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1151415

registered interest
date	22/10/2019
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: Equality
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 ensure equity of access to mental health treatment.
tabling member constituency	Bethnal Green and Bow
tabling member printed	Rushanara Ali
uin	3657
answer	answer is ministerial correction date of answer 29/10/2019 answer text <p>We are making good progress on putting mental health services on an equal footing as those for physical health.</p><p> </p><p>The Five Year Forward View for Mental Health, published in 2016, made a set of recommendations for the National Health Service to achieve the ambition of parity of esteem between mental and physical health for children, young people, adults and older people. We continue to work with the NHS to deliver on these recommendations with the majority expected to be met by 2020/21.</p><p> </p><p>Investment in mental health services continues to rise. Total mental health spend in 2018/19 was £12.5 billion, up from £9.15 billion in 2015/16. The mental health investment standard requires clinical commissioning groups (CCGs) to increase the amount spent on mental health by at least as much as their overall budget. In 2018/19, all CCGs achieved this level of investment.</p><p> </p><p>The NHS Long Term Plan committed at least a further £2.3 billion a year to mental health services by 2023/24. This ring-fenced investment will continue the transformation and expansion of services for people with mental health conditions, building on our current targets. For the first time, children and young people’s mental health services will grow as a proportion of all mental health services, which will themselves also be growing faster than the NHS overall.</p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 3799 question first answered 29/10/2019 14:53:35 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4138 label Biography information for Rushanara Ali

1151416

registered interest
date	22/10/2019
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: 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 steps his Department has taken to improve the provision of mental health services for children aged five to 16.
tabling member constituency	Bethnal Green and Bow
tabling member printed	Rushanara Ali
uin	3658
answer	answer is ministerial correction date of answer 29/10/2019 answer text <p>Protecting our children’s mental health is a priority for this Government, and a core part of the NHS Long Term Plan.</p><p> </p><p>We made available £1.4 billion to improve specialist children and young people’s mental health services between 2015-21. Through the NHS Long Term Plan, mental health across all ages will receive a growing share of the National Health Service budget, worth at least a further £2.3 billion a year in real terms by 2023/24. Moreover, funding for children and young people’s mental health services will, for the first time, grow as a proportion of all mental health funding, which will itself also be growing faster than funding for the NHS overall.</p><p> </p><p>In December 2018, we announced 25 Trailblazer sites which will run the first wave of 59 Mental Health Support Teams, which will be fully operational by the end of 2019. On 12 July, we announced that a further 124 Mental Health Support Teams are to be set up across 57 sites.</p><p> </p><p>We remain committed to rolling out our new approach to at least a fifth to a quarter of the country by the end of 2022/23 subject to learning from the first wave.</p><p> </p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 29/10/2019 14:54:14 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4138 label Biography information for Rushanara Ali

1151466

registered interest
date	22/10/2019
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress his Department has made on achieving parity of esteem for mental and physical health.
tabling member constituency	Ealing Central and Acton
tabling member printed	Dr Rupa Huq
uin	3799
answer	answer is ministerial correction date of answer 29/10/2019 answer text <p>We are making good progress on putting mental health services on an equal footing as those for physical health.</p><p> </p><p>The Five Year Forward View for Mental Health, published in 2016, made a set of recommendations for the National Health Service to achieve the ambition of parity of esteem between mental and physical health for children, young people, adults and older people. We continue to work with the NHS to deliver on these recommendations with the majority expected to be met by 2020/21.</p><p> </p><p>Investment in mental health services continues to rise. Total mental health spend in 2018/19 was £12.5 billion, up from £9.15 billion in 2015/16. The mental health investment standard requires clinical commissioning groups (CCGs) to increase the amount spent on mental health by at least as much as their overall budget. In 2018/19, all CCGs achieved this level of investment.</p><p> </p><p>The NHS Long Term Plan committed at least a further £2.3 billion a year to mental health services by 2023/24. This ring-fenced investment will continue the transformation and expansion of services for people with mental health conditions, building on our current targets. For the first time, children and young people’s mental health services will grow as a proportion of all mental health services, which will themselves also be growing faster than the NHS overall.</p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 3657 question first answered 29/10/2019 14:53:35 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4511 label Biography information for Dr Rupa Huq

