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New clause 50 debated and negatived on division (4 to 9). New clause 51 debated and withdrawn. New clause 52 negatived on division (1 to 9). New clause 56 negatived on division (1 to 9). New clause 57, discussed with new clauses 58 and 104, debated and withdrawn. New clause 66 debated and negatived on division (4 to 8). New clause 72 debated and negatived on division (2 to 9). New clause 76 negatived on division (1 to 13). New clause 77 debated and withdrawn. New clause 81, discussed with new clause 82, debated and negatived on division (4 to 9). New clause 82 negatived on division (4 to 9). New clause 83 debated and negatived on division (4 to 10). New clause 84 negatived on division (5 to 9). New clause 85, discussed with new clause 98, debated and negatived on division (5 to 9). New clause 86 debated and negatived on division (4 to 9). New clause 87, discussed with new clause 113, debated and negatived on division (5 to 9). New clause 96, discussed with new clause 97, debated and withdrawn. New clause 97 negatived on division (5 to 9). New clause 98 negatived on division (5 to 9). New clause 99 debated and negatived on division (4 to 9). New clause 101 debated and negatived on division (4 to 9). New clause 104 negatived on division (5 to 9). New clause 105, discussed with new clause 106, debated and negatived on division (4 to 9). New clause 106 negatived on division (4 to 9). New clause 108, discussed with new clause 109, debated and withdrawn. New clause 109 negatived on division (5 to 9). New clause 112, discussed with new clauses 110 and 111, debated and negatived on division (4 to 9). New schedule 1 agreed to. Clauses 68 and 69 agreed to. Clause 70, as amended, agreed to. Amendment 37 to clause 71 negatived on division (4 to 9). Amendment 38 to clause 71 negatived on division (4 to 9). Amendment 39 to clause 71 negatived on division (5 to 9). Clause 71, as amended, agreed to. Clause 72 agreed to. Bill, as amended, to be reported (Bill 131). Written evidence reported to the House.
New clause 50 debated and negatived on division (4 to 9). New clause 51 debated and withdrawn. New clause 52 negatived on division (1 to 9). New clause 56 negatived on division (1 to 9). New clause 57, discussed with new clauses 58 and 104, debated and withdrawn. New clause...
What steps his Department is taking to support the hospice sector.
What steps his Department is taking to support the hospice sector.
We have provided £125 million capital funding to the sector and are providing around £80 million revenue funding to children and young people’s hospices over three years. This Autumn we will publish a Modern Service Framework for Palliative Care and End-of-Life Care, providing the tools to improve access, quality and sustainability across the sector.
To ask the Secretary of State for Health and Social Care, what information his Department holds on the proportion of the operating costs of (a) The Myton Hospices and (b) The Shakespeare Hospice is met by NHS Coventry and Warwickshire; and what assessment he has made of trends in the...
To ask the Secretary of State for Health and Social Care, what information his Department holds on the proportion of the operating costs of (a) The Myton Hospices and (b) The Shakespeare Hospice is met by NHS Coventry and Warwickshire; and what assessment he has made of trends in the...
As hospices are independent charitable organisations, neither the Department nor NHS England collect data on their financial accounts, therefore, we do not hold information on what proportion of operating costs are met by the NHS Coventry and Warwickshire Integrated Care Board (ICB) for either The Myton Hospice or The Shakespeare Hospice.
We know that the amount of funding each charitable hospice receives varies both within and between ICB areas. This will vary depending on 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.
We recognise that there is currently a mix of contracting models in the hospice sector, with some ICBs using NHS standard contracts and others using grant funding, and sometimes a combination of both. We want to shift towards the strategic commissioning of hospice services and away from short term grants.
We are developing a Modern Service Framework (MSF) for Palliative Care and End-of-Life Care and recently published an interim update on how it is progressing.
In the interim update, we set out that we expect all ICBs to complete an integrated needs assessment, to gain a detailed understanding of their current and future population, including people of all ages with palliative care and end-of-life care needs. We are asking ICBs to move to sustainable contracting of adult, and children and young people’s, hospice services, based on their integrated needs assessment. Initially, this will involve the move away from short-term grant funding for adult hospice services from 2027/28.
