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1134551

registered interest
date	25/06/2019
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: Veterans
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 he is taking to ensure that veterans with mental health problems receive the treatment they need.
tabling member constituency	Motherwell and Wishaw
tabling member printed	Marion Fellows
uin	269084
answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>As part of the Government’s continued commitment to the Armed Forces Covenant, veterans are able to access National Health Service-provided mainstream and bespoke evidence-based mental health services.</p><p>The NHS in England has developed two bespoke veterans’ services; the Transition, Intervention and Liaison Service, which supports serving personnel who need additional mental health support as they are leaving the Armed Forces and veterans who have mental health issues; and the Complex Treatment Service, that has been designed to support veterans with complex mental health issues, not limited to post-traumatic stress disorder, that have not improved with previous treatment.</p><p>In December last year, NHS England announced an extra £10 million to expand these services and seek ways to close the gaps in current mental health provision to meet the needs of those individuals that are nearing crisis. This expansion will increase capacity and help to ensure that specialist health support for veterans is available across a wider geographical area, helping many more vulnerable ex-Service Personnel, families and those in the criminal justice system.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/07/2019 16:04:52 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4440 label Biography information for Marion Fellows

1133228

registered interest
date	19/06/2019
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: Veterans
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 9 April 2019 to Question 238669 on mental health services: veterans, what the outcome was for the armed forces personnel who were referred for mental Health treatment but did not enter into such treatment in each of the last four quarters.
tabling member constituency	Dwyfor Meirionnydd
tabling member printed	Liz Saville Roberts
uin	266752
answer	answer is ministerial correction date of answer 28/06/2019 answer text <p>Health is a devolved matter and as such as we are only able to answer in respect of mental health services provided in England.</p><p>NHS England does not record the reasons that former armed forces personnel do not attend services to which they are referred; either to main stream services or to the veteran specific NHS Veterans' Mental Health Transition, Intervention and Liaison Service and does not plan to record such information.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/06/2019 10:43:06 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4521 label Biography information for Liz Saville Roberts

1130742

registered interest
date	07/06/2019
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: Veterans
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much funding has been allocated to the (a) the Veterans' Mental Health Transition, Intervention and Liaison Service and (b) the NHS Veterans' Mental Health Complex Treatment Service in (i) the UK, (ii) South Yorkshire and (iii) Barnsley in each year since 2010.
tabling member constituency	Barnsley East
tabling member printed	Stephanie Peacock
uin	261536
answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>The following table shows the NHS England expenditure for veterans’ mental health services in each year since 2016/17 across England and in the North of England.</p><p>Not all of the information requested is collected centrally, information is only available from 2016/17.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2016/17</p></td><td><p>2017/18</p></td><td><p>2018/19</p></td><td><p>2019/20</p></td></tr><tr><td><p>England</p></td><td><p>£5,825,034</p></td><td><p>£6,142,910</p></td><td><p>£7,204,404</p></td><td><p>£10,281,912</p></td></tr><tr><td><p>Of which North of England</p></td><td><p>£458,300</p></td><td><p>£806,000</p></td><td><p>£1,933,000</p></td><td><p>£2,708,000</p></td></tr></tbody></table><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 12/06/2019 15:41:48 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4607 label Biography information for Stephanie Peacock

