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<p>As part of the NHS Long Term Plan, NHS England committed to increase its investment
in children’s palliative care over the next five years by match funding clinical commissioning
groups (CCGs) who commit to increase their investment in local children’s palliative
and end of life care services.</p><p> </p><p>Subject to CCGs increasing investment,
NHS England will match this by up to £7 million a year by 2023/24. This increase is
in addition to the Children’s Hospice Grant, which provides an annual contribution
of £11 million. NHS England is currently establishing financial reporting systems
to monitor the baseline investment of CCGs in children’s palliative and end of life
care services. This will enable match funding payments made to CCGs where the investments
are increased above the investment baseline in the previous year. As baselining will
be ongoing through 2019/20, and therefore match funding will not be available in this
year, NHS England will be increasing the children’s hospice grant to £12 million for
this period.</p><p> </p><p>With regards to financial sustainability of hospices, these
are primarily charity-funded but receive some statutory funding from CCGS for providing
local services. The amount of funding varies between CCGs, but on average adult hospices
receive approximately 30% of their overall funding from National Health Service sources.
CCGs are responsible for determining the level of NHS-funded hospice care locally
and they are responsible for ensuring that the services they commission meet the needs
of their local population.</p>
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