Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to improve children's palliative care services in Surrey Heath constituency.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Palliative care services, including children’s palliative care services, are included in the list of services an integrated care board (ICB) must commission. To support ICBs, including Frimley ICB and Surrey Heartlands ICB which cover the Surrey Heath constituency, in this duty, NHS England has published statutory guidance and a service specification for children and young people.
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.
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. Shooting Star Children’s Hospice and Alexander Devine Children’s Hospice, which serve children in the Surrey Heath constituency, are receiving £679,148 and £191,824 respectively from this funding.
We are also providing £26 million in revenue funding to support children and young people’s hospices for 2025/26. Shooting Star Children’s Hospice and Alexander Devine Children’s Hospice have received £1,879,000 and £300,000 respectively 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.
Asked by: Victoria Collins (Liberal Democrat - Harpenden and Berkhamsted)
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 ensure that hospice contracts reflect the (a) cost of the services they provide and (b) needs of the local population in Harpenden and Berkhamsted constituency.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for the commissioning of palliative care and end of life care services, to meet the needs of their local populations. To support ICBs, including the NHS Hertfordshire and West Essex ICB, which covers the Harpenden and Berkhamsted constituency, in this duty, NHS England has published statutory guidance and service specifications. NHS England has also developed a palliative care and end of life care dashboard, which brings together all relevant local data in one place.
Whilst the majority of palliative care and end of life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations also play.
The amount of funding charitable hospices receive varies by ICB area, and will, in part, be dependent on the breadth of palliative care, including specialist palliative care, and end of life care provision within each ICB catchment area. It is important to note that hospices, like the NHS, provide both specialist and generalist palliative care and end of life care. Not all patients will require specialist palliative care.
The Department and NHS England are currently looking 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.
Additionally, 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 in revenue funding to support children and young people’s hospices for 2025/26. I am pleased to confirm the continuation of circa £26 million, adjusted for inflation, for the next three financial years, 2026/27 to 2028/29 inclusive, to be distributed again via ICBs. This amounts to approximately £80 million over the next three years.
Asked by: Victoria Collins (Liberal Democrat - Harpenden and Berkhamsted)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans he has to ensure adequate financial support for the full range of specialist palliative care services provided by hospices.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for the commissioning of palliative care and end of life care services, to meet the needs of their local populations. To support ICBs, including the NHS Hertfordshire and West Essex ICB, which covers the Harpenden and Berkhamsted constituency, in this duty, NHS England has published statutory guidance and service specifications. NHS England has also developed a palliative care and end of life care dashboard, which brings together all relevant local data in one place.
Whilst the majority of palliative care and end of life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations also play.
The amount of funding charitable hospices receive varies by ICB area, and will, in part, be dependent on the breadth of palliative care, including specialist palliative care, and end of life care provision within each ICB catchment area. It is important to note that hospices, like the NHS, provide both specialist and generalist palliative care and end of life care. Not all patients will require specialist palliative care.
The Department and NHS England are currently looking 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.
Additionally, 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 in revenue funding to support children and young people’s hospices for 2025/26. I am pleased to confirm the continuation of circa £26 million, adjusted for inflation, for the next three financial years, 2026/27 to 2028/29 inclusive, to be distributed again via ICBs. This amounts to approximately £80 million over the next three years.
Asked by: Dan Norris (Independent - North East Somerset and Hanham)
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 support hospices to provide high quality end-of-life care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We want a society where every person receives high-quality, compassionate care from diagnosis through to the end of life. Whilst the majority of palliative care and end of life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to people at the end of life and their loved ones.
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 in 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.
I can also now confirm the continuation of this vital funding for the three years of the next spending review period, 2026/27 to 2028/29 inclusive. This funding will see circa £26 million, adjusted for inflation, allocated to children and young people’s hospices in England each year, via their local integrated care boards on behalf of NHS England, as happened in 2024/25 and 2025/26. This amounts to approximately £80 million over the next three years.
In the long-term, 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 services reduce 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 the drivers and incentives that are required in palliative care and end of life care to enable the shift from hospital to community, including as part of neighbourhood health teams.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to increase the number of specialist paediatric palliative medicine consultants within Frimley Integrated Care Board.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Palliative care and end of life care is wide-ranging, provided by generalist as well as specialist healthcare professionals, and is not disease or diagnosis specific. A large proportion of palliative and end of life care is not provided by palliative care specialists and, therefore, it is difficult to quantify the totality of the NHS workforce providing palliative and end of life care.
This Government is committed to publishing a 10-Year Workforce Plan to set out action to create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan. The 10-Year Workforce Plan will ensure that the National Health Service has the right people in the right places, with the right skills to care for patients, when they need it.
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.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether multi-year revenue funding for children's hospices will go to (a) regional and (b) local ICBs.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We are providing £26 million in 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’s Hospice Grant.
I am pleased to confirm the continuation of this vital funding for the next three financial years, from 2026/27 to 2028/29 inclusive. This funding will see approximately £26 million, adjusted for inflation, allocated to children and young people’s hospices in England each year, via their local integrated care boards on behalf of NHS England, as happened in 2024/25 and 2025/26. This amounts to approximately £80 million over the next three years.
This approach is in line with National Health Service devolution and promotes a more consistent national approach, supporting commissioners in prioritising the palliative care and end of life care needs of their local population.
Asked by: John Hayes (Conservative - South Holland and The Deepings)
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 children's palliative care services in Lincolnshire.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Palliative care services, including children’s palliative care services, are included in the list of services an integrated care board (ICB) must commission. To support ICBs, including the Lincolnshire ICB, in this duty, NHS England has published statutory guidance and a service specification for children and young people. The statutory guidance states that ICBs must work to ensure that there is sufficient provision of care services to meet the needs of their local populations.
