Question to the HM Treasury:

To ask the Chancellor of the Exchequer, with reference to her oral answer to the question from the Rt hon. Member for Gainsborough on 21 January 2025, Official Report, col 859, how the Government plans to compensate hospices for the increase in Secondary Class 1 National Insurance Contributions.

The Government recognises the vital role hospices play in supporting people at the end of life and their families. The Government will provide support for departments and other public sector employers for additional employer National Insurance costs only. Private sector firms or charities including hospices or social care providers that are contracted by central or local Government will not be exempt from these changes. This is the usual approach the Government takes to supporting the public sector with additional employer National Insurance contributions as was the case with the previous Government’s Health and Social Care Levy.

The Government is determined to shift more healthcare into the community and ensure patients and their families receive high-quality, personalised care in the most appropriate setting, and hospices will have a big role to play in that shift.

Integrated Care Boards are responsible for the commissioning of palliative and end of life care services to meet the needs of their local populations; where ICBs provide funding, they will work with hospices to agree funding arrangements through the normal contracting process.

The Government has recently announced that we are supporting the hospice sector with a £100 million boost for adult and children’s hospices to ensure they have the best physical environment for care, and £26 million revenue to support children and young people’s hospices. We will set out the details of the funding allocation in due course.