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1171295

registered interest
date	16/01/2020
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: Children and Young People
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 is taking to reduce waiting times for children and young people's mental health services in (a) the Vale of York CCG and (b) throughout the UK.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	4404
answer	answer is ministerial correction date of answer 21/01/2020 answer text <p>The Government’s Green Paper on children and young people’s mental health aims to improve the provision of mental health support through its key proposals, which includes creating new Mental Health Support Teams in and near schools and colleges.</p><p> </p><p>The Mental Health Support Teams form part of the commitment in the NHS Long Term Plan to ensure that by 2023/24, at least an additional 345,000 children and young people aged 0-25 will be able to access support via National Health Service-funded mental health services and school– or college-based mental health support teams.</p><p> </p><p>We have also committed at least a further £2.3 billion a year to mental health services by 2023/24. This will see spending for children and young people’s mental health services growing faster than the overall spend on mental health, which will itself be growing faster than the overall NHS budget.</p><p> </p><p>The Vale of York Clinical Commissioning Group is forecast to spend £4.2 million on children and adolescent mental health services in 2019/2020, including £470,000 additional investment as part of its commitment to achieve the Mental Health Investment Standard.</p><p> </p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 21/01/2020 17:09:32 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4471 label Biography information for Rachael Maskell

1171296

registered interest
date	16/01/2020
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: Children and Young People
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 his Department has allocated to local child and adolescent mental health services in each year since 2010-11; and what that funding is in real terms.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	4405
answer	answer is ministerial correction date of answer 21/01/2020 answer text <p>The information is not available in the format requested.</p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 21/01/2020 17:09:03 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4471 label Biography information for Rachael Maskell

1171481

registered interest
date	16/01/2020
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	Doctors: Pensions
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 he has made of the effect of the changes in the annual allowance tax on the (a) retention rate and (b) hours worked of doctors on the NHS pension scheme; and if he will make a statement.
tabling member constituency	Sheffield, Hallam
tabling member printed	Olivia Blake
uin	4500
answer	answer is ministerial correction date of answer 21/01/2020 answer text <p>The Department recognises that the annual allowance may contribute to decisions from National Health Service consultants to retire early or limit their NHS commitments, although a precise estimate of the change in the number of hours worked is not available.</p><p>The tapered annual allowance calculation takes into account non-pensionable earnings and all taxable income, it is therefore not possible to make an assessment of the number of breaches of the tapered annual allowance.</p><p>We are, however, listening carefully to concerns raised by senior doctors and NHS employers about the tapered annual allowance.</p><p>The Department has consulted on introducing flexibility within the NHS Pension Scheme from 2019/20 to allow clinicians affected by annual allowance tax charges to reduce their pension accrual in deciles in order to manage any potential annual allowance tax charges.</p><p>In September 2019 guidance was issued by NHS Employers informing employers of the short-term approaches that they could take to mitigate the effect of pension tax on their workforce this tax year. The NHS has also implemented an immediate measure to preserve clinical capacity amid the increased pressure on services during the winter period. This will compensate NHS clinicians for the effect on their pensions of annual allowance charges incurred in 2019/20.</p><p>As part of a wider drive to ensure the NHS has the staff it needs to meet demand and transform care, the Government is carrying out an urgent review of the pensions annual allowance taper problem that has caused some doctors to turn down extra shifts for fear of high tax bills. Ministers at HM Treasury and the Department for Health and Social Care have met the Academy of Medical Royal Colleges and the British Medical Association as part of this review to set a long-term solution. The review will report at budget.</p><p>The review will also consider the findings from the Department’s consultation on pension flexibility and the Department expects to set out its response to the consultation early in 2020.</p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 4501 4502 question first answered 21/01/2020 13:52:27 answering member 4362 label Biography information for Edward Argar
tabling member	4864 label Biography information for Olivia Blake

