Written questions by Madders.

What steps he is taking to ensure national accountability for equitable provision of palliative care across England.

The Government is developing a Palliative Care and End of Life Care Modern Service Framework for England. I refer the Hon. Member to the Written Ministerial Statement HCWS1087, which I gave to the House on 24 November 2025. This is further clarified in the recently published Strategic Commissioning Framework and the Medium Term Planning Guidance, which makes clear the expectation that integrated care boards should understand current and projected service utilisation and costs, creating an overall plan to more effectively meet these needs through neighbourhood health.

What steps he is taking to ensure that hospice contracts reflect the cost of the services they provide and the needs of their local populations.

Integrated care boards (ICBs) are responsible for commissioning palliative care services to meet the reasonable needs of their population, which can include hospice services available within the ICB catchment. To support ICBs in this duty, NHS England has published statutory guidance and a service specification.The Government is developing a Palliative Care and End of Life Care Modern Service Framework for England. I refer the Hon. Member to the Written Ministerial Statement HCWS1087, which I gave to the House on 24 November 2025.

What steps his Department is taking to ensure that hospices receive the funding required to raise staff pay in line with nationally agreed NHS pay rises.

Hospices, as independent organisations, are free to develop and adapt their own terms and conditions of employment and, therefore, it is for them to determine what is affordable within the financial model they operate and how to recoup any additional costs they face, including what contractual arrangements are reached with their commissioners.NHS England uprates national allocations in line with the pay rises for integrated care boards (ICBs). It is down to the local contractual arrangements, and whether this includes the increases for pay rises or not, as to what the hospice can afford. There is, therefore, no single model which is consistent across England.We are supporting the hospice sector with a £100 million capital funding boost for eligible adult and children’s hospices in England to ensure they have the best physical environment for care. We are also providing £80 million for children’s and young people’s hospices over the next three financial years, giving them stability to plan ahead and focus on what matters most, caring for their patients.A number of MPs wrote to me in relation to Hospice UK’s four-point plan for hospice funding. I have responded to this letter.The Government is developing a Palliative Care and End of Life Care Modern Service Framework (MSF) for England. The MSF will drive improvements in the services that patients and their families receive at the end of life and enable ICBs to address challenges in access, quality, and sustainability through the delivery of high-quality, personalised care. I refer the hon. Member to the Written Ministerial Statement HCWS1087 I gave to the House on 24 November 2025.

Whether he has plans to increase access to defibrillators in Ellesmere Port and Bromborough constituency.

The Department’s Community Automated External Defibrillator (AED) Fund delivered 3080 new AEDs to local communities between September 2023 and February 2025.The Government’s position is that local communities are best placed to make decisions about procuring, locating and maintaining AEDs. Over 110,000 defibrillators are registered in the United Kingdom on The Circuit, the independent AED database. Over 30,000 of these have been added in the past two years, many as a result of local community-led action. More broadly, Cheshire and Merseyside Integrated Care Board is taking a whole system approach to improving cardiovascular health including improving the detection and treatment of key cardiac risk factors. The action being taken aims to lower the incidence of sudden cardiac arrest associated with unmanaged arrhythmia, high blood pressure and advanced coronary disease.