Asked by: Bell Ribeiro-Addy (Labour - Streatham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what funding support her Department is providing to Integrated Care Boards on the operation of (a) hospices, (b) palliative care and (c) end-of-life services.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The majority of palliative and end of life care is provided by core National Health Service staff and services. However, we also recognise the vital part that voluntary sector organisations, including hospices, play in providing support to people at end of life, and their families. Most hospices are charitable, independent organisations which receive some statutory funding for providing NHS services.
The amount of funding hospices receive is dependent on many factors, including what other statutory services are available within the integrated care board (ICB) footprint. Charitable hospices provide a range of services which go beyond that which statutory services are legally required to provide, and consequently, the funding arrangements reflect this.
However, since 2020, NHS England has provided hospices with over £350 million to secure and increase NHS capacity, and to support hospital discharge, as part of the COVID-19 response. In addition, since 2021/22, nearly £63 million has been provided to children’s hospices as part of the Children and Young People’s Hospice Grant. Furthermore, additional investment in children and young people’s palliative and end of life care, including hospices, has also been made through the NHS Long Term Plan’s commitment to match-fund clinical commissioning groups, and subsequently ICBs, totalling over £23 million.
As set out in the Health and Care Act 2022, ICBs are responsible for determining the level of NHS-funded palliative and end of life care locally, including hospice care, and are responsible for ensuring that the services they commission meet the needs of their local population.
Written Evidence Apr. 24 2024
Inquiry: Preterm BirthFound: Currently neonatal nurses fill that void in care but they are not the experts.
Written Evidence Apr. 24 2024
Inquiry: Preterm BirthFound: I sit on the executive for the Association of Paediatric Palliative Medicine (APPM) as perinatal palliative
Written Evidence Apr. 24 2024
Inquiry: NHS leadership, performance and patient safetyFound: patient needs, but also which other services are involved – or will need to be – in this person’s care
Mentions:
1: Laurence Robertson (Con - Tewkesbury) The constant advances in medical science—treatments, drugs and palliative care—make this Bill that much - Speech Link
2: Laurence Robertson (Con - Tewkesbury) Six months is a very short period of time and, through appropriate care, somebody can perhaps live longer - Speech Link
3: Paul Maynard (Con - Blackpool North and Cleveleys) Association, the Royal College of General Practitioners, the Royal College of Physicians, the Association for Palliative - Speech Link
Oral Evidence Apr. 23 2024
Committee: Health and Social Care Committee (Department: Department of Health and Social Care)Found: We have ambitions for palliative and end of life care.
Asked by: Stephen Timms (Labour - East Ham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if NHS England will (a) fund and (b) publish a data dashboard to help integrated care boards commission children and young people’s palliative and end of life care.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
NHS England has developed an all-age palliative and end of life care dashboard, which brings together all relevant local data in one place in an easily accessible format. The dashboard is accessible to integrated care boards (ICBs) and their commissioners and helps them understand the palliative and end of life care needs of their local population, including children and young people. This supports commissioners in their statutory duty for palliative and end of life care, enabling ICBs to put plans in place to address and track the improvement of health inequalities, and ensure that funding is distributed fairly based on prevalence.
Funding has been confirmed to ensure continued maintenance of the dashboard for 2024/25, with discussions ongoing regarding further development and use. There is, however, existing publicly available data, such as the Office for Health Improvement and Disparities ‘Fingertips’ data on palliative and end of life care.
Asked by: Desmond Swayne (Conservative - New Forest West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make it her policy to end the funding of hospices through integrated care boards.
Answered by Victoria Atkins - Secretary of State for Health and Social Care
I commend my Rt Hon. Friend’s tireless advocacy for high-quality end-of-life care, through his work on the APPG for Dying Well.
I understand his concerns about potential variation in provision. However, the Health and Care Act 2022 included a legal duty for integrated care boards to commission palliative and end of life care, in line with wider NHS devolution.
Integrated care boards are best positioned to understand and meet the needs of their local population, and commission appropriate end-of-life services, including from the NHS and voluntary sector organisations, such as hospices.
Asked by: Baillie, Jackie (Scottish Labour - Dumbarton)
Question
To ask the Scottish Government what its response is to reported concerns that inflationary costs for hospices and recent Agenda for Change pay awards have resulted in current funding levels being insufficient for hospices to operate sustainably.
Answered by Minto, Jenni - Minister for Public Health and Women's Health
The Scottish Government fully understands the pressures that hospices are currently facing. The Minister for Public Health and Women’s Health engages regularly with this sector, and has visited a number of hospices and met with hospice leaders over the last few months.
Integration Joint Boards are responsible for the planning, and commissioning of adult palliative care services, including hospices, using the integrated budget under their control. We have invested over £2 billion in the 2024-25 budget for social care and integration, delivering on our Programme for Government commitment to increase social care spending by 25% over this Parliament. Despite this significant investment the financial climate remains extremely challenging and we are working with partners to understand and address the challenges, within the context of a finite budget.
Apr. 22 2024
Source Page: Quality Prescribing Strategy for Respiratory A Guide for Improvement 2024-2027Found: • Consider end-of-life and palliative care support.