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1138610

registered interest
date	12/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Health Services: Autism and Learning Disability
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan Implementation Framework: system support offer, whether the quality assurance framework to strengthen existing oversight arrangements for autistic people and people with learning disabilities will be mandatory; and what funding local authorities and CCGs will receive to ensure they can follow that framework.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	276532
answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>All commissioners in England have a responsibility to assure themselves of the quality of the services that they commission. The Quality Assurance Framework and Commissioning for Quality Toolkit provide support and guidance for commissioners to undertake this appropriately, in line with their responsibilities. Annex A of the Long Term Plan for the National Health Service sets out the funding which has been allocated to support the commitments in the Long-Term Plan and the previous requirements from the Five Year Forward View, in addition to the published five-year clinical commissioning group allocations.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/07/2019 15:16:45 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1138639

registered interest
date	12/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Autism: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will take steps to reduce waiting times for autism assessments for adults.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	276605
answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>No one should have to face long waits for an autism assessment. We expect services to adhere to the National Institute for Health and Care Excellence (NICE) quality standard which recommends that the length between referral and a first appointment to start an assessment should be no more than three months.</p><p>We are determined to drive up performance nationally. We will use data on autism diagnosis waiting times, available for the first time later this year, to hold local areas to account and act where waiting times exceed the NICE standard.</p><p>Whilst a diagnosis of autism should happen as soon as possible, it is important to recognise that a diagnosis is often complex and can involve different professionals and agencies. We are following the prevailing clinical guidance set out by NICE.</p><p>NHS England and NHS Improvement encourage local areas to follow existing NICE guidelines and quality standards when commissioning and delivering diagnosis services for both children and adults.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276606 276607 question first answered 17/07/2019 15:23:52 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4666 label Biography information for Dr Paul Williams

1138640

registered interest
date	12/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Autism: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will take steps with NHS England to implement a waiting time standard for autism diagnosis in the CCG Improvement and Assessment Framework in order to tackle regional differences.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	276606
answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>No one should have to face long waits for an autism assessment. We expect services to adhere to the National Institute for Health and Care Excellence (NICE) quality standard which recommends that the length between referral and a first appointment to start an assessment should be no more than three months.</p><p>We are determined to drive up performance nationally. We will use data on autism diagnosis waiting times, available for the first time later this year, to hold local areas to account and act where waiting times exceed the NICE standard.</p><p>Whilst a diagnosis of autism should happen as soon as possible, it is important to recognise that a diagnosis is often complex and can involve different professionals and agencies. We are following the prevailing clinical guidance set out by NICE.</p><p>NHS England and NHS Improvement encourage local areas to follow existing NICE guidelines and quality standards when commissioning and delivering diagnosis services for both children and adults.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276605 276607 question first answered 17/07/2019 15:23:52 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4666 label Biography information for Dr Paul Williams

1138641

registered interest
date	12/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Autism: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will make it his policy to work with NHS England to establish autism diagnosis waiting times standards for each (a) sustainability and transformation partnership and (b) integrated care system.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	276607
answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>No one should have to face long waits for an autism assessment. We expect services to adhere to the National Institute for Health and Care Excellence (NICE) quality standard which recommends that the length between referral and a first appointment to start an assessment should be no more than three months.</p><p>We are determined to drive up performance nationally. We will use data on autism diagnosis waiting times, available for the first time later this year, to hold local areas to account and act where waiting times exceed the NICE standard.</p><p>Whilst a diagnosis of autism should happen as soon as possible, it is important to recognise that a diagnosis is often complex and can involve different professionals and agencies. We are following the prevailing clinical guidance set out by NICE.</p><p>NHS England and NHS Improvement encourage local areas to follow existing NICE guidelines and quality standards when commissioning and delivering diagnosis services for both children and adults.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276605 276606 question first answered 17/07/2019 15:23:52 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4666 label Biography information for Dr Paul Williams

1138637

registered interest
date	09/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Restraint Equipment: Dementia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department plans to take to prevent online retailers from selling products that are labelled dementia restraints to the public.
tabling member constituency	Oldham East and Saddleworth
tabling member printed	Debbie Abrahams
uin	276537
answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>There is a robust legal framework relating to the use of restrictive practices, including the Human Rights Act 2008, Mental Health Act 1983, and the Mental Capacity Act 2005. Restrictive interventions should only be used in line with the legal framework, and by people with the appropriate training in the application of those practices, where there is a real possibility of harm to the person or to staff, the public or other. Mechanical restraints should never be a first line means of managing disturbed behaviour.</p><p>We will consider the most effective way to ensure all online retailers are made aware of the risks and ethical implications of selling products labelled in this way to the public.</p><p>The Government remains committed to delivering the Challenge on Dementia 2020 in full to make England the best place in the world for people with dementia to live.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276538 question first answered 17/07/2019 15:20:20 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4212 label Biography information for Debbie Abrahams

