Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of how NHS Cheshire and Merseyside will ensure that patients whose needs cannot safely be managed at home, and who require more than short term stabilisation, can access appropriate specialist palliative care following the loss of any permanent hospice inpatient capacity in Liverpool.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

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.

Question to the Department of Health and Social Care:

To ask His Majesty's Government what plans they have to introduce a national standard requiring every integrated care system to demonstrate that people receiving palliative and end-of life care can obtain timely clinical assessment, appropriate medication and specialist intervention 24 hours a day, seven days a week.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

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.

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of whether NHS Cheshire and Merseyside is meeting its statutory duty to commission palliative and end-of-life care according to population need; and what action they will take if evidence shows that Liverpool’s current capacity is insufficient.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

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.

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the findings of the Parliamentary and Health Service Ombudsman regarding delays in accessing out-of-hours clinical assessment, symptom control and end-of-life medicines.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

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.

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.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

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.

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Found: Kirkhope of Harrogate Lord Knight of Weymouth Lord McNally Baroness Owen of Alderley Edge Lord Storey