Douglas McAllister

The hospice sector in Scotland is under severe and growing financial pressure, with two thirds of hospices making cuts or planning to do so in the near future. That is due to underfunding that has left hospices stretched to breaking point; many are forced to cut services at a time when they are needed more than ever. Nowhere is that reality clearer than in my constituency of West Dunbartonshire, which is home to Scotland’s oldest and largest hospice, St Margaret of Scotland Hospice, as well as CHAS Robin House, which provides specialist care to babies, children and young people with life-limiting conditions. I note the findings of the independent palliative care commission, and I strongly support its call for a comprehensive, specialist palliative care service that is properly funded, accessible to all and available from the point of terminal diagnosis or advanced chronic illness. That vision reflects what families in my constituency need and deserve. St Margaret’s has served generations of families in West Dunbartonshire and beyond, and I am grateful for the formidable and irreplaceable stewardship of Sister Rita Dawson and her team of wonderful staff and volunteers. It is undertaking a £6 million refurbishment, and the work is almost complete, but there remains a funding shortfall. So far, all the money has been raised through donations and fundraising efforts. Modernisation is urgently needed to ensure that patients receive care in dignified therapeutic surroundings fit for the 21st century, yet the hospice continues to face a funding gap. Robin House provides extraordinary children’s palliative care to families facing the unimaginable. Its services embody precisely what the commission describes: holistic specialist care that extends beyond the patient to the whole family, including bereavement support. However, like adult hospices, it relies heavily on charitable income alongside statutory funding that does not always reflect the true cost of delivery. I understand that the findings of the commission relate to England specifically and to the Government’s 10-year NHS plan. I welcome the fact that the UK Government have committed significant investment to hospice and palliative care services in England as part of our long-term health planning. That funding recognises that palliative care is an essential part of our healthcare system for those receiving end-of-life care and their families. Having spoken to representatives from hospices in West Dunbartonshire, it is clear that there has been very little indication of the help that was promised under the Scottish Government’s palliative care strategy announced last September. Hospices in my constituency are struggling. They deserve clarity and transparency on where this much-needed funding is. West Dunbartonshire has some of the highest levels of health inequality in Scotland. That makes equitable access to specialist palliative care even more critical. A postcode should not determine the quality of someone’s final months, nor should hospices be left dependent on community fundraising to complete essential building works while additional public funding sits somewhere else in devolved budgets. Given the capital and revenue investment announced for palliative care in England, I ask the Minister whether she has held discussions with her Scottish counterpart to ensure that the Barnett consequentials are properly reflected in Scotland’s approach to hospice funding. In particular, will the Scottish Government set aside their Barnett share of the capital for hospice building improvement works announced by the UK Government? Will she commit to continuing engagement to ensure that the vision set out by the independent palliative care commission is realised not just in one part of the United Kingdom, but across all of it?