Church-owned Hospices: Assisted Dying

Churches nationwide provide chaplaincy and grief counselling services to hospices, patients and their families. Many modern hospices started off as Church-affiliated institutions thanks to the pioneering work of Dame Cicely Saunders. They are largely now affiliated to Hospice UK, which supports over 200 hospices across the UK, including the Royal Trinity hospice, near my constituency of Battersea. Only a third of adult hospices in the UK receive funding from the state. The rest rely on charitable support, and there is considerable concern that the Terminally Ill Adults (End of Life) Bill may divert much-needed funds from frontline care.

Hospices have charitable aims to provide palliative care at the end of life, but these could be compromised by the Terminally Ill Adults (End of Life) Bill, which comes before the House tomorrow. What consultation and impact assessment of this measure has there been with hospices that have a faith foundation? I am hearing that some hospices need an exemption, or they might close.

I do not believe there has been consultation with any faith-connected organisations, and I do not believe that an impact assessment has been carried out. However, Hospice UK, the body to which most Church-associated hospices are affiliated, has surveyed providers, staff and practitioners, who have expressed concerns about the Bill’s implementation. They are concerned about the following: who will qualify; the impact on those working in hospices, palliative care and end of life care; the ability of providers and staff to opt out; the practical operation of a conscience clause; the financial impact on the future funding of hospices; and the lack of public awareness of end of life care and the available choices.

Can my hon. Friend confirm whether Church-owned hospices will work with independent hospices and other organisations to mitigate the potential impact of the Terminally Ill Adults (End of Life) Bill, and to issue a statement from across the sector?

I thank my hon. Friend for her question on this incredibly important issue. I refer her to my previous answers, but it is also worth highlighting that, in recent years, the General Synod of the Church of England has twice voted by large majorities against changing the law on assisted suicide. The Association for Palliative Medicine and Hospice UK, to which most chaplains and Church-owned hospices are affiliated, remain opposed to any change in the law. The sector is particularly concerned about the funding challenges such a change would bring, as was highlighted in a Select Committee report. The report showed that funding for palliative care services fell by almost 5% in countries such as the Netherlands, Belgium and Luxembourg, where legalised assisted dying is in place, compared with a 25% increase in countries where it has not been legalised.

Does the Church Commissioner agree that hospices are about comforting the dying and surrounding them with care? Is that not the very antithesis of the state involving itself in sanctioning and assisting suicide?

If we think back to the founder of hospice care, it was founded on the principles of faith and Jesus Christ. It is only right that those principles of care and compassion ring true in ensuring that hospice care is there for those who need it.

The very ethos of Church-owned hospices is the sanctity of life, on which the Bible is very clear. Church-owned hospices will reflect that in what they do. Does the Church Commissioner share my concern about the potential conflict that could arise between Church-owned hospices and this House following the outcome of tomorrow’s debate on the assisted dying Bill? Does she share my concern about the sanctity of life and agree with me about the importance of making sure that we keep people alive?

Hospices and palliative care play an important role in end of life care. I believe that we need to fund those services properly before we consider moving towards legislating for assisted dying.