23 Accepted

NHS England emphasised that it is aware that every hospice provider is worried about financial...

Conclusion
NHS England emphasised that it is aware that every hospice provider is worried about financial sustainability, but that it is unaware of any hospices facing immediate closure.50 It told us it expects ICBs to undertake quality impact assessments if a hospice signals reductions in service that would have a disproportionate impact or an impact the NHS could not cope with.51 Following our evidence session in January, NHS England wrote to tell us that it had written to all ICBs requesting immediate, up-to-date assessments of the financial stability of hospices within their footprints and the action being taken to mitigate risks.52 The Department highlighted the 43 Qq 5, 12, 16 and 27 44 Q 34 45 C&AG’s report, paras 11 and 24 46 Q 13 47 Hospice UK (AHE0017) 48 Rotherham Hospice (AHE0002); Mary Ann Evans Hospice (AHE0005); Marie Curie (AHE0018) 49 Q 75 50 Qq 71-72 51 Qq 52, 57 and 75 52 Q 75; Letter from NHS England, 16 January 2026 15 £125 million capital funding that had recently been provided to the sector, demonstrating, it said, ministerial commitment to independent hospices. However, Hospice UK told us that while the capital funding is welcome it is one-off funding that will not address the shortfalls in funding for service delivery.53
Government Response Summary
The government accepts the implied recommendation regarding hospice financial stability. It outlines existing actions, such as NHS England requesting financial stability assessments from ICBs and ICBs' commitments to prevent service closures through various financial, operational, and governance actions.
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