

10. What steps his Department is taking to support people with acute myeloid leukaemia.

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[Layla Moran (Oxford West and Abingdon) (LD)]

16. What steps he has taken to support the virtual ward programme.

[The Minister for Care (Stephen Kinnock)]

I welcome the Chair of the Select Committee back from parental leave and greatly look forward to working with her again. Virtual wards allow patients to get hospital-level care in the comfort of their own home, speeding up their recovery while freeing up hospital beds for the patients who need them most. We are rolling out virtual wards further, so that they become the norm for managing many conditions at home.

[Layla Moran]

Earlier this year, I visited the “hospital at home” team at the John Radcliffe hospital, who run an incredible virtual ward. I saw them deliver care to Mavis, who is 91. She was so emotional and grateful for the work they did—we all ended up in tears. Imagine my disappointment that while I was off, we got an email from the team saying that the funding for that incredible service is no longer there and that they face closure. This is an example of the best of the NHS. We want it rolled out to the rest, but if the funding is not there for these nascent services to find their footing, how can we ensure that best practice can be spread across the whole of Oxfordshire and beyond?

[Stephen Kinnock]

The hon. Lady makes a very valid point: this is about the shift from hospital to community, which we have to drive forward. In September 2025, 12,522 virtual ward beds were available—an increase from 12,497 in September 2024. Slowly but surely, we are increasing the number of virtual ward beds and the capability of virtual wards, but there is still a long way to go. I absolutely accept the point that the hon. Lady makes.

[Jas Athwal (Ilford South) (Lab)]

17. What steps he is taking to transfer care from hospitals into the community.

[The Minister for Care (Stephen Kinnock)]

The Darzi investigation found that NHS resources are too focused on hospitals at the expense of community care. Our reforms will turn the NHS into more of a neighbourhood health service. We have already recruited an extra 2,000 more GPs, we are rolling out 700,000 extra dental appointments, and we have agreed a new contract of investment and reform for community pharmacy. As part of our 10-year plan, we will be rolling out neighbourhood health centres across the country, starting with the places that are in the greatest need.

[Jas Athwal]

I thank my hon. Friend for his answer, and for the brilliant work that the whole team is doing to put the NHS 10-year plan into action. Transferring care into the community will give many more patients quick and easy access to specialist care when they need it. However, access to Parkinson’s nurses—who are worth their weight in gold—remains deeply unequal. Too often, patients are left without nurses and have to travel a long way to see a specialist nurse. Worse still, the few Parkinson’s nurses who are available are predominantly funded by Parkinson’s UK. Can the Minister set out what steps are being taken to increase equitable access to Parkinson’s nurses across the country?

[Stephen Kinnock]

I thank my hon. Friend for that question, and congratulate him on his work campaigning on this issue. Regular support and advice from a Parkinson’s disease nurse specialist is highlighted as a key intervention in the National Institute for Health and Care Excellence guidelines on Parkinson’s disease in adults. The forthcoming 10-year workforce plan will support the 10-year health plan by addressing workforce shortages and skills gaps. This will be crucial to delivering quality and accessible care for those with Parkinson’s.

[Graham Stuart (Beverley and Holderness) (Con)]

Ironically, getting care out of hospitals and into the community very much depends on a functioning hospital. Last month, I met the group chief executive officer of Hull University teaching hospitals NHS trust, following news that it had been placed in segment 4 of the NHS acute trust league table. She acknowledged the urgent need for improvement and expressed clear ambition for change, but she will not be able to deliver the transformation of that important hospital alone. Could I meet the Secretary of State or Ministers to discuss what more can be done to support that hospital on its road to transformation and improvement?

[Stephen Kinnock]

I thank the right hon. Gentleman for his question. I am not familiar with the details of that case, but if he would not mind writing to me, I would be very happy to take that issue forward. He is right that there is a mountain to climb, not least because of the mess that was left to us by the previous Government, but we are climbing that mountain step by step. The 10-year plan is a big step in the right direction; it is now all about delivery, and that is what we are doing every day.

[Gurinder Singh Josan (Smethwick) (Lab)]

T1. If he will make a statement on his departmental responsibilities.

