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1174340

	registered interest
	date	29/01/2020
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Speech and Language Therapy: 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 the average waiting time was from first outpatient appointment to second outpatient appointment for children receiving speech and language therapy in each of the last two years.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	9586
	answer	answer is ministerial correction date of answer 03/02/2020 answer text <p>The information is not held in the format requested.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 03/02/2020 16:27:06 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1174341

	registered interest
	date	29/01/2020
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Speech and Language Therapy: Expenditure
	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 his Department has had with the (a) Children’s Commissioner’s Office and (b) other partners on options for producing expenditure data on speech, language and communication services.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	9587
	answer	answer is ministerial correction date of answer 03/02/2020 answer text <p>Departmental officials met with the Children’s Commissioner’s office in October 2019 to discuss the issues raised in her report ‘We need to talk: access to speech and language therapy’. The Department will continue to work with the Children’s Commissioner’s Office, the National Health Service and other stakeholders ahead of the intention to repeat a data gathering exercise within the next two years.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 03/02/2020 16:41:48 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1172559

	registered interest
	date	22/01/2020
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Speech and Language Therapy: Children
	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 20 January 2020 to Question 3669, what the average waiting time was from (a) referral to first assessment and (b) first assessment to commencement of treatment for children to receive speech and language therapy by local authority area in each of the last five years.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	6603
	answer	answer is ministerial correction date of answer 27/01/2020 answer text <p>The information is not held in the format requested.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 27/01/2020 16:49:39 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1171112

	registered interest
	date	15/01/2020
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Speech and Language Therapy: 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 is taking to reduce waiting times for assessments for children's speech and language therapy.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	3666
	answer	answer is ministerial correction date of answer 20/01/2020 answer text <p>The NHS Long Term Plan recognises the importance of speech and language therapy. Local areas will design and implement models of care that are age appropriate, closer to home and bring together physical and mental health services.</p><p>In the development of the NHS People Plan, the capacity requirements, as set out in the NHS Long Term Plan, have been modelled to ensure appropriate capacity for all the allied health professions. This includes speech and language therapy.</p><p>‘Advancing our health: prevention in the 2020s’, the Prevention Green Paper, confirmed the Government will continue to prioritise improving early speech and language outcomes as a preventative measure.</p><p>The following table shows the mean and median waiting time<sup>1</sup> for a first outpatient attendance<sup>2</sup> for patients aged under 18 with a treatment specialty of Speech and Language Therapy<sup>3</sup> in England from 2017-18 to 2018-19<sup>4</sup>.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Total First Outpatient Attendances</p></td><td><p>Mean Waiting Time (days)</p></td><td><p>Median Waiting Time (days)</p></td></tr><tr><td><p>2017-18</p></td><td><p>11,306</p></td><td><p>76</p></td><td><p>48</p></td></tr><tr><td><p>2018-19</p></td><td><p>9,740</p></td><td><p>87</p></td><td><p>59</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p>Notes:</p><p>Activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector</p><p>1. The waiting time is the period in days between the date of the appointment date and either the referral request received date (reqdate) or the Did Not Attend date, if given. The waiting time is not calculated if reqdate is missing or invalid.</p><p>2 Attendances at outpatient clinics. Includes first attended and first telephone consultations, excludes did not attends and cancellations.</p><p>3. Treatment Speciality: A code that defines the specialty under which the consultant responsible for care of the patient is working, which may be different to the specialty under which the consultant is registered.</p><p>4. Assessing growth through time (Outpatients) HES figures are available from 2003-04 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</p><p>NHS Digital have advised that information on waiting times from assessment appointment is not held in the format requested as they are unable to identify in which appointment treatment started.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 3667 3668 3669 question first answered 20/01/2020 17:07:10 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1171113

