Robin Swann

I thank the hon. Member for Wimbledon (Mr Kohler) for bringing this important debate to the House tonight. I congratulate him, but it is unfortunate that it was not held in Government time, because this issue was raised on a number of occasions during the debate on assisted dying. The debate has highlighted the importance of the discussion around palliative care. The All Ireland Institute of Hospice and Palliative Care conducted a recent study of 500 people in Northern Ireland, which indicated that more than one in three think that they only had days to live if their doctor or healthcare professional talked to them about palliative care, and more than one in four would feel that their doctor was giving up on them if they talked about referring them to palliative care. This debate and the previous debates that we have had raise the importance of these discussions with family and the wider community. Work has been done in Northern Ireland on conversations about advanced care planning, where families, health professionals and all parts of the society are involved in those open conversations. Much has been said about the fundraising model for hospices and palliative care providers, and it is no different in Northern Ireland. We talk about the need for a funding model, but the Department of Health and the entire health service in Northern Ireland have been relying on year-on-year budgets since 2016. That puts stress not only on our national health service, but on palliative care providers, hospices, GPs and community pharmacies. There is a desire from the rest of health and social care in Northern Ireland to see a recurrent, guaranteed budget that we could use to make those transformation decisions. I pay tribute to the hospices and palliative care providers in Northern Ireland, especially the people who work in them. Much has been said today about funding care models, how they are managed and all the rest of it, but often we forget that at the heart of every care package, every delivery, every door that is knocked and opened and every cup of tea that is made for someone in one of those conditions are those healthcare professionals. They have the strength and the ability to move on to the next patient and family, to give them the same level of dedicated professional support. Finally, I pay tribute to the staff in the Macmillan specialist palliative care unit in Antrim area hospital. I had the honour and privilege of visiting them many times as Health Minister in Northern Ireland, but especially when they were providing support and care to Shirley Smyth almost this time last year—a fantastic supporter and grandmother of one of my councillors, and a fantastic lady.