Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to improve access to, and the effectiveness of, palliative and end of life care.

The Government is developing a Palliative Care and End-of-Life Care Modern Service Framework (MSF) for England. The MSF will drive improvements in the services that patients and their families receive at the end of life and will enable integrated care boards (ICBs) to address challenges in access, quality, and sustainability through the delivery of high-quality, personalised care. This will be aligned with the ambitions set out in last year’s 10-Year Health Plan.

Through our MSF, we will closely monitor the shift towards the strategic commissioning of palliative care and end-of-life care services to ensure that services reduce variation in access and quality.

The MSF will put in place a clear and effective mechanism to deliver a fundamental improvement to the care provided. This will enable the adoption of evidence-based interventions that are proven to make a difference to patients and their families. Examples include earlier identification of need, care delivered closer to home by integrated generalist and specialist teams, and strengthened out-of-hours community health support, including dedicated telephone advice.

Last year’s Strategic Commissioning Framework and Medium-Term Planning Guidance for the National Health Service also make clear the expectations that ICBs should understand current and projected total service utilisation and costs for those at the end of life, creating an overall plan to more effectively meet these needs through neighbourhood health.