Asked by: Mary Kelly Foy (Labour - City of Durham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that hospice contracts reflect the (a) cost of the services they provide and (b) needs of their local populations.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for the commissioning of palliative care and end of life care services, to meet the needs of their local populations. To support ICBs in this duty, NHS England has published statutory guidance and service specifications. NHS England has developed a palliative care and end of life care dashboard, which brings together all relevant local data in one place. The dashboard helps commissioners understand the palliative care and end of life care needs of their local population.
Whilst the majority of palliative care and end of life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to people at the end of life and their loved ones.
Most hospices are charitable, independent organisations which receive some statutory funding for providing NHS services. The amount of funding each charitable hospice receives varies both within and between ICB areas. This will vary depending on the demand in that ICB area but will also be dependent on the totality and type of palliative and end of life care provision from both NHS and non-NHS services, including charitable hospices, within each ICB area.
The Government and the NHS will closely monitor the shift towards the strategic commissioning of palliative care and end of life care services to ensure that services reduce variation in access and quality, although some variation may be appropriate to reflect both innovation and the needs of local populations.
The Department and NHS England are currently looking at how to improve the access, quality, and sustainability of all-age palliative care and end of life care in line with the 10-Year Health Plan.
Additionally, we are supporting the hospice sector with a £100 million capital funding boost for eligible adult and children’s hospices in England to ensure they have the best physical environment for care.
We are also providing £26 million in revenue funding to support children and young people’s hospices for 2025/26. I can also now confirm the continuation of this vital funding for the three years of the next Spending Review period, from 2026/27 to 2028/29 inclusive. This funding will see approximately £26 million, adjusted for inflation, allocated to children and young people’s hospices in England each year, via their local ICBs and on behalf of NHS England, as happened in 2024/25 and 2025/26. This amounts to approximately £80 million over the next three years.
Asked by: Mary Kelly Foy (Labour - City of Durham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to fund the specialist palliative care provided by hospices.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Whilst the majority of palliative care and end of life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to people at the end of life, as well as their loved ones.
Integrated care boards (ICBs) are responsible for the commissioning of palliative care and end of life care services, to meet the needs of their local populations. To support ICBs in this duty, NHS England has published statutory guidance and service specifications.
The amount of funding charitable hospices receive varies by ICB area, and will, in part, be dependent on the breadth of palliative care, including specialist palliative care, and end of life care provision within each ICB catchment area. It is important to note that hospices, like the NHS, provide both specialist and generalist palliative care and end of life care. Not all patients will require specialist palliative care.
We are supporting the hospice sector with a £100 million capital funding boost for eligible adult and children’s hospices in England to ensure they have the best physical environment for care.
We are also providing £26 million in revenue funding to support children and young people’s hospices for 2025/26. I can also now confirm the continuation of this vital funding for the three years of the next Spending Review period, from 2026/27 to 2028/29 inclusive. This funding will see approximately £26 million, adjusted for inflation, allocated to children and young people’s hospices in England each year, via their local ICBs and on behalf of NHS England, as happened in 2024/25 and 2025/26. This amounts to approximately £80 million over the next three years.
Asked by: Mary Kelly Foy (Labour - City of Durham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that hospices receive the required funding to increase staffing wages in line with nationally agreed NHS pay rises.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We are immensely grateful for the critical role healthcare workers, including hospice staff, play in our health service and the high quality, compassionate care they deliver.
The impact that National Health Service pay uplifts will have on the hospice sector will depend on the structure of the charity, which includes the number of employees and the salary levels. Independent organisations, such as charities and social enterprises, are free to develop and adapt their own terms and conditions of employment, including the pay scales.
It is for them to determine what is affordable within the financial model they operate, and how to recoup any additional costs they face if they choose to utilise the terms and conditions of NHS staff on the Agenda for Change contract.
We are supporting the hospice sector with a £100 million capital funding boost for eligible adult and children’s hospices in England to ensure they have the best physical environment for care.
