Asked by: Adam Dance (Liberal Democrat - Yeovil)
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 increase the level of funding in hospice care in Yeovil constituency.
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, including the Somerset ICB, which covers the Yeovil constituency. To support ICBs in this duty, NHS England has published statutory guidance and service specifications. 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, which can include hospice services available within the ICB catchment.
We are supporting the hospice sector with an initial £100 million investment and a recent additional £25 million capital funding boost for eligible adult and children’s hospices in England to ensure they have the best physical environment for care. The full £125 million has now been allocated to 158 eligible hospices by Hospice UK, and I can confirm that St Margaret’s Hospice in the Yeovil constituency is receiving £986,184 from this capital funding.
The capital funding is helping hospices to provide the best end of life care to patients and their families in a supportive and dignified physical environment. Funding helps to support hospices and deliver much needed improvements including refurbishments, overhauling IT systems, and improving facilities for patients and visitors.
Additionally, children and young people’s hospices will receive £26 million in revenue funding this year. We have also confirmed the continuation of this funding stream, approximately totalling £80 million of revenue funding over the next three years, which will provide stability for the sector over that period.
More widely, the Government is developing a Palliative Care and End-of-Life Care Modern Service Framework. Contracting and commissioning arrangements will be considered as part of this work.
Asked by: Lee Dillon (Liberal Democrat - Newbury)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he plans to implement Hospice UK’s four-point plan for fair hospice funding.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Hospice UK’s four-point plan highlights key challenges faced by the hospice sector. We are addressing these concerns through wider reforms. The Government is developing a Palliative Care and End-of-Life Care Modern Service Framework (MSF) for England. The MSF will drive improvements in the services that patients and their families receive at the end of life and enable integrated care boards (ICBs) to address challenges in access, quality, and sustainability through the delivery of high-quality, personalised care. This will be aligned with the ambitions set out in the recently published 10-Year Health Plan.
Through our MSF, 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. Contracting and commissioning arrangements will be considered as part of this work. We recognise there is currently a mix of contracting models across the hospice sector, and by supporting ICBs to commission more strategically, we can move away from grant-based and block-contract models and help hospices’ ability to plan ahead.
As part of the MSF’s development, we have invited colleagues from a range of organisations, including Hospice UK, to engage in this process. It would not be right to pre-empt exactly what will be in the final MSF at this time, as we develop it with our palliative care and end-of-life care stakeholders.
Additionally, the Government has also invested significantly in the hospice sector, including £125 million of capital funding for adult and children and young people’s hospices in 2024/25 and 2025/26, with a further approximately £80 million of revenue funding support for children and young people’s hospices over the next three years in England.
Asked by: Steve Barclay (Conservative - North East Cambridgeshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment has been made of the potential implications for his polices of the change in the number of available hospice beds in England over the last 12 months.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
No formal assessment has been made of the potential implications for the Department’s policies of the change in the number of available hospice beds in England over the last 12 months.
However, we do recognise the difficult and challenging financial situation that many hospices are facing due to a range of concurrent cost pressures and that, as a result, some hospices have had to reduce the services they offer and the number of inpatient beds.
We have been 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 can now confirm we are providing a further £25 million in capital funding for hospices to spend in 2025/26.
We also recently announced that we are providing approximately £80 million of revenue funding for children and young people’s hospices in England over the next three financial years, from 2026/27 to 2028/29, giving them stability to plan ahead and focus on what matters most, caring for their patients.
The Government is developing a Palliative Care and End-of-Life Care Modern Service Framework (MSF) for England. As part of the MSF, we will consider contracting and commissioning arrangements. We recognise that there is currently a mix of contracting models in the hospice sector. By supporting integrated care boards to commission more strategically, we can move away from grant and block contract models. In the long term, this will aid sustainability and help hospices’ ability to plan ahead.
Asked by: Naz Shah (Labour - Bradford West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of funding for children’s palliative care services in Bradford West; and what steps the Modern Service Framework for palliative and end of life care is taking to address funding challenges faced by the sector.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government recognises the vital role that children’s palliative care services play in supporting children and young people with life-limiting conditions and their families, including in Bradford West.
Integrated care boards (ICBs), including the NHS West Yorkshire ICB, are responsible for assessing and commissioning palliative care and end of life care services that meet the needs of their local populations. To support ICBs in this duty, NHS England has published statutory guidance and service specifications. 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, which can include hospice services available within the ICB catchment.
Although commissioning decisions are made locally, we continue to support the children’s hospice sector nationally. We are providing £26 million revenue funding to children and young people’s hospices in 2025/26, of which children and young people’s hospices in Bradford West are receiving £1,727,000.
