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1701516

registered interest
date	16/04/2024
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: Health Services
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 she is taking to work with local authorities to increase access to support services for people with autism.
tabling member constituency	Lewisham East
tabling member printed	Janet Daby
uin	22157
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>Our national autism strategy, published in July 2021, acknowledges the importance of autistic people being able to access community support, including social care, and that this support should be available at the right time, and tailored to autistic people’s needs. We are currently updating the Autism Act Statutory Guidance to support the National Health Service and local authorities in delivering improved outcomes for autistic people. This will include setting out what local authorities must and should be doing to support autistic adults.</p><p>Under the Care Act 2014, it is the responsibility of local authorities to assess individuals’ care and support needs, including those of autistic adults, and, where eligible, to meet those needs. A new duty for the Care Quality Commission (CQC), to assess local authorities’ delivery of their Care Act 2014 duties, went live on 1 April 2023, and the formal assessment period has started. The CQC will examine how well local authorities deliver their Care Act duties, including those that apply to autistic people with care and support needs. This will increase transparency and accountability and, most importantly, drive improved outcomes for people who draw on care and support.</p><p>Each integrated care board (ICB) must have an Executive Lead for learning disability and autism, to support them in delivering care and support for autistic people in their area. NHS England has published statutory guidance on these Executive Lead roles. Key areas of the Executive Lead role include, but are not limited to: supporting the board in developing a strategic plan for people with a learning disability and autistic people, with local authorities and wider partners; using joint commissioning principles to work together to facilitate appropriate community support, care, and housing; and enabling people to live well at home. It also includes working with local authorities, primary care networks, place-based partnerships, provider collaboratives, health care providers, and wider partners to address inequalities in health outcomes for people with a learning disability and autistic people.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 22/04/2024 15:18:36 answering member 4492 label Biography information for Maria Caulfield
tabling member	4698 label Biography information for Janet Daby

1701517

registered interest
date	16/04/2024
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: Lewisham East
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if she will make an estimate on the waiting times for (a) assessment for and (b) diagnosis of autism in (i) adults and (ii) children in Lewisham East constituency.
tabling member constituency	Lewisham East
tabling member printed	Janet Daby
uin	22158
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>The information requested is not held centrally, but may be held by individual providers or integrated care boards (ICBs). Some relevant information is available on autism assessment waiting times for the NHS South East London ICB. In December 2023, the NHS South East London ICB’s Autism Waiting Time Statistics show that there were a total of 1,425 patients with an open suspected autism referral. 100 of these patients were aged between 0 and 17 years old, and 1,325 of these patients were aged 18 years old and over.</p><p>The median waiting time of all patients in this ICB, with an open suspected autism referral, where their first care contact was in the quarter, was 545 days. For 0 to 17 year olds, the median number of days patients waited was 149 days, compared to 606 days for over 18 year olds.</p><p>Data on children and young people in this dataset is expected to be an underestimate, and caution should be used when interpreting these statistics, since they are experimental rather than official statistics. The majority of children assessed for autism in the United Kingdom are seen in child development services, which are out of the scope of this dataset. This means the published figures will underestimate the volume of referrals or diagnoses, and the associated impact on health services. NHS England continues to conduct exploratory analysis into the Community Services Dataset, with a view to including autism waiting times data from that dataset.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 22/04/2024 15:24:32 answering member 4492 label Biography information for Maria Caulfield
tabling member	4698 label Biography information for Janet Daby

1693935

registered interest
date	05/03/2024
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	Dental Services: Wetherby Young Offender Institution
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 HM Chief Inspector of Prisons publication entitled Report on an unannounced inspection of HMYOI Wetherby by HM Chief Inspector of Prisons (20 November – 7 December 2023), published on 5 March 2024, what steps he is taking to reduce waiting times for routine dental treatment.
tabling member constituency	Lewisham East
tabling member printed	Janet Daby
uin	17224
answer	answer is ministerial correction date of answer 13/03/2024 answer text <p>NHS England has advised that, since the inspection, the waiting time for a routine dental appointment at HM Wetherby Young Offenders Institute (HMYOI) has reduced from 15 weeks to 12 weeks, with all patients triaged to ensure all urgent or pain related cases are expedited appropriately. Orthodontist services are also available.</p><p> </p><p>Healthcare services continue to provide regular weekly dental clinics at HMYOI Wetherby, and non-attendance at appointments has reduced, with the involvement of an allocated healthcare officer. Work is also underway to re-procure dental healthcare services in secure children’s settings, which will further improve access and reduce waits.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 13/03/2024 16:48:19 answering member 4492 label Biography information for Maria Caulfield
tabling member	4698 label Biography information for Janet Daby

