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1138387

	registered interest
	date	11/07/2019
	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	Carers
	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 NHS Long Term Plan implementation framework, how many people have carer passports; and what targets have been set to increase the adoption of those passports.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	276173
	answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Section 2.33 of NHS England’s Long Term Plan states:</p><p>“We will continue to identify and support carers, particularly those from vulnerable communities. Carers are twice as likely to suffer from poor health compared to the general population, primarily due to a lack of information and support, finance concerns, stress and social isolation. Quality marks for carer-friendly GP practices, developed with the Care Quality Commission (CQC), will help carers identify GP services that can accommodate their needs. We will encourage the national adoption of carer's passports, which identify someone as a carer and enable staff to involve them in a patient’s care, and set out guidelines for their use based on trials in Manchester and Bristol. These will be complemented by developments to electronic health records that allow people to share their caring status with healthcare professionals wherever they present.”</p><p> </p><p>There is currently no data on the number of Carer Passports nationally and the use of theses passports is variable across the country and across different health, care and community settings.</p><p> </p><p>Work commissioned by the Department and carried out by Carers UK and Carers Trust, led to the development of a carer passport resource. The Carer Passport resource is available at the following link:</p><p><a href="https://carerspassports.uk/" target="_blank">https://carerspassports.uk/</a></p><p>This provides information on existing passport frameworks and support for the development of carer passports across a range of settings. As part of NHS England’s commitments, we will be supporting the use of these passports and promoting this through the implementation of our Quality Markers in Primary Care (launched in June), ongoing development work with sustainability and transformation partnership and integrated care system localities and as an extension of work already in progress following the response to John’s Campaign within secondary care settings. More information about John’s Campaign is available at the following link:</p><p><a href="https://johnscampaign.org.uk/#/" target="_blank">https://johnscampaign.org.uk/#/</a></p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/07/2019 16:25:50 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1138388

	registered interest
	date	11/07/2019
	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: Training
	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 NHS Long Term Plan implementation framework system support offer, how many of the 75,000 staff to be trained on personalised care approaches will work in (a) autism and learning disability and (b) mental health services.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	276174
	answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Professionals working in autism, learning disability and mental health will have access to training on personalised care approaches. The exact number to be trained will be determined locally based on staffing levels and local needs.</p><p>The Care Act 2014 places responsibilities on local authorities in England to promote their local care markets. They are required to promote a diverse, sustainable, high quality market of care and support providers for people in their local area.</p><p>Local authorities are expected to understand and articulate likely future demand for services in their area; engage with care providers to understand the likely supply of services; provide signals to the market of their intent; and as needed, intervene in the market to stimulate change and innovation in providers to better meet the needs of people and communities.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276177 question first answered 16/07/2019 16:23:54 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1138408

	registered interest
	date	11/07/2019
	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	Autism and Learning Disability: Social Services
	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 NHS Long Term Plan implementation framework system support offer, how his Department will monitor growth in the independent and voluntary sector care and support market for autistic people and people with learning disabilities with more complex needs.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	276177
	answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Professionals working in autism, learning disability and mental health will have access to training on personalised care approaches. The exact number to be trained will be determined locally based on staffing levels and local needs.</p><p>The Care Act 2014 places responsibilities on local authorities in England to promote their local care markets. They are required to promote a diverse, sustainable, high quality market of care and support providers for people in their local area.</p><p>Local authorities are expected to understand and articulate likely future demand for services in their area; engage with care providers to understand the likely supply of services; provide signals to the market of their intent; and as needed, intervene in the market to stimulate change and innovation in providers to better meet the needs of people and communities.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276174 question first answered 16/07/2019 16:23:54 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1138432

	registered interest
	date	11/07/2019
	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	Dementia
	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 dementia diagnosis in each year of the last five years.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	276142
	answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>No formal assessment of the trends in levels of dementia diagnosis in each year of the last five years has been made. The Prime Minister's Challenge on Dementia 2020 (started in 2015) sets out the ambition for two thirds of people with dementia to receive a formal diagnosis. We collect data for an indicator: Estimated Dementia Diagnosis Rate 65+. This indicator compares the number of people thought to have dementia with the number of people diagnosed with dementia, aged 65 and over. The result is presented as a rate, in the form of a percentage and published regularly. The published diagnosis rate is consistently above the target.</p><p> </p><p>The annual ‘Recorded Dementia Diagnoses 2018-19’ publication is scheduled for release on 25 July 2019 and this will cover trends in national and regional diagnosis rates for April 2018 - March 2019.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/07/2019 16:24:40 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	308 label Biography information for Mr Jim Cunningham