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[Markus Campbell-Savours (Penrith and Solway) (Lab)]

T5. After years of watching dentists in Cumbria turn their backs on the NHS contract and move those patients who can afford it to private plans, my constituency is now an NHS dental desert. Can the Minister confirm when the Government will publish their response to the consultation on quality and payment reforms, and tell us what we can expect to see in it?

[The Minister for Care (Stephen Kinnock)]

As my hon. Friend will know, the consultation closed on 19 August. We are now considering the outcomes, and expect to publish a response very shortly. These reforms will improve support for patients with complex or urgent needs by better incentivising dentists to deliver this care on the NHS.

[Mr Tom Morrison (Cheadle) (LD)]

T2. Moya Cole, in Heald Green, is a shining example of a hospice that does fantastic work in a very tough economic situation, but it should not have to rely on coffee mornings and jumble sales to fund its most essential services. Liberal Democrat research findings show that almost a half of hospices in the United Kingdom are planning cuts this year. Will the Government commit themselves to funding our hospices properly in the upcoming Budget so that they do not need to cut the vital services that they provide?

[Stephen Kinnock]

I did not hear the hon. Gentleman welcome the fact that we provided £100 million—an unprecedented amount—in capital funding for hospices, and £26 million a year and £80 million over three years for children’s hospices. We recognise that hospices benefit from being rooted in their communities, with amazing charity and philanthropy support, but of course we know that the Government need to do their bit as well, and that is precisely what we were doing. I was very pleased to visit Noah’s Ark children’s hospice in Barnet last week and to speak to the chief executive, who warmly welcomed the stability and certainty that the three-year allocation has provided.

[Sojan Joseph (Ashford) (Lab)]

T6. After a decade of under-investment in our NHS under the Conservatives, I welcome the progress that has been made on reducing A&E waiting times under this Government, but there is no immediate fix. Just last month, a coffee shop at the William Harvey hospital in Ashford was converted into an emergency ward to treat A&E patients. Will the Secretary of State visit the hospital to see the continuing problems with corridor care, and will he update the House on what the Government are doing to ensure that the hospital can manage winter pressures and maintain safe, high-quality care?

[Ian Sollom (St Neots and Mid Cambridgeshire) (LD)]

T3. The Arthur Rank hospice in Cambridgeshire is losing £829,000 in NHS funding, which is forcing the closure of nine beds—40% of its capacity. Does the Minister believe that dying patients are cared for better in overstretched hospital wards than in specialist hospices, and will he please not fob me off with talk of capital investment? This is about operational costs.

[Stephen Kinnock]

As I have pointed out, we are providing unprecedented levels of funding for hospices, but there is clearly a challenging fiscal position. I note that in their manifesto the Liberal Democrats proposed to spend only an extra £8 billion on health and care, whereas we have invested £26 billion. Before calling for more spending, they should tell us what they would cut.

[Mr Richard Quigley (Isle of Wight West) (Lab)]

T8. I welcome the changes in the GP booking system, but in many cases it is still very difficult to obtain a GP appointment on the Isle of Wight. A large factor in that is the difficulty of recruiting GPs to the island. Will the Minister assure me that he will investigate all options for improving GP recruitment to coastal, rural and island communities, like mine?

[Stephen Kinnock]

Through a £160 million investment in the additional roles reimbursement scheme, we have recruited more than 2,000 new GPs nationwide, but we recognise the inequities in funding that can exacerbate regional inequalities in access to services. I have launched a review of the GP funding formula to ensure that funding follows the needs of the population. The National Institute for Health and Care Research has begun a review of the Carr-Hill funding formula, which will conclude in six months’ time.

[Ben Obese-Jecty (Huntingdon) (Con)]

T7. Hinchingbrooke hospital is one of the few hospitals in Cambridgeshire that are yet to have an electronic patient record system, and its current level of digital maturity is at the lowest end of the Healthcare Information and Management Systems Society scale. Hospitals within the new hospital programme are required to be at level 5 on the HIMSS scale, in line with the national digital capability framework. What financial assistance will be given to North West Anglia NHS foundation trust to facilitate an investment case, so that the rebuilt Hinchingbrooke hospital has a modern and enterprise-wide electronic patient record system?