	registered interest
	date	15/01/2020
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Speech and Language Therapy: 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 is taking to reduce waiting times for children who have met the threshold for speech and language therapy to receive that therapy.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	3667
	answer	answer is ministerial correction date of answer 20/01/2020 answer text <p>The NHS Long Term Plan recognises the importance of speech and language therapy. Local areas will design and implement models of care that are age appropriate, closer to home and bring together physical and mental health services.</p><p>In the development of the NHS People Plan, the capacity requirements, as set out in the NHS Long Term Plan, have been modelled to ensure appropriate capacity for all the allied health professions. This includes speech and language therapy.</p><p>‘Advancing our health: prevention in the 2020s’, the Prevention Green Paper, confirmed the Government will continue to prioritise improving early speech and language outcomes as a preventative measure.</p><p>The following table shows the mean and median waiting time<sup>1</sup> for a first outpatient attendance<sup>2</sup> for patients aged under 18 with a treatment specialty of Speech and Language Therapy<sup>3</sup> in England from 2017-18 to 2018-19<sup>4</sup>.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Total First Outpatient Attendances</p></td><td><p>Mean Waiting Time (days)</p></td><td><p>Median Waiting Time (days)</p></td></tr><tr><td><p>2017-18</p></td><td><p>11,306</p></td><td><p>76</p></td><td><p>48</p></td></tr><tr><td><p>2018-19</p></td><td><p>9,740</p></td><td><p>87</p></td><td><p>59</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p>Notes:</p><p>Activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector</p><p>1. The waiting time is the period in days between the date of the appointment date and either the referral request received date (reqdate) or the Did Not Attend date, if given. The waiting time is not calculated if reqdate is missing or invalid.</p><p>2 Attendances at outpatient clinics. Includes first attended and first telephone consultations, excludes did not attends and cancellations.</p><p>3. Treatment Speciality: A code that defines the specialty under which the consultant responsible for care of the patient is working, which may be different to the specialty under which the consultant is registered.</p><p>4. Assessing growth through time (Outpatients) HES figures are available from 2003-04 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</p><p>NHS Digital have advised that information on waiting times from assessment appointment is not held in the format requested as they are unable to identify in which appointment treatment started.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 3666 3668 3669 question first answered 20/01/2020 17:07:10 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1171114

	registered interest
	date	15/01/2020
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Speech and Language Therapy: 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 the average waiting time is from referral to first assessment for children's speech and language therapy.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	3668
	answer	answer is ministerial correction date of answer 20/01/2020 answer text <p>The NHS Long Term Plan recognises the importance of speech and language therapy. Local areas will design and implement models of care that are age appropriate, closer to home and bring together physical and mental health services.</p><p>In the development of the NHS People Plan, the capacity requirements, as set out in the NHS Long Term Plan, have been modelled to ensure appropriate capacity for all the allied health professions. This includes speech and language therapy.</p><p>‘Advancing our health: prevention in the 2020s’, the Prevention Green Paper, confirmed the Government will continue to prioritise improving early speech and language outcomes as a preventative measure.</p><p>The following table shows the mean and median waiting time<sup>1</sup> for a first outpatient attendance<sup>2</sup> for patients aged under 18 with a treatment specialty of Speech and Language Therapy<sup>3</sup> in England from 2017-18 to 2018-19<sup>4</sup>.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Total First Outpatient Attendances</p></td><td><p>Mean Waiting Time (days)</p></td><td><p>Median Waiting Time (days)</p></td></tr><tr><td><p>2017-18</p></td><td><p>11,306</p></td><td><p>76</p></td><td><p>48</p></td></tr><tr><td><p>2018-19</p></td><td><p>9,740</p></td><td><p>87</p></td><td><p>59</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p>Notes:</p><p>Activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector</p><p>1. The waiting time is the period in days between the date of the appointment date and either the referral request received date (reqdate) or the Did Not Attend date, if given. The waiting time is not calculated if reqdate is missing or invalid.</p><p>2 Attendances at outpatient clinics. Includes first attended and first telephone consultations, excludes did not attends and cancellations.</p><p>3. Treatment Speciality: A code that defines the specialty under which the consultant responsible for care of the patient is working, which may be different to the specialty under which the consultant is registered.</p><p>4. Assessing growth through time (Outpatients) HES figures are available from 2003-04 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</p><p>NHS Digital have advised that information on waiting times from assessment appointment is not held in the format requested as they are unable to identify in which appointment treatment started.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 3666 3667 3669 question first answered 20/01/2020 17:07:11 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1171115

