Hospice Funding

Debate between Tim Farron and Sally-Ann Hart

Monday 22nd April 2024 Commons Chamber

[Sally-Ann Hart]

This is the point of the debate: to work out what sort of funding models we need. ICBs also need to be given the freedom to assess the priorities in their local areas, but I take that on board.

We have eight hospices across Sussex, and in 2019 seven of them formed the Sussex hospice collaborative—partnership working to ensure that the hospices’ combined resources can be used to maximise the impact, reach and cost-effectiveness of their activities. NHS Sussex works closely with that collaborative arrangement, which has supported the ability to have collective conversations. In January, the APPG on hospice and end of life care published a report on Government funding for hospices. The inquiry found that despite the introduction of a legal requirement for integrated care boards to commission palliative and end of life care, ICB commissioning of hospice services is currently not fit for purpose, and the value that hospices provide to individuals in the wider health system is at risk.

Hospice funding has historically not risen in line with inflation, which has been brought starkly to light during the periods of high inflation in recent years. Costs to keep palliative services running have increased rapidly over the past few years, but that is not reflected in the Government funding that hospices receive to deliver the services, which has increased by only 1% each year on average.

[Tim Farron (Westmorland and Lonsdale) (LD)]

The hon. Member is being generous, and making an outstanding speech. I congratulate her on bringing this matter to the House. St Mary’s hospice, St John’s hospice and Eden Valley hospice, which serve the communities of Westmorland, struggle like others to find the funding that they need to keep going. One issue is increased pay settlements in the NHS, which are good, but to compete, and to get and retain staff, they need to raise their pay to keep pace. Does she agree that one model may well be that, rather than devolving this to ICBs, which are not elected and not directly accountable to anybody, the Government fund through the national health service pay rises at NHS pay rates directly to all our hospices, so they at least do not have to worry about that?

[Sally-Ann Hart]

The hon. Gentleman raises a valuable point, which I am sure the Minister will take onboard.