Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether his Department plans to collect data on hospice bed capacity and service provision at a national level.

The majority of hospices are charitable, independent organisations and, therefore, the Government does not collect or keep data on hospice bed capacity nationally.

Integrated care boards (ICBs) are responsible for commissioning palliative care services to meet the reasonable needs of their population, which can include hospice services available within the ICB catchment. To support ICBs in this duty, NHS England has published statutory guidance and a service specification.

NHS England’s Medium-Term Planning Guidance makes clear that ICBs and relevant National Health Service providers should ensure an understanding of current and projected total service utilisation and costs for those at the end of life, which can include services provided by hospices.

The Government is developing a Modern Service Framework (MSF) for Palliative Care and End-of-Life Care. 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. As part of the MSF, we will consider contracting and commissioning arrangements. We recognise that there is currently a mix of contracting models in the hospice sector. By supporting ICBs to commission more strategically, we can move away from grant and block contract models. In the long term, this will aid sustainability and help hospices’ ability to plan ahead.