1171482

registered interest
date	16/01/2020
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	Doctors: Pensions
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 number of doctors affected by the changes in the annual allowance tax; and if he will make a statement.
tabling member constituency	Sheffield, Hallam
tabling member printed	Olivia Blake
uin	4501
answer	answer is ministerial correction date of answer 21/01/2020 answer text <p>The Department recognises that the annual allowance may contribute to decisions from National Health Service consultants to retire early or limit their NHS commitments, although a precise estimate of the change in the number of hours worked is not available.</p><p>The tapered annual allowance calculation takes into account non-pensionable earnings and all taxable income, it is therefore not possible to make an assessment of the number of breaches of the tapered annual allowance.</p><p>We are, however, listening carefully to concerns raised by senior doctors and NHS employers about the tapered annual allowance.</p><p>The Department has consulted on introducing flexibility within the NHS Pension Scheme from 2019/20 to allow clinicians affected by annual allowance tax charges to reduce their pension accrual in deciles in order to manage any potential annual allowance tax charges.</p><p>In September 2019 guidance was issued by NHS Employers informing employers of the short-term approaches that they could take to mitigate the effect of pension tax on their workforce this tax year. The NHS has also implemented an immediate measure to preserve clinical capacity amid the increased pressure on services during the winter period. This will compensate NHS clinicians for the effect on their pensions of annual allowance charges incurred in 2019/20.</p><p>As part of a wider drive to ensure the NHS has the staff it needs to meet demand and transform care, the Government is carrying out an urgent review of the pensions annual allowance taper problem that has caused some doctors to turn down extra shifts for fear of high tax bills. Ministers at HM Treasury and the Department for Health and Social Care have met the Academy of Medical Royal Colleges and the British Medical Association as part of this review to set a long-term solution. The review will report at budget.</p><p>The review will also consider the findings from the Department’s consultation on pension flexibility and the Department expects to set out its response to the consultation early in 2020.</p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 4500 4502 question first answered 21/01/2020 13:52:27 answering member 4362 label Biography information for Edward Argar
tabling member	4864 label Biography information for Olivia Blake

1171483

registered interest
date	16/01/2020
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	Doctors: Pensions
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 he has made of the effect on the number of hours worked by doctors of changes in the annual allowance tax; and if he will make a statement.
tabling member constituency	Sheffield, Hallam
tabling member printed	Olivia Blake
uin	4502
answer	answer is ministerial correction date of answer 21/01/2020 answer text <p>The Department recognises that the annual allowance may contribute to decisions from National Health Service consultants to retire early or limit their NHS commitments, although a precise estimate of the change in the number of hours worked is not available.</p><p>The tapered annual allowance calculation takes into account non-pensionable earnings and all taxable income, it is therefore not possible to make an assessment of the number of breaches of the tapered annual allowance.</p><p>We are, however, listening carefully to concerns raised by senior doctors and NHS employers about the tapered annual allowance.</p><p>The Department has consulted on introducing flexibility within the NHS Pension Scheme from 2019/20 to allow clinicians affected by annual allowance tax charges to reduce their pension accrual in deciles in order to manage any potential annual allowance tax charges.</p><p>In September 2019 guidance was issued by NHS Employers informing employers of the short-term approaches that they could take to mitigate the effect of pension tax on their workforce this tax year. The NHS has also implemented an immediate measure to preserve clinical capacity amid the increased pressure on services during the winter period. This will compensate NHS clinicians for the effect on their pensions of annual allowance charges incurred in 2019/20.</p><p>As part of a wider drive to ensure the NHS has the staff it needs to meet demand and transform care, the Government is carrying out an urgent review of the pensions annual allowance taper problem that has caused some doctors to turn down extra shifts for fear of high tax bills. Ministers at HM Treasury and the Department for Health and Social Care have met the Academy of Medical Royal Colleges and the British Medical Association as part of this review to set a long-term solution. The review will report at budget.</p><p>The review will also consider the findings from the Department’s consultation on pension flexibility and the Department expects to set out its response to the consultation early in 2020.</p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 4500 4501 question first answered 21/01/2020 13:52:27 answering member 4362 label Biography information for Edward Argar
tabling member	4864 label Biography information for Olivia Blake

1171489

registered interest
date	16/01/2020
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	Eating Disorders: 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 steps his Department has taken to reduce outpatient waiting times for adults with eating disorders.
tabling member constituency	Hove
tabling member printed	Peter Kyle
uin	4427
answer	answer is ministerial correction date of answer 21/01/2020 answer text <p>We are committed to expanding and improving services for adults with mental health conditions, including eating disorders. As part of the NHS Long Term Plan’s investment of an extra £2.3 billion a year by 2023/24, eating disorder services are being ramped-up across England.</p><p>We announced last year that 12 pilot sites will receive £70 million in funding to improve the provision of mental health care in the community. The pilots will bring together staff with expertise in treating a range of severe mental health issues including eating disorders. Alongside work to explore the effectiveness of different approaches to integrated delivery with primary care, NHS England will also test four week waiting times for adults and older adults in the community, and including for eating disorder services in some selected pilot sites. This will build our understanding of how best to introduce ambitious but achievable improvements to access, quality of care and outcomes.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 21/01/2020 17:10:10 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4505 label Biography information for Peter Kyle

