With almost three hundred inpatient beds shuttered or underused, hospitals all around England are in great crisis. The leading causes of this concerning situation—funding and staff shortages—are blamed for some of England’s 170 hospices permanently closing beds or putting them out of use.
Leading sectoral charity Hospice UK desperately urges government action to stop further cuts. They argue that, given years of a notable financing shortfall, an emergency financial plan to stabilize the industry is needed.
In what ways may the government help hospices?
Hospices’ financial difficulties are becoming more severe, as Hospice UK makes abundantly evident. The group claims that the NHS only covers roughly one-third of the revenue required for hospices; the rest is obtained via donations, fundraisers, and charitable stores. This reliance on outside sources has grown more challenging, especially given the rising caregiving expenses.
“The way that hospices are funded and commissioned by the NHS is acting as a huge cap on what they can do,” the director of programs at Hospice UK said, understressing the crucial problem of staff shortages. They said, “If the government can act in both the short and long term to resolve these problems, these figures are clear evidence that hospices can do much more for patients and the NHS.”
Hospices offering community and inpatient treatment need improved finances. The director underlined that if hospices had more substantial financial support and positive commissioning from the NHS, they could provide more care where most people wanted—at home.
Why is the demand for hospice services rising?
Rising operating expenditures are already putting tremendous strain on hospices; many are also announcing changes to clinical positions to help balance their budgets. Furthermore, the specter of enormous employer national insurance contributions is raising more questions regarding the viability of hospice care.
Out of a total of 2,200, around 300 inpatient hospice beds are not accessible in England as it stands; the number of closed or unused beds is just increasing. To help prevent further cuts and closures over the next year, Hospice UK has demanded an extra £110 million in government funding.
How may end-of-life care be strengthened?
Particularly in light of the continuous debate about assisted dying, the growing number of shuttered hospice beds has spurred more general conversations on the quality of end-of-life treatment in the UK. Some supporters contend that efforts should be concentrated on raising the standard of treatment at hospices so that patients have more choices and can decide on their end-of-life treatment more sensibly.
According to hospice experts, more excellent financing and support would help reduce the financial burden on services, enabling them to offer more excellent care for patients and families, particularly in the community where most hospice treatment is rendered.
What is the Government's Response to the Crisis?
The Department of Health has admitted the financial strains the hospice sector faces. A spokesman said, “The decisions the chancellor took in the Budget allowed us to invest an extra £26bn in the NHS. We are considering how we may help hospices financially to guarantee their sustainability next year.”
Health Secretary Wes Streeting has said that a financial package to assist the hospice sector will be revealed before Christmas; leaders hope it will help stabilize the industry.
How Can Hospice Care Be Made Long-Term Stable?
Although immediate financial relief is possible, hospice leaders are clear that £100 million would be required to balance the sector’s balance sheets until the end of next year, meeting the increasing national insurance contribution costs. They caution that further significant expenditure would be required to raise the long-term quality of treatment.
Although £100 million would offer temporary stability, Hospice UK contends that more is needed to address the fundamental problems influencing hospice care, including personnel shortages and NHS financial shortfall.
The urgency of the matter has put hospices on high alert; many of them worry that without enough government assistance, their capacity to offer quality care for terminally ill patients would continue to deteriorate, therefore reducing some patients’ options for compassionate care at the end of life.