1109253

registered interest
date	02/04/2019
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: Veterans
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 he is taking to provide adequate mental health support for veterans; and if he will make a statement.
tabling member constituency	Solihull
tabling member printed	Julian Knight
uin	240022
answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>In England, veterans are able to make use of both mainstream and veteran specific mental health services.</p><p> </p><p>NHS England’s Transition, Intervention and Liaison service supports serving personnel who need additional support as they are leaving the armed forces and veterans who have mental health issues. Numbers indicate that around 5,000 individuals are passing through this service each year. There are three elements to the service:</p><p>- in-reach services for those in transition, leading up to, and leaving the armed forces;</p><p>- services for veterans with complex presentation; and</p><p>- general services for veterans.</p><p>In 2018 NHS England launched their Complex Treatment Service, this has been designed to support veterans with complex mental health issues that have not improved with previous treatment. It provides a range of intensive care and treatment that may include but is not limited to support for drug and alcohol misuse, physical health, employment, housing, relationships and finances, as well as occupational and trauma focused therapies.</p><p> </p><p>In December last year NHS England Long Term Plan announced a further £10 million to expand these services and seek ways to close the gaps in current mental health provision to capture those individuals that are nearing crisis.</p><p> </p><p>Veterans are also able to use mainstream mental health service and are utilising these services with very positive outcomes, often better than the general population. Over 20,000 use Improving Access to Psychological Services each year and many more access other NHS mental health services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 10/04/2019 15:32:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4410 label Biography information for Julian Knight

1107808

registered interest
date	29/03/2019
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: Veterans
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many former Armed Service personnel in England are (a) receiving in patient mental health treatment, (b) receiving outpatient mental health treatment and (c) estimated to have mental health symptoms but are not in any form of treatment.
tabling member constituency	Dwyfor Meirionnydd
tabling member printed	Liz Saville Roberts
uin	238669
answer	answer is ministerial correction date of answer 09/04/2019 answer text <p>The following table is the Count of referrals received, entering treatment and finishing a course of treatment who recorded as being an ex-British Armed Forces member for Quarter 4 2017/18, Quarter 1, Quarter 2 and Quarter 3 2018/19 in England.</p><table><tbody><tr><td><p>Quarter</p></td><td><p>Referrals Received</p></td><td><p>Referrals Entering Treatment</p></td><td><p>Referrals Finishing a Course of Treatment</p></td></tr><tr><td><p>Q3 2018/19</p></td><td><p>5,505</p></td><td><p>4,294</p></td><td><p>2,438</p></td></tr><tr><td><p>Q2 2018/19</p></td><td><p>5,417</p></td><td><p>4,137</p></td><td><p>2,310</p></td></tr><tr><td><p>Q1 2018/19</p></td><td><p>5,237</p></td><td><p>4,116</p></td><td><p>2,520</p></td></tr><tr><td><p>Q4 2017/18</p></td><td><p>5,219</p></td><td><p>4,097</p></td><td><p>2,362</p></td></tr></tbody></table><p> </p><p>There is no central estimate on number of ex-armed forces personel that are experiencing poor mental health but are not receiving treatment.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 09/04/2019 11:28:55 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4521 label Biography information for Liz Saville Roberts

1088490

registered interest
date	13/03/2019
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: Veterans
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the merits of including the category of veterans in the Mental Health Services Data Set.
tabling member constituency	Houghton and Sunderland South
tabling member printed	Bridget Phillipson
uin	231996
answer	answer is ministerial correction date of answer 18/03/2019 answer text <p>An indicator for ex British Armed Forces was added to the Mental Health Services Data Set in 2017/18.</p><p> </p><p>However, data is still in its infancy and indicator completion rates are currently only at 13%. NHS England is investigating ways to improve this. The expansion of NHS England’s general practitioner veteran friendly accreditation service and Veterans Covenant Hospital Alliance are expected to be helpful in improving the situations.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/03/2019 14:14:55 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4046 label Biography information for Bridget Phillipson

