Hospices in England have welcomed a multimillion funding boost but the Government has been accused of “giving with one hand and taking with the other” amid costs caused by a national insurance rise.
The Conservatives said Labour is taking millions of pounds from hospices and palliative care charities by making changes to employers’ national insurance contributions (NICs) – announced in the autumn Budget – and then telling them to be “grateful” for getting some money back.
Tory former health minister Neil O’Brien suggested Chancellor Rachel Reeves was the “Grinch who stole Christmas” when she made her October statement, as he called on Thursday for charities and voluntary groups to be exempted from the increase.
While Hospice UK said the latest funding, which is for England only, would be “hugely welcomed”, end-of-life charity Marie Curie warned a one-off investment will not be enough to make the improvements needed.
The Government described the £100 million for adults and children’s hospices in their provision of end-of-life care as the biggest investment in a generation in the sector.
But shadow health minister Dr Caroline Johnson criticised Labour for having “the audacity” to make such a claim when “they are taking millions of pounds off hospices and palliative care charities and then think they should be grateful when they give them some of it back”.
She added: “This is socialism at its finest.”
The Department of Health and Social Care has also confirmed a separate £26 million in continued grant funding for next year under what was known as the Children’s Hospice Grant.
Conservative MP Sir Bernard Jenkin said a hospice which serves his Harwich and North Essex constituency estimates the national insurance changes will cost them £300,000 in a full year, asking: “Can the minister now give a guarantee that they will be compensated by the Government in full?”
Ms Smyth replied: “We will announce allocations for the whole sector and the NHS in the usual way in the new year.”
Tory MP Martin Vickers said any increase in funding for hospices is welcome, but added: “This (funding announcement) let’s be honest, is giving with one hand and taking with the other.”
In a written statement, Health and Social Care Secretary Wes Streeting said it is “only right” hospices are given the financial support to provide their services, while care minister Stephen Kinnock said the funding “will allow hospices to improve their physical and operational environment, enabling them to provide the best possible care to their patients”.
“This funding will allow hospices to continue to reach hundreds of thousands of people every year with high-quality, compassionate care.”
Ralph Coulbeck, chief executive at Haven House children’s hospice, said it is “a relief” to know the children’s grant is being maintained next year, adding that it will “help to support the vital care we provide to seriously ill children and families”.
Marie Curie chief executive, Matthew Reed, described the palliative and end-of-life care system as being “in crisis” with access to the right care depending often on where someone lives.
He said: “Marie Curie welcome additional investment in the palliative care sector and look forward to further clarification on how this funding will be used to ensure better care for all dying people who need it.
“However, a restricted and one-off investment is not going to meet the recurring cost pressures, and ongoing needs of the sector – including the long-term implications of additional national insurance contributions, ongoing pressures as a result of rising costs of pay, and increased numbers of people dying over the next 20 years.”
He said “radical change is needed”, with a palliative care strategy, supported by a sustainable funding framework.
Challenges for the terminally ill in accessing good care at the end of their lives has become a topic of focus amid the debate at Westminster on assisted dying.
Opponents of assisted dying insist the focus should be on providing better end-of-life care for the terminally ill.
But Kim Leadbeater, the MP behind the Terminally Ill Adults (End of Life) Bill, said when palliative care cannot meet the needs of a dying person, “the choice of an assisted death should be one component of a holistic approach to end-of-life care”.
A new commission, set up by Labour MP Rachael Maskell and crossbench peer Baroness Finlay of Llandaff, was recently launched to examine palliative and end-of-life care in the UK and a report on its findings will be presented to the Health Secretary and Parliament.
Recommendations from the review are expected to feed into Labour’s 10-year plan for the NHS.
