Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to improve out-of-hours support for people at the end of life.

The Government is committed to ensuring that people approaching the end of life receive high-quality, compassionate care whenever it is needed.

Urgent community response (UCR) services play a key role in this. UCR provides a two-hour community-based response to adults experiencing a sudden deterioration in their health and helps avoid unnecessary hospital admissions. People at the end of life are among those who can be referred into UCR services for urgent crisis, for symptom control and/or pain relief, in line with a person’s wishes.

We are committed to improving the consistency, capacity, and availability of UCR services across England. The Urgent and Emergency Care Delivery Plan 2025/26 includes actions to expand urgent care delivered in the community, including UCR, and the National Health Service 10-Year Health Plan further commits to increasing access to urgent care at home and in the community as part of the new Neighbourhood Health model.

Additionally, NHS England’s published statutory guidance on palliative care and end-of-life care states that integrated care boards, as commissioning authorities, must define how their local service providers meet population needs on a 24/7 basis.

The National Institute for Health and Care Excellence (NICE) guideline, NG142: End of life care for adults: service delivery, also recommends that adults nearing the end of life have access to a healthcare professional 24 hours a day, seven days a week, as well as an out-of-hours advice line and access to essential medicines for symptom management.

Although NICE guidance is not mandatory, there is an expectation that commissioners and service providers take the guidelines into account when making decisions about how to best meet the needs of their local communities.

Furthermore, to strengthen provision for people at the end of life, we will publish a Palliative Care and End-of-Life Care Modern Service Framework (MSF) later this year. Through our MSF, we will closely monitor the shift towards the strategic commissioning of palliative care and end-of-life care services to ensure that services reduce variation in access and quality, including strengthening out-of-hours community health support, dedicated telephone advice, and overall consideration of 24/7 provision.