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Published byJody Patterson Modified over 8 years ago
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Hospice Lotteries Association Annual Conference Funding Hospice Care : What does the future look like? Sarah Brocklebank Chief Executive 12 th September 2012
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Overview Hospice services NHS funding Hospice lottery funding Total funding & its implications My “ideal” characteristics of income streams Looking forward The future?
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Hospice services Independent hospices provide over 80% all palliative care services in the UK 220 adult in patient units & 42 children IPUs Not just a building – community services of increasing importance £1.4m spent on hospice services in UK each day Total income for hospices range £1m - £10m
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NHS current funding structure NHS average contribution (England) – Adult hospices = 34% – Children’s hospices = 15% Average NHS funding in Wales 24%, N Ireland 30%, Scotland 39% NHS funding largely historical and predominantly grants although contracts emerging “Joe Public” is funding hospices c £1m per day
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What about hospice lottery income? Average net profit per hospice £228k (based on 114 lotteries) Average profitability 51% (compared to retail income at c 30%) Huge amount of support from public – and hard work from lottery teams Trends show lottery income has withstood the recession better than most income streams Much broader benefits of lottery players than “just” lottery income – “getting to know your customers”
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PTH income
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What does a funding structure like this mean? Extremely difficult to plan with any confidence Unreliable Volatile – esp legacy income Potentially adversely affected by external events – e.g. the weather Disproportionate management time & effort for relatively small NHS income “Interesting” relationship with the NHS, from whom we receive all our referrals Unfair
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My ideal characteristics of income streams Reliable Regular Resilient
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Testing current funding streams Reliable? Regular? Resilient?
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Looking forward (1) NHS reorganisation – 2013/14 onwards – Clinical Commissioning Groups replacing PCTs – Focus on “end of life care” services – broader than most hospice services Palliative Care Funding Review – 2015/16 onwards – Tariff for all end of life providers not just hospices – State responsibility / society responsibility – Pilot sites being set up to test different models / tariffs
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Looking forward (2) Economic challenges – Current & ongoing issue – CFDG, IoF & PWC report “Managing in a Downturn” (04/12) – “Managing in the new normal – a perfect storm” – 93% say things have got tougher in the last year – and the future doesn’t look any brighter
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Looking forwards – so what? NHS reorganisation – Increasingly fragmented commissioners – Partnership working key - many hospices will find themselves in a “subcontractor role” – Huge opportunities as hospices have many of the solutions to NHS problems – e.g. keeping people out of hospital Palliative Care Funding Review – Increased competition for funds / new competitors – State funding being directed towards community services rather than IP services – Increased confusion by Joe Public as to who funds what Economic challenges – Not looking great for the foreseeable future
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Testing future funding streams Reliable? Regular? Resilient?
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Concluding remarks Thank you It’s tough out there – for all areas of income Some are more resilient to external factors than other New opportunities emerging – esp with social media, digital Don’t forget the added benefits of lottery membership – “supporter journey” Keep close to & knowledgeable about the work of your hospice
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Thank you Any questions?
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