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[Mr Speaker]

Order. We need shorter questions.

[Stephen Kinnock]

I do not know the details of that case, but if the hon. Gentleman writes to me, I can certainly come back to him on it. That sounds like a vital service that needs to be protected.

[Dame Siobhain McDonagh (Mitcham and Morden) (Lab)]

In the Secretary of State’s list of what has happened since his last oral questions, he failed to mention the appointment of our hon. Friend the Member for Glasgow South West (Dr Ahmed) as a Minister. He is particularly looking at life sciences. Without life sciences and drug trials, we will not see an improvement in outcomes for rare cancers. Can the Secretary of State make a statement on what will be done about rare cancers?

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[Sarah Smith (Hyndburn) (Lab)]

As you may be aware, Mr Speaker, Reform-led Lancashire county council has opened a consultation on the future of care homes across Lancashire, including the proposal to close Woodlands care home in my constituency of Hyndburn. Will the Minister join me in urging Lancashire county council not to take forward these proposals, to protect much-valued local services, and to keep care close to the community and to the amazing staff who support our residents in Woodlands care home?

[Stephen Kinnock]

I absolutely agree. It has been very interesting to see that all the rhetoric of many Reform-led councils has come crashing down as they face the reality of the situation. Adult social care plays an absolutely vital role in the shift from hospital to community, and I am very happy to meet my hon. Friend to discuss the matter further.

[Damian Hinds (East Hampshire) (Con)]

Alton and Petersfield hospitals give excellent step-up, step-down and end-of-life care. The trust is introducing more home-based care, which is good, but it also proposes closing a ward in one of the community hospitals. Will the Minister ensure that there remain sufficient beds and sufficient capacity in our local community hospitals for those patients who need them?

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[Liz Saville Roberts (Dwyfor Meirionnydd) (PC)]

The secure supply of medical radioisotopes is critical for the treatment and diagnosis of many conditions. Is this the Department’s responsibility, and does it support the Welsh Government’s Project Arthur scheme at the nuclear licenced site in Trawsfynydd in my constituency?

[Stephen Kinnock]

I thank the right hon. Member for that question. Security of supply is obviously of importance to the entire Government. My portfolio includes pharmacy, which is a very important part of that. I would be very happy to meet her to discuss further the matter she has raised.

[Leigh Ingham (Stafford) (Lab)]

In my constituency of Stafford, Eccleshall and the villages, I recently ran a survey, which had a whopping 99% response rate, in support of an urgent treatment centre in my constituency. Would the Minister agree to meet me to discuss urgent treatment provision in my constituency?

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[Stephen Kinnock]

I thank the hon. Member for that question. He will have seen that, in the 10-year plan, we have committed to tie-ins. Once the current cohort is through its studies, new cohorts will be tied into doing NHS dentistry for a period after graduation. I am sure that he welcomes that very important measure.

[Helena Dollimore (Hastings and Rye) (Lab/Co-op)]

Jules Fielder is a young woman from Hastings who has tragically been diagnosed with terminal lung cancer after doctors repeatedly missed the early symptoms. Jules is now channelling her personal tragedy into action and campaigning to raise awareness of early symptoms, and she wants shops like Boots and Superdrug to use their shelf space to raise awareness. Will the Minister join me in paying tribute to Jules’s amazing campaigning work?

Children’s Hospice Funding

Stephen Kinnock Excerpts

Thursday 16th October 2025 Written Statements

[The Minister for Care (Stephen Kinnock)]

I am delighted to announce to the House today that the Government and NHS England can now confirm the continuation of the centrally administered children’s hospice funding, previously known as the children’s hospice grant, for the three years of the next spending review period, 2026-27 to 2028-29 inclusive.

This Government have already made it clear that we hugely value the important role that hospices play in supporting the palliative care and end of life care sector and the big role they will play in the shift of care from hospital to community settings, including via integrated neighbourhood health teams.

In December 2024, we announced the biggest investment in a generation for hospices, providing £100 million in capital funding to adult and children’s hospices across England over 2024-25 and 2025-26, and continued revenue funding for children’s hospices of £26 million in 2025-26.

