Hospice and Palliative Care

Seamus Logan Excerpts

Monday 13th January 2025 Commons Chamber

[Seamus Logan (Aberdeenshire North and Moray East) (SNP)]

Let me first pay tribute to the hon. Member for Wimbledon (Mr Kohler) for securing this important debate, and for his heartfelt contribution. I imagine that there is no one in this House, or even across these islands, whose life has not been touched by hospice care, and I want to pay a personal tribute to my niece, Dr Róisín Etchells, who works in this field.

Recently the House had what was by all accounts a respectful, informed and emotional debate on the concept of assisted dying, thanks to the efforts of the hon. Member for Spen Valley (Kim Leadbeater). Perversely, this Government have introduced additional employer national insurance contribution charges on the independent hospice sector, which can only be described as an attack, an assault on the very concept of assisted dying as we currently deliver it—for that is what hospice care is and does, and what others who deliver palliative care in the independent sector within the community do.

In Scotland one of the leading providers of such care, both in residential settings and in the community—within people’s homes—is Marie Curie. It operates at least two residential services and community care in almost every local authority area in Scotland. Here I declare an interest as a proud supporter of Marie Curie, and as someone who has helped to raise significant funds for it. It does wonderful work, providing skilled care and brightening the lives of patients as they face the prospect of their last weeks, days and hours. Ask any family who have benefited from this support; I defy anyone to find a critic.

Of course I understand that the Government must balance their books and that public sector pay rises must be funded, but the failure to offer mitigations in key areas of these self-same public sector services is misguided, ill-informed, clumsy and counterproductive. “Where will we find the money for these services?”, Ministers will cry, but they know that there are alternatives. In their populist haste to win the trust of the electorate, they rashly promised not to increase income tax. They should look at Scotland, where those with the broadest shoulders pay a little more, where in every tax bracket more people are coming to pay their taxes in Scotland every year, where 60% of taxpayers pay less than their counterparts in the rest of this disunited kingdom, and where the Government responsible for this alleged mismanagement have enjoyed public support for close to 20 years and continue to do so.

We in the Scottish National party estimate that if the UK Government had matched the Scottish tax bands, they could have raised £16 billion. In the recently announced Scottish Budget, it was encouraging to see that the Scottish Government committed themselves to increasing hospice funding by £4 million, and to providing additional funding for hospice staff to match NHS pay awards. To me, that is the difference between the Scottish and UK Governments. While the UK Government hike national insurance on employers and vote against amendments to exempt hospices from that hike, the Scottish Government increase hospice funding, and put more money in the pockets of hospice healthcare workers.

Like other Scottish MPs, probably, I received a heartfelt plea from Children’s Hospices Across Scotland. If the Minister had read it, he would know how desperate the situation is. I implore the Government to think again, to engage with the Scottish Government to ascertain the cost of mitigations for hospice and palliative care service providers and others, and to provide the same mitigating support that has been given to the NHS and other public services in Scotland.

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[Brian Leishman (Alloa and Grangemouth) (Lab)]

I thank the hon. Member for Wimbledon (Mr Kohler) for securing the debate.

I will challenge any politician, regardless of their rosette, when they say that the NHS is broken. It is not broken; it is just underfunded. It is starved of the resources that it needs to function at its very best. We on the Labour Benches are enormously proud of the NHS and its founding principles: the universal right to comprehensive healthcare that is free at the point of use. Money should never be the passport to the best treatment. People should get the best that modern science can offer.

The NHS is our greatest creation, and it is socialism in action. As the NHS endures another hard winter, so must Labour’s founding principles. The private sector should not always be the solution. The private sector receiving an extra £2.5 billion a year in Government funding to cut waiting lists is not one of the principles—of either the NHS or the Labour party. There was an earlier back and forth between hon. Members on how to find money. That does not necessarily have to mean cuts; I suggest an annual wealth tax.

In Scotland, our hospices remain under enormous strain. Annually, approximately 21,000 adults and children receive expert palliative care, end of life care and bereavement support. The heads of all 14 hospice charities in Scotland have said that their sector is in the grip of an insurmountable funding gap, and staff have spoken openly of the dire possibility of budget shortfalls reaching the point where there will be no other option but to introduce service reductions. Of course, staff will do everything in their power to avoid that, but it is the stark reality of palliative and end of life care in Scotland. The hospice sector needs the Scottish Government to provide further financial support to address the shortfall in statutory funding, which is not keeping up with increased costs. That, coupled with the Scottish Government’s delivery on their promise of a new national funding framework for hospice care, is desperately needed, so that hospices can prepare for the long term.

[Seamus Logan]

The Secretary of State repeatedly tells us that all roads lead to Westminster when it comes to funding. Does the hon. Member agree that the Scottish Government can do only what is possible with the resources made available by Westminster?

[Brian Leishman]

The Scottish Government need to do much better with the resources they have been given.

On the topic of funding, hospices also rely on financial donations, and people the length and breadth of the UK raise so much for hospices. Naturally, many loyal supporters of the hospice sector have not been immune to the bankrupt political ideology of austerity, and the ensuing cost of living crisis has seen ordinary people become poorer, with out-of-control food bills, escalating food costs and sky-high mortgages and rents. Overall, the general erosion of living standards means that donations are an expense that many people can simply no longer afford.

The rebuilding of wider society cannot happen without the rebuilding of and investment in the vital public services that people rely on. That includes a properly funded and resourced health and social care system that has the same principles and ethos as when Labour created it.