1138072

	registered interest
	date	10/07/2019
	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	Special Educational Needs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what outcomes NHS England plans to achieve for children and young people with special educational needs and disabilities during the lifespan of the NHS Long Term Plan.
	tabling member constituency	Newcastle upon Tyne North
	tabling member printed	Catherine McKinnell
	uin	275749
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>Aspirations for children and young people are set out in the NHS Long Term Plan and the recently published Implementation Framework. Services for children and young people with special educational needs and disabilities and learning disabilities and autism are separate workstreams under the new Children and Young People Transformation Board.</p><p>Funding to deliver the improvements set out in the Long Term Plan will be provided through clinical commissioning groups allocations and additional service development funding.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 275750 question first answered 15/07/2019 15:30:31 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4125 label Biography information for Catherine McKinnell

1138073

	registered interest
	date	10/07/2019
	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	Special Educational Needs: Finance
	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 NHS England has allocated to improving outcomes for children and young people with special educational needs and disabilities during the lifespan of the NHS Long-Term Plan.
	tabling member constituency	Newcastle upon Tyne North
	tabling member printed	Catherine McKinnell
	uin	275750
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>Aspirations for children and young people are set out in the NHS Long Term Plan and the recently published Implementation Framework. Services for children and young people with special educational needs and disabilities and learning disabilities and autism are separate workstreams under the new Children and Young People Transformation Board.</p><p>Funding to deliver the improvements set out in the Long Term Plan will be provided through clinical commissioning groups allocations and additional service development funding.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 275749 question first answered 15/07/2019 15:30:31 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4125 label Biography information for Catherine McKinnell

1138179

	registered interest
	date	10/07/2019
	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	Dementia: 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, if he will make it is policy to introduce a dedicated dementia fund as recommended by the Alzheimer's Society.
	tabling member constituency	Bexleyheath and Crayford
	tabling member printed	Sir David Evennett
	uin	275693
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>We have noted the recent Alzheimer’s Society report. We are committed to publishing a Green Paper on adult social care at the earliest opportunity, setting out proposals for reform. One aspect of the dementia fund proposals was related to personal health budgets. Within Universal Personalised Care, we committed to exploring possible new rights to have personal health budgets in a further five areas across 2019-20, including dementia.</p><p>We continue to work with our partners to deliver in full the Challenge on Dementia 2020, which includes commitments to improve awareness of dementia. There are now more than 2.8 million people that are dementia friends and 365 areas in England have committed to become Dementia Friendly Communities.</p><p>The Challenge on Dementia 2020 sets out the ambition for two thirds of people with dementia to receive a formal diagnosis. This has been achieved nationally. Our focus now is on reducing the variation in local diagnosis rates, and NHS England have published guidance and put programmes in place to further improve the quality and timeliness of diagnosis across the country.</p><p>Information on how much funding was spent on dementia care in Bexley, London and England is not available centrally. NHS England allocates funding to clinical commissioning groups (CCGs) which commission services on behalf of their local populations. It is for CCGs to decide how best to use the funding allocated to them in line with local healthcare needs and priorities, working with other local commissioners and organisations.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 275694 275695 question first answered 15/07/2019 15:18:25 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1198 label Biography information for Sir David Evennett