The MSF will embed palliative care and end-of-life care within a strategic commissioning model that is centred on clear and transparent contractual arrangements for commissioned palliative care activity across all providers, including hospices, to meet population health needs, with explicit regard to reducing inequalities and improving outcomes for underserved and disadvantaged groups.
To ask the Secretary of State for Health and Social Care, what revenue funding his Department will provide to adult hospices in England in 2026/27; and when that funding will be confirmed.
To ask the Secretary of State for Health and Social Care, what revenue funding his Department will provide to adult hospices in England in 2026/27; and when that funding will be confirmed.
Whilst the majority of palliative care and end-of-life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to people at the end of life and their loved ones.
Palliative care services are included in the list of services an integrated care board (ICB) must commission. The statutory guidance states that ICBs must work to ensure that there is sufficient provision of care services to meet the needs of their local populations, which can include hospice services available within the ICB catchment.
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 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.
We recognise the difficult financial situation that many hospices are facing due to a range of concurrent cost pressures. That is why we have supported the sector with a £125 million capital funding boost for adult and children’s hospices to ensure they have the best physical environment for care. We are also providing approximately £80 million of revenue funding for children and young people’s hospices over three financial years, from 2026/27 to 2028/29 inclusive, giving them the stability they need to plan ahead.
The Government is developing a Modern Service Framework for Palliative Care and End‑of‑Life Care. An interim update has now been published in the form of a Written Ministerial Statement, with the full report due to be published in Autumn 2026.
In the interim update, we set out that we expect all ICBs to complete an integrated needs assessment, to gain a detailed understanding of their current and future population, including people of all ages with palliative care and end-of-life care needs. We are asking ICBs to move to sustainable contracting of adult, and children and young people’s, hospice services, based on their integrated needs assessment. Initially, this will involve the move away from short-term grant funding for adult hospice services from 2027/28.
To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of children’s hospices reducing services due to funding levels.
To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of children’s hospices reducing services due to funding levels.
We recognise the challenging financial situation facing many hospices due to a range of cost pressures, and we understand that some children and young people’s hospices are having to make difficult decisions about services.
However, to support the sector, the Government has provided a £125 million capital funding boost for adult and children’s hospices in England and has secured approximately £80 million of revenue funding for children and young people’s hospices over the three financial years, from 2026/27 to 2028/29, helping to provide greater financial certainty and stability.
Since the beginning of this year, NHS England has written twice to all integrated care boards (ICBs) requesting an update on the financial stability of hospices within their footprint and the steps being taken to mitigate risks as a matter of urgency. As part of the most recent request, in April, information was also gathered from Hospice UK to provide a rounded picture of the hospice sector. It is clear from all the returns received that there is a clear commitment from ICBs to work collaboratively with hospices and to understand any existing or potential impact of financial pressures, with clear steps being taken at a local level to mitigate risks to patients.
To ask the Secretary of State for Health and Social Care, whether his Department will reimburse hospices in England for the increase in employer National Insurance contributions introduced in April 2025.
To ask the Secretary of State for Health and Social Care, whether his Department will reimburse hospices in England for the increase in employer National Insurance contributions introduced in April 2025.
The Department has no plans to reimburse hospices in England for the increase in employer National Insurance contributions (ENICs) introduced in April 2025. The planning guidance, published on 30 January 2025, sets out the funding available to integrated care boards (ICBs) and the overall approach to funding providers in this financial year. The planning guidance is available at the following link:
https://www.england.nhs.uk/publication/2025-26-priorities-and-operational-planning-guidance/
It takes into account a variety of pay and non-pay factors and pressures on providers of secondary healthcare, including charitable hospices.
Our approach to ENICs exemptions has been consistent with the approach taken by previous administrations. This does not include an exemption for independent contractors, including charities like hospices.
We recognise the financial pressures facing hospices, including those arising from increases in employment costs. That is why the Government has supported the hospice sector with a £125 million capital funding boost for adult and children and young people’s hospices in England, and is providing approximately £80 million in revenue funding for children and young people’s hospices over the three financial years 2026/27 to 2028/29.
To ask the Secretary of State for Health and Social Care, when the new framework for the commissioning and funding of hospice services by integrated care boards will be published; and whether it will be in force before 1 April 2027.
