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1130820
unstar this property registered interest false more like this
star this property date remove maximum value filtermore like thismore than 2019-06-10
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Opiates: Prescriptions more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what plans they have, if any, to ensure that individuals prescribed opioid medication for chronic pain have their prescriptions reviewed on an annual basis. more like this
star this property tabling member printed
The Lord Bishop of Carlisle more like this
star this property uin HL16187 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2019-06-24more like thismore than 2019-06-24
star this property answer text <p>The General Medical Council’s (GMC’s) ethical guidance <em>Good practice in prescribing and managing medicines and devices (2013)</em> sets out that with all prescriptions, it is expected that clinicians make sure that suitable arrangements are in place for monitoring, follow-up and review, taking account of the patients’ needs and any risks arising from the medicines.</p><p>A copy of the GMC guidance is attached.</p> more like this
star this property answering member printed Baroness Barran more like this
star this property question first answered
less than 2019-06-24T15:16:33.257Zmore like thismore than 2019-06-24T15:16:33.257Z
star this property answering member
4703
star this property label Biography information for Baroness Barran more like this
star this property attachment
1
star this property file name prescribing-guidance_pdf-59055247.pdf more like this
star this property title Prescribing_guidance more like this
star this property tabling member
4307
star this property label Biography information for The Lord Bishop of Carlisle more like this
1130838
unstar this property registered interest false more like this
star this property date remove maximum value filtermore like thismore than 2019-06-10
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Gender Recognition: Children more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what steps they intend to take to prevent the illegal supply of puberty-blocking drugs to British children and adolescents by Dr Helena Webberley, who was recently suspended from the Medical Register by the General Medical Council and who is advertising services from Spain. more like this
star this property tabling member printed
Lord Moonie more like this
star this property uin HL16205 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2019-06-24more like thismore than 2019-06-24
star this property answer text <p>It is unacceptable if patients are being put at risk by a service that deliberately places itself beyond the jurisdiction of United Kingdom regulators.</p><p>The Department is working closely with the Care Quality Commission and relevant professional regulators to explore how it can close the loopholes that allow a small number of online organisations to operate without the necessary oversight.</p> more like this
star this property answering member printed Baroness Barran more like this
star this property question first answered
less than 2019-06-24T15:30:40.48Zmore like thismore than 2019-06-24T15:30:40.48Z
star this property answering member
4703
star this property label Biography information for Baroness Barran more like this
star this property tabling member
621
star this property label Biography information for Lord Moonie more like this
1130872
unstar this property registered interest false more like this
star this property date remove maximum value filtermore like thismore than 2019-06-10
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Mental Health Services: Contracts more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, for what reasons NHS England decided that only NHS organisations can be the lead on contracts for specialised mental health services. more like this
star this property tabling member constituency Bristol South more like this
star this property tabling member printed
Karin Smyth more like this
star this property uin 262408 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2019-06-18more like thismore than 2019-06-18
star this property answer text <p>NHS England has determined that provider collaboratives for specialised mental health, learning disability and autism services will be managed by a lead provider in their local area. The lead provider will be given delegated responsibility for managing the budget and patient pathway for specialised care for their local population.</p><p>They will be monitored and held to account via a contract with NHS England, which will retain ultimate accountability for the commissioning of these services. The lead provider will work in partnership with a collaborative of National Health Service and independent sector providers to deliver care locally to their population.</p><p>Although provider collaboratives will be led by an NHS organisation, independent providers can participate in provider collaboratives and enter into partnership agreements to support the effective and efficient delivery of NHS-funded care.</p> more like this
star this property answering member constituency Thurrock more like this
star this property answering member printed Jackie Doyle-Price more like this
star this property question first answered
less than 2019-06-18T16:40:20.07Zmore like thismore than 2019-06-18T16:40:20.07Z
star this property answering member
4065
star this property label Biography information for Jackie Doyle-Price more like this
star this property tabling member
4444
star this property label Biography information for Karin Smyth more like this
1130886
unstar this property registered interest false more like this
star this property date remove maximum value filtermore like thismore than 2019-06-10