1138181

	registered interest
	date	10/07/2019
	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	Dementia: Diagnosis and Health Education
	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 steps his Department has taken to improve (a) awareness and (b) diagnosis of dementia.
	tabling member constituency	Bexleyheath and Crayford
	tabling member printed	Sir David Evennett
	uin	275694
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>We have noted the recent Alzheimer’s Society report. We are committed to publishing a Green Paper on adult social care at the earliest opportunity, setting out proposals for reform. One aspect of the dementia fund proposals was related to personal health budgets. Within Universal Personalised Care, we committed to exploring possible new rights to have personal health budgets in a further five areas across 2019-20, including dementia.</p><p>We continue to work with our partners to deliver in full the Challenge on Dementia 2020, which includes commitments to improve awareness of dementia. There are now more than 2.8 million people that are dementia friends and 365 areas in England have committed to become Dementia Friendly Communities.</p><p>The Challenge on Dementia 2020 sets out the ambition for two thirds of people with dementia to receive a formal diagnosis. This has been achieved nationally. Our focus now is on reducing the variation in local diagnosis rates, and NHS England have published guidance and put programmes in place to further improve the quality and timeliness of diagnosis across the country.</p><p>Information on how much funding was spent on dementia care in Bexley, London and England is not available centrally. NHS England allocates funding to clinical commissioning groups (CCGs) which commission services on behalf of their local populations. It is for CCGs to decide how best to use the funding allocated to them in line with local healthcare needs and priorities, working with other local commissioners and organisations.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 275693 275695 question first answered 15/07/2019 15:18:25 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1198 label Biography information for Sir David Evennett

1138182

	registered interest
	date	10/07/2019
	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	Dementia: 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 much was spent on dementia care in (a) Bexley, (b) London and (c) England in each of the last five years.
	tabling member constituency	Bexleyheath and Crayford
	tabling member printed	Sir David Evennett
	uin	275695
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>We have noted the recent Alzheimer’s Society report. We are committed to publishing a Green Paper on adult social care at the earliest opportunity, setting out proposals for reform. One aspect of the dementia fund proposals was related to personal health budgets. Within Universal Personalised Care, we committed to exploring possible new rights to have personal health budgets in a further five areas across 2019-20, including dementia.</p><p>We continue to work with our partners to deliver in full the Challenge on Dementia 2020, which includes commitments to improve awareness of dementia. There are now more than 2.8 million people that are dementia friends and 365 areas in England have committed to become Dementia Friendly Communities.</p><p>The Challenge on Dementia 2020 sets out the ambition for two thirds of people with dementia to receive a formal diagnosis. This has been achieved nationally. Our focus now is on reducing the variation in local diagnosis rates, and NHS England have published guidance and put programmes in place to further improve the quality and timeliness of diagnosis across the country.</p><p>Information on how much funding was spent on dementia care in Bexley, London and England is not available centrally. NHS England allocates funding to clinical commissioning groups (CCGs) which commission services on behalf of their local populations. It is for CCGs to decide how best to use the funding allocated to them in line with local healthcare needs and priorities, working with other local commissioners and organisations.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 275693 275694 question first answered 15/07/2019 15:18:25 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1198 label Biography information for Sir David Evennett

1137733

	registered interest
	date	09/07/2019
	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	Palliative Care: Children
	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 bring forward legislative proposals to ensure that parents are responsible for the end-of-life decisions for their child.
	tabling member constituency	Wansbeck
	tabling member printed	Ian Lavery
	uin	275196
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>There are no plans to change the existing well-established principles around consent to treatment on behalf of children or to bring forward legislation. The principles around consent to treatment or refusal of treatment apply to both general treatment and the very difficult decisions around end of life.</p><p>It is a general legal and ethical principle that valid consent must be obtained from an individual or, where the individual is not competent to make such decisions, from someone acting on the individual’s behalf, before starting a treatment or physical intervention.</p><p>However, those under 16 are not automatically presumed to be legally competent to make decisions about their healthcare. Where someone under 16 is not considered competent to give consent for themselves, the existing principle is that consent should be sought from a person with parental responsibility although in certain circumstances this can be overruled by the courts.</p><p>In ‘Our Commitment to you for end of life care’, we set out what everyone should expect from their care at the end of life and the actions we are taking to make high quality personalised care a reality for all. This includes ensuring that patients, careers and families, including parents, are at the centre of care decision making.</p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 15/07/2019 15:20:35 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4139 label Biography information for Ian Lavery