1138638

registered interest
date	09/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Restraint Equipment: Dementia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department plans to take to raise awareness among online retailers of the risks and ethical implications of selling products that are labelled dementia restraints to the public.
tabling member constituency	Oldham East and Saddleworth
tabling member printed	Debbie Abrahams
uin	276538
answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>There is a robust legal framework relating to the use of restrictive practices, including the Human Rights Act 2008, Mental Health Act 1983, and the Mental Capacity Act 2005. Restrictive interventions should only be used in line with the legal framework, and by people with the appropriate training in the application of those practices, where there is a real possibility of harm to the person or to staff, the public or other. Mechanical restraints should never be a first line means of managing disturbed behaviour.</p><p>We will consider the most effective way to ensure all online retailers are made aware of the risks and ethical implications of selling products labelled in this way to the public.</p><p>The Government remains committed to delivering the Challenge on Dementia 2020 in full to make England the best place in the world for people with dementia to live.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276537 question first answered 17/07/2019 15:20:20 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4212 label Biography information for Debbie Abrahams

1136750

registered interest
date	03/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Mental Health Services: Private Sector
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what estimate they have made of the total payment made by NHS England to private providers of mental health services.
tabling member printed	Lord Bradley
uin	HL16900
answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>In the period 1 April 2017 to 31 March 2018 approximately £610 million was paid to independent sector providers of specialised mental health services commissioned by NHS England.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 17/07/2019 14:10:52 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	452 label Biography information for Lord Bradley

1136776

registered interest
date	03/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to ensure that adequate warehouse space is available in order to stockpile medicines, if required, in the event of a no-deal Brexit.
tabling member printed	Lord Taylor of Warwick
uin	HL16926
answer	answer is ministerial correction date of answer 17/07/2019 answer text <p><strong> </strong></p><p>The Government maintains that leaving the European Union with a deal is the best EU Exit outcome and has strongly expressed its opposition to leaving without a deal, in line with the position consistently expressed by Parliament. However, leaving without a deal on 31 October 2019 remains the legal default at the end of the Article 50 extension period if no withdrawal agreement is agreed. Therefore, as a responsible Government, we will continue to prepare to minimise any disruption to the supply of medicines and medical products in a ‘no deal’ scenario.</p><p> </p><p>The Department continues to work closely with the devolved administrations, relevant EU member states, industry trade bodies and suppliers, the National Health Service and our other main stakeholders to ensure that we are prepared for leaving the EU without a deal in October.</p><p> </p><p>On 26 June, we wrote to suppliers of medicines to the United Kingdom from or via the EU or European Economic Area setting out our continuing multi-layered approach to ensure the continuity of supply of all medicines and medical products in a potential no-deal exit scenario on 31 October.</p><p> </p><p>To ensure sufficient space to store stockpiled medicines, we agreed contracts for additional warehouse space, including ambient, refrigerated and controlled drug storage aligned to the possible 29 March EU exit date. This secured warehouse space remains available up to and beyond 31 October and should be sufficient to meet the additional needs of medicines suppliers for storage space.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 17/07/2019 13:37:53 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1796 label Biography information for Lord Taylor of Warwick

1136783

registered interest
date	03/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Medicine: Research
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what governance arrangements they have proposed for the newly designated Academic Research Collaborations.
tabling member printed	Lord Willis of Knaresborough
uin	HL16933
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>Following, a new, open competition, the Government has recently announced National Institute of Health Research (NIHR) designation and funding for 15 Applied Research Collaborations (ARCs), with total funding of £135 million over five years from 1 October 2019.</p><p>Each NIHR ARC will have its own local governance arrangements in place, with the named Director of each NIHR ARC having responsibility, and authority over, the NIHR funding awarded to their National Health Service organisations through the scheme. Under the terms of the NIHR contract, the NIHR ARCs will be required to submit annual progress reports and can be subject site visits to evaluate progress, performance and identify key issues.</p><p>All NIHR ARCs are required to ensure that research is conducted in accordance with the United Kingdom Policy Framework for Health and Social Care Research and the Concordat to Support Research Integrity and the Governance Arrangements for Research Ethics Committees.</p><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 15/07/2019 10:25:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4151 label Biography information for Lord Willis of Knaresborough