Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the report from Together for Short Lives entitled Overstretched and underfunded: The state of children’s hospice funding in 2025, if he will review the disparity in per person funding from integrated care boards for (a) children and (b) young people in hospice care.
We want a society where every child receives high-quality, compassionate care from diagnosis through to the end of life.
Palliative care services are included in the list of services an integrated care board (ICB) must commission. ICBs are responsible for the commissioning of palliative care and end of life care services, to meet the needs of their local populations.
The Together for Short Lives report, Overstretched and underfunded: The state of children’s hospice funding in 2025, highlights variation in the ‘per person’ funding of charitable children’s hospices but does not take into account funding spent via National Health Services, which also supports children with palliative care and end of life care needs. In England, 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 children’s hospices, also play in providing support to children, and their loved ones, at the end of life.
We are supporting the hospice sector with a £100 million capital funding boost for eligible adult and children’s hospices in England to ensure they have the best physical environment for care.
We are also providing £26 million of revenue funding to support children and young people’s hospices for 2025/26. This is a continuation of the funding which until recently was known as the children and young people’s hospice grant. We will confirm funding for 2026/27 in line with usual processes and timelines for Government finances.
I have tasked officials to look at how to improve the access, quality, and sustainability of all-age palliative care and end of life care in line with the 10 Year Health Plan.
The Government and the NHS will closely monitor the shift towards the strategic commissioning of palliative care and end of life care services to ensure that the future state of services reduces 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 ministers over the coming months, outlining how to operationalise the required shifts in palliative care and end of life care to enable the shift from hospital to community, including as part of neighbourhood health teams.