We are also providing £26 million in revenue funding to support children and young people’s hospices for 2025/26. I can also now confirm the continuation of this vital funding for the three years of the next Spending Review period, from 2026/27 to 2028/29 inclusive. This funding will see approximately £26 million, adjusted for inflation, allocated to children and young people’s hospices in England each year, via their local integrated care boards and on behalf of NHS England, as happened in 2024/25 and 2025/26. This amounts to approximately £80 million over the next three years.
Asked by: Mary Kelly Foy (Labour - City of Durham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure equitable provision of palliative care in England.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Palliative care services are included in the list of services an integrated care board (ICB) must commission. ICBs are responsible for the commissioning of palliative care and end of life care services, to meet the needs of their local populations. To support ICBs in this duty, NHS England has published statutory guidance and service specifications.
NHS England has also developed a palliative care and end of life care dashboard, which brings together all relevant local data in one place. The dashboard helps commissioners understand the palliative care 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 ensure that funding is distributed fairly, based on prevalence.
The Department and NHS England are currently looking at how to improve the access, quality, and sustainability of all-age palliative care and end of life care in line with the 10-Year Health Plan.
We will closely monitor the shift towards the strategic commissioning of palliative care and end of life care services to ensure that services reduce variation in access and quality, although some variation may be appropriate to reflect both innovation and the needs of local populations.
Additionally, through the National Institute for Health and Care Research, the Department is investing £3 million in a new Policy Research Unit in Palliative and End of Life Care. This unit launched in January 2024 and is building the evidence base on palliative care and end of life care, with a specific focus on inequalities.
On ICB accountability, NHS England has a legal duty to annually assess the performance of each ICB in respect of each financial year and to publish a summary of its findings. This assessment must assess how well the ICB has discharged its functions.
Whilst the majority of palliative care and end of life care is provided by National Health Service staff and services, we recognise the vital part that charitable hospices play as well, which is why we are supporting the hospice sector with a £100 million capital funding boost for eligible adult and children’s hospices in England to ensure they have the best physical environment for care.
We are also providing £26 million in revenue funding to support children and young people’s hospices for 2025/26. I can also now confirm the continuation of this vital funding for the three years of the next Spending Review period, from 2026/27 to 2028/29 inclusive. This funding will see approximately £26 million, adjusted for inflation, allocated to children and young people’s hospices in England each year, via their local ICBs and on behalf of NHS England, as happened in 2024/25 and 2025/26. This amounts to approximately £80 million over the next three years.
Asked by: Mary Kelly Foy (Labour - City of Durham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to improve (a) continuity of care in cancer treatment pathways, (b) assigning named points of contact and (c) back-up contacts for all patients.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government and NHS England are committed to improving continuity of care and provision of support contacts for cancer patients. All patients, including those with secondary cancers, should have access to the right expertise and support, including a Clinical Nurse Specialist or other support worker to aid their navigation through the cancer pathway. Accessing this support is in line with the NHS Comprehensive Model for Personalised Care.
In the most recent National Cancer Patient Experience Survey, 91.2% of respondents said they had a main contact person within the team looking after them who would support them through treatment. After cancer treatment, the National Health Service provides end of treatment summaries for patients, to support people to manage their care and the impact of their cancer. End of treatment summaries provide people with a route back into the system if they notice any worrying changes or need to seek help.
The Government’s National Cancer Plan, due to be published later in 2025, will aim to improve the efficiency of patient pathways as an essential part of improving cancer outcomes and experiences.
Asked by: Mary Kelly Foy (Labour - City of Durham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he had discussions with transgender individuals on the Sullivan Review.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
My Rt Hon. Friend, the Secretary of State for Health and Social Care, has not met with transgender individuals to discuss the Sullivan Review. We have acted on the findings of Professor Sullivan’s report by suspending applications for National Health Service number changes for children under the age of 18 years old, to safeguard them. Taking such action does not prevent the NHS from recording, recognising, and respecting trans people’s gender identity.
