Hospice and Palliative Care

Ben Spencer Excerpts

Monday 13th January 2025 Commons Chamber

[Dr Ben Spencer (Runnymede and Weybridge) (Con)]

I thank the hon. Member for Wimbledon (Mr Kohler) for speaking so eloquently in this important debate, and for securing it. I also thank the Backbench Business Committee.

Hospices are fantastic places, and all of us in this country are lucky to have them. People go to hospices not to die, but to live the last few days or weeks of their life. While I am pleased that the assisted dying Bill has led to a renewed interest in hospice and palliative care, I am sad that so much of the focus has been on death and the dying process, rather than on the broader support and care offered by hospices and palliative care providers—sometimes over many years—to people who have illnesses that may be life-limiting, and who require certain types of medical intervention to manage their symptoms. That is a very important part of the work that hospices and palliative care teams do, but as I say, much of the focus is often on the death process, rather than the treatment given to those with chronic conditions.

Speaking as a former consultant psychiatrist, it would be remiss of me not to mention the psychological support and mental health interventions by palliative care teams and hospices. They are experts in pain relief. Palliative care teams brought a lot of relief to me when, as a junior doctor, I tried to manage very difficult situations in patient care. They are experts in analgesic components. It is important to recognise the palliative care teams working in not only hospices but hospital settings and the community to alleviate people’s symptoms.

I pay tribute to the fantastic local hospices and care teams in the Runnymede and Weybridge constituency, at Woking & Sam Beare hospice, which I have visited and is a fantastic place, and at Princess Alice hospice, based in Esher. We also benefit from Shooting Stars, in the constituency of the hon. Member for Twickenham (Munira Wilson). I hope to visit that one day. I thank all the teams who work in those hospices for delivering care and support, but also for keeping the hospices running, and for their vital fundraising.

Many people support hospices in lots of different ways, including through direct donations and organising fundraising events, and I am pleased to have been to fundraising events for Woking & Sam Beare hospice. In fact, a week or two ago, I went to the Chertsey panto, which has been running for 12 years. It supports the Woking & Sam Beare hospice. The performances, if one can call them that, have raised £60,000. The panto has to be seen to be believed; one will never forget the Chertsey panto after one has gone to it. The team who organise and run it are absolutely fantastic. It is a fantastic institution and raises a lot of good money for the hospice.

We also have charity shops. There is a great one in Weybridge that has been raising money for quite some time. I pay tribute to everybody for what they do, no matter how big or small, to support our hospices and our palliative care sector.

[Josh Babarinde (Eastbourne) (LD)]

Will the hon. Member join me in promoting a fundraiser being held by St Wilfrid’s hospice in Eastbourne, called “I’m a CEO…Get Me Out of Here!”? It is trying to get lots of local chief executive officers and MPs to join the hospice staff in the Sussex jungle, to raise cash for the great work that the hospice does.

[Dr Spencer]

The hon. Member will have to explain further what is required from those who commit to fundraising in the Sussex jungle. He is right to pay tribute to those doing great work in support of our hospice sector. Its funding model is part public and part private, which gives hospices a great benefit. As they sit outside the NHS, they have greater flexibility in how they approach care provision. Woking & Sam Beare hospice is 31% funded by public sector money. It has 2,000 staff and, as I said, delivers fantastic care and support.

Much of this debate has been about the future of funding for our hospice sector. Although I am grateful to the Government for the money and support that they have put forward for hospices, sadly they have given with one hand and taken away with the other. The rise in employers’ national insurance contributions is very damaging, and hospices also need to manage increases to staffing budgets as a result of the Agenda for Change. Marie Curie has said that the national insurance component will cost it roughly £2.9 million per year.

Could the Minister say what impact assessment has been done on the national insurance contribution rises for hospices, and on the Agenda for Change? How many hospices in the UK are running a deficit, and how does he expect that to change over the next year and going forward, as a consequence of the decisions made in the Budget? If there is an opportunity to reverse those decisions, does he supporting doing so?

--- Later in debate ---

[Stephen Kinnock]

As I said in a previous answer, hospices face a range of pressures that financial contributions from the Government will help to ease. The funding will, of course, have a knock-on impact on hospices budgets in the round.

In spite of the record-breaking package that we have announced, we are certainly not complacent. There is more work to be done, and through the National Institute for Health and Care Research, the Department is investing £3 million in a policy research unit on palliative and end of life care. The unit launched in January 2024 and is building the evidence base that will inform our long-term strategy. A number of hon. Members requested a long-term strategy and plan, which is sorely missing after 14 years of Conservative neglect and incompetence. I agree that we need a long-term plan, and assure Members that conversations are taking place between my officials and NHS England. The research needs to be based on evidence and facts, which the unit will help us to get.

[Dr Ben Spencer]

It is important that this debate is not a political ding-dong, and I really appreciate the tone that all Members, including the Minister, have taken. On evidence and facts, will he look into the impact of the national insurance contribution rises on hospice care and provision, how many hospices are running a deficit, and how many will likely go into deficit as a result of his policies?

[Stephen Kinnock]

The hon. Gentleman will not be surprised to know that I have a section in my speech on employer national insurance contributions. I will get to it.

A number of colleagues raised concerns about regional variations. Facts and evidence are very important in that context. To address that issue, NHS England has developed a palliative and end of life care dashboard, which brings together all the relevant local data in one place. The dashboard helps commissioners to understand the palliative and end of life care needs of their local population, enabling ICBs to put plans in place to address, and track the improvement of, health inequalities, and to ensure that funding is distributed fairly, based on prevalence.