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.
Whilst the majority of palliative care and end of life care is provided by National Health Service staff and services, we recognise the vital part charitable hospices play as well. This is why 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. St Andrew’s Hospice, which serves children in Lincolnshire, is receiving £370,356 from this funding.
We are also providing £26 million in revenue funding to support children and young people’s hospices for 2025/26. St Andrew’s Hospice is receiving £372,000 from this funding.
I am pleased to confirm the continuation of approximately £26 million, adjusted for inflation, for the next three financial years, from 2026/27 to 2028/29 inclusive, to be distributed again via ICBs. This amounts to approximately £80 million over the next three years.
Asked by: Andrew Snowden (Conservative - Fylde)
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 ensure equitable regional access to hospice care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for the commissioning of palliative care and end of life care services, to meet the needs of their local populations. Whilst the majority of palliative care and end of life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to people at the end of life and their loved ones.
However, due to the way the hospice movement organically grew, hospice locations were largely not planned with a view to providing even access across the country or to prioritise areas of greatest need based on demographics. Therefore, there are inequalities in access to hospice services, especially for those living in rural or socio-economically deprived areas.
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 in revenue funding to support children and young people’s hospices for 2025/26. I can also now confirm the continuation of this vital funding for the three years of the next Spending Review period, from 2026/27 to 2028/29 inclusive. This funding will see approximately £26 million, adjusted for inflation, allocated to children and young people’s hospices in England each year, via their local ICB on behalf of NHS England, as happened in 2024/25 and 2025/26. This amounts to approximately £80 million over the next three years.
More widely, 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.
Asked by: Andrew Snowden (Conservative - Fylde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how much funding was allocated to hospice services in each of the last five financial years; and what information his Department holds on the proportion of that funding from (a) central government, (b) local authorities and (c) charitable donations.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Palliative care services are included in the list of services an integrated care board (ICB) must commission. This promotes a more consistent national approach and supports commissioners in prioritising palliative care and end of life care.
Whilst the majority of palliative care and end of life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to people at end of life and their loved ones.
Most hospices in England are charitable organisations, receiving approximately one third of their funding from the NHS and the rest through other independent fund-raising means. The amount of funding each charitable hospice receives from the NHS varies both within and between ICB areas. This will vary depending on demand in that ICB area but will also be dependent on the totality and type of palliative and end of life care provision from both NHS and non-NHS services, including charitable hospices, within each ICB area.
This approach allows the hospices to maintain their independence and autonomy, providing them with the freedom to provide services beyond the statutory offer. Thus, hospices are not required to report their charitable donations to the Government, nor is the Government to collect such information from hospices.
Hospices do incredible work to support people and families when they need it most, and we recognise the incredibly tough pressures they are facing. Which is why, for the first time in a generation, 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.
Furthermore, the Children’s Hospice ‘Grant’ has provided additional funding since 2006/07. The following table shows the Children’s Hospice ‘Grant’ amounts allocated since 2015/16 to 2025/26:
Year | Grant amount awarded |
2015/16 | £11,000,000.00 |
2016/17 | £11,000,000.00 |
2017/18 | £11,000,000.00 |
2018/19 | £11,000,000.00 |
2019/20 | £12,000,000.00 |
2020/21 | £15,000,000.00 |
2021/22 | £17,000,000.00 |
2022/23 | £21,000,000.00 |
2023/24 | £25,000,000.00 |
2024/25 | £25,000,000.00 |
2025/26 | £26,000,000.00 |
Note: the payment is no longer referred to as a ‘grant’ by NHS England as it is now channelled through ICBs rather than being directly paid to hospices by NHS England.
Since 2022/23, individual allocations of the grant have been determined using a prevalence-based model, enabling allocations to reflect local population need.
I can also now confirm the continuation of this vital funding for the three years of the next Spending Review period, from 2026/27 to 2028/29 inclusive. This funding will see approximately £26 million, adjusted for inflation, allocated to children and young people’s hospices in England each year, via their local ICBs on behalf of NHS England, as happened in 2024/25 and 2025/26. This amounts to approximately £80 million over the next three years.
Asked by: Marsha De Cordova (Labour - Battersea)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the potential merits of providing full funding for specialist palliative (a) care, (b) advice and (c) assessment provided by hospices.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for the commissioning of palliative care and end of life care services, to meet the needs of their local populations. To support ICBs in this duty, NHS England has published statutory guidance and service specifications. NHS England has also developed a palliative care and end of life care dashboard, which brings together all relevant local data in one place. The dashboard helps commissioners understand the palliative care and end of life care needs of their local population.
Whilst the majority of palliative care and end of life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to people at the end of life and their loved ones.
Most hospices are charitable, independent organisations which receive some statutory funding for providing NHS services. The amount of funding each charitable hospice receives varies both within and between ICB areas. This will vary depending on demand in that ICB area but will also be dependent on the totality and type of palliative and end of life care provision from both NHS and non-NHS services, including charitable hospices, within each ICB area.
The Department and NHS England are currently looking 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. 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, although some variation may be appropriate to reflect both innovation and the needs of local populations.
Additionally, 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 in revenue funding to support children and young people’s hospices for 2025/26. I am pleased to confirm the continuation of this vital funding for the next three financial years, from 2026/27 to 2028/29 inclusive. This funding will see approximately £26 million, adjusted for inflation, allocated to children and young people’s hospices in England each year, via their local ICBs on behalf of NHS England, as happened in 2024/25 and 2025/26. This amounts to approximately £80 million over the next three years.