Financial sustainability of adult hospices in England

Public Accounts Committee Open Inquiry
Opened: 10 Jul 2025 Parliament page
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 … Read more
6 Recommendations
24 Conclusions
1 Report
1 Oral session
5 Letters
1 Event
Oral evidence sessions 1 session
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
Recommendations & Conclusions
3 results
3 Recommendation Accepted
73rd Report - Financial sustainabi…
NHS England has been too slow to enforce a commissioning approach for the provision of...
NHS England has been too slow to enforce a commissioning approach for the provision of palliative care that focuses on the quality of outcomes for patients. ICBs continue to fund hospices largely through grants and block contracts, despite the NHS … Read more
Government Response
NHS England published statutory guidance for palliative care and end-of-life care, as well as service specifications. NHS England will work with some ICBs to develop new payment models to support neighbourhood services, including for the high- priority cohorts, including those at end of life. The government is developing a Palliative Care and End-of-Life Care MSF, through which we will closely monitor the shift towards strategic commissioning.
HM Treasury
View details
4 Recommendation Accepted
73rd Report - Financial sustainabi…
Too many patients spend their last days receiving palliative care in acute hospitals, which does...
Too many patients spend their last days receiving palliative care in acute hospitals, which does not always achieve the best outcomes for patients nor represent value for money. Patients are frequently receiving palliative care and reaching the end of their … Read more
Government Response
The government is developing a Palliative Care and End‑of‑Life Care MSF which will support the shift to strategic commissioning based on integrated needs assessments and will outline evidenced based interventions. It will also build on the recently published Neighbourhood Health Framework, which sets clear expectations for the improvement of care of palliative care and end-of-life care patients through Neighbourhood Health.
HM Treasury
View details
1 Conclusion Accepted
73rd Report - Financial sustainabi…
On the basis of a report by the Comptroller and Auditor General, we took evidence...
On the basis of a report by the Comptroller and Auditor General, we took evidence from the Department of Health and Social Care (the Department) and NHS England on the provision of palliative and end-of-life care, and the funding of … Read more
Government Response
The government agrees with the committee’s recommendation: service specifications for adults and children and young people, outlining expectations of what palliative care and end-of-life care services are commissioned.
HM Treasury
View details
Government Response AI assessment · 7 of 6 classified

Total 6 recs + 24 conclusions
Correspondence 5 letters
20 Apr 2026 To committee Letter from the Permanent Secretary of NHS England to the Chair of the Public Accounts Committee relating to Financial stability of adult hospices in England, 30 March 2026
Parliament page
26 Mar 2026 From committee Letter to the Permanent Secretary at the Department of Health and Social Care relating to Financial sustainability of adult hospices in England, 26 March 2026
Parliament page
26 Jan 2026 To committee Letter from the Chief Executive Officer of NHS England relating to the Committee’s evidence session on 12 January 2026 on Financial Sustainability of Adult Hospices, 16 January 2026
Parliament page
26 Jan 2026 To committee Letter from the Chief Executive Officer of Hospice UK relating to the Committee’s evidence session on 12 January 2026 on Financial Sustainability of Adult Hospices, 15 January 2025
Parliament page
26 Jan 2026 To committee Letter from the Chief Executive Officer of Sue Ryder relating to the Committee’s evidence session on 12 January 2026 on Financial Sustainability of Adult Hospices, 16 January 2026
Parliament page