Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment the government has made of the potential impact of hospice cuts on quality of palliative care across the country.

Whilst the majority of palliative care and end-of-life care is provided by National Health Service 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.

Integrated care boards (ICBs) are responsible for commissioning palliative care and end-of-life care services that meet the needs of their local populations. To support ICBs in this duty, NHS England has published statutory guidance and service specifications. The statutory guidance states that ICBs must work to ensure that there is sufficient provision of care services to meet the needs of their local populations, which can include hospice services available within the ICB catchment.

NHS England has reinforced the requirement that, from April 2026, ICBs and relevant providers must have a full understanding of current and projected service utilisation and costs, including for those needing end-of-life care, to support sustainable planning. This will help systems to better assess local need and maintain quality of care.

The Government is also providing £125 million of capital funding for eligible adult, and children and young people’s hospices and we recently also confirmed approximately £80 million of revenue funding for the next three years for children and young people’s hospices in England.

Additionally, the Government is developing a Palliative Care and End-of-Life Care Modern Service Framework (MSF) for England. It will drive improvements in access, quality, and sustainability, and support ICB to commission high-quality, personalised care. Through our MSF, we will closely monitor the shift towards the strategic commissioning of palliative care and end-of-life care services, and we will also consider contracting and commissioning arrangements.