1171025

registered interest
date	15/01/2020
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	Endometriosis: 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 his Department has to improve healthcare for women with endometriosis.
tabling member constituency	Cheltenham
tabling member printed	Alex Chalk
uin	3851
answer	answer is ministerial correction date of answer 21/01/2020 answer text <p>The National Health Service provides clinical care and treatment for women with endometriosis, including treatment for severe endometriosis through specialised centres across England.</p><p>To support women with endometriosis, all obstetricians and gynaecologists have been trained in the diagnosis, investigation and management of the condition, which is specifically listed as a topic in the core curriculum for obstetrics and gynaecology.</p><p>NHS England recommends the European Society of Human Reproduction and Embryology guidelines on the management of women with endometriosis. The guidance offers best practice advice on the diagnosis and treatment of women with suspected endometriosis as well as the effectiveness of medically assisted reproduction for endometriosis-associated infertility. It also provides information on the management of patients in whom endometriosis is found incidentally (without pain or infertility).</p><p>NHS England also expects providers to adhere to National Institute for Health and Care Excellence guidance regarding the diagnosis, management and treatment of endometriosis.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/01/2020 11:36:17 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4481 label Biography information for Alex Chalk

1170642

registered interest
date	14/01/2020
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: Waiting Lists
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 is taking to reduce waiting times for mental health treatment.
tabling member constituency	South Leicestershire
tabling member printed	Alberto Costa
uin	3236
answer	answer is ministerial correction date of answer 21/01/2020 answer text <p>We have committed at least a further £2.3 billion a year to mental health services by 2023/24 which will see spending for children and young people’s mental health services growing faster than the overall spend on mental health, which will itself be growing faster than the overall National Health Service budget. This multi-billion investment, which is part of the NHS Long Term Plan, will give greater mental health support to an extra 345,000 more children and at least 380,000 more adults.</p><p>In addition, NHS England is working nationally with 12 pilot sites to test the feasibility of delivering a four-week waiting time for children and young people to access to NHS mental health support. This is an outcome of our Green Paper on children and young people’s mental health.</p><p>The agreed pilots end in 2020/21. Results will then be evaluated. The Department and NHS England will consider the results of the evaluation and will look at its implications for the development and rollout of access and waiting time standards for all children and young people who need specialist mental health services.</p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 21/01/2020 14:58:21 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4439 label Biography information for Alberto Costa

1170665

registered interest
date	14/01/2020
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: Children
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 he has to assess the mental health of (a) primary and (b) secondary school aged children.
tabling member constituency	Preston
tabling member printed	Sir Mark Hendrick
uin	3145
answer	answer is ministerial correction date of answer 21/01/2020 answer text <p>The Department has committed to conduct a survey every seven years on the prevalence of mental health conditions in children and young people. The most recent survey is the ‘Mental Health of Children and Young People in England, 2017’, published in November 2018.</p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 21/01/2020 14:55:52 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	473 label Biography information for Sir Mark Hendrick

1170667

registered interest
date	14/01/2020
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	Suicide: Children
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 he plans to allocate to the prevention of child suicide over the next five years.
tabling member constituency	Preston
tabling member printed	Sir Mark Hendrick
uin	3146
answer	answer is ministerial correction date of answer 21/01/2020 answer text <p>We are taking action to prevent child suicide through continued increasing investment in mental health services. Under the NHS Long Term Plan, mental health services will continue to receive a growing share of the National Health Service budget, with funding to grow by at least £2.3 billion a year by 2023/24. Spending for children and young people’s mental health services will grow faster than the overall spend on mental health, which will itself be growing faster than the overall NHS budget.</p><p>This increased funding will ensure that by 2023/24, at least an additional 345,000 children and young people aged 0-25 will be able to access support via NHS-funded mental health services and school– or college-based mental health support teams.</p><p>We are also investing £57 million specifically in suicide prevention and bereavement services in all areas of the country by 2023/24.</p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 21/01/2020 15:00:06 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	473 label Biography information for Sir Mark Hendrick