11 Accepted

The terms and conditions in the independent adult hospice sector have diverged from those in...

Conclusion
The terms and conditions in the independent adult hospice sector have diverged from those in the NHS, with clinicians in hospices often earning less than their NHS counterparts.18 We heard from Hospice UK and NHS England how hospice provision is central to government’s objectives of providing more care in the community, reducing hospital utilisation and aligning with patient preferences.19 However, sector representatives wrote to us to say that system-level governance and national oversight arrangements have not evolved to reflect this role.20
Government Response Summary
The government agrees with the committee's finding, stating that ICBs have a duty to commission palliative care, supported by statutory guidance and NHS England's new strategic commissioning framework. This framework, with a target implementation date of Autumn 2026, aims to address governance issues in hospice provision.
Government Response
Accepted
HM Government Accepted
1.1 The government agrees with the committee’s recommendation: Target implementation date: Autumn 2026 1.2 ICBs have a duty to commission palliative care, supported by statutory guidance and service specifications for adults and children and young people, outlining expectations of what palliative care and end-of-life care services are commissioned. This is further supported by NHS England’s recently published strategic commissioning framework, which provides a step-by-step guide, aligned to the commissioning cycle, supporting commissioning to establish what is required from individual providers, including hospices, to meet the overall needs of their population.
Addressee Bodies
HM Treasury
Timeline
Recommendation age 0.4 yrs
Report published 18 Mar 2026