Hospice Funding

Debate between Sally-Ann Hart and Desmond Swayne

Monday 22nd April 2024 Commons Chamber

[Sally-Ann Hart]

I agree, and will come to that later in my speech.

Demelza receives just 10% of its income from the children’s hospice grant, which ends in March 2025, and just 4% of its income from spot purchases, so 86% of its income must come from fundraising. I am concerned that neither the UK Government nor NHS England has set out whether the children’s hospice grant, which is worth £25 million, will continue beyond 2024-25. The grant is a vital source of funding for children’s hospices. Dependence on the generosity of members of the public to pay for vital healthcare would not be tolerated in other core areas of healthcare such as maternity services, cancer care or A&E. Hospices are the only statutory service that relies on fundraising to keep going, despite end of life care being an essential service that so many of us will need.

[Sir Desmond Swayne (New Forest West) (Con)]

What makes hospices so remarkable is their independence. My fear is that the more one demands that they be funded by the state, that independence will be curtailed and questioned. The hon. Member for Twickenham (Munira Wilson) put her finger on the difficulty: the problem is in the difference between the policies of different ICBs. Were they funded centrally by the grants available, as they were during the pandemic, I think it would be much better.

[Sally-Ann Hart]

I agree. It is important to point out that most hospices do not want 100% funding from the Government because they need the flexibility to do what they want. Fundraising is a really important part of the local community effort, bringing people together, but when the dependence on fundraising is so vast we might need to intervene to provide extra funding.

End of life care is an essential service that so many of us will need, but the situation is made worse by inflationary pressures and rising demand. We have an excellent ICB in Sussex—NHS Sussex, led by Adam Doyle—which has highlighted that hospices are recognised as having become increasingly fragile in recent years, due to a lack of resilience in their funding model, which is heavily reliant on gifted income alongside NHS grants.