The Government is steadfast in its dedication to listening to LGBT+ people. My Rt Hon. Friend, the Secretary of State for Health and Social Care, has hosted constructive, open, and honest roundtable discussions with the LGBT+ community and has set out his intention to maintain an open dialogue and to continue to listen to all views.
Asked by: Mary Kelly Foy (Labour - City of Durham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when the Care Quality Commission plans to inspect medical care services at County Durham and Darlington NHS Foundation Trust.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
It is not usual practice for the Care Quality Commission (CQC) to announce when inspections will take place.
Unannounced inspections of healthcare services allow the CQC to obtain a realistic view of how the service is operating. It also allows the CQC to observe normal practice and assess more accurately the quality of care being provided. While most inspections are unannounced, some services may receive notice to minimize disruption to care.
The CQC can also inspect at any time in response to risk.
Asked by: Mary Kelly Foy (Labour - City of Durham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to ensure NHS trusts consistently meet the 62 day target for starting cancer treatment.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
As set out in the new plan for reforming elective care, the Government is committed to improving performance on cancer waiting times. The National Health Service’s annual operational planning guidance set out a national commitment to improve waiting times, including improving performance against the 62-day cancer standard to 75% by March 2026.
The Department is committed to improving waiting times for cancer treatment across England by delivering an extra 40,000 operations, scans, and appointments each week, as the first step to ensuring early diagnosis and faster treatment; we have exceeded our pledge to deliver an extra two million operations, scans, and appointments, having now delivered over three million more appointments. £70 million will also be spent on replacing out-of-date radiotherapy equipment so that cancer patients benefit from faster and safer cancer treatment using the most up-to-date technology. Replacing these older machines will save as many as 13,000 appointments from being lost to equipment breakdown.
Additionally, providers have also been asked to identify local opportunities in both community diagnostic centres and hospital based diagnostic services to improve performance against the faster diagnosis standard, to reduce the number of patients waiting too long for a confirmed diagnosis of cancer and start treatment.
The National Cancer Plan will include further details on how we will improve outcomes for cancer patients, as well as speeding up diagnosis and treatment.
Asked by: Mary Kelly Foy (Labour - City of Durham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of trends in the level of (a) harassment and (b) abuse of NHS staff.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
There is no national mechanism at present to capture and report incidents of harassment and abuse. Data is held at a local level. The NHS Staff Survey captures data on self-reported incidents. Results from the 2024 NHS Staff Survey showed that 25.08% of staff have experienced at least one incident of harassment, bullying, or abuse from patients or service users in the last 12 months. This shows a slight improvement in trends of the level of staff experiencing harassment, bullying, or abuse since 2020, as it is at its lowest reported levels in the past five years.
However, everyone working in the National Health Service has a fundamental right to be safe at work. There is a zero-tolerance approach to any incidents of harassment or abuse against NHS staff, and the Government is taking further action to tackle it. On 9 April 2025, the Government announced that 36 out of 37 of the non-pay recommendations from the 2023 Agenda for Change pay deal have been accepted. These include significant commitments to tackling violence and aggression against NHS staff. The recommendations include improving the data and reporting of incidents and ensuring Violence Prevention and Reduction standards are upheld and form part of Care Quality Commission’s assessments.
Asked by: Mary Kelly Foy (Labour - City of Durham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to increase the availability of autism assessments.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
It is the responsibility of the integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including autism assessments and diagnosis, in line with relevant National Institute for Health and Care Excellence (NICE) guidelines. In doing so, ICBs should take account of waiting lists, considering how local funding can be deployed to best meet the needs of their local population.
On 5 April 2023, NHS England published a national framework and operational guidance to help ICBs and the National Health Service to deliver improved outcomes for children, young people, and adults referred to an autism assessment service. Since publication, NHS England has been supporting systems and services to identify where there are challenges for implementation and how they might overcome these.
NHS England is also working with research organisations to explore evidence-based models that support improved outcomes for those people waiting for an autism assessment.