1151467

registered interest
date	22/10/2019
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	Pregnancy: Mental Illness
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 tackle perinatal mental illness.
tabling member constituency	Ealing Central and Acton
tabling member printed	Dr Rupa Huq
uin	3800
answer	answer is ministerial correction date of answer 29/10/2019 answer text <p>We are committed to improving perinatal mental health services.</p><p> </p><p>Early intervention in the first part of a child’s life can significantly improve outcomes. This includes early identification and support for social, emotional, behavioural and mental health issues.</p><p> </p><p>From April 2019, new and expectant mothers have been able to access specialist perinatal mental health community services in every part of the country.</p><p> </p><p>Our investment in perinatal mental health services means that an additional 30,000 women will access these services each year by 2020/21 with the care that they receive making a significant difference to their lives – and to the lives and life chances of their children.</p><p> </p><p>The NHS Long Term Plan includes a commitment for a further 24,000 women to be able to access specialist perinatal mental health care by 2023/24. Specialist care will also be available from preconception to 24 months after birth, which will provide an extra year of support.</p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 29/10/2019 14:52:40 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4511 label Biography information for Dr Rupa Huq

1151541

registered interest
date	22/10/2019
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 Property Services
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 publish the terms of reference for the periodic review of NHS Property Services Limited referred to by Sir Chris Wormald in oral evidence to the Public Accounts Committee on 9 September 2019.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	3733
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>The scope of the review of NHS Property Services Limited is an update of the strategic context and justification for the company delivery model; a review of the Company’s operational and financial performance; and both with reference to changes to the role and function of the Department since the formation of the company in 2013.</p><p>National Health Service trusts and foundation trusts occupy about a third of NHS Property Services’ estate as tenants. The Company provides facilities management and other estates services to these properties; the trusts provide elements of these services to NHS Property Services themselves in many cases and these may be delivered through Wholly Owned Subsidiary Companies in areas where these have been established. It is for individual NHS trusts to decide on the best contracting model for the delivery of these services.</p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 3734 question first answered 28/10/2019 12:56:44 answering member 4362 label Biography information for Edward Argar
tabling member	4444 label Biography information for Karin Smyth

1151543

registered interest
date	22/10/2019
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 and Social Services: Recruitment
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 cost to (a) the NHS and (b) the social care system of recruitment advertising in the most recent period for which data is available.
tabling member constituency	East Hampshire
tabling member printed	Mr Damian Hinds
uin	3735
answer	answer is ministerial correction date of answer 29/10/2019 answer text <p>Information on the cost of all recruitment advertising to the National Health Service and the social care system is not held centrally by the Department. This would be held by individual NHS trusts and individual care providers.</p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 29/10/2019 14:51:59 answering member 4362 label Biography information for Edward Argar
tabling member	3969 label Biography information for Damian Hinds

1151545

registered interest
date	22/10/2019
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: Property
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 publish the guidance used in the consideration of the transfer to local ownership of NHS properties currently owned and managed by NHS Property Services.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	3737
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>The guidance for National Health Service trusts and foundation trusts on requesting transfer of estate in the ownership of the NHS Property Companies (which includes NHS Property Services is published on the Government website at the following link:</p><p><a href="https://www.gov.uk/government/publications/requesting-transfers-of-estate-owned-by-nhs-property-companies" target="_blank">https://www.gov.uk/government/publications/requesting-transfers-of-estate-owned-by-nhs-property-companies</a></p><p>Each transfer will need to be justified individually, showing that there will be clinical and patient benefits that will be drawn out of the estate following transfer through increased flexibility of usage of the estate, and that the property is part of the long term plans for the trust and the local sustainability and transformation plan (STP)/integrated care system (ICS).</p><p>The trust will not be able to take ownership of a property until all tenants outstanding debts with NHS Property Services have been settled. This should ensure that where properties transfer, the receiving trust has a clean starting point as well as ensuring that NHS Property Services are able to reduce their overall debt position as properties are transferred across.</p><p>Applicant NHS trusts and foundation trusts will submit business cases to the Department explaining how a transfer of ownership will benefit the local health system and confirming that the transfer would be on the terms set out in the guidance (and set out above). The Department will then decide whether the transfer should take place.</p><p>To date, West Suffolk NHS Foundation Trust - for Newmarket Hospital - and Dorset Healthcare Foundation Trust – for Boscombe and Springbourne Health Centre - have had business cases approved and these properties transferred on 30 September 2019.</p><p>Around 20 other trusts have expressed an interest in the policy and are in the process of considering how they want to proceed.</p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 3730 3736 question first answered 28/10/2019 12:58:36 answering member 4362 label Biography information for Edward Argar
tabling member	4444 label Biography information for Karin Smyth