To ask the Secretary of State for Health and Social Care, when the new framework for the commissioning and funding of hospice services by integrated care boards will be published; and whether it will be in force before 1 April 2027.
The Government is developing a Modern Service Framework (MSF) for Palliative Care and End-of-Life Care, and published an interim update on 4 June 2026 in the form of a Written Ministerial Statement, which is available at the following link:
https://questions-statements.parliament.uk/written-statements/detail/2026-06-04/hcws88
The final MSF is due to be published in Autumn 2026 and will embed palliative care and end-of-life care within a strategic commissioning model centred on clear and transparent contractual arrangements for commissioned palliative care activity across all providers, including hospices, to meet population health needs, with explicit regard to reducing inequalities and improving outcomes for underserved and disadvantaged groups.
Work to implement the MSF is already underway. A letter from NHS England’s National Director for Primary Care and Community Services has been issued to systems asking integrated care boards to undertake integrated needs assessments and move towards the sustainable contracting of hospice services. Initially, this will involve moving away from short-term grant funding for adult hospice services from 2027/28. NHS England’s letter is available at the following link:
To ask the Secretary of State for Health and Social Care, how the move of care from hospital to community set out in the 10 Year Health Plan will be funded for hospices providing community and hospice-at-home care.
To ask the Secretary of State for Health and Social Care, how the move of care from hospital to community set out in the 10 Year Health Plan will be funded for hospices providing community and hospice-at-home care.
The 10-Year Health Plan sets out the Government’s ambition to shift more care from hospitals into the community. Hospices have an important role to play in this shift, including through community and hospice-at-home services.
Palliative care services are included in the list of services an integrated care board (ICB) must commission. To support ICBs in this duty, NHS England has published statutory guidance and service specifications. Whilst the majority of palliative care and end-of-life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to people at the end of life and their loved ones.
We are developing a modern service framework (MSF) for Palliative Care and End-of-Life Care in England, which will support more strategic commissioning and sustainable contracting of hospice services by ICBs. An interim update has now been published in the form of a Written Ministerial Statement, at the following link:
https://questions-statements.parliament.uk/written-statements/detail/2026-06-04/hcws88
Further metrics and associated targets will build on the 2029 ambitions set out in the Neighbourhood Health Framework, which includes increasing the number of people identified as approaching the end of life by 10% and reducing non-elective admissions and hospital bed days by 10% for that cohort.
The MSF will not be accompanied by new national funding, as its primary purpose is to set the strategic direction for improving palliative care and end-of-life care, including reducing variation in access, quality, and outcomes by using existing resources across the systems.
The Government has supported the hospice sector with a £125 million capital funding boost for adult and children and young’s hospices in England. We are also providing approximately £80 million of revenue funding for children and young people’s hospices over three financial years, from 2026/27 to 2028/29, giving them the stability they need to plan ahead.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the level of reliance of children's hospices on reserves to maintain services.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the level of reliance of children's hospices on reserves to maintain services.
Earlier this year, NHS England wrote to all integrated care boards (ICBs) requesting an update on the financial stability of hospices in their footprint and the steps being taken to mitigate risks, as a matter of urgency. We have now repeated this exercise, also triangulating data received from independent hospices via Hospice UK. This has provided ministers and NHS England with a clear up-to-date national picture of any hospices at risk of closure or significant service reductions, and the potential impact on patients, families, and the wider health care system. NHS England will continue to support ICBs where risks are identified.
We are providing approximately £80 million of revenue funding for children and young people’s hospices over three financial years, from 2026/27 to 2028/29, giving them the stability they need to plan ahead.
We are developing a Modern Service Framework (MSF) for palliative care and end-of-life care and recently published an interim update on the MSF in the form of a Written Ministerial Statement, accompanied by a letter containing further information for interested parties. I refer the Hon. Member to the Written Ministerial Statement HCWS88, which I gave to the House on 4 June 2026.
To ask the Secretary of State for Health and Social Care, if he will issue national guidance to reduce variation in children’s hospice funding between ICBs.
To ask the Secretary of State for Health and Social Care, if he will issue national guidance to reduce variation in children’s hospice funding between ICBs.
