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
16 Recommendations
14 Conclusions
1 Report
1 Oral session
6 Letters
1 Event
Activity timeline 8 events
6 Jul
2026
Correspondence
20 Apr
2026
Correspondence
26 Mar
2026
Correspondence
18 Mar
2026
Report published
26 Jan
2026
Correspondence
26 Jan
2026
Correspondence
26 Jan
2026
Correspondence
12 Jan
2026
Oral evidence
Oral evidence sessions 1 session
12 Jan 2026
View on parliament.uk
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
Title HC No. Published Items Response
73rd Report - Financial sustainability of adult hospices in Engl… HC 1236 18 Mar 2026 30 Responded
Recommendations & Conclusions
2 results
Clear
5 Recommendation Accepted in Part
73rd Report - Financial sustainabi…
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. … Read more
Government Response
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.
HM Treasury
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29 Conclusion Accepted in Part
73rd Report - Financial sustainabi…
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 … Read more
Government Response
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.
HM Treasury
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Government Response AI assessment · 30 of 16 classified
Accepted 17
Accepted in Part 2
Rejected 11
Total 16 recs + 14 conclusions
Correspondence 6 letters
6 Jul 2026 From committee Letter to the Permanent Secretary at the Department of Health and Social Care and the Chief Executive of NHS England relating to Treasury Minute response – Financial sustainability of adult hospices in England, 6 July 2026
Parliament page
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 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 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 Sue Ryder relating to the Committee’s evidence session on 12 January 2026 on Financial Sustainability of Adult Hospices, 16 January 2026
Parliament page