Noah Law

I will keep going, so that everyone has a chance to speak. We must give people dignity, security and support when they need it the most. At present, palliative care remains lovingly—but to an embarrassing degree—funded through donations and by supporters who run marathons, charity shops and fundraising events for hospice charities across the UK. The National Audit Office concluded that, in 2023-24, around two thirds of the independent adult hospice sector’s total income was generated from those charitable sources, while around 29% of total income was Government funded, primarily through integrated care boards. I am all for social enterprises and charities using their assets to generate income, but the reliance on this model has to stop. Why not have a system in which the Government provide consistent, centralised support frameworks for hospices, reflecting the consistent and vital services that they provide to our NHS and people at the end of life? It is in our Government’s gift to fix this. If we believe that high-quality palliative care is a fundamental service at the end of life, but recognise that it currently depends on commissioning decisions from integrated care boards, ad hoc grants and the fundraising of local hospices, is the system really fit for purpose? We must ensure that a consistent national minimum standard of provision is delivered by every integrated care board, to end the end-of-life postcode lottery.