Integrated care boards (ICBs) are responsible for commissioning palliative care and end-of-life care services, including children and young people’s hospice services, to meet the needs of their local populations. NHS England has published statutory guidance and service specifications to support ICBs in carrying out these duties. We will be refreshing the statutory guidance and service specifications later this year.
The amount of funding each charitable hospice receives varies both within and between ICB areas. This will vary depending on 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.
We have supported the hospice sector in England with a £125 million capital funding boost for adult and children and young people’s hospices to ensure they have the best physical environment for care. We are also providing approximately £80 million of revenue funding for children and young people’s hospices over three financial years, 2026/27 to 2028/29, giving them the stability they need to plan ahead.
The Government is developing a Modern Service Framework (MSF) for Palliative Care and End-of-Life Care in England, and we have recently published an interim update at the following link:
https://questions-statements.parliament.uk/written-statements/detail/2026-06-04/hcws88
The MSF will embed palliative care and end-of-life care within a strategic commissioning model that is centred on clear and transparent contractual arrangements for commissioned palliative care activity across all providers, including hospices, to meet population health needs, with explicit regard to reducing inequalities and improving outcomes for underserved and disadvantaged groups. We expect all ICBs to complete an integrated needs assessment, to gain a detailed understanding of their current and future population, including people of all ages with palliative care and end-of-life care needs. This is vital in order to commission the services to best meet that need, whilst providing the best value for money.
To ask the Secretary of State for Health and Social Care, what progress his department has made in securing new funding for the Modern Service Framework for Palliative and End of Life Care.
To ask the Secretary of State for Health and Social Care, what progress his department has made in securing new funding for the Modern Service Framework for Palliative and End of Life Care.
The Modern Service Framework for Palliative Care and End-of-Life Care was never intended to introduce new, ring‑fenced funding. Its primary purpose is to set the strategic direction for improving palliative care and end-of-life care, including reducing variation in access, quality, and outcomes across the system.
In the context of wider fiscal pressures, the focus is on ensuring that existing resources are used as effectively as possible, supported by a shift towards more strategic, population‑based commissioning.
To ask the Secretary of State for Health and Social Care, with reference to the Written Statement of 4 June 2026 on the Modern Service Framework for Palliative Care and End-of-Life Care: interim update, a) what his planned timetable is for transition to contractual arrangements, and b) what steps his...
To ask the Secretary of State for Health and Social Care, with reference to the Written Statement of 4 June 2026 on the Modern Service Framework for Palliative Care and End-of-Life Care: interim update, a) what his planned timetable is for transition to contractual arrangements, and b) what steps his...
NHS England has published statutory guidance and service specifications to support integrated care boards (ICBs) in commissioning palliative care and end-of-life care services to meet the needs of their local populations. We will be refreshing the statutory guidance and service specifications later this year.
As set out in the Written Ministerial Statement of 4 June 2026, the Modern Service Framework (MSF) is a clinically-led, evidence-based framework to support sustained improvement in outcomes for patients and carers, including by systematically identifying, measuring, and reducing health inequalities, and by reducing unwarranted variation in access, experience, and outcomes.
The MSF will further support the systems by embedding palliative care and end-of-life care within a strategic commissioning model that is centred on clear and transparent contractual arrangements for commissioned palliative care activity across all providers, including hospices, to meet population health needs.
The MSF interim update sets out the direction of travel, including a shift towards more strategic commissioning and clear and transparent contractual arrangements for palliative care services, including hospices. NHS England has already written to the ICBs setting out initial actions they need to take to support this transition, including undertaking integrated needs assessments and moving towards sustainable contracting of hospice services. Initially, this will involve the move away from short-term grant funding for adult hospice services from 2027/28. NHS England’s letter to the ICBs is available at the following link:
To ask the Secretary of State for Health and Social Care, whether sustainable contracting for palliative care will a) reflect funding of core services by charitable hospices and b) incorporate NHS uplifts to cover pay increases in the sector.
To ask the Secretary of State for Health and Social Care, whether sustainable contracting for palliative care will a) reflect funding of core services by charitable hospices and b) incorporate NHS uplifts to cover pay increases in the sector.