We are now confirming that children’s hospices will receive further revenue funding for the next three years: 2026-27, 2027-28 and 2028-29. This funding will see circa £26 million (adjusted for inflation) allocated to children’s hospices in England each year, via their local integrated commissioning boards on behalf of NHS England, as happened in 2024-25 and 2025-26. This amounts to at least £78 million over the next three years.

This is in line with our 10-year health plan, promoting a more consistent national approach, while also supporting commissioners in prioritising the palliative care and end of life care needs of their local population. Further details on the process and delivery of this funding will follow in due course. The allocations to individual children’s hospices will be refreshed to reflect updated prevalence data.

This funding will be in addition to existing local arrangements for services commissioned from children’s hospices, and any locally agreed funding to hospices should continue at the discretion of the relevant ICBs, which are responsible for commissioning palliative care to meet the needs of their populations.

This Government’s commitment to provide this much-needed funding until the end of the spending review period recognises that children’s hospices need funding certainty in order to plan ahead, rather than relying on year-on-year funding decisions, and also acknowledges the invaluable support that children’s hospices provide to children with life-limiting or life-threatening conditions and their loved ones.

Meanwhile, ICBs will work to embed strategic commissioning approaches, with the support of the Department and NHS England, to ensure that population of children and young people with palliative care and end of life care needs, including those currently met through the centrally administered children’s hospice funding, are fully incorporated into their five-year organisational plans, as outlined in the planning framework.

We want a society where every person receives high-quality, compassionate care from diagnosis through to the end of life, and we recognise that access to high-quality, personalised palliative care can make all the difference for seriously ill children and their families. This funding will allow children’s hospices to continue to provide this all-important support to those who need it most, at some of the most difficult times of their lives.

More widely on palliative care and end of life care, the Government and the NHS will closely monitor the shift towards all-age strategic commissioning of palliative and end of life care services to ensure that the services reduce variation in access and quality.

Being able to plan for the long term is of vital importance to our children’s hospices, so I am proud that this Government have removed the “cliff edge” of annual funding cycles, so that our children’s hospices will now be able to operate on the basis of far greater certainty and stability.

[HCWS970]

Children’s Hospices: South-east England

Stephen Kinnock Excerpts

Thursday 16th October 2025 Commons Chamber

[The Minister for Care (Stephen Kinnock)]

I thank the hon. Member for Mid Sussex (Alison Bennett) for securing this vital debate. I also thank all those who work or volunteer in the palliative care and end-of-life care sector for their care and support—the compassion that they provide to patients, families and loved ones when they need it most.

This Government want a society in which every child receives high-quality, compassionate care from diagnosis through to the end of life, irrespective of condition or geographical location. In England, integrated care boards are responsible for the commissioning of palliative care and end-of-life care services to meet the needs of their local populations. To support ICBs in that duty, NHS England has published statutory guidance and service specifications. It has also developed a palliative care and end-of-life care dashboard, which brings together all relevant local data in one place. That dashboard helps commissioners to understand the palliative care and end-of-life care needs of their local population.

While the majority of palliative care and end-of-life care is provided by NHS staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to people at the end of life and their loved ones. In recognition of this, we are supporting the hospice sector with a £100 million capital funding boost for eligible adult and children and young people’s hospices in England, to ensure they have the best physical environment for care. I am pleased that the first £25 million tranche of that funding, which Hospice UK kindly allocated and distributed to hospices throughout England, was fully spent by hospices on capital projects. An additional £75 million has been transferred to Hospice UK for onward allocation to individual hospices for use in the 2025-26 financial year, and I know that many hospices are already spending that funding this year.

Hospices in London and the south-east are receiving over £28 million of that £100 million capital funding. That includes over £4 million for children and young people’s hospices in London and the south-east. We are also providing £26 million in revenue funding to support children and young people’s hospices for 2025-26. This is a continuation of the funding that, until recently, was known as the children and young people’s hospice grant. Children and young people’s hospices in London and the south-east are receiving almost £8.5 million of that £26 million of revenue funding.

