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1714123

	registered interest
	date	26/04/2024
	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	Shingles: Warrington
	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 she is taking to help increase uptake of the shingles vaccine by people aged over 65 in Warrington.
	tabling member constituency	Warrington South
	tabling member printed	Andy Carter
	uin	23963
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>The Joint Committee on Vaccination and Immunisation has recommended that those who are eligible for the shingles vaccine should change, to allow individuals to be protected at an earlier age, particularly those that have a weakened immune system. Based on the evidence, they recognised that there may be more clinical benefit from starting shingles vaccinations at a lower age, with modelling indicating that a greater number of cases of shingles would be prevented with vaccination at 60 years old for immunocompetent individuals, and 50 years old for immunosuppressed individuals. The committee advised that the programme should be implemented in stages, starting with those that are over 50 years old with a weakened immune system and those turning 65 and 70 years old, then eventually moving down to those turning 60 years old. This is a similar pattern to the roll out of the shingles vaccine from 2013. This is why the vaccine offer has been expanded to all those turning 65 and 70 years old and all those over 50 years old with a weakened immune system, from 1 September 2023. The programme began on 1 September 2023 and will run until 31 August 2028, offering the vaccine to people as they turn 65 and 70 years old, until the offer has been made to all those aged 65 to 70 years old. It will then expand to offering the vaccine to all those that are turning 60 and 65 years old, from 1 September 2028.</p><p>The shingles vaccine is available through general practice (GP) surgeries in primary care, and GPs are required to identify and put in place a call or recall arrangement to offer the shingles vaccination to eligible patients. All eligible patients are contacted by their GP surgery to invite them for vaccination. The GP will then follow up with letters or with calls and text messages, to encourage eligible people that have not come forward to take up the offer.</p><p> </p><p>There is a wide range of public facing information to help increase uptake of the shingles vaccine, and to publicise the programme in GP surgeries and online, including display bunting, leaflets, and posters. GPs are also adding messages regarding shingles to their practice websites, prescription counterfoils, and social media banners. Public facing information regarding the shingles vaccination programme includes translations into over 20 different languages including braille, audio, large print, and British Sign Language. Information for healthcare professionals, including GP toolkits for improving uptake of shingles vaccination, has also been produced and published by local immunisation commissioning teams.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 01/05/2024 12:52:34 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4791 label Biography information for Andy Carter

1713889

	registered interest
	date	25/04/2024
	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	National Learning Disability Board
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when the National Learning Disability Board last met.
	tabling member constituency	Romsey and Southampton North
	tabling member printed	Caroline Nokes
	uin	23729
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>The final meeting of the National Learning Disability Board took place on 19 July 2016. More information is available at the following link:</p><p><a href="https://www.gov.uk/government/groups/learning-disability-programme-board#minutes" target="_blank">https://www.gov.uk/government/groups/learning-disability-programme-board#minutes</a></p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 30/04/2024 16:48:01 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4048 label Biography information for Caroline Nokes

