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1025315

registered interest
date	14/12/2018
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with the Secretary of State for Housing, Communities and Local Government on the integration of mental health services and addictions services.
tabling member constituency	Central Suffolk and North Ipswich
tabling member printed	Dr Dan Poulter
uin	202307
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>Ministers from the Department of Health and Social Care and the Ministry of Housing, Communities and Local Government have discussed this issue.</p><p> </p><p>We know that there is clear evidence that drug and alcohol misuse is common among people with mental health problems and that people with co-occurring substance misuse and mental health conditions are too often unable to access the care they need.</p><p> </p><p>To help improve access to services, Public Health England has developed guidance to support a ‘no wrong door approach’ to commissioning and provision of joined up services for people with a dual diagnosis of mental health and substance misuse problems.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/12/2018 17:34:57 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3932 label Biography information for Dr Dan Poulter

1019561

registered interest
date	03/12/2018
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
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 23 November 2018 to Question 193434, what plans his Department has to ensure 100 per cent of people with first episode psychosis start treatment with a National Institute for Health and Care Excellence-recommended package of care through a specialist Early Intervention in Psychosis service within two weeks of referral.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	198280
answer	answer is ministerial correction date of answer 11/12/2018 answer text <p>The Government is committed to supporting services to deliver the Early Intervention in Psychosis (EIP) access and waiting time standards.</p><p> </p><p>The latest data indicates that the National Health Service is exceeding the waiting time target of at least 60% of patients accessing EIP services within two weeks by 2020/21. In September 2018, 76.1% of patients were accessing the services within this time frame.</p><p> </p><p>On the element of the standard on access to the National Institute for Health and Care Excellence (NICE)-concordant care, NHS England gathers and compiles data on rates of access to NICE-recommended treatments through EIP services for people experiencing first episode psychosis. It has established an expected trajectory for year-on-year improvements in access rates and EIP teams undertake an annual, audited self-assessment to gauge progress against this.</p><p> </p><p>In addition, NHS England, its national partners and its clinical networks are also collating and sharing best practice and supporting training and innovation in care.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 11/12/2018 17:14:09 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1019562

registered interest
date	03/12/2018
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
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 12 November 2018 to Question 188806, what plans his Department has to make an assessment of the effect of changes in the level of funding for (a) Sure Start centres, (b) youth centres and (c) other universal services on trends in the level of demand for NHS mental health services.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	198281
answer	answer is ministerial correction date of answer 11/12/2018 answer text <p>There are no plans to make a formal assessment.</p><p> </p><p>The Government is committed to widening access to children and young people’s mental health services to address unmet need and ensure that more children and young people can get the support they need, at the right time.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 11/12/2018 17:13:16 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1017487

registered interest
date	30/11/2018
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
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 progress he has made on the Mental Health Safety Improvement Programme; and if he will make a statement.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	197608
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>The Mental Health Safety Improvement Programme (MHSIP) was rolled out in April 2018 and is a two-year programme funded until March 2020.</p><p>The overall aim of the programme is for every National Health Service trust providing core mental health services in England to have understood its safety priorities and have made a measurable improvement in at least one key area of mental health safety by 31 March 2020.</p><p>From January 2019, MHSIP engagement meetings with trusts will align with the Care Quality Commission inspection cycle to ensure that there is a timely follow-up to the inspection findings.</p><p>Given the nature of the programme, it is too early to provide trend analysis at this stage.</p><p><strong> </strong></p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 197609 question first answered 05/12/2018 17:41:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1588 label Biography information for Barbara Keeley

1017488

registered interest
date	30/11/2018
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
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 trends in the level of safety of core mental health services in mental health trusts as a result of the introduction of the Mental Health Safety Improvement programme.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	197609
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>The Mental Health Safety Improvement Programme (MHSIP) was rolled out in April 2018 and is a two-year programme funded until March 2020.</p><p>The overall aim of the programme is for every National Health Service trust providing core mental health services in England to have understood its safety priorities and have made a measurable improvement in at least one key area of mental health safety by 31 March 2020.</p><p>From January 2019, MHSIP engagement meetings with trusts will align with the Care Quality Commission inspection cycle to ensure that there is a timely follow-up to the inspection findings.</p><p>Given the nature of the programme, it is too early to provide trend analysis at this stage.</p><p><strong> </strong></p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 197608 question first answered 05/12/2018 17:41:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1588 label Biography information for Barbara Keeley

1017490

registered interest
date	30/11/2018
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
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 (a) FTE workforce and (b) funded establishment for the Improving Access to Psychological Therapies programme in each of the last three years; and how many (i) Low Intensity (Step 2) workers, (ii) High Intensity (Step 3) workers and (iii) two percent Employment Support workers were employed in that programme in each of the last three years.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	197611
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>Information for relevant years is not available in the format requested.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/12/2018 17:43:35 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1588 label Biography information for Barbara Keeley

