Select Committee · Public Accounts Committee

Financial sustainability of adult hospices in England

Status: Open Opened: 10 Jul 2025 16 recommendations 14 conclusions 1 report

In 2023, total UK hospice income of £1.8bn comprised around £0.5bn of state funding and the remainder from charitable sources. In 2023-24, many adult hospices reported financial pressures and the threat of needing to cut services by up to 20% unless additional funding was given. An estimated 300 out of 2,200 hospice inpatient beds were … Show more

Clear

Reports

1 report
Title HC No. Published Items Response
73rd Report - Financial sustainability of adult hospices in… HC 1236 18 Mar 2026 30 Responded

Recommendations & Conclusions

2 items
5 Recommendation 73rd Report - Financial sustainability … Accepted in Part

The Department and NHS England are not responding to the growing financial crisis in the...

The Department and NHS England are not responding to the growing financial crisis in the adult hospice sector with the seriousness and urgency needed. The independent hospice sector is facing a serious financial situation that is already affecting patient care. Demand for hospice care is rising, but most hospices are … Read more

Government response AI summary
The government agrees that ICBs should ensure financial stability of hospices in their footprint and the steps being taken to mitigate risks, but disagrees with developing an individual plan for each independent hospice.
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HM Treasury
29 Conclusion 73rd Report - Financial sustainability … Accepted in Part

We received submissions from three collaboratives: Lancashire & South Cumbria Hospices Together, Greater Manchester Hospices...

We received submissions from three collaboratives: Lancashire & South Cumbria Hospices Together, Greater Manchester Hospices Provider Collaborative, and Cheshire & Merseyside Hospice Provider Collaborative. They described how as collaboratives they can present a united voice to the ICB and are able to negotiate funding awards collectively, which in one case … Read more

Government response AI summary
Despite stating disagreement with the conclusion, the government recognises the important role of hospice collaboratives and is considering how to support and spread these models through the MSF. However, it explicitly rejects dictating the working practices or operating models of independent hospice organisations.
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HM Treasury

Oral evidence sessions

1 session
Date Witnesses
12 Jan 2026 Dr Amanda Doyle OBE · NHS England, Dr Edward Scully · Department of Health and Social Care, Duncan Burton · NHS England, Professor Fliss Murtagh · Hull York Medical School, Samantha Jones · Department of Health and Social Care, Sir James Mackey · NHS England, The Baroness Finlay of Llandaff, Toby Porter · Hospice UK View ↗

Who gave evidence

8 witnesses
WitnessOrganisationSessions
Dr Amanda Doyle OBE · National Director for Primary Care and Community … NHS England 1
Dr Edward Scully · Director for Primary and Community Health Care Department of Health and Social Care 1
Duncan Burton · Chief Nursing Officer for England and Executive D… NHS England 1
Professor Fliss Murtagh · Professor of Palliative Care Hull York Medical School 1
Samantha Jones · Permanent Secretary Department of Health and Social Care 1
Sir James Mackey · Chief Executive NHS England 1
The Baroness Finlay of Llandaff 1
Toby Porter · Chief Executive Officer Hospice UK 1

Correspondence

6 letters
DateDirectionTitle
6 Jul 2026 From cttee Letter to the Permanent Secretary at the Department of Health and Social Care a…
20 Apr 2026 To cttee Letter from the Permanent Secretary of NHS England to the Chair of the Public A…
26 Mar 2026 From cttee Letter to the Permanent Secretary at the Department of Health and Social Care r…
26 Jan 2026 To cttee Letter from the Chief Executive Officer of Hospice UK relating to the Committee…
26 Jan 2026 To cttee Letter from the Chief Executive Officer of NHS England relating to the Committe…
26 Jan 2026 To cttee Letter from the Chief Executive Officer of Sue Ryder relating to the Committee’…