1690803

registered interest
date	21/02/2024
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	Young Offenders: Foetal Alcohol Spectrum Disorder
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 people in the youth secure estate have been diagnosed with Foetal Alcohol Spectrum Disorder as of 21 February 2024.
tabling member constituency	Lewisham East
tabling member printed	Janet Daby
uin	15159
answer	answer is ministerial correction date of answer 26/02/2024 answer text <p>Neither the Department nor NHS England hold this information centrally.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 26/02/2024 11:16:09 answering member 4492 label Biography information for Maria Caulfield
tabling member	4698 label Biography information for Janet Daby

1690806

registered interest
date	21/02/2024
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	Young Offenders: Foetal Alcohol Spectrum Disorder
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether there are existing screening practices in place in the youth secure estate to diagnose young offenders who may have Foetal Alcohol Spectrum Disorder.
tabling member constituency	Lewisham East
tabling member printed	Janet Daby
uin	15162
answer	answer is ministerial correction date of answer 26/02/2024 answer text <p>NHS England has statutory responsibility for the direct commissioning of health services in the children and young people secure estate. All children in the secure estate receive individualised care according to their needs, and following an assessment via the Comprehensive Health Assessment Tool (CHAT). This is an evidence based, validated health assessment tool for under 18-year-olds, which screens for physical health, substance misuse, mental health, and neurodisability.</p><p>The CHAT is templated onto the clinical IT system, SystmOne, and is completed on admission to the estate, with regular reviews. Key health information from the CHAT can be shared with custody and residential staff via the Child Health Summary, to ensure all staff are aware of a child’s health needs.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 26/02/2024 11:22:40 answering member 4492 label Biography information for Maria Caulfield
tabling member	4698 label Biography information for Janet Daby

1679011

registered interest
date	19/12/2023
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	Young Offenders: Mental Health Services
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 she has to improve the provision of mental health care across the youth secure estate.
tabling member constituency	Lewisham East
tabling member printed	Janet Daby
uin	7657
answer	answer is ministerial correction date of answer 08/01/2024 answer text <p>NHS England has statutory responsibility for the direct commissioning of health services or facilities in the secure estate for children and young people, including for mental health services</p><p><br> Within this estate, the Framework for Integrated Care (SECURE STAIRS) allows for a trauma informed, collaborative approach to care, assessment and the planning of sentences and interventions, regardless of previous diagnosis. This includes input from mental health staff as well as from social care professionals, education professionals and the operational staff working on a day-to-day basis at the setting. <br> <br> It also seeks to ensure that staff have the right skills and support to care for the children and young people appropriately. NHS England has continued to support the implementation and sustainability of the framework in the estate, in partnership with Youth Custody Service and the Department for Education. <br> <br> As well as this, intercollegiate healthcare standards for children and young people in secure settings were first published in 2013. These standards were developed to help improve the quality and consistency of healthcare available to children in secure settings and have been refreshed in 2023. The standards benchmark NHS England’s core outcome based service specifications, including a specific specification for mental health services, which was also refreshed in 2023.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 08/01/2024 10:35:06 answering member 4492 label Biography information for Maria Caulfield
tabling member	4698 label Biography information for Janet Daby

1521949

registered interest
date	13/10/2022
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: Lewisham East
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 her Department is taking to help improve access to mental health services in Lewisham East constituency.
tabling member constituency	Lewisham East
tabling member printed	Janet Daby
uin	62984
answer	answer is ministerial correction date of answer 02/11/2022 answer text <p>In September we announced ‘Our plan for patients’, which outlines how we will increase access to National Health Service mental health and eating disorder services, including in Lewisham East. Through the NHS Long Term Plan, we are investing an additional £2.3 billion a year by 2023/24 to expand NHS mental health and eating disorder services for adults, children and young people in England, including in Lewisham East.</p><p>We will invest approximately £1 billion in community mental health care for adults with severe mental illness. including eating disorders, by 2023/24 and an additional £53 million per year in children and young people's community eating disorder services to increase capacity in the 70 community eating disorder teams.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 02/11/2022 15:17:31 answering member 4492 label Biography information for Maria Caulfield
tabling member	4698 label Biography information for Janet Daby