1151546

registered interest
date	22/10/2019
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 Trusts: Subsidiary Companies
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the review of the Addendum to the transactions guidance, for trusts forming or changing a subsidiary, will include an assessment of the role for NHS Property Services.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	3738
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>Ministers do not have a role in approving Wholly Owned Subsidiary companies created by National Health Service foundation trusts, as this role is delegated to NHS England and NHS Improvement</p><p><br> The review of the Addendum to the “Transactions guidance – for trusts forming or changing a subsidiary” will focus on updating the overall approach to subsidiaries to ensure it is appropriate and proportionate. There is no intention to focus the review of the Addendum on subsidiaries delivering management of property and estates.</p><p><br> The review of a subsidiary proposal focusses on understanding the level of risk it presents. As part of this, NHS England and NHS Improvement will consider whether the Trust Board has undertaken a detailed options appraisal before deciding that the proposed subsidiary transaction aligns with wider system plans. Whether or not this should include an appraisal of the option for NHS Property Services to manage the services is a matter for the Trust Board, and will depend on the circumstances of each case.</p><p><br> No assessment by Ministers has been made of NHS England and NHS Improvement compliance with their transaction guidance. It is for NHS England and NHS Improvement to arrange meetings with the Trust board and other key stakeholders, so that they better understand the Trust’s proposals for its Wholly Owned Subsidiary and the risks involved.</p><p>NHS trust business cases provided to NHS Improvement for review are commercially sensitive; NHS England and NHS Improvement do not disclose details of the business cases nor their review of them.</p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 3739 3747 3748 question first answered 28/10/2019 12:59:51 answering member 4362 label Biography information for Edward Argar
tabling member	4444 label Biography information for Karin Smyth

1151547

registered interest
date	22/10/2019
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 Trusts: Subsidiary Companies
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 applications by NHS Trusts for permission to form a Wholly Owned Subsidiary company to manage property and estates included an appraisal of the option for NHS Property Services to manage the services.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	3739
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>Ministers do not have a role in approving Wholly Owned Subsidiary companies created by National Health Service foundation trusts, as this role is delegated to NHS England and NHS Improvement</p><p><br> The review of the Addendum to the “Transactions guidance – for trusts forming or changing a subsidiary” will focus on updating the overall approach to subsidiaries to ensure it is appropriate and proportionate. There is no intention to focus the review of the Addendum on subsidiaries delivering management of property and estates.</p><p><br> The review of a subsidiary proposal focusses on understanding the level of risk it presents. As part of this, NHS England and NHS Improvement will consider whether the Trust Board has undertaken a detailed options appraisal before deciding that the proposed subsidiary transaction aligns with wider system plans. Whether or not this should include an appraisal of the option for NHS Property Services to manage the services is a matter for the Trust Board, and will depend on the circumstances of each case.</p><p><br> No assessment by Ministers has been made of NHS England and NHS Improvement compliance with their transaction guidance. It is for NHS England and NHS Improvement to arrange meetings with the Trust board and other key stakeholders, so that they better understand the Trust’s proposals for its Wholly Owned Subsidiary and the risks involved.</p><p>NHS trust business cases provided to NHS Improvement for review are commercially sensitive; NHS England and NHS Improvement do not disclose details of the business cases nor their review of them.</p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 3738 3747 3748 question first answered 28/10/2019 12:59:51 answering member 4362 label Biography information for Edward Argar
tabling member	4444 label Biography information for Karin Smyth

1151555

registered interest
date	22/10/2019
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 Trusts: Subsidiary Companies
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 8 October 2019 to Question 293629 on NHS Trusts: Subsidiary Companies, what assessment he has made compliance of with transaction guidance of the reviews to include a series of planned meetings with key stakeholders.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	3747
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>Ministers do not have a role in approving Wholly Owned Subsidiary companies created by National Health Service foundation trusts, as this role is delegated to NHS England and NHS Improvement</p><p><br> The review of the Addendum to the “Transactions guidance – for trusts forming or changing a subsidiary” will focus on updating the overall approach to subsidiaries to ensure it is appropriate and proportionate. There is no intention to focus the review of the Addendum on subsidiaries delivering management of property and estates.</p><p><br> The review of a subsidiary proposal focusses on understanding the level of risk it presents. As part of this, NHS England and NHS Improvement will consider whether the Trust Board has undertaken a detailed options appraisal before deciding that the proposed subsidiary transaction aligns with wider system plans. Whether or not this should include an appraisal of the option for NHS Property Services to manage the services is a matter for the Trust Board, and will depend on the circumstances of each case.</p><p><br> No assessment by Ministers has been made of NHS England and NHS Improvement compliance with their transaction guidance. It is for NHS England and NHS Improvement to arrange meetings with the Trust board and other key stakeholders, so that they better understand the Trust’s proposals for its Wholly Owned Subsidiary and the risks involved.</p><p>NHS trust business cases provided to NHS Improvement for review are commercially sensitive; NHS England and NHS Improvement do not disclose details of the business cases nor their review of them.</p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 3738 3739 3748 question first answered 28/10/2019 12:59:51 answering member 4362 label Biography information for Edward Argar
tabling member	4444 label Biography information for Karin Smyth