22 Accepted

Some hospices have recently reduced the volume or range of services they provide and others...

Conclusion
Some hospices have recently reduced the volume or range of services they provide and others are planning to do so, at a time when demand for palliative and end-of-life care is rising.45 Hospice UK told us that hospices are facing a cliff edge from April, and if no new funding is injected into the sector before the new financial year, hospices would be forced to reduce services further.46 It told us of hospices that have already announced staff redundancies.47 We received submissions from several hospices telling us that they were operating deficits, including annual deficits of £780,000 for Mary Ann Evans Hospice and £1.1 million for Rotherham Hospice. Marie Curie told us it is currently running a structural operating deficit.48 The Committee referred to three hospices—Prospect hospice in Swindon, Birmingham hospice and St Giles hospice in Lichfield—which have announced redundancies or have closed in-patient beds.49
Government Response Summary
The government accepts the implied recommendation to address financial pressures leading to service reductions in hospices. It details existing actions, including NHS England's request for ICB assessments on hospice financial stability, and ICBs' reported commitments to prevent service closures through various financial, operational, and governance measures.
Government Response
Accepted
HM Government Accepted
5.1 The government agrees with the Committee’s recommendation: Target implementation date: Autumn 2026 5.2 Earlier this year, NHS England wrote to all ICBs requesting an update on the financial stability of hospices in their footprint, and the steps being taken to mitigate risks. 5.3 ICBs are already expected to understand current and projected utilisation, costs, and risks across their commissioned palliative care and end-of-life care provision, as set out in the Strategic Commissioning Framework and Medium‑Term Planning Framework 5.4 Through the ICB returns, there was a clear commitment across ICBs to working with their hospice providers to address any existing or potential impact on patients. This includes a combination of financial, operational and governance actions to prevent service closures, including tighter oversight through monthly risk meetings and formal risk register reporting, direct executive engagement with hospice leaders, deployment of emergency cashflow support and winter uplifts, and work to rebase statutory funding. ICBs are also strengthening provider collaboration through hospice alliances and tightening requirements for impact assessments before changes proceed.
Addressee Bodies
HM Treasury
Timeline
Recommendation age 0.4 yrs
Report published 18 Mar 2026