4. Statement by the Minister for Health and Social Services: Reform of Hospice Funding

Part of the debate – in the Senedd at 3:51 pm on 25 January 2022.

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Photo of Rhun ap Iorwerth Rhun ap Iorwerth Plaid Cymru 3:51, 25 January 2022

(Translated)

Thank you very much, Dirprwy Lywydd. The first thing I want to do is to pay tribute and say 'thank you' to the hospice sector in Wales; to thank them for their vital service. Anybody who has had the privilege of visiting a hospice or has experienced the hospice at home service knows about the tireless care that they provide. I've worked with the sector as best as I can as Member for Anglesey, as Plaid Cymru spokesperson and as a Member of the cross-party group to try to bring forward a settlement that would provide the kind of assurance that the sector deserves. I'm pleased that we've had this announcement today. I asked the Minister about this in the health committee the week before last. We were promised a statement, so I'm pleased that she has kept her word on that. And it is a step in the right direction, but there is some way to go yet.

The financial context, as the Minister said, is that there has been no increase in the core budget, truth be told, for a decade by now. Now, I see this as a correction, if you will. I acknowledge what we heard from the Minister—that there will be a next phase in this review from the Government. But to give an idea of the figures and what they mean, £2.2 million in addition will go to the whole sector in Wales every year; it costs around £5 million a year to St. David's hospice alone, with only 10 per cent of the funding for that coming from the health board or Government. Before this announcement, it was 10 per cent of children's hospice funding that came from the public purse. There will now be, if I understand it correctly, the same level as in England, so 21 per cent of funding, but do bear in mind that Northern Ireland pays 25 per cent and Scotland pays half the costs. So, yes, the additional funding is to be welcomed, but I do look forward to seeing a further statement. 

It is unreasonable, I think, for us to continue to expect the same level of care and service that we are used to seeing and that's so important to families across Wales unless we're willing to make a fair contribution to that care. And I'd like to ask the Minister for an assurance that phase 2 of the review will look at the possibility of increasing that core funding to the voluntary sector further. And one additional question. There's more than just sums of money in the question here; we need to ensure too that access to hospice services is equal for everyone, no matter who they are, no matter where they are in Wales. There are major inequalities at present. Is this also something that the Minister is going to be looking at to ensure that this excellent service is genuinely an excellent service that everyone can access?