Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of changes in emergency ambulance use and hospital admissions among Liverpool residents in their last 90 days of life; and whether inadequate specialist palliative care capacity is contributing to avoidable emergency activity.

The Cheshire and Merseyside Integrated Care Board is working with the Cheshire and Merseyside Hospice Collaborative to develop a longer-term sustainability strategy, aligned to a wider, population needs-based commissioning strategy.

More widely, we are developing a modern service framework for palliative care and end-of-Life care to improve the access, quality, and sustainability of all-age palliative care and end-of-life care. The modern service framework will cover both generalist and specialist palliative care, and 24/7 provision will be considered as part of the interventions. Further metrics and associated targets will build on the 2029 ambitions set out in the Neighbourhood Health Framework, which include increasing the number of people identified as approaching the end of life by 10% and reducing non-elective admissions and hospital bed days by 10% for that cohort.