Lord Howard of Lympne (Con)

My Lords, I too congratulate my noble friend Lord Farmer on securing this debate. It is a pleasure to follow the right reverend Prelate, whose close association with and support for the hospice in Devon I know of and is widely appreciated. I declare my interest as listed in the register as vice-president of Hospice UK, which I had the privilege of chairing for eight years. The dire situation—the crisis—in which so many hospices find themselves today has been described by others during this short debate, coupled with the need for an immediate infusion of money to ease their plight. There is a crisis now, and more money is needed now. However, encouraged by the recent admission of the Secretary of State, in the context of the debate on assisted dying, that palliative care in our country is inadequate, I want to make a proposal which has the potential to transform this regrettable state of affairs. I start with some uncontroversial propositions. Most hospitals, which see their role as being the curing of patients, are not very good at palliative care. Far too many people die in hospital; they do not want to die in hospital, and they need not die in hospital. They would have a far better death if they were in a hospice, or at home cared for by a hospice. When I was chair of Hospice UK, we worked up a detailed plan which involved identifying those patients in hospital who were unlikely to be cured and arranging for them to be discharged to a hospice or to their home, where they could be looked after by a hospice. We estimated that up to 50,000 people a year could be helped in this way: helped to have the end-of-life care they deserve and the dignified death to which we all aspire. It would, of course, need an infusion of resource from the NHS, but it would save the NHS much more than it would cost. It costs much less to look after someone in a hospice than it does in a hospital, and it would free up all those hospital beds; it would be a real win-win. I gather that the implementation of the plan was scuppered by the pandemic, but that Hospice UK is considering working it up again and putting it to the Department of Health. I urge it to do so, and I urge the Secretary of State, now that he has recognised the problem, to grab this proposal with both hands; it would make a real difference.