As confirmed in my written ministerial statement laid earlier today, I am delighted and proud to be in a position to announce that we will continue that centrally administered funding for the next three years of this spending review period. That includes the 2026-27 to 2028-29 financial years, as well as 2025-26. Each year, children and young people’s hospices in England will receive at least £26 million—adjusted for inflation—from NHS England via their local ICBs. This amounts to at least £78 million over the next three years to support hospice care for children and young people, mirroring current and previous years’ transaction arrangements. By doing this, we are promoting a more consistent national approach and supporting commissioners to prioritise the palliative care and end-of-life care needs of their local population. Further details on the delivery of this funding will follow in due course.

This Government’s commitment to provide that much-needed funding until the end of the spending review period recognises that the ability to plan for the long term is vital to our children and young people’s hospices. I am proud that this Government have removed the cliff edge of annual funding cycles, so that our children and young people’s hospices will now be able to operate on the basis of far greater certainty and stability.

[Alison Bennett]

I agree that increasing the time period covered by this grant to children’s hospices to three years will really help. Can the Minister comment on whether there are plans to do the same for the adult hospice sector?

[Stephen Kinnock]

The hon. Lady will know that children’s hospices are in a different situation from adult hospices: there has always been a centralised grant for children’s hospices, whereas the funding for adult hospices goes through ICBs and is part of the broader budgeting and commissioning process. Clearly, we will need to set an overall financial framework for adult hospices. We are currently going through the final stages of negotiations, both with the Treasury and within the Department of Health and Social Care, to finalise the financial envelopes and allocations for each part of my portfolio and the portfolios of my ministerial colleagues.

Although the investment is important, there are big opportunities around reform. A lot more needs to be done around the early identification of people in need of palliative care and people reaching the end of life. The interface between hospitals, hospices and primary care is nowhere near where it needs to be. A big part of our neighbourhood health strategy will therefore be about how we ensure that hospices have a strong voice at the table in the holistic integrated planning that is such an important part of the journey. The hon. Lady made some powerful points about that in her speech, and we are looking at the issue as we speak. I am meeting officials to determine how to reform the system. It is not just about the money, but about how the system works. We think that there is huge room for improvement.

I was truly inspired to visit Noah’s Ark children’s hospice in Barnet yesterday to understand the key issues that it is facing and see how our three-year funding commitment will support it to continue delivering essential palliative care and end-of-life care services to children and young people in its community. When I chatted to the chief executive yesterday, it was very clear how pleased she is to have some stability and certainty in planning the staffing and the services provided at Noah’s Ark. It is a wonderful place; I pay tribute to everybody who works there, and to the families.

We recognise the challenges facing the palliative care and end-of-life care sector, particularly hospices. The Department and NHS England are looking at how to improve the access, quality and sustainability of all-age palliative care and end-of-life care, in line with our 10-year health plan. The Government and the NHS will closely monitor the shift towards strategic commissioning of palliative care and end-of-life care services to ensure that services reduce variation in access and quality, although some variation may be appropriate to reflect both innovation and the needs of local populations. Officials will present further proposals to me over the coming months, outlining the drivers and incentives that are required in palliative care and end-of-life care to enable the shift from hospital to community, including as part of neighbourhood health teams.

Furthermore, through the National Institute for Health and Care Research, the Department is investing £3 million in a policy research unit in palliative and end-of-life care. The unit launched in January 2024 and is building the evidence base on palliative care and end-of-life care, with a specific focus on inequalities and on ironing out the regional variations to which the hon. Lady rightly pointed.

I hope that those measures and our plans reassure hon. Members of this Government’s rock-solid commitment to building a sustainable palliative care and end-of-life care sector for the long term. Alongside key partners, NHS England and others will continue to engage proactively with our stakeholders, including the voluntary sector and independent hospices, to understand the issues that they face. We will continue working with NHS England in supporting ICBs to effectively commission the palliative care and end-of-life care needed by their local populations. I reiterate my thanks to the hon. Member for Mid Sussex for bringing this vital issue to the House, as well as to all hon. Members who have intervened in the debate and are passionately committed to it on behalf of their constituents.

Question put and agreed to.