Palliative Care

Josh Newbury Excerpts

Thursday 5th March 2026 Commons Chamber

[Josh Newbury (Cannock Chase) (Lab)]

I pay tribute to my hon. Friend the Member for York Central (Rachael Maskell) for securing this debate and, more importantly, for her work and advocacy on palliative care throughout her time in the House. Last August, I visited St Giles hospice in Whittington, just over the border in the Lichfield constituency; I am hugely grateful for that visit. The hospice is so well loved by my constituents, not least by the thousands of people who fundraise for it every year.

We often judge our health services by how they treat illness, but the test of a good health service is also how it supports people when treatment is no longer the answer. The people I met at St Giles were doing extraordinary, skilled work. Their day-to-day is managing complex symptoms, while turning to steady a husband or reassure a daughter. That balance of clinical excellence and guiding family and friends as their loved one’s life nears its end showcases the immense skill that those nurses, doctors and support staff possess.

At St Giles, I met the chief executive officer, Elinor Eustace, and saw the fruits of recent funding that they have had from the Government, and from the Francis and Eric Ford Charity Trust, which enabled them to create a new family lounge. The space gives people the chance to spend time with their loved ones away from their room, including cooking up a storm in the kitchen, nattering over a brew, or playing in the children’s area—because, heartbreakingly, St Giles is seeing more and more terminally ill people who have young children.

Like all hospices, St Giles faces stark financial challenges. With only around a third of hospice funding coming from the NHS, the vast majority must be raised from donations, sponsorships and legacies. Though hospices fiercely defend their charitable mission and independence from the NHS, it is clear that the NHS and hospices have a close relationship, and always will, so public funding is critical.

Having listened to hospices and the families who have relied on their world-class care, it is clear to me that the funding model for palliative care, and the recognition of the costs that hospices face, need a major shake-up. At St Giles, Elinor told me that although hospices are not bound by NHS pay scales, terms and conditions, they have to keep up with them, or they will lose many of their staff. They want to recognise the outstanding care that their highly skilled workforce provide, but the reality is that the payments they receive from the NHS often do not keep pace with increasing costs; the squeeze is tighter every year. It is the same story for many other hospices that serve my constituency, such as Acorns and the Dougie Mac.

A stark example of this pressure can be seen at St Giles, where a third of beds are closed due to funding constraints—most definitely not because of a lack of demand or need. In previous years, that spare capacity has been given over to the NHS to help with winter pressures. Any hon. Members who have worked in the NHS will know that extra capacity is essential in the cold winter months; however, the amount paid for lower-level care than St Giles typically offers meant that the hospice made a loss on those beds. Donations were effectively subsidising NHS care, so, sadly, that arrangement had to be stopped.

We Labour Members have to be honest that chief among the cost pressures faced by hospices in the last year has been the increase in employer national insurance contributions, which has cost St Giles £400,000. I continue to believe that given the vital role that hospices play for people at a critical time in life, and the pressures that they take off the NHS, hospices should be exempted from that increase. Not exempting them will continue to restrict the availability of end-of-life care, and will cost the NHS more in the long run.

Like many in the Chamber, I devoted lots of time to the assisted dying debate, poring over heart-wrenching letters, and speaking with constituents and professionals on both sides of the argument. That debate showed me that, whatever views people hold, we need far more focus, discussion and funding for care at the end of life. When hospices have to cut their services, the people who need them do not just disappear; instead, they go to the NHS, or they are among the quarter of people who could benefit from specialist end-of-life care but never receive it.

With stable long-term funding that reflects the full costs of specialist services, hospices could not only maintain their services, but expand their role to meet growing demand and the various challenges ahead of us. We all deserve a good death, but many of us do not get that. That must and can change, and I look forward to working with everyone in this Chamber, and with the incredible people who provide palliative care, to ensure that it does.