Ageing and End-of-life Care

Zubir Ahmed Excerpts

Thursday 30th October 2025 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Dr Zubir Ahmed)]

I thank the hon. Member for Strangford (Jim Shannon) for bringing forward this debate. The range of topics about which he is knowledgeable never ceases to surprise me. We are grateful for his contribution to this House, and I wish his mother well.

I am also grateful for the speech of my hon. Friend the Member for Shipley (Anna Dixon). She is too modest to say so, but she is indeed an expert in social care and ageing, and her calls for a national strategy for end-of-life care and ageing have been heard. I thank my hon. Friend the Member for Carlisle (Ms Minns) for sharing her powerful story about her mother—that cannot have been easy, so I am grateful for her bravery. Like my hon. Friend the Member for Weston-super-Mare (Dan Aldridge), I pay tribute to the hospice in Weston and the dedicated team there. I will be happy to pass on any correspondence required regarding the issues that the hon. Member for Epsom and Ewell (Helen Maguire) highlighted about the 111 service.

The planning, funding and delivery of health services are devolved matters, but I am delighted to answer on behalf of the Government on what we are doing to improve palliative care and end-of-life care in England. I would like to take this opportunity to thank all of those who work and volunteer in palliative care, both in the NHS and in our hospice sector, for the support they provide to patients, families and loved ones. It would be remiss of me not to mention the Prince & Princess of Wales hospice in my own constituency, which recently took such good care of my cousin as she passed away from breast cancer.

This Government want a society in which every person receives high-quality, compassionate care from diagnosis through to the end of their lives, irrespective of their age, condition or geographical region. As the hon. Member for Strangford has adumbrated, end-of-life care and palliative care is much more than cancer care; it is about ageing and ageing well. We recognise that there are currently a high number of hospital admissions and bed days at the end of people’s lives, and the last year of people’s lives accounts for 15% of emergency admissions and approximately a third of all bed days.

[Sam Carling (North West Cambridgeshire) (Lab)]

I am passionate about ensuring that older people in medical settings are not subjected to coercion over their medical decisions. I have recently been contacted by a whistleblower from the Jehovah’s Witnesses, who has expressed concern that some of the religious assistants who come in to support patients with their decisions are actually coercing them. Will he offer any thoughts, more broadly, on how we can ensure that people are not being subjected to coercion in older care settings?

[Dr Ahmed]

I am very concerned to hear what my hon. Friend has reported to the House. Clearly, coercion is unacceptable in all forms. Safeguarding is taken very seriously by the national health service and by the Department of Health and Social Care, and as the Minister with responsibility for patient safety, I am very happy to look into that further and to take it up with him after the debate.

As set out in the 10-year health plan, we are going to shift more care out of hospitals and into communities, and make care more personalised. If there is anywhere where that is most important it is palliative care and end-of-life care. Palliative care and end-of-life care, including hospices, have a big role to play in that shift, and they were highlighted in the 10-year plan as an integral component of neighbourhood health teams.

In England, integrated care boards are responsible for the commissioning of palliative care and end-of-life care to meet the needs of the local population. To support ICBs in this duty, NHS England has produced statutory guidance. That includes the need for 24/7 access to palliative care and advice, and a palliative care and end-of-life care dashboard that brings together all relevant data in one place. The dashboard helps commissioners understand the palliative care needs of the local population. Of course, the majority of palliative care and end-of-life care is provided by NHS staff and NHS services, and that has benefited from the record funding in the NHS that the Chancellor delivered in the last Budget.

I will not be able to address all the points made by the hon. Member for Hinckley and Bosworth (Dr Evans), as he was in a typically verbose mood, but if he wills the ends, he must will the means, and if he does not agree with the means, he must present his thesis as to the alternative model of funding that he wishes to see. Otherwise, it is a case of cutting services.

However, we recognise the vital part that voluntary sector organisations, including hospices, play in providing support to people at the end of their lives and to their loved ones. In recognition of that, £100 million of capital funding has been made available to hospices in England to ensure that they have the best physical environment for caring. That includes helping hospices to provide the best end-of-life care to patients and their families in a supportive and dignified environment. It includes funding to deliver IT systems and provide refurbishments and facilities for patients and visitors, so that they can see their family members at the end of their lives in a dignified environment—much more than just a lick of paint.

[Dr Evans]

Given the recent National Audit Office report and the fact that the tax increase to national insurance contributions has had the biggest impact on the voluntary sector, has an impact assessment been carried out into how much the cost has gone up for hospices in England to provide their services? If not, will the Minister consider it?

[Dr Ahmed]

The hon. Gentleman knows that the NAO report covers a period both when his party was in government and beyond. I go back to the point about NICs. If he wills the end, he must understand the means. I am very happy to have that conversation with him at length after the debate, respecting the confines of the time that I have—I do not want to test your patience, Madam Deputy Speaker.

I am delighted that the first £25 million of the £100 million fund has been passed to Hospice UK and has been spent on capital projects already. The Minister for Care, my hon. Friend the Member for Aberafan Maesteg (Stephen Kinnock), visited Katharine House hospice earlier this year, Wigan and Leigh hospice in July, and Noah’s Ark children’s hospice earlier this month to see directly for himself how that record investment is making a meaningful impact on the ground. We can confirm that the Department of Health and Social Care has now transferred the rest of the £75 million to Hospice UK for onward spending in 2025-26. We are also providing £26 million of revenue funding to support children and young people’s hospices. This is a continuation of the funding that, up until recently, was known as the children’s hospice grant. That funding will see circa £26 million allocated to children and young people’s hospices in England each year via local integrated care boards on behalf of NHS England. This amounts in total to £80 million of hospice funding over the next three years.

For many of us who are in good health, managing complexity and ageing seems a distant idea. The Government recognise that the number of people with palliative care and ageing needs is projected to rise significantly over the next quarter of a century. That is why we are shifting more healthcare out of hospital and into communities through our plan for change. That is why we are investing, through the National Institute for Health and Care Research, over £3 million in a policy research unit in palliative and end-of-life care. The unit launched in January 2024 and is building the evidence base on palliative care and end-of-life care.

Earlier this year the Minister of State for Care and, more recently, the Secretary of State met key palliative care and end-of-life care and hospice stakeholders at dedicated roundtables, and focused that discussion on long-term sector sustainability within the context of the 10-year plan. Following the recent publication of the plan, the Minister of State for Care tasked officials to work at speed to generate proposals to improve the access, quality and sustainability of all-age palliative care and end-of-life care as we start to implement the plan.

In closing, I hope that those measures assure the hon. Member for Strangford of the Government’s seriousness to build a sustainable palliative care and end-of-life care sector for the long term.

[Dr Evans]

Will the Minister give way?

[Dr Ahmed]

I will not, in the interests of time.

I reiterate my thanks to the hon. Member for Strangford for bringing forward this vital issue, and I thank all hon. Members who have spoken today. He can be assured that he has raised the voice of those who deserve dignity at the end of their lives, and that his call has been well and truly heard by the Government.