Hospice Services: Support

Robin Millar Excerpts

Wednesday 14th June 2023 Westminster Hall

[Robin Millar (Aberconwy) (Con)]

It is a pleasure to serve under your chairmanship. Ms Nokes. I thank and congratulate the hon. Member for Eastleigh (Paul Holmes): judging by the attendance at this debate, he has struck a chord.

I would like to pay tribute briefly to two hospices in my constituency, St David’s and Tŷ Gobaith, which is Welsh for “Hope House”, and particularly to the clinical teams there. The UK has a reputation for having some of the best palliative care in the world, but it is not appreciated as much as it might be. I thank healthcare workers, the volunteers, who have such a critical role to play, and those who donate: donations provide up to 70% of Tŷ Gobaith’s income.

It is true indeed that hospices play a key role: 90 children a year are looked after by Tŷ Gobaith, which has the effect of reducing pressure on the NHS and delivering end of life care within homes across north Wales, as my hon. Friend the Member for Darlington (Peter Gibson) mentioned. The hospice faces record numbers of referrals, as increasing numbers of babies and children in Wales are living with complex life-limiting conditions. It forecasts a deficit of £1.3 million this year and will not be cost-neutral in 2026.

As the chief executive of St David’s has said, part of the problem is that awareness of the role and value of the hospice does not come until the point at which it is needed. My point is not to talk about how we have a perhaps fading Christian message in our society of a God who walks with us through troubles—through that valley of the shadow of death. It is not about a fading tradition in which the body of the deceased was once laid out at home, or about the trend in science where we are now able to extend the life of the body beyond sentience. It is more that it is the hospice that is in that space, very often helping us and walking through it with us. That role and the excellence of palliative care are crucial and must not be neglected. Beyond the care itself, it is about research into and understanding of that support.

On the point about finance, it is clear that across Wales £4.4 million is needed from the Welsh Government. The pressures on finance from that most pernicious of taxes, inflation, are incredible, but staffing is the biggest cost: 71% of hospice costs are related to staffing. In Wales in particular, there is pressure through the NHS pay deal. Hospices must compete for the staff that they have in their care homes. If I had time, I would talk about the challenges of energy supply costs: St David’s has had an extra 50% on its heating and energy bill as a result of price rises.

Hospices have earned our respect. There is no doubt that their staff and teams have also won our deep gratitude. Now they must have our support.