1016447

registered interest
date	28/11/2018
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
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 adequacy of the provision of community mental health services for people with severe mental illness.
tabling member constituency	Manchester, Withington
tabling member printed	Jeff Smith
uin	196877
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>The Government recognises that we need to go further in improving mental health services.</p><p> </p><p>NHS England is developing a new framework for community mental health services focussing on care for adults with severe mental illnesses.</p><p> </p><p>This work draws on a wide range of sources of data and intelligence, including the Care Quality Commission’s annual community mental health surveys and inspections of services.</p><p> </p><p>The Government has asked the National Health Service to develop a long-term plan which will set out a vision for the health service and we have been clear that better access to mental health services, to help achieve the Government’s commitment to parity of esteem between mental and physical health, is one of the principles which must underpin the plan. It will be published shortly.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/12/2018 16:57:07 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4456 label Biography information for Jeff Smith

1013150

registered interest
date	23/11/2018
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of the total (a) NHS England budget and (b) his Department's budget (i) has been spent on mental health services in each of the last five years, (ii) is planned be spent on mental health services in 2018-19 and (iii) is planned to be spent on mental health services in each year from 2019-20 to 2023-24.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	195072
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>The Department’s budget is not spent directly on mental health services. The bulk of the Department’s budget is managed by NHS England, which is responsible for improving health and care outcomes for people in England. NHS England collates information on mental health expenditure for clinical commissioning groups (CCGs) and specialised commissioned services. Other areas of direct commissioning also provide mental health services, most notably general practitioners, but NHS England does not currently collect details of spend on mental health in these areas.</p><p> </p><p>NHS England’s mental health spend for 2016/17 and for 2017/18 are published in the Five Year Forward View for Mental Health dashboard, and the planned spend for 2018/19 is due to be published shortly. The dashboard also reports national CCG mental health spend as a percentage of overall CCG programme allocation.</p><p> </p><p>The following table shows specialised mental health spend and the total of CCG and specialised mental health spend as a percentage of CCG and specialised programme allocations for 2015/16, 2016/17 and 2017/18 using data from the mental health dashboard where relevant. The table also provides this information for 2013/14 and 2014/15, although this information is not included in the mental health dashboard.</p><p> </p><p>NHS England mental health spend, as a proportion of overall health spend 2013/14-2017/18</p><table><tbody><tr><td><p> </p></td><td><p>CCG mental health spend</p></td><td><p>Specialised mental health spend</p></td><td><p>Total CCG and specialised mental health</p></td><td><p>CCG and Specialised mental spend as a % of allocation</p></td></tr><tr><td><p> </p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p> </p></td></tr><tr><td><p>2013/14</p></td><td><p>7,819</p></td><td><p>1,764</p></td><td><p>9,583</p></td><td><p>12.2%</p></td></tr><tr><td><p>2014/15</p></td><td><p>8,289</p></td><td><p>1,790</p></td><td><p>10,079</p></td><td><p>12.4%</p></td></tr><tr><td><p>2015/16</p></td><td><p>9,148</p></td><td><p>1,831</p></td><td><p>10,979</p></td><td><p>13.0%</p></td></tr><tr><td><p>2016/17</p></td><td><p>9,723</p></td><td><p>1,879</p></td><td><p>11,602</p></td><td><p>13.3%</p></td></tr><tr><td><p>2017/18</p></td><td><p>10,080</p></td><td><p>1,896</p></td><td><p>11,976</p></td><td><p>13.3%</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr></tbody></table><p>Source: NHS England</p><p> </p><p>The Five Year Forward View for Mental Health dashboard is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/" target="_blank">https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/</a></p><p> </p><p>For future years, the Government announced its long term financial settlement for the National Health Service in June. This will represent an increase of £20.5 billion in real terms by 2023/24. The Government has asked the National Health Service to develop a long-term plan which will set out a vision for the health service and ensure every penny is well spent, this will be published shortly.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/12/2018 17:18:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4244 label Biography information for Jonathan Ashworth

1012360

registered interest
date	22/11/2018
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
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 and what proportion of hospitals provided 24-hour core 24 mental health teams for patients in England in (a) March and (b) October 2017.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	194730
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>The data is not held in the format requested.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 29/11/2018 13:48:26 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4244 label Biography information for Jonathan Ashworth

1011474

registered interest
date	21/11/2018
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
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 he has made of the adequacy of access to mental health services for individuals who have been involved in a terror attack.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	194066
answer	answer is ministerial correction date of answer 26/11/2018 answer text <p>The Government and its health partners recognise that it is important to ensure that people who have survived any form of critical incident have appropriate, evidence based mental health support if needed.</p><p> </p><p>It is essential that the mental health response is proportionate to the situation and the specific models of service delivery are a matter for NHS England and the local National Health Service.</p><p> </p><p>We are aware that health systems in London and Manchester are evaluating the response of the NHS and wider economy to their recent terrorist events. We will ensure this learning is shared with the system.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/11/2018 17:27:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	534 label Biography information for Chris Ruane