Changes at St Luke’s Hospice

Hospice Cover

2018 has seen increased pressure on St Luke’s resources due to various internal and external factors. The recent closure of In Patient Units of two neighbouring hospices has seen an increase in the number of patients being referred to our unit and the growing number of patients with more complex conditions and needs has placed extra pressure on the hospice’s community services.

As a result, we have been and will continue to review all that we do in a bid to improve efficiencies at the hospice to ensure local people can continue to receive expert care, delivered with compassion and dignity, from our team of specialists.

Sustainability and plan for future growth

We operate from a stable financial base which we have to keep so that the hospice can continue in the future with a buffer against fluctuations in income or unexpected expenditure. 

Our key priorities over the next three years are:
• 7/7 and 24/7 working so we are here for people who need us when they need us.
• Developing a more ‘upstream’ model of care to reach more people.
• Educating our own staff and staff in other settings to deliver the best end of life care possible.

The current situation: 
• St Luke’s gets a third of direct care costs from the NHS, the remaining is from supporters.
• The hospice relies heavily on generous gifts from legacy income, but this can be unpredictable.
• We want to be sure we can cover our costs each year.
• Whether we are spending supporters’ donations or NHS funds, we will be reviewing how we can generate more value from every pound we are given. 

What’s the plan? 

We are reviewing everything we do to ensure we are being efficient and reduce costs where possible.

We have already:
• Reviewed and changed the model of delivery in our Woodgrange Centre to consolidate our existing activities to be delivered over three days. This means we will continue to deliver the same services to patients but in a more efficient way.
• Reviewed our Hospice at Home service following a NHS led review of our contract and service specification. As a result we are in negotiations with the NHS to either hand back elements of this service to them or to retain all our current activity with increased funding. 

We plan to:
• Increase fundraised income
• Increase income from our charity shops
• Increase income from the NHS for services we are providing
• Review our existing pay framework to make us a competitive and fair employer

We have no plans to cut any services and will continue to deliver the best end of life care possible to people in Harrow and Brent. 

To summarise

Our purpose as an organisation is to deliver quality care to patients and their families. We only have limited resources and we want to make sure we are using them in the best possible way to do this.

If you have further questions or queries please contact Alpana Malde, CEO, on 0208 382 8000 or email