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Dementia more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what comparative estimate his Department has made of the average cost of (a) caring for a dementia patient at home with care provided by family and (b) care provided in an in-patient setting. more like this
star this property tabling member constituency Birmingham, Selly Oak more like this
star this property tabling member printed
Steve McCabe more like this
star this property uin 262230 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2019-06-13more like thismore than 2019-06-13
star this property answer text <p>The Department has made no such comparative estimate.</p><p>The average cost of caring for a dementia patient at home by family is not collected or reported centrally.</p><p>Data on the average cost of care provided in an in-patient setting is not available in the format requested.</p> more like this
star this property answering member constituency Gosport more like this
star this property answering member printed Caroline Dinenage more like this
star this property question first answered
less than 2019-06-13T13:33:32.853Zmore like thismore than 2019-06-13T13:33:32.853Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
298
star this property label Biography information for Steve McCabe more like this
1130887
unstar this property registered interest false more like this
star this property date remove maximum value filtermore like thismore than 2019-06-10
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Nurses: Training more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of the effect of the removal of bursaries for undergraduate nurses on the level of nursing places filled in each institution that provides such places. more like this
star this property tabling member constituency Stroud more like this
star this property tabling member printed
Dr David Drew more like this
star this property uin 262214 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2019-06-13more like thismore than 2019-06-13
star this property answer text <p>The education funding reforms, which came into force in 2017, unlocked the cap which constrained the number of pre-registration nursing, midwifery and allied health profession training places allowing more students to gain access to nurse degree training courses.</p><p> </p><p>Health Education Institutes (HEIs) are autonomous private institutions and are responsible for setting the number of training places they offer. It is for HEIs to work as part of their local health economy to secure training places.</p><p>The Department does not hold information on the level of pre-registration undergraduate nursing places filled at individual HEIs, compared with the number of places they made available in the given period.</p><p>The Office for Students publishes annual data on the number of entrants onto pre-registration nursing undergraduate nursing courses broken down by individual HEIs. Higher Education Students Early Statistics have published the 2018/19 data, which is available at the following link:</p><p> </p><p><a href="https://www.officeforstudents.org.uk/data-and-analysis/data-collection/get-the-heses-and-heifes-data/" target="_blank">https://www.officeforstudents.org.uk/data-and-analysis/data-collection/get-the-heses-and-heifes-data/</a></p><p> </p><p>The Department monitors student recruitment at a national level. The latest published data from the University and Colleges Admissions Service from February 2019 shows that there has been a 4.5% increase in applicants to nursing or midwifery courses at English universities when compared to this time last year in 2018. However, we know that there is further work to do with the education and healthcare sector to ensure that students continue to apply for these places.</p><p> </p><p>The NHS Long Term Plan set out the next step in our mission to make the National Health Service a world class employer and deliver the nursing workforce the NHS needs. To deliver on these commitments the NHS has published on 3 June 2019 an interim People Plan that sets out the action we will take now and over the long term to meet the challenges of nursing supply, including nursing undergraduate supply.</p><p>We recognise, however, that there is more to do which is why the NHS will publish a final People Plan soon after the conclusion of the Spending Review.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p>
star this property answering member constituency Wimbledon more like this
star this property answering member printed Stephen Hammond more like this
star this property question first answered
less than 2019-06-13T16:26:48.847Zmore like thismore than 2019-06-13T16:26:48.847Z
star this property answering member
1585
star this property label Biography information for Stephen Hammond more like this
star this property tabling member
252
star this property label Biography information for Dr David Drew more like this
1130890
unstar this property registered interest false more like this
star this property date remove maximum value filtermore like thismore than 2019-06-10
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading St Andrew's Healthcare: Northampton more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, how many placements NHS England has commissioned at St Andrew's in-patient Child & Adolescent Mental Health Service in Northampton in the latest period for which figures are available. more like this
star this property tabling member constituency Worsley and Eccles South more like this
star this property tabling member printed
Barbara Keeley more like this
star this property uin 262331 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2019-06-13more like thismore than 2019-06-13
star this property answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p>
star this property answering member constituency Gosport more like this
star this property answering member printed Caroline Dinenage more like this
star this property grouped question UIN
262332 more like this
262333 more like this
