Susan Murray

I thank my hon. Friend the Member for Wimbledon (Mr Kohler) for securing this debate on this important subject. As many people said during the assisted dying discussions, it is clear that the one thing that everybody has in common is a desire to see better palliative care being made more available across the country. Nearly a third of palliative care in Scotland is delivered by charities, and it is the same across the UK. In Scotland, hospice charities provide end of life care to over 20,000 people a year, ensuring compassion and care at the end of life. This figure is expected to rise by 40% in the next 15 years. My constituency does not have a hospice within its boundaries, but we have many people who work and volunteer in the hospice sector. There is concern that the lack of understanding of the core role and wide scope of palliative care, which has for too long been funded outside the NHS despite being a fundamental aspect of care, has led to a shortfall in services, including palliative care for children. For too long, hospices have struggled with insufficient funding from consecutive Scottish and UK Governments, with less than half the funding for hospice care coming from Government sources. While the £100 million extra is absolutely welcome, there is still a huge shortfall. The national insurance increase is projected to cost Scottish hospices an extra £2.5 million a year, and it comes at a time when Marie Curie has highlighted that one in four people across the UK are unable to access the necessary support. This increased financial burden will undoubtedly lead to fewer beds, reduced services and a diminished quality of care for some of our most vulnerable citizens at the end of life. Inevitably, this will compound the effects of the staff shortages already being faced by the care industry, further straining hospice care providers. Where palliative care is available, there are still shortages, especially in psychological support and spiritual care, plus the possibility of serious recruitment problems with any assisted dying provision and in the social care structures that support people in their own homes. Fourteen hospice care providers have already issued an open letter calling for cross-party consensus on sustainable hospice funding. Their plea highlights the urgent need for additional support to ensure that these vital institutions are not forced to ration care or to close their doors. I therefore urge the Government again to consider exempting hospices from the recent national insurance hike. This would be a practical step to alleviate the financial strain on hospices and hospice charities. By doing so, we would not remove crucial funding from palliative care which, as we have heard, is often raised by charitable donations. We must support palliative care services and ensure that all who need hospice care can access it, allowing them dignity and compassion in their end of life care.