	registered interest
	date	15/01/2020
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Speech and Language Therapy: 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 the average waiting time was from assessment appointment for children to receive speech and language therapy in each of the last two years.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	3669
	answer	answer is ministerial correction date of answer 20/01/2020 answer text <p>The NHS Long Term Plan recognises the importance of speech and language therapy. Local areas will design and implement models of care that are age appropriate, closer to home and bring together physical and mental health services.</p><p>In the development of the NHS People Plan, the capacity requirements, as set out in the NHS Long Term Plan, have been modelled to ensure appropriate capacity for all the allied health professions. This includes speech and language therapy.</p><p>‘Advancing our health: prevention in the 2020s’, the Prevention Green Paper, confirmed the Government will continue to prioritise improving early speech and language outcomes as a preventative measure.</p><p>The following table shows the mean and median waiting time<sup>1</sup> for a first outpatient attendance<sup>2</sup> for patients aged under 18 with a treatment specialty of Speech and Language Therapy<sup>3</sup> in England from 2017-18 to 2018-19<sup>4</sup>.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Total First Outpatient Attendances</p></td><td><p>Mean Waiting Time (days)</p></td><td><p>Median Waiting Time (days)</p></td></tr><tr><td><p>2017-18</p></td><td><p>11,306</p></td><td><p>76</p></td><td><p>48</p></td></tr><tr><td><p>2018-19</p></td><td><p>9,740</p></td><td><p>87</p></td><td><p>59</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p>Notes:</p><p>Activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector</p><p>1. The waiting time is the period in days between the date of the appointment date and either the referral request received date (reqdate) or the Did Not Attend date, if given. The waiting time is not calculated if reqdate is missing or invalid.</p><p>2 Attendances at outpatient clinics. Includes first attended and first telephone consultations, excludes did not attends and cancellations.</p><p>3. Treatment Speciality: A code that defines the specialty under which the consultant responsible for care of the patient is working, which may be different to the specialty under which the consultant is registered.</p><p>4. Assessing growth through time (Outpatients) HES figures are available from 2003-04 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</p><p>NHS Digital have advised that information on waiting times from assessment appointment is not held in the format requested as they are unable to identify in which appointment treatment started.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 3666 3667 3668 question first answered 20/01/2020 17:07:11 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1147877

	registered interest
	date	02/10/2019
	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	Care Homes: Abuse
	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 67,500 allegations of mistreatment in care homes received by the Care Quality Commission in 2018, what steps the Government will take to increase prosecution rates.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	293437
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>The Department expects those providing the service, local authorities and the Care Quality Commission (CQC) to take swift action where anyone alleges poor care, neglect or abuse.</p><p>Since 2015, the CQC has had prosecution powers pursuant to the Health and Social Care Act 2008. These include the criminal offence in respect of Regulation 12 (safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in cases involving avoidable harm or a significant risk of avoidable harm to service users.</p><p>Although there were 67,500 allegations of mistreatment in care homes in 2018, the number of qualified allegations will be less than this figure. Within those qualified allegations, not all of them will be of as significant concern as to begin legal proceedings in the form of criminal prosecution. As such, numbers of prosecutions will be expected to be far lower than any number of allegations.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 08/10/2019 10:54:07 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1130886

	registered interest
	date	10/06/2019
	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 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.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	262230
	answer	answer is ministerial correction date of answer 13/06/2019 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> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 13/06/2019 13:33:32 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1129267

	registered interest
	date	03/06/2019
	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	Counselling: Sign Language
	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 availability of deaf-focused NHS counselling using British sign language as the first language in England; and if he will make a statement.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	258973
	answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>The National Health Service Improving Access to Psychological Therapies (IAPT) programme is available to all adults. If an individual is deaf and requires British Sign Language (BSL) to be used, services can either use a BSL interpreter or refer them to Sign Health, an IAPT service which delivers therapy using BSL trained therapists. Sign Health is available nationally but is funded via individual funding requests, so clinical commissioning groups (CCGs) are responsible for funding decisions. In 2018/19 Sign Health received £1 million from 116 CCGs for the treatment of around 250 people. Other alternatives that may be suitable for deaf people include therapy delivered via a digital route, for example text messaging.</p><p>The NHS England IAPT manual, published in June 2018, specifies that commissioners, managers, primary and secondary care clinicians should develop local IAPT care pathways in consultation with patient groups and community leaders, including under-represented groups. The IAPT manual recommends that commissioners and providers consider commissioning services that have bilingual clinicians who speak the language of local minority groups, including clinicians who are fluent in BSL for deaf people.</p><p>Local commissioners have to pay due regard to the equality legislation when commissioning IAPT services. They are able to decide whether they meet their responsibilities through services who provide BSL trained therapists or through interpreters in their locality.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 06/06/2019 16:11:41 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe