Hospice and Palliative Care

Martin Vickers Excerpts

Monday 13th January 2025 Commons Chamber

[Martin Vickers (Brigg and Immingham) (Con)]

First, I congratulate the hon. Member for Wimbledon (Mr Kohler) on securing this debate. As a member of the Backbench Business Committee, I can tell him he made a very convincing argument for this debate.

Like others, I suspect, one of my aims this evening is to praise my local hospices, Lindsey Lodge in Scunthorpe and Saint Andrew’s in Grimsby, which both provide care to my constituents. I have particular affection for St Andrew’s, as my father passed away in its care, and my mother actually died on the day she was supposed to move in. That was more than 30 years ago; I have seen how they have developed in the years since, and they continue to provide absolutely superb care. Of course, demand is increasing: demographics have changed, and people are living longer. Hospices do actually ease the burden on the NHS.

St Andrew’s has 133 permanent staff, but more than 400 volunteers. As it happens, I visited St Andrew’s last Friday—the meeting was scheduled some weeks ago, but it was convenient timing for this debate. I do have a specific question for the Minister relating to St Andrew’s, which I will come to later. Voluntary donations in areas such as north-east Lincolnshire are crucial, as they are elsewhere. However, with relatively low incomes and very low property values, when people leave a legacy of a share in their property, perhaps, that does not realise the same sort of return as it would in many other parts of the country.

I could provide a whole list of what St Andrew’s hospice delivers; instead, I will give one or two significant statistics. It delivers more than 3,000 adult in-patient bed nights and 694 children’s hospice at home sessions; it has physiotherapy, creative therapy and social work contacts; it provides spiritual care for its patients and their families. The cost of operating all parts of the charity in 2024-25 is more than £18,000 a day; only four years ago, it was £14,000 a day—a significant rise, as Members will appreciate. Some 80% of that cost has to be earned or raised by the hospice, which, in times of economic challenge, is increasingly difficult. Its statutory income for ’24-’25 is expected to be only 21.5% of its total income. Currently, for every £1 of statutory income, St Andrew’s has to raise £4.60, posing a considerable financial challenge for the hospice, the volunteers and the fundraisers.

As we know, healthcare inflation runs ahead of general inflation, and hospices have to try to keep pace with statutory salary increases related to the national minimum wage. As with the social enterprises that provide social care in north-east Lincolnshire, hospice staff do not automatically get the increases that go to NHS workers, and the gap is inevitably widening. I raised this matter with the Secretary of State at health questions last week, and I think it will be a growing problem with further NHS wage increases later this year, as the gap between NHS workers and those providing care in hospices and social enterprises widens; it will be about 10% by the time the next increase comes. Needless to say, that is causing difficulties for those employees.

I have a specific question for the Minister, which I will write to him about in the next day or two—I do not expect him to have all the details of St Andrew’s in his pack. St Andrew’s gets only 21% of its income through statutory contributions, which I understand is about 12% below the national average; this has come about because of a whole series of historical adjustments. My plea to the Minister is that St Andrew’s is brought up to the national average as soon as possible.