We are also pleased to confirm the continuation of this funding, with approximately £80 million, adjusted for inflation, to be allocated over the next three financial years to children and young people’s hospices, giving them greater stability to plan ahead and focus on delivering high-quality, personalised care.
In addition, eligible hospices are benefitting from the Government’s £125 million capital investment to improve care environments for both adult and children’s hospices across England, of which children and young people’s hospices in Bradford West are receiving £1,278,935.
The Government is also developing a Palliative Care and End of Life Care Modern Service Framework (MSF) for England, planned for publication later this year. The MSF will support ICBs, including the NHS West Yorkshire ICB, to commission palliative care and end of life care more strategically by addressing the drivers of variation in access, quality and sustainability. It will help move the sector away from grant and block contract model towards clearer, more sustainable commissioning arrangements, enabling services, including those that support children, to plan with greater certainty.
Asked by: Bob Blackman (Conservative - Harrow East)
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 provide emergency day-to-day funding to hospices; and whether he will commit to releasing (a) £100 million in emergency funding now and (b) a further £100 million in April 2026 to stabilise hospice services and protect patient care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Children and young people’s hospices have received £26 million of revenue funding for 2025/26 and we are also providing approximately £80 million of revenue funding for children and young people’s hospices over the next three financial years, 2026/27 to 2028/29, giving them stability to plan ahead and focus on what matters most, caring for their patients.
In December 2024, we announced that we were providing £100 million of capital funding for eligible adult and children’s hospices in England. This was split across two financial years, with hospices receiving £25 million to spend in 2024/25 and £75 million to spend in 2025/26.
We are pleased to say that we can now confirm we are providing a further £25 million in capital funding for hospices to spend in 2025/26.
We are in a challenging fiscal position across the board. At this time, we are not in a position to offer any additional funding beyond that outlined above. However, we are supporting the hospice sector in other ways.
The Government is developing a Palliative Care and End of Life Care Modern Service Framework (MSF) for England. As part of the MSF, we will consider contracting and commissioning arrangements. We recognise that there is currently a mix of contracting models in the hospice sector. By supporting integrated care boards to commission more strategically, we can move away from grant and block contract models. In the long term, this will aid sustainability and help hospices’ ability to plan ahead.
Asked by: Alison Bennett (Liberal Democrat - Mid Sussex)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment the government has made of the potential impact of hospice cuts on quality of palliative care across the country.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social 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 the end of life and their loved ones.
Integrated care boards (ICBs) are responsible for commissioning palliative care and end-of-life care services that meet the needs of their local populations. To support ICBs in this duty, NHS England has published statutory guidance and service specifications. 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, which can include hospice services available within the ICB catchment.
NHS England has reinforced the requirement that, from April 2026, ICBs and relevant providers must have a full understanding of current and projected service utilisation and costs, including for those needing end-of-life care, to support sustainable planning. This will help systems to better assess local need and maintain quality of care.
The Government is also providing £125 million of capital funding for eligible adult, and children and young people’s hospices and we recently also confirmed approximately £80 million of revenue funding for the next three years for children and young people’s hospices in England.
Additionally, the Government is developing a Palliative Care and End-of-Life Care Modern Service Framework (MSF) for England. It will drive improvements in access, quality, and sustainability, and support ICB to commission high-quality, personalised care. Through our MSF, we will closely monitor the shift towards the strategic commissioning of palliative care and end-of-life care services, and we will also consider contracting and commissioning arrangements.
Asked by: Siân Berry (Green Party - Brighton Pavilion)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent changes there have been in funding for hospice services in (a) England, (b) the South East region and (c) Sussex.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
In December 2024, we announced that we were providing £100 million of capital funding for eligible adult and children’s hospices in England. I am pleased to say that we can now confirm we are providing a further £25 million in capital funding for hospices to spend in 2025/26. From this additional £25 million of capital funding, hospices in the South East region will receive over £5 million. The Southern Hospice Group in Sussex, which is formed of St Barnabas House, Chestnut House, and Martlets, will receive £500,000. Sussex Beacon in Brighton will receive £88,920.
We also recently announced that we are providing approximately £80 million of revenue funding for children and young people’s hospices in England over the next three financial years, from 2026/27 to 2028/29, giving them stability to plan ahead and focus on what matters most, caring for their patients. Chestnut Tree House Children’s Hospice in Sussex and a number of other children’s hospices in the wider South East region, including Demelza Children’s Hospice, Shooting Star Children’s Hospice, Alexander Devine Children’s Hospice, Naomi House and Jacksplace Hospice, Helen and Douglas House, and Ellenor Hospice will all benefit from this funding.
