30
Rejected
NHS England told us about the West Yorkshire collaborative, which it considers to be the...
Recommendation
NHS England told us about the West Yorkshire collaborative, which it considers to be the most advanced and an example for how hospices in all ICB regions could work in partnership. NHS England pointed to the economies of scale and improved commissioning that the collaborative model enabled.66 Professor Murtagh told us that the Department and NHS England should be including collaborative working within the Modern Service Framework.67 However, although NHS England told us that forming a collaborative was perhaps the most effective first stage for groups of hospices experiencing financial difficulties, it expects hospices to take this step themselves and it did not signal any intention to encourage or support the creation of collaboratives.68 66 Qq 45, 48 and 51 67 Q 17 68 Qq 48 and 51 18
Government Response Summary
The government explicitly disagrees with the recommendation to encourage or support hospice collaboratives, stating it is not their role to dictate practices for independent organisations. However, they recognise the importance of collaboratives, are considering how to support existing models and spread good practice through the MSF, and will identify and share examples nationally.
Government Response
Rejected
Government Response
Rejected
HM Government
Rejected
The government disagrees with the Committee’s recommendation. The government recognises that hospice collaboratives can play an important role in improving sustainability, reducing duplication and strengthening the quality and consistency of services. There are already examples of this in practice, with hospices in several areas working in partnership to plan provision collectively, share financial risks and present a single voice to their ICB. Through the development of the Palliative Care and End-of-Life Care MSF, the department and NHS England are considering how best to support these models and spread good practice. As part of this work, officials are identifying examples where ICBs and hospices are collaboratively moving towards more strategic commissioning arrangements and will use the MSF to share these approaches nationally. However, it is not the place of the department or NHS England, to set out the working practices, or operating models, of independent organisations, such as hospices.
Source
Committee
Public Accounts Committee
Report
73rd Report - Financial sustainability of adult hospices in England
18 Mar 2026
HC 1236
Addressee Bodies
HM Treasury
Timeline
Recommendation age
0.4 yrs
Report published
18 Mar 2026