Charities warn that NHS pay award could hit hospices hard

Jul 10, 2018

Charities Hospice UK, Together for Short Lives and Marie Curie are warning that a pay rise for NHS staff could have a damaging impact on charitable hospices in England and put vital services at risk unless they receive financial help to meet extra costs for hospice staff.

The charities all welcome the pay boost for non-medical NHS staff, but called on the Government to provide support for hospices to reduce the impact of the award on hospice recruitment and retention.

Hospice UK estimates that changes resulting from the NHS pay deal mean that its 200 member hospices will have to spend an extra £100million over the next three years – equivalent to 2% of the funding that the Government has put aside to fund the increase for staff working in the NHS.

The Government recently outlined in a Written Ministerial Statement how it intends to address the impact of the pay award on non-NHS providers, including hospices.

The Government will allow non-NHS providers - that are providing NHS services and that employ staff on an Agenda for Change contract - to access part of the £800 million that is being made available to the NHS this year for staff pay. Only those organisations that match Agenda for Change terms and conditions will be able to access the extra funding.  

Most hospices use Agenda for Change terms and conditions as a guide to their local pay policies for clinical staff - rather than matching the terms and conditions exactly – so it looks likely that the majority of hospices would not be able to access this funding.  

Tracey Bleakley, Chief Executive of Hospice UK, said:

“While we strongly support the pay award for hardworking NHS staff, we are very concerned about the wider impact of this on charitable hospices in England.

“This decision by the Government to restrict funding for non-NHS providers to only those organisations that follow Agenda for Change terms and conditions to the letter is very worrying and will have a very damaging impact on charitable hospices.

“Most hospices use NHS terms and conditions as guidance for their local pay policies rather than matching their terms and policies exactly.  To recruit and retain staff, hospices will have little choice other than following the pay rises for the NHS, so many hospices will be left severely out of pocket.

“Charitable hospices are already facing huge financial pressures and operating in a tough fundraising climate, so this will put their stretched resources under even greater strain.

“In addition, hospices are currently facing major workforce challenges, especially in recruiting and retaining staff with the specialist skills for supporting people with terminal and life-limiting conditions. If no allowance is made for hospices they may be forced to cut vital services.

“We urge the Government to take action to mitigate the impact of the NHS pay award on charitable hospices in England.

“Hospice UK will continue to push for more support for charitable hospices and we remain open to further discussions with the Government to find a way forward.”

Andrew Fletcher, Chief Executive of Together for Short Lives said:

“Hospices and palliative care charities are already facing huge financial pressures; they are operating in a tough fundraising climate and receive patchy and unsustainable statutory funding. This will put their stretched resources under even greater strain.

“These vital services already face major workforce challenges, especially in recruiting and retaining staff with the specialist skills for supporting people with terminal and life-limiting conditions. This development will exacerbate these difficulties and could have a negative impact on patient care.

“If no allowance is made for hospices and palliative care charities, these lifeline services could face difficult decisions about cutting vital services that families rely on. We ask ministers to consider this as a matter of urgency.”

Simon Jones, Director of Policy at Public Affairs at Marie Curie, which has nine hospices across the UK added:

“While Marie Curie welcomes the proposal to support end of life care charities who employ staff on Agenda for Change contractual terms, we remain concerned that this will not address the full extent of the challenges faced by ourselves and the wider sector in recruiting and retaining the high quality staff we need to provide a first class service for people at the end of their lives.”

Notes to editors

  • While staff in a relatively small number of hospices, particularly NHS ones, will benefit directly from the NHS pay deal, as well as some charitable hospices that follow Agenda for Change’s terms and conditions, the vast majority of charitable hospices stand to lose out as a result of the new NHS pay deal.
  • Charitable hospices across the UK support more than 200,000 people each year.
  • The Agenda for Change system allocates posts to set pay bands, using the Job Evaluation Scheme. The pay system’s main aims include delivering fair pay for non-medical staff, providing better links between pay and career progression and harmonising terms and conditions of service such as annual  leave and sick pay.
  • The proposed approach on the NHS pay deal applies to England only. The governments of the other nations can still choose to take a different approach if they wish. Hospice UK is continuing to keep the pressure up on them to do so. 
  • Hospice UK is the national charity for hospice and palliative care.

For media enquiries contact: 

Suzanne Stevenson, Head of Media and PR, on 020 7520 8296 or by email at For out of hours media enquiries please call 07881 940 318.

Marie Curie

Alex Holdaway-Head of Media, Public Relations and Campaigns- 020 7599 7702/ 07884 311035.

Together for Short Lives

Myra Johnson -Director of Communications 0117 989 7820 or 07775336460

Together for Short Lives is a UK wide charity that, together with our members, speaks out for all children and young people who are expected to have short lives.  We are here to help children and their families to access specialist children’s palliative care services when and where they need it. We provide information so families know where to go for support and have the help they need to make the right choices about their child’s care. 

Together with everyone who provides care and support to these children and families, we are here to help them have as fulfilling lives as possible and the very best care at the end of life. We can’t change the diagnosis, but we can help children and families make the most of their time together.


T: @Tog4ShortLives

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