1086743

registered interest
date	11/03/2019
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: Veterans
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans his Department has to improve mental healthcare for veterans in the North East.
tabling member constituency	Houghton and Sunderland South
tabling member printed	Bridget Phillipson
uin	230825
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>In addition to mainstream mental health services, NHS England commissions two bespoke services for veterans experiencing mental health difficulties.</p><p> </p><p>The first is the Transition, Intervention and Liaison Service (TILS) which supports serving personnel who need additional support as they are leaving the armed forces and veterans who have mental health issues. The TILS is also the entry point to the Complex Treatment Service (CTS), the second service commissioned by NHS England. The CTS is able to provide a range of more intensive care and treatment for veterans with military related complex mental health difficulties, many of whom will have experienced trauma. The provider of the TILS in the North is Northumberland, Tyne and Wear NHS Foundation Trust in partnership with Tees, Esk and Wear Valleys, Hull and East Riding and Pennine Care NHS Foundation Trusts. The provider of the CTS is Leeds and York Partnership NHS Foundation Trust who work in partnership with Combat Stress to deliver the service.</p><p> </p><p>In December last year, NHS England also announced an extra £10 million to expand the already established Veterans’ Mental Health TILS and the Veterans’ Mental Health CTS, as well as seeking to close the gaps in current mental health provision to capture those individuals that are nearing crisis.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 14/03/2019 17:02:28 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4046 label Biography information for Bridget Phillipson

1077210

registered interest
date	25/02/2019
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: Veterans
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of the adequacy of mental health care provision for armed forces veterans.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	225377
answer	answer is ministerial correction date of answer 28/02/2019 answer text <p>The Department and other bodies look at these issues regularly. Data and progress of NHS England’s Veterans Mental Health Transition Intervention and Liaison Service and Complex Treatment Service is presented to the Ministry of Defence/UK Departments of Health Partnership Board, Joint Commissioning Group and the Cabinet Office led Covenant Reference Group. Both services are also continually assessed by NHS England.</p><p> </p><p>In England, as well as these veteran specific services, veterans are able to access mainstream mental health services. The Improving Access to Psychological Therapies dataset reports annually and data indicates that over 20,000 veterans are utilising this avenue with very positive outcomes, often better than the general population.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/02/2019 17:17:58 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	308 label Biography information for Mr Jim Cunningham

1063978

registered interest
date	19/02/2019
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: Veterans
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the proportion of veterans who have served in the armed forces that were in receipt of mental health services in 2018.
tabling member constituency	Chesterfield
tabling member printed	Toby Perkins
uin	223166
answer	answer is ministerial correction date of answer 27/02/2019 answer text <p>The attached table shows counts of referrals received, entering treatment and finishing a course of treatment of patients who recorded as being an ex-British Armed Forces member for Quarter 4 2017/18, Quarter 1 2018/19 and Quarter 2 2018/9, England level from the Improving Access to Psychological Therapies (IAPT) dataset.</p><p> </p><p>The number of Ex-British Armed Forces veterans in contact with mental health services and the number of Ex-British Armed Forces veterans in hospital at the end of November 2018 from the Mental Health Services Dataset (MHSDS) is also attached.</p><p> </p><p>The IAPT dataset has collected information on veterans accessing this service since 2012. IAPT is run by the National Health Service in England and offers National Institute for Health and Care Excellence-approved therapies for treating people with anxiety and depression.</p><p> </p><p>The IAPT dataset records whether a referral is for a patient who has been a member of the British Armed Forces. It is not possible to identify the type of Armed Forces Service that the patient belonged to, or whether the patient was a regular or reserve veteran.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 27/02/2019 16:10:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name PQ223166 table formatted.docx title PQ223166 attached document
tabling member	3952 label Biography information for Mr Toby Perkins

1045657

registered interest
date	21/01/2019
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: Veterans
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans his Department has to provide further support for veterans with mental health issues.
tabling member constituency	Angus
tabling member printed	Kirstene Hair
uin	210713
answer	answer is ministerial correction date of answer 28/01/2019 answer text <p>In England, the National Health Service has announced that an extra £10 million will be invested into a new NHS dedicated crisis service that will expand the current bespoke veteran mental health services and provide intensive support to veterans battling alcohol, drugs and mental health problems, capturing those individuals nearing crisis.</p><p> </p><p>The extra funding will also enable a roll out of veteran-friendly general practitioner surgeries and hospitals as part of efforts to make sure those who have served their country get specialist help they deserve in every part of the health service.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/01/2019 15:16:49 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4675 label Biography information for Kirstene Hair