4.1 The government agrees with the Committee’s recommendation. Target implementation date: Autumn 2026 4.2 The government is determined to shift more healthcare out of hospitals and into the community, to ensure patients and their families receive personalised care in the most appropriate setting, and palliative care and end-of-life care services, including hospices, will have a big role to play in that shift. 4.3 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. The MSF will outline evidenced based interventions and will include metrics that will focus on reduction of clinically avoidable non‑elective admissions and unnecessary bed days for people at the end of life. 4.4 The MSF will build on Medium Term Planning Framework, which made clear that ICBs and relevant NHS providers should ensure an understanding of current and projected total service utilisation and costs, including for those with palliative care and end-of-life care needs, and create an overall plan to more effectively manage the needs of these high-priority cohorts and significantly reduce avoidable unplanned admissions. 4.5 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. This set the ambition is to systems to increase in the number of people identified as approaching end of life by 10%, alongside a reducing the number of non-elective admissions and bed days of one day or over for people in the end of the life cohort by 10%.