Hospice and Palliative Care

Ellie Chowns Excerpts

Monday 13th January 2025 Commons Chamber

[Ellie Chowns (North Herefordshire) (Green)]

Like other Members, I begin by paying tribute to our hospices and to everyone who works and indeed volunteers in palliative and end of life care, providing such amazing support to patients and their loved ones around their death—that most difficult time of life—and helping people to have a good death. As many Members have said, that work is so crucial. I would particularly like to mention St Michael’s hospice, Hereford, in my constituency. It is a place I have had an association with for many years, as it has provided amazing care to friends of mine who have died there. It is so well loved in the community.

Is it not such a shame, as so many colleagues have said today, that palliative care is so dependent on charitable funding? As the hon. Member for Huddersfield (Harpreet Uppal) said, it is integral to our healthcare system—except it is not, because it is not fully funded by our healthcare system. It is not actually free at the point of need, except thanks to the grace and kindness of strangers and charitable funding. Government Members have made mention many times this evening of the £100 million capital injection from the Government, which is absolutely welcome; it has been so frequently mentioned, in fact, that one might think the Whips have gently encouraged its mentioning. However, the problem is that this £100 million is a short-term capital injection, when what is needed is a long-term revenue funding solution.

Despite the amazing efforts of fundraisers, revenue budgets in hospices are under extreme pressure. That has been made worse by the rise in employer national insurance contributions; St Michaels will have an additional bill of £240,000 next year because of it. That is a problem. The current funding model for hospice care is a problem. It is good that there is now a statutory requirement for ICBs to fund palliative care, but there is a complete lack of parity across the country. Hospices have to negotiate individually with ICBs all across the country every year. A hospice leader said to me that they have no sight of the future; another said that when they are considering redundancies, it is no use telling people they are going to be resurfacing the car park with the new capital funding.

We need a sustainable revenue funding solution for hospices—a clear, fair, multi-year, long-term funding solution—with parity across the country, to provide those doing that amazing work to support patients and the patients themselves with the support they need and deserve.