1713892

	registered interest
	date	25/04/2024
	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: Training
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if she will make an estimate of the number of health and adult social care staff that will undertake the second part of tier (a) one and (b) two of the Oliver McGowan Mandatory Training on Learning Disability and Autism in the next three years.
	tabling member constituency	Romsey and Southampton North
	tabling member printed	Caroline Nokes
	uin	23732
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>We have provided estimates of the number of health and adult social care staff that would undertake Tier 1 and Tier 2 of the Oliver McGowan Mandatory Training in our consultation stage impact assessment. This assessment was published as part of the public consultation on the Oliver McGowan Code of Practice. The impact assessment and wider public consultation are available, respectively, at the following two links:</p><p><a href="https://assets.publishing.service.gov.uk/media/649a8c399e7a8b0013932bec/impact-assessment-oliver-mcgowan-draft-code-of-practice.pdf" target="_blank">https://assets.publishing.service.gov.uk/media/649a8c399e7a8b0013932bec/impact-assessment-oliver-mcgowan-draft-code-of-practice.pdf</a></p><p><a href="https://www.gov.uk/government/consultations/oliver-mcgowan-draft-code-of-practice/oliver-mcgowan-draft-code-of-practice-on-statutory-learning-disability-and-autism-training" target="_blank">https://www.gov.uk/government/consultations/oliver-mcgowan-draft-code-of-practice/oliver-mcgowan-draft-code-of-practice-on-statutory-learning-disability-and-autism-training</a></p><p>For healthcare, we estimated that over the first three years of training roll-out, 1,036,000 staff would be trained at Tier 1 level, and 1,186,000 staff would be trained at Tier 2 level. For adult social care, over the same period, we estimated that 840,000 staff would be trained at Tier 1 level, and 492,000 staff would be trained at Tier 2 level. In addition, over 1.7 million people have already completed the first part of Oliver McGowan Mandatory Training on Learning Disability and Autism, an e-learning package.</p><p>The final stage impact assessment incorporates additional evidence on the number of staff expected to undertake training, which was provided by organisations through the public consultation. The final assessment will be published in due course.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 30/04/2024 10:04:00 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4048 label Biography information for Caroline Nokes

1713893

	registered interest
	date	25/04/2024
	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: Diagnosis
	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 her Department spent on autism assessments in each of the last five years; how much funding her Department has allocated to autism assessments in each of the next three years; and what recent assessment her Department has made of the adequacy of that funding in meeting the target waiting time for such an assessment.
	tabling member constituency	Romsey and Southampton North
	tabling member printed	Caroline Nokes
	uin	23733
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>Information on the total spend on autism assessments is not held centrally. NHS England is responsible for funding allocations to integrated care boards (ICBs), which are responsible for commissioning services using these core allocations to meet the needs of their local populations, including autism assessment services. The following table shows the total baseline expenditure in ICBs for learning disability and autism services over the last five years, disaggregated for autism services where possible:</p><table><tbody><tr><td><p> </p></td><td><p>Learning disability</p></td><td><p>Autism services</p></td><td><p>Unseparated learning disability and autism services</p></td><td><p>Total</p></td></tr><tr><td><p>2019/20</p></td><td><p>N/A</p></td><td><p>N/A</p></td><td><p>£1,809,200,000</p></td><td><p>£1,809,200,000</p></td></tr><tr><td><p>2020/21</p></td><td><p>N/A</p></td><td><p>N/A</p></td><td><p>£2,285,600,000</p></td><td><p>£2,285,600,000</p></td></tr><tr><td><p>2021/22</p></td><td><p>£85,800,000</p></td><td><p>£3,700,000</p></td><td><p>£2,268,300,000</p></td><td><p>£2,357,900,000</p></td></tr><tr><td><p>2022/23</p></td><td><p>£625,800,000</p></td><td><p>£27,100,000</p></td><td><p>£1,928,800,000</p></td><td><p>£2,581,700,000</p></td></tr><tr><td><p>2023/24</p></td><td><p>£926,000,000</p></td><td><p>£47,100,000</p></td><td><p>£1,928,800,000</p></td><td><p>£2,904,600,000</p></td></tr></tbody></table><p> </p><p>In addition, specific funding has been allocated to ICBs in 2023/4 and 2024/25 from the Service Development Funding, to improve autism assessment waiting lists and pathways. The following table shows information on the additional national funding allocated to ICBs by NHS England, over each of the last five years, to improve autism assessment waiting lists and pathways:</p><table><tbody><tr><td><p> </p></td><td><p>Service Development Funding via the NHS Long Term Plan Transformation Funding</p></td><td><p>Spending Review 2021 via the COVID-19 Recovery Fund</p></td><td><p>Total funding for autism assessment pathways</p></td></tr><tr><td><p>2019/20</p></td><td><p>N/A</p></td><td><p>N/A</p></td><td><p>N/A</p></td></tr><tr><td><p>2020/21</p></td><td><p>N/A</p></td><td><p>N/A</p></td><td><p>N/A</p></td></tr><tr><td><p>2021/22</p></td><td><p>£2,500,000</p></td><td><p>£14,500,000</p></td><td><p>£17,000,000</p></td></tr><tr><td><p>2022/23</p></td><td><p>£5,000,000</p></td><td><p>N/A</p></td><td><p>£5,000,000</p></td></tr><tr><td><p>2023/24</p></td><td><p>£4,200,000</p></td><td><p>N/A</p></td><td><p>£4,200,000</p></td></tr><tr><td><p>2024/25</p></td><td><p>£4,300,000</p></td><td><p>N/A</p></td><td><p>£4,300,000</p></td></tr></tbody></table><p>Notes:</p><ol><li>the in-year pay uplift for 2023/24 is not reflected in the table;</li><li>the service development funding allocations shown in the table are in addition to the ICBs core funding allocations.</li></ol><p>The NHS Operational and Planning Guidance 2024/25 asks local systems to improve autism assessment pathways, through implementation of the NHS England autism assessment national framework. Allocations from 2025/26 onwards are subject to future decisions on spending. Further information on the operational and planning guidance and national framework is available respectively at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2024/03/2024-25-priorities-and-operational-planning-guidance-v1.1.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2024/03/2024-25-priorities-and-operational-planning-guidance-v1.1.pdf</a></p><p><a href="https://www.england.nhs.uk/publication/autism-diagnosis-and-operational-guidance/" target="_blank">https://www.england.nhs.uk/publication/autism-diagnosis-and-operational-guidance/</a></p><p>A specific assessment of the adequacy of funding in meeting the National Institute for Health and Care Excellence’s waiting time standard for autism assessments has not been made. However, autism waiting times statistics are published on a quarterly basis. The total number of people with an open referral, where the diagnosis not yet completed, for suspected autism has increased by 47%, from 117,032 in December 2022 to 172,022 in December 2023. In December 2023, it was estimated that only 5.9% of patients whose referrals have been open in the system for at least 13 weeks received their first contact appointment within 13 weeks.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 01/05/2024 13:09:11 answering member 4492 label Biography information for Maria Caulfield previous answer version 31577 answering member constituency Lewes answering member printed Maria Caulfield answering member 4492 label Biography information for Maria Caulfield
	tabling member	4048 label Biography information for Caroline Nokes

