Palliative Care

Paulette Hamilton Excerpts

Thursday 5th March 2026 Commons Chamber

[Paulette Hamilton (Birmingham Erdington) (Lab)]

I thank my hon. Friend the Member for York Central (Rachael Maskell), who I love dearly, for leading this important debate. Palliative care is about dignity. I saw the value of this care every day during my 25 years as a nurse in the health service. I still see it now in representing my constituency, particularly through the experience of John Taylor hospice, which is now part of Birmingham hospice. John Taylor hospice is a beacon of compassion. My constituents tell me consistently how the hospice supported them and their loved ones through the most difficult moments of their lives. But like so many hospices across the country, it is a charity, heavily dependent on voluntary contributions, and when donations dry up, it is patients and families who pay the price. Despite providing an outstanding service in 2024, John Taylor hospice was forced to reduce in-patient beds and cut the equivalent of 45 full-time roles—14% of its workforce. That means losing specialist nurses; it means losing the staff who hold the hands of the dying. That is the human cost of financial uncertainty.

I welcome the Government’s recent funding of £100 million in capital for hospices and the £26 million per year for children’s palliative care, and I am glad Birmingham hospice has successfully accessed over £1.1 million from that funding, but we must be honest with ourselves: a one-off grant is simply a short-term sticking plaster. Palliative care cannot survive on a diet of gap-filling and bake sales. It cannot be sustained by charity alone.

[Adam Jogee (Newcastle-under-Lyme) (Lab)]

Can I take my hon. Friend up the M6 from Birmingham to Newcastle-under-Lyme and, through her, pay tribute to the wonderful Dougie Mac hospice? For many years, it has served people in Newcastle-under-Lyme, Stoke-on-Trent and across north Staffordshire. The staff there are committed, caring and compassionate, and they deserve a shout-out in this debate.

[Paulette Hamilton]

I am sure that every Member in the Chamber has a local hospice that they really appreciate and cannot do without. I thank my hon. Friend for giving his local hospice a shout-out. I am sure it will be appreciated.

Palliative care is a core medical need and it requires core funding. Let us look at the numbers. It is estimated that in England and Wales, by 2040, demand for palliative care is expected to increase by between 25% and 47%. We are heading towards a cliff edge, yet we are funding these services as if they are an optional extra. We must ensure that hospices receive proper, recurring funding from the NHS and the Government. Staff must be retained and patients must have equitable access to care. We need a long-term financial strategy so that no family, in Birmingham Erdington or anywhere else in this country, suffers because services are cut back.

We must also talk about access. Just as we have seen with GP appointments, accessing hospice care is becoming harder. If we cut beds and staff, we close the door on dignity. That brings me to the assisted dying Bill. I am concerned that it is not clear where the funding for the proposed new system will come from. If it is drawn from the same limited pot as palliative care, we risk starving the very services that provide the positive alternative: a death free from suffering. We need to close the door on that dilemma. We need hospices embedded not as a charitable extra, but as core partners in the NHS: funded for the long term and resourced to be there for everyone. The people of Birmingham Erdington and across the country deserve to live and die with dignity.