Hospices: Funding

Lord Sentamu Excerpts

Thursday 24th October 2024 Lords Chamber

[Lord Sentamu (CB)]

My Lords, I too am grateful to the noble Lord, Lord Farmer, for securing this debate. I have experienced the amazing work and care offered to many people at the end of their lives. I have been patron of and fundraiser for St Leonard’s Hospice in York, and as Archbishop of York I supported in numerous ways Martin House Children’s Hospice, founded by the Archdeacon of York, the Venerable Richard Seed, supported by the generosity of thousands of people who raised the money.

Aisha, the mother of our two foster children, George and Davina, died of breast cancer and was superbly cared for by St Christopher’s Hospice. My mother, Ruth, spent three weeks in Royal Trinity Hospice, where she lost her battle against throat cancer. Her peaceful death inspired our little children.

Hospices are homes providing the best end-of-life care. As charities, they depend on constant fundraising and people’s generosity. The question of the noble Lord, Lord Farmer, invites His Majesty’s Government to put hospices on a sure income footing and foundation. I invite His Majesty’s Government to apply to the funding of hospices the lesson of the RA Butler 1944 Education Act, which was replicated in Scotland in 1945 and in Northern Ireland in 1947. It repealed all previous education legislation, belatedly raised the school leaving age to 15 and made secondary education free and universal. The terms “voluntary aided” and “voluntary controlled” appeared in the Butler Act. Before this was enacted, the voluntary schools provided by churches were largely funded from the income of historic trusts or from the giving of the parishioners. In voluntary-aided schools, the church is responsible for only 10% of the cost of the upkeep of the building; the rest is provided for by the state.

Could His Majesty Government reimagine the funding of hospices in a similar way to the funding of voluntary-aided schools, not the voluntary-controlled schools, which are entirely funded by the state? Hospices need not be funded entirely by the state. A mixed funding model could work well, provided that government remains the last person standing in terms of funding. Hospices could become voluntary-aided hospices.