1713402

	registered interest
	date	24/04/2024
	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	Health Services: Disability
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what her planned timetable is for publishing the revised NHS Accessible Information Standard.
	tabling member constituency	Preston
	tabling member printed	Sir Mark Hendrick
	uin	23386
	answer	answer is ministerial correction date of answer 29/04/2024 answer text <p>NHS England remains committed to publishing the Accessible Information Standard (AIS) as soon as possible, with the intention of publishing it within the first quarter of 2024/25. The standard is within the publication process, and NHS England are working to both progress the documentation through the publication approval process, as well as ensuring that, when published, the AIS and supporting documentation are available in accessible formats.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 29/04/2024 16:31:07 answering member 4492 label Biography information for Maria Caulfield
	tabling member	473 label Biography information for Sir Mark Hendrick

1713468

	registered interest
	date	24/04/2024
	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	Social Services: Young People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether her Department has issued recent guidance to integrated care boards on their role in assessing the mental and emotional health of young people entering care using a person qualified to assess mental health as part of the initial health assessment.
	tabling member constituency	Canterbury
	tabling member printed	Rosie Duffield
	uin	23541
	answer	answer is ministerial correction date of answer 29/04/2024 answer text <p>The statutory guidance, Promoting the health and wellbeing of looked after children, published in 2015, reflects the requirement that the relevant local authority must make arrangements for the initial health assessment to be carried out by a registered medical professional who is suitably qualified to assess a young person's physical, emotional, and mental health needs.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 29/04/2024 16:29:40 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4616 label Biography information for Rosie Duffield

