General Question Time – in the Scottish Parliament at on 6 February 2025.
Michelle Thomson
Scottish National Party
To ask the Scottish Government how it plans to invest in the hospice care sector, in light of the £4 million referred to in the draft budget 2025-26. (S6O-04301)
Jenni Minto
Scottish National Party
The draft budget for 2025-26 now includes £5 million of investment to support independent hospices to provide pay parity with national health service agenda for change levels. The aim of that is to support hospices to retain staff who deliver essential end-of-life and palliative care services. My officials are already undertaking work to explore the mechanisms for providing that funding, while respecting the roles of integration joint boards and local commissioning arrangements.
Michelle Thomson
Scottish National Party
I thank the Minister for putting on the record that the draft budget includes £5 million for that. I note that that increase came about during budget negotiations.
On a recent visit to Strathcarron hospice, which provides invaluable end-of-life care for almost 500 patients and families in central Scotland, I was fortunate to speak to staff and learn more about the quite incredible work that they do. However, the chief executive told me that one of the challenges that it faces is Labour’s employer national insurance increase. That will put additional pressure on its budget, which is largely funded by donations. Although the increased budget commitment is hugely welcome, what update can the Scottish Government provide on a new national funding framework for hospice care in Scotland to help mitigate the longer-term impacts of Labour’s damaging policy?
Jenni Minto
Scottish National Party
Like Michelle Thomson, I have had the privilege of seeing the incredible work that independent hospices do—both personally and as a Minister. I also recognise that Labour’s decision to increase employer national insurance has created huge pressure across the whole of the public and third sectors, including Scottish hospices. If that is not fully funded by the United Kingdom Government, it will pose risks to service delivery.
We remain committed to working with the hospice sector and IJBs to develop a new national funding framework that will support IJBs and independent hospices to agree sustainable funding, planning and commissioning arrangements to meet their local populations’ needs. We will be creating a partnership group to drive that work.
Miles Briggs
Conservative
The fact is that the hospice sector is facing a double whammy of national insurance increases and meeting the agenda for change. The £5 million announced in the budget is welcome, but the sector is calling for £15 million to stand still. We know that £350 million is available in contingency funds in the Scottish Government’s NHS budget for the current financial year. If the issue is not addressed, hospices across Scotland—which are setting their budgets now—will see the disparity increase even further. Is the Scottish Government looking to provide the £15 million that the sector needs, and not just the £5 million that is currently in the budget?
Jenni Minto
Scottish National Party
I thank Miles Briggs for his question and recognise the work that he does in supporting hospices in his region and across Scotland. As I referenced in my previous response, we have been working closely with hospices to address the situation that has arisen—the double whammy, as Miles Briggs called it. We are creating a partnership group to drive that work, and I meet hospices regularly.
Liam McArthur
Liberal Democrat
I welcome the additional funding, which was secured through the budget partnership and negotiations with the Scottish Liberal Democrats. However, the Minister will be aware that the debate on my Assisted Dying for Terminally Ill Adults (Scotland) Bill has shone a light on gaps in access to palliative care. What assurances can she give that, through the palliative care strategy and additional funding, some of those access issues can be addressed?
Jenni Minto
Scottish National Party
I recognise the role that the Liberal Democrats played in ensuring that the hospices received additional funding. I agree that, in the light of the bill that Liam McArthur is taking through Parliament, it cannot be one or the other, which is why I am very pleased that we had our palliative care consultation, which closed in January. That is an important way of working to ensure that people in Scotland get the right options on end-of-life and palliative care.
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