Question
To ask the Secretary of State for Health and Social Care, by what procedure central government funding is allocated to institutions providing hospice care.
Answer
Palliative care services are included in the list of services an integrated care board (ICB) must commission. This promotes a more consistent national approach and supports commissioners in prioritising palliative and end of life care. To support ICBs in this duty, NHS England has published statutory guidance and service specifications.
Most hospices are charitable, independent organisations which receive some statutory funding for providing NHS services. The amount of funding each charitable hospice receives varies both within and between ICB areas. This will vary depending on the demand in that ICB area, but will also be dependent on the totality and type of palliative and end of life care provision from both NHS and non-NHS services, including charitable hospices, within each ICB area.
From 2007/8 until 2023/24, children and young people’s hospices received funding via the Children’s Hospice Grant. While 2023/24 marked the final year of the Children’s Hospice Grant in its previous format, in 2024/25, NHS England provided £25 million of funding for children and young people’s hospices, maintaining the level of funding from 2023/24. For the first time, this funding was distributed to hospices by ICBs, on behalf of NHS England, rather than being centrally administered as before. Since 2022/23, individual allocations of this funding have been determined using a prevalence-based model, enabling allocations to reflect local population need.