We are pleased to have now published an interim update on Modern Service Framework (MSF) for Palliative Care and End-of-Life Care in England, detailing the progress to date. The interim update was published via a Written Ministerial Statement, alongside an annex containing further information for interested parties, and importantly, the National Director for Primary Care and Community Services at NHS England is writing to systems setting out actions that can begin ahead of the full publication of the MSF in Autumn 2026. The Written Ministerial Statement is available at the following link:

https://questions-statements.parliament.uk/written-statements/detail/2026-06-04/hcws88

Whilst the majority of palliative care 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.

The MSF will embed palliative care and end-of-life care within a strategic commissioning model that is centred on clear and transparent contractual arrangements for commissioned palliative care activity across all providers, including hospices, to meet population health needs, with explicit regard to reducing inequalities and improving outcomes for underserved and disadvantaged groups. NHS England is working closely with integrated care boards (ICBs) to support this process and, as detailed in the interim update, we are asking ICBs to move to sustainable contracting of adult, and children and young people’s, hospice services based on their integrated needs assessment. Initially, this will involve a move away from short-term grant funding for adult hospice services from 2027/28.

Whilst no specific assessment of the adequacy of statutory funding for hospices has been made, in February, 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, as a matter of urgency. We are repeating this exercise, by asking ICBs and independent hospices, via Hospice UK, for an up-to-date assessment on their financial situation, risks, and mitigations.

In respect of guaranteeing equitable provision of hospice care, due to the way the hospice movement organically grew, hospice locations were largely not planned with a view to providing even access across the country or to prioritise areas of greatest need based on demographics. Therefore, there are inequalities in access to hospice services, especially for those living in rural or socio-economically deprived areas. However, the Government agrees that palliative care and end-of-life care must be provided equitably, through a range of professionals and providers, both generalist and specialist, across the NHS, social care, and voluntary sector organisations, including hospices.

We are pleased to have now published an interim update on Modern Service Framework (MSF) for Palliative Care and End-of-Life Care in England, detailing the progress to date. The interim update was published via a Written Ministerial Statement, alongside an annex containing further information for interested parties, and importantly, the National Director for Primary Care and Community Services at NHS England is writing to systems setting out actions that can begin ahead of the full publication of the MSF in Autumn 2026. The Written Ministerial Statement is available at the following link:

https://questions-statements.parliament.uk/written-statements/detail/2026-06-04/hcws88

Whilst the majority of palliative care 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.

The MSF will embed palliative care and end-of-life care within a strategic commissioning model that is centred on clear and transparent contractual arrangements for commissioned palliative care activity across all providers, including hospices, to meet population health needs, with explicit regard to reducing inequalities and improving outcomes for underserved and disadvantaged groups. NHS England is working closely with integrated care boards (ICBs) to support this process and, as detailed in the interim update, we are asking ICBs to move to sustainable contracting of adult, and children and young people’s, hospice services based on their integrated needs assessment. Initially, this will involve a move away from short-term grant funding for adult hospice services from 2027/28.

Whilst no specific assessment of the adequacy of statutory funding for hospices has been made, in February, 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, as a matter of urgency. We are repeating this exercise, by asking ICBs and independent hospices, via Hospice UK, for an up-to-date assessment on their financial situation, risks, and mitigations.

In respect of guaranteeing equitable provision of hospice care, due to the way the hospice movement organically grew, hospice locations were largely not planned with a view to providing even access across the country or to prioritise areas of greatest need based on demographics. Therefore, there are inequalities in access to hospice services, especially for those living in rural or socio-economically deprived areas. However, the Government agrees that palliative care and end-of-life care must be provided equitably, through a range of professionals and providers, both generalist and specialist, across the NHS, social care, and voluntary sector organisations, including hospices.