Source · Select Committees · Public Accounts Committee
Recommendation 15
15
ICBs currently fund hospices largely through grants and block contracts, which do not provide clarity...
Conclusion
ICBs currently fund hospices largely through grants and block contracts, which do not provide clarity over what is being purchased.28 The Department and NHS England acknowledged that there must be a move away from funding hospices in this way towards a strategic commissioning approach. However, they emphasised that transitioning to activity or outcome-based commissioning is a complicated process that would require a period to build the systems and mechanisms to ensure long-term sustainability and avoidance of the current position in the future.29