The Modern Service Framework (MSF) will embed palliative care and end-of-life care within a strategic commissioning model that is centred on clear and transparent contractual arrangements for commissioned palliative care activity across all providers, including hospices, to meet population health needs, with explicit regard to reducing inequalities and improving outcomes for underserved and disadvantaged groups.
As part of the interim update, NHS England’s National Director for Primary Care and Community Services has written to systems, setting out two actions to ensure progress is made towards the strategic commissioning of palliative care and end-of-life care services. NHS England’s letter is available at the following link:
Sustainable contracting, as referenced in the MSF interim update, refers to a move away from short-term grant funding towards more strategic, longer-term commissioning arrangements for hospice services. This allows systems to plan, purchase, monitor, and evaluate services over the longer term and, with this, improve population health and reduce health inequalities.
This will involve integrated care boards (ICBs) establishing clear and transparent contractual arrangements for commissioned hospice activity. This approach is intended to support the long-term sustainability of the sector by enabling providers to plan ahead. Decisions on funding and service design will continue to be made locally by ICBs, in line with their statutory responsibilities to commission palliative care services. As set out in the interim update, we expect all ICBs to complete an integrated needs assessment, to gain a detailed understanding of their current and future population, including people of all ages with palliative care and end-of-life care needs. This is vital in order to commission the services to best meet that need, whilst providing the best value for money.
The Government recognises the vital role that hospices play in providing high-quality palliative care and end-of-life care. Most hospices are charitable, independent organisations which receive some statutory funding for providing core National Health Services. Therefore, they are responsible for setting their own pay and employment terms within their financial models, including decisions on adopting Agenda for Change terms and conditions.
To ask the Secretary of State for Health and Social Care, whether NHS England will provide guidance to ICBs commissioning hospice services on (a) minimising variation and (b) ensuring an equitable approach across systems.
To ask the Secretary of State for Health and Social Care, whether NHS England will provide guidance to ICBs commissioning hospice services on (a) minimising variation and (b) ensuring an equitable approach across systems.
NHS England has published statutory guidance and service specifications to support integrated care boards (ICBs) in commissioning palliative care and end-of-life care services to meet the needs of their local populations. We will be refreshing the statutory guidance and service specifications later this year.
As set out in the Written Ministerial Statement of 4 June 2026, the Modern Service Framework (MSF) is a clinically-led, evidence-based framework to support sustained improvement in outcomes for patients and carers, including by systematically identifying, measuring, and reducing health inequalities, and by reducing unwarranted variation in access, experience, and outcomes.
The MSF will further support the systems by embedding palliative care and end-of-life care within a strategic commissioning model that is centred on clear and transparent contractual arrangements for commissioned palliative care activity across all providers, including hospices, to meet population health needs.
The MSF interim update sets out the direction of travel, including a shift towards more strategic commissioning and clear and transparent contractual arrangements for palliative care services, including hospices. NHS England has already written to the ICBs setting out initial actions they need to take to support this transition, including undertaking integrated needs assessments and moving towards sustainable contracting of hospice services. Initially, this will involve the move away from short-term grant funding for adult hospice services from 2027/28. NHS England’s letter to the ICBs is available at the following link:
To ask the Secretary of State for Health and Social Care, with reference to the Written Statement of 4 June 2026 on Modern Service Framework for Palliative Care and End-of-Life Care: interim update, what steps he is taking to ensure that the move to sustainable contracting supports the cost of...
To ask the Secretary of State for Health and Social Care, with reference to the Written Statement of 4 June 2026 on Modern Service Framework for Palliative Care and End-of-Life Care: interim update, what steps he is taking to ensure that the move to sustainable contracting supports the cost of...
The Modern Service Framework (MSF) will embed palliative care and end-of-life care within a strategic commissioning model that is centred on clear and transparent contractual arrangements for commissioned palliative care activity across all providers, including hospices, to meet population health needs, with explicit regard to reducing inequalities and improving outcomes for underserved and disadvantaged groups.
As part of the interim update, NHS England’s National Director for Primary Care and Community Services has written to systems, setting out two actions to ensure progress is made towards the strategic commissioning of palliative care and end-of-life care services. NHS England’s letter is available at the following link:
Sustainable contracting, as referenced in the MSF interim update, refers to a move away from short-term grant funding towards more strategic, longer-term commissioning arrangements for hospice services. This allows systems to plan, purchase, monitor, and evaluate services over the longer term and, with this, improve population health and reduce health inequalities.
