Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 1 September 2025 to Question 69695, what are the timescales for improving access to palliative care at home for children nearing the end of life; and what assessment he has made of the (a) provision and (b) commissioning of such services in Bristol.

The Department and NHS England are currently working at pace to develop plans on how best 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. I will be able to say more about our timelines for that work in the near future.

We will closely monitor the shift towards the strategic commissioning of palliative 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.

Children’s palliative care services are included in the list of services an integrated care board (ICB) must commission. To support ICBs in this duty, NHS England has published statutory guidance and a service specification for children and young people.  The statutory guidance states that ICBs, including the NHS Bristol, North Somerset and South Gloucestershire ICB, must work to ensure that there is sufficient provision of palliative care and end of life care services to meet the needs of their local populations.

We are providing £26 million of revenue funding for children and young people’s hospices for 2025/26. Jessie May Children’s Hospice in Bristol has received £182,000 from this funding. We are also committing £80 million for children’s and young people’s hospices over the next three financial years, giving them stability to plan ahead and focus on what matters most, caring for their patients.