1713492

	registered interest
	date	24/04/2024
	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	Rochdale Infirmary
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if she will meet the hon. Member for Rochdale to discuss (a) maternity and (b) accident and emergency services at Rochdale Infirmary.
	tabling member constituency	Rochdale
	tabling member printed	George Galloway
	uin	23404
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>I would be happy to meet with the hon. Member for Rochdale to discuss maternity services at Rochdale Infirmary.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 01/05/2024 12:44:25 answering member 4492 label Biography information for Maria Caulfield
	tabling member	609 label Biography information for George Galloway

1713513

	registered interest
	date	24/04/2024
	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, if she will make it her policy to enable second opinions in mental health settings.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	23519
	answer	answer is ministerial correction date of answer 29/04/2024 answer text <p>The second opinion appointed doctor (SOAD) service safeguards the rights of patients subject to the Mental Health Act in specific circumstances. A SOAD is an independent doctor appointed by the Care Quality Commission, who gives a second opinion on whether certain types of medical treatment for a mental disorder should be given without the patient’s consent. SOADs are consulted in certain circumstances when a patient refuses treatment, or is too ill or otherwise incapable of giving consent. Outside of these specific circumstances, if an individual disagrees with their doctor about a mental health diagnosis or treatment, they can ask for a second opinion, although there is no legal right to one.</p><p>Good Medical Practice, from the General Medical Council (GMC), sets out the standards of care and behaviour expected of all medical doctors practising in the United Kingdom. It states that doctors must recognise a patient’s right to choose whether to accept their advice, and respect a patient’s right to seek a second opinion. The GMC is an independent regulator, and is responsible for operational maters including any assessment of its policies and guidance. Managing second opinion requests is the responsibility of local National Health Service organisations.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 29/04/2024 16:28:27 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4471 label Biography information for Rachael Maskell

1713515

	registered interest
	date	24/04/2024
	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	Psychiatric Patients: Discharges
	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 she is taking to ensure that mental health discharge processes protect the (a) patient and (b) community.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	23521
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>On 26 January 2024, new statutory guidance was published for those being discharged from mental health inpatient settings. This sets out how health and care systems can work together effectively to support the discharge process from all mental health inpatient settings, and ensure the right support in the community. The guidance also includes best practice on how patients and carers should be involved in discharge planning. There are currently no plans to update this guidance covering the process for discharge.</p><p>The Mental Health Act Code of Practice provides statutory guidance on the care and treatment of patients detained under the Mental Health Act, including consideration of whether someone is ready to be discharged, and who should be involved in making this decision.</p><p>As part of its planning guidance, NHS England has asked all local systems to review their community mental health services to ensure that they have clear policies and practice in place for patients with serious mental illness, who require intensive community treatment and follow-up, but where engagement is a challenge. NHS England plans to provide national guidance by Autumn 2024, to support these reviews. NHS England will consider further steps as appropriate, following the completion of the reviews.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 23522 23523 question first answered 01/05/2024 10:46:50 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4471 label Biography information for Rachael Maskell

1713516

	registered interest
	date	24/04/2024
	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	Psychiatric Patients: Discharges
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if she will make it her policy to require an independent second assessment prior to discharging a person from mental health services.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	23522
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>On 26 January 2024, new statutory guidance was published for those being discharged from mental health inpatient settings. This sets out how health and care systems can work together effectively to support the discharge process from all mental health inpatient settings, and ensure the right support in the community. The guidance also includes best practice on how patients and carers should be involved in discharge planning. There are currently no plans to update this guidance covering the process for discharge.</p><p>The Mental Health Act Code of Practice provides statutory guidance on the care and treatment of patients detained under the Mental Health Act, including consideration of whether someone is ready to be discharged, and who should be involved in making this decision.</p><p>As part of its planning guidance, NHS England has asked all local systems to review their community mental health services to ensure that they have clear policies and practice in place for patients with serious mental illness, who require intensive community treatment and follow-up, but where engagement is a challenge. NHS England plans to provide national guidance by Autumn 2024, to support these reviews. NHS England will consider further steps as appropriate, following the completion of the reviews.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 23521 23523 question first answered 01/05/2024 10:46:50 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4471 label Biography information for Rachael Maskell