This will involve integrated care boards (ICBs) establishing clear and transparent contractual arrangements for commissioned hospice activity. This approach is intended to support the long-term sustainability of the sector by enabling providers to plan ahead. Decisions on funding and service design will continue to be made locally by ICBs, in line with their statutory responsibilities to commission palliative care services. As set out in the interim update, we expect all ICBs to complete an integrated needs assessment, to gain a detailed understanding of their current and future population, including people of all ages with palliative care and end-of-life care needs. This is vital in order to commission the services to best meet that need, whilst providing the best value for money.
The Government recognises the vital role that hospices play in providing high-quality palliative care and end-of-life care. Most hospices are charitable, independent organisations which receive some statutory funding for providing core National Health Services. Therefore, they are responsible for setting their own pay and employment terms within their financial models, including decisions on adopting Agenda for Change terms and conditions.
To ask the Secretary of State for Health and Social Care, how sustainable contracting as referred to in the Modern Service Framework for Palliative Care and End-of-Life Care: interim update on 4th June 2026, will be defined and funded in practice.
To ask the Secretary of State for Health and Social Care, how sustainable contracting as referred to in the Modern Service Framework for Palliative Care and End-of-Life Care: interim update on 4th June 2026, will be defined and funded in practice.
The Modern Service Framework (MSF) will embed palliative care and end-of-life care within a strategic commissioning model that is centred on clear and transparent contractual arrangements for commissioned palliative care activity across all providers, including hospices, to meet population health needs, with explicit regard to reducing inequalities and improving outcomes for underserved and disadvantaged groups.
As part of the interim update, NHS England’s National Director for Primary Care and Community Services has written to systems, setting out two actions to ensure progress is made towards the strategic commissioning of palliative care and end-of-life care services. NHS England’s letter is available at the following link:
Sustainable contracting, as referenced in the MSF interim update, refers to a move away from short-term grant funding towards more strategic, longer-term commissioning arrangements for hospice services. This allows systems to plan, purchase, monitor, and evaluate services over the longer term and, with this, improve population health and reduce health inequalities.
This will involve integrated care boards (ICBs) establishing clear and transparent contractual arrangements for commissioned hospice activity. This approach is intended to support the long-term sustainability of the sector by enabling providers to plan ahead. Decisions on funding and service design will continue to be made locally by ICBs, in line with their statutory responsibilities to commission palliative care services. As set out in the interim update, we expect all ICBs to complete an integrated needs assessment, to gain a detailed understanding of their current and future population, including people of all ages with palliative care and end-of-life care needs. This is vital in order to commission the services to best meet that need, whilst providing the best value for money.
The Government recognises the vital role that hospices play in providing high-quality palliative care and end-of-life care. Most hospices are charitable, independent organisations which receive some statutory funding for providing core National Health Services. Therefore, they are responsible for setting their own pay and employment terms within their financial models, including decisions on adopting Agenda for Change terms and conditions.
To ask the Secretary of State for Health and Social Care, what support will be available to hospices during the period between the publication of the interim Modern Service Framework for Palliative and End of Life Care and the implementation of subsequent commissioning and funding reforms.
To ask the Secretary of State for Health and Social Care, what support will be available to hospices during the period between the publication of the interim Modern Service Framework for Palliative and End of Life Care and the implementation of subsequent commissioning and funding reforms.
We have supported the hospice sector in England with a £125 million capital funding boost for adult and children’s hospices to ensure they have the best physical environment for care. We are also providing approximately £80 million of revenue funding for children and young people’s hospices over the next three financial years, giving them the stability they need to plan ahead.
We recently published an interim update on the Modern Service Framework (MSF) in the form of a Written Ministerial Statement, accompanied by a letter containing further information for interested parties. The Written Ministerial Statement is available at the following link:
https://questions-statements.parliament.uk/written-statements/detail/2026-06-04/hcws88
As part of this interim update, the National Director for Primary Care and Community Services at NHS England has written to systems, setting out two actions to ensure progress is made towards the strategic commissioning of palliative care and end-of-life care services:
Action 1: Produce an integrated needs assessment and understand service provision and utilisation; and
Action 2: Move to sustainable contracting of hospice services.