262334 more like this
262335 more like this
star this property question first answered
less than 2019-06-13T13:32:38.127Zmore like thismore than 2019-06-13T13:32:38.127Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
1588
star this property label Biography information for Barbara Keeley more like this
1130891
unstar this property registered interest false more like this
star this property date remove maximum value filtermore like thismore than 2019-06-10
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Health Services: Standards more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what NHS England’s policy is on moving patients in NHS commissioned placements when the setting they are in receives a rating of Inadequate from the Care Quality Commission. more like this
star this property tabling member constituency Worsley and Eccles South more like this
star this property tabling member printed
Barbara Keeley more like this
star this property uin 262332 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2019-06-13more like thismore than 2019-06-13
star this property answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p>
star this property answering member constituency Gosport more like this
star this property answering member printed Caroline Dinenage more like this
star this property grouped question UIN
262331 more like this
262333 more like this
262334 more like this
262335 more like this
star this property question first answered
less than 2019-06-13T13:32:38.19Zmore like thismore than 2019-06-13T13:32:38.19Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
1588
star this property label Biography information for Barbara Keeley more like this
1130892
unstar this property registered interest false more like this
star this property date remove maximum value filtermore like thismore than 2019-06-10
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Health Services: Standards more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what guidance NHS England has given to (a) clinical commissioning groups and (b) other NHS bodies on moving patients in NHS commissioned placements when the setting they are in receives a rating of Inadequate from the Care Quality Commission. more like this
star this property tabling member constituency Worsley and Eccles South more like this
star this property tabling member printed
Barbara Keeley more like this
star this property uin 262333 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2019-06-13more like thismore than 2019-06-13
star this property answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p>
star this property answering member constituency Gosport more like this
star this property answering member printed Caroline Dinenage more like this
star this property grouped question UIN
262331 more like this
262332 more like this
262334 more like this
262335 more like this
star this property question first answered
less than 2019-06-13T13:32:38.237Zmore like thismore than 2019-06-13T13:32:38.237Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
1588
star this property label Biography information for Barbara Keeley more like this
1130893
unstar this property registered interest false more like this
star this property date remove maximum value filtermore like thismore than 2019-06-10
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Mental Health Services: Children more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, how many placements in Assessment and Treatment Units NHS England have commissioned for patients under the age of 18 in each of the past 3 years. more like this
star this property tabling member constituency Worsley and Eccles South more like this
star this property tabling member printed
Barbara Keeley more like this
star this property uin 262334 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2019-06-13more like thismore than 2019-06-13
star this property answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p>
star this property answering member constituency Gosport more like this
star this property answering member printed Caroline Dinenage more like this
star this property grouped question UIN
262331 more like this
262332 more like this
262333 more like this
262335 more like this
star this property question first answered
less than 2019-06-13T13:32:38.283Zmore like thismore than 2019-06-13T13:32:38.283Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
1588
star this property label Biography information for Barbara Keeley more like this
1130894
unstar this property registered interest false more like this
star this property date remove maximum value filtermore like thismore than 2019-06-10
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Mental Health Services: Children more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, how many placements in in-patient mental health hospitals for children and young people under the age of 18 with (a) autism, (b) a learning disability and (c) a mental health condition NHS England has commissioned in each of the past 3 years. more like this
star this property tabling member constituency Worsley and Eccles South more like this
star this property tabling member printed
Barbara Keeley more like this
star this property uin 262335 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2019-06-13more like thismore than 2019-06-13
star this property answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p>
star this property answering member constituency Gosport more like this
star this property answering member printed Caroline Dinenage more like this
star this property grouped question UIN
262331 more like this
262332 more like this
262333 more like this
262334 more like this
star this property question first answered
less than 2019-06-13T13:32:38.33Zmore like thismore than 2019-06-13T13:32:38.33Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
1588
star this property label Biography information for Barbara Keeley more like this