Luke Taylor

Luke Taylor

Liberal Democrat — Sutton and Cheam

Speaking in the House of Commons on 13 January 2025

Debate

Hospice and Palliative Care

Contribution

I begin by thanking my hon. Friend the Member for Wimbledon (Mr Kohler) for bringing forward this incredibly important debate. Anyone who has been paying attention to my contributions in this place will not be surprised that I am once again expressing my deepest possible concerns about St Raphael’s hospice in my constituency. Its case is emblematic of the problems across this undervalued and dramatically important sector. One of my first visits after being elected as the MP in July was to St Raph’s hospice, where I saw the incredible care that it offers to residents in my constituency and beyond. I have met people from the hospice several times since then, including just this morning, and it is clear that while the Secretary of State’s £100 million announcement is welcome, it simply does not go far enough. The funding is restricted to capital expenditure fractions, such as refurbishments and digital services. While undoubtedly important to modernise and update the capability of our hospices, the funding does not address their immediate financial hardship, especially in the context of the Chancellor’s Budget. St Raph’s is set to face an estimated £140,000 increase in staff costs this coming year due to the rise in employer national insurance contributions. This burden only adds to the significant strain on the hospice, which is currently funded by the NHS for just 28% of its budget. It is therefore reliant on the generosity of charitable donations for the remainder. If the Government fail to see sense and exempt hospices from this hike, structural deficits will only continue to grow in the sector, pushing many over the cliff edge altogether and forcing those who remain open to cut their services to the bone. While the announcement of additional funding is appreciated, it does not address the root of the problem. The Government’s approach is dangerously akin to tackling a leaking roof with a mop and bucket. The Secretary of State spoke last week about the need to shift the focus of healthcare from the hospital to the community, yet I fear their treatment of the hospice sector has done exactly the opposite. Due to the limited funding that St Raph’s receives, it has been forced to cut its hospice at home scheme, a vital service where staff directly attend to patients in their own homes in the local community. Those on the Government Front Bench say they want community-based palliative care like that under the hospice at home scheme, but the scheme has been cut further due to their actions. These issues show why they must bring forward a long-term funding arrangement for hospices, if the Government intend to keep their promise. My Hospices and Health Care (Report on Funding) Bill, presented last year and due for Second Reading in July, sets out ways for the Government to consider those options to deliver a long-term funding deal. However, I sincerely hope that by July the Government will have listened and the Bill will not need to be debated at all. I urge them to please make my Bill completely redundant.

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