The Sussex Integrated Care Board (ICB) is taking steps to support the long-term sustainability of hospices in its area. This includes 10-year grant agreements for adult hospices, providing financial certainty and strengthening their ability to maintain services during a period of rising demand.
The ICB is also funding a Sussex Hospice Alliance Programme Director to support collective planning, clinical integration, and workforce development. The ICB currently spends £13.3 million a year with hospices.
The Government is developing a Palliative Care and End of Life Care Modern Service Framework (MSF) for England. As part of the MSF, we will consider contracting and commissioning arrangements. We recognise that there is currently a mix of contracting models in the hospice sector. By supporting ICBs to commission more strategically, we can move away from grant and block contract models. In the long term, this will aid sustainability and help hospices’ ability to plan ahead.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how does he intend to address the revenue shortfall in palliative care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for commissioning palliative care services to meet the reasonable needs of their population, which can include hospice services available within the ICB catchment. To support ICBs in this duty, NHS England has published statutory guidance and a service specification.
Whilst the majority of palliative care and end of life care is provided by National Health Service staff and services, the Government has confirmed multi-year revenue support for children and young people’s hospices, totalling £26 million in 2025/26 and approximately £80 million across the three years 2026/27 to 2028/29, adjusted for inflation, which will, once again, be allocated via ICBs on behalf of NHS England, providing greater certainty for planning.
We are developing a Palliative Care and End of Life Care Modern Service Framework (MSF) for England later this year. The MSF will drive improvements in the services that patients and their families receive at the end of life and will enable ICBs to address challenges in access, quality, and sustainability through the delivery of high-quality, personalised care. This will be aligned with the ambitions set out in the recently published 10-Year Health Plan.
Through our MSF, 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.
The recently published Medium-Term Planning Framework also states that, from April 2026, ICBs and relevant NHS providers should ensure an understanding of current and projected total service utilisation and costs for those at the end of life.
Asked by: Bell Ribeiro-Addy (Labour - Clapham and Brixton Hill)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of trends in the level of the utilisation of hospice beds on NHS capacity and costs; and if he will make it his policy to allocate £100 million funding for hospices in 2025-26 and a further £100 million in April 2026.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
As hospices are independent, charitable organisations, the Department and NHS England do not collect data on the level of utilisation of hospices. Whilst the majority of palliative and end of life care is provided by National Health Service staff and services, we recognise the vital part that hospices also play in providing support to people at the end of life and their loved ones, as well as alleviating pressure on NHS services.
In December 2024, we announced that we were providing £100 million of capital funding for eligible adult and children’s hospices in England. This was split across two financial years, with hospices receiving £25 million to spend in 2024/25 and £75 million to spend in 2025/26.
I am pleased to say that we can now confirm we are providing a further £25 million in capital funding for hospices to spend in 2025/26.
Furthermore, children and young people’s hospices have received £26 million of revenue funding for 2025/26 and we are also providing £80 million of revenue funding for children and young people’s hospices over the next three financial years, from 2026/27 to 2028/29, giving them stability to plan ahead and focus on what matters most, caring for their patients.
We are in a challenging fiscal position across the board. At this time, we are not in a position to offer any additional funding beyond that outlined above. However, we are trying to support the hospice sector in other ways.
The Government is developing a Palliative Care and End of Life Care Modern Service Framework (MSF) for England. As part of the MSF, we will consider contracting and commissioning arrangements. We recognise that there is currently a mix of contracting models in the hospice sector. By supporting integrated care boards to commission more strategically, we can move away from grant and block contract models. In the long term, this will aid sustainability and help hospices’ ability to plan ahead.
Asked by: Matt Bishop (Labour - Forest of Dean)
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 ensure specialist emotional and practical support is available for parents caring for children with life-limiting and life-threatening conditions.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We recognise the challenges families caring for a seriously ill child face, which is why NHS England have published statutory guidance and service specifications on commissioning children’s palliative care and end of life care. This specifically references access to emotional support and practical advice for parents and loved ones. Local authorities and ICBs jointly commission short‑breaks packages for children with life‑limiting conditions, and provide respite care where necessary. Additionally, from April 2025, the Carer’s Allowance earnings limit increased from £151 a week to £196 to support carers. The Minister for Care also chairs a cross-government meeting with DWP, DBT and DfE ministers to consider how we can provide carers with better recognition and support.