Palliative care services are included in the list of services an integrated care board (ICB) must commission. To support ICBs in this duty, NHS England has published statutory guidance and service specifications.  The statutory guidance states that ICBs must work to ensure that there is sufficient provision of palliative care and end of life care services to meet the needs of their local populations, which can include hospice services available within the ICB catchment.

NHS England has a legal duty to annually assess the performance of each ICB in respect of each financial year and to publish a summary of its findings. This assessment must assess how well the ICB has discharged its functions.

Whilst the majority of palliative and end of life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to people at the end of life and their loved ones.  Most hospices are charitable, independent organisations which receive some statutory funding for providing NHS services.

The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England and, therefore, covers the palliative and end of life care sector, including independent hospices. The CQC registers health and adult care providers, monitors and inspects services to see whether they are safe, effective, caring, responsive and well-led, and publishes its findings, including quality ratings.

The CQC can use its legal powers to take action where poor care is identified, and publishes regional and national views of the major quality issues in health and social care, including palliative and end of life care, encouraging improvement by highlighting good practice.

The Department and NHS England are currently looking at how to improve the access, quality, and sustainability of all-age palliative care and end of life care in line with the 10-Year Health Plan.

The Government and the NHS will closely monitor the shift towards the strategic commissioning of palliative and end of life care services to ensure that services reduce variation in access and quality, although some variation may be appropriate to reflect both innovation and the needs of local populations.

I am pleased to confirm the continuation of children’s hospices funding for the next three financial years, 2026/27 to 2028/29 inclusive. This funding will see circa £26 million, adjusted for inflation, allocated to children’s hospices in England each year, via their local ICBs on behalf of NHS England, as happened in 2024/25 and 2025/26. This amounts to approximately £80 million over the next three years.