The interim update outlines that the MSF will embed palliative care and end-of-life care within a strategic commissioning model that is centred on clear and transparent contractual arrangements for commissioned palliative care activity across all providers, including hospices, to meet population health needs, with explicit regard to reducing inequalities and improving outcomes for underserved and disadvantaged groups. The full MSF will be published in Autumn 2026.
As set out in the interim update, we expect all integrated care boards to complete an integrated needs assessment, to gain a detailed understanding of their current and future population, including people of all ages with palliative care and end-of-life care needs. This is vital in order to commission the services to best meet that need, whilst providing the best value for money.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of the gap between the publication of the interim Modern Service Framework for Palliative and End of Life Care and the implementation of any subsequent commissioning and funding reforms on...
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of the gap between the publication of the interim Modern Service Framework for Palliative and End of Life Care and the implementation of any subsequent commissioning and funding reforms on...
We have supported the hospice sector in England with a £125 million capital funding boost for adult and children’s hospices to ensure they have the best physical environment for care. We are also providing approximately £80 million of revenue funding for children and young people’s hospices over the next three financial years, giving them the stability they need to plan ahead.
We recently published an interim update on the Modern Service Framework (MSF) in the form of a Written Ministerial Statement, accompanied by a letter containing further information for interested parties. The Written Ministerial Statement is available at the following link:
https://questions-statements.parliament.uk/written-statements/detail/2026-06-04/hcws88
As part of this interim update, the National Director for Primary Care and Community Services at NHS England has written to systems, setting out two actions to ensure progress is made towards the strategic commissioning of palliative care and end-of-life care services:
Action 1: Produce an integrated needs assessment and understand service provision and utilisation; and
Action 2: Move to sustainable contracting of hospice services.
The interim update outlines that the MSF will embed palliative care and end-of-life care within a strategic commissioning model that is centred on clear and transparent contractual arrangements for commissioned palliative care activity across all providers, including hospices, to meet population health needs, with explicit regard to reducing inequalities and improving outcomes for underserved and disadvantaged groups. The full MSF will be published in Autumn 2026.
As set out in the interim update, we expect all integrated care boards to complete an integrated needs assessment, to gain a detailed understanding of their current and future population, including people of all ages with palliative care and end-of-life care needs. This is vital in order to commission the services to best meet that need, whilst providing the best value for money.
To ask the Secretary of State for Health and Social Care, what steps his Department plans to take to support hospices prior to the implementation of the reforms outlined within the Modern Service Framework for Palliative and End of Life Care.
To ask the Secretary of State for Health and Social Care, what steps his Department plans to take to support hospices prior to the implementation of the reforms outlined within the Modern Service Framework for Palliative and End of Life Care.
We have supported the hospice sector in England with a £125 million capital funding boost for adult and children’s hospices to ensure they have the best physical environment for care. We are also providing approximately £80 million of revenue funding for children and young people’s hospices over the next three financial years, giving them the stability they need to plan ahead.
I also provided an interim update to the House on the Modern Service Framework (MSF) on 4 June 2026 in the form of a Written Ministerial Statement, accompanied by a letter containing further information for interested parties. A copy of the statement is available at the following link:
https://questions-statements.parliament.uk/written-statements/detail/2026-06-04/hcws88
As part of this interim update, the National Director for Primary Care and Community Services at NHS England has written to systems, setting out two actions to ensure progress is made towards strategic commissioning of palliative care and end-of-life care services: firstly, produce an integrated needs assessment and understand service provision and utilisation; and secondly, move to sustainable contracting of hospice services.
The interim update outlines that the MSF will embed palliative care and end-of-life care within a strategic commissioning model that is centred on clear and transparent contractual arrangements for commissioned palliative care activity across all providers, including hospices, to meet population health needs, with explicit regard to reducing inequalities and improving outcomes for underserved and disadvantaged groups. The full MSF will be published in Autumn 2026.
As set out in the interim update, we expect all integrated care boards to complete an integrated needs assessment, to gain a detailed understanding of their current and future population, including people of all ages with palliative care and end-of-life care needs. This is vital in order to commission the services to best meet that need, whilst providing the best value for money.