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229140

	registered interest
	date	23/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Illness: Suicide
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patients discharged from mental health in-patient care have taken their own life within (a) one week and (b) two weeks of that discharge in each year since 2010; and how many investigations have been undertaken into those deaths.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	228774
	answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>The first three months after discharge remain a time of particularly high suicide risk – this is especially true in the first 1-2 weeks. Between 2002 and 2012 there were 3,225 suicides in the United Kingdom by mental health patients in the post-discharge period, 18% of all patient suicides.</p><p> </p><p> </p><p> </p><p>Post-discharge suicides were most frequent in the first week after leaving hospital when 380 deaths occurred, an average of 35 per year.</p><p> </p><p> </p><p> </p><p>The number and proportion who died in the first week after discharge has not changed over the report period.</p><p> </p><p> </p><p> </p><p>380 of the 3,225 people counted as post-discharge suicides between 2002-12 died in the first week after leaving hospital. 292 people died in the second week.</p><p> </p><p> </p><p> </p><p>The total number of people who died within three months of in-patient discharge is, as follows:</p><p> </p><p> </p><p> </p><p>2010: 202</p><p> </p><p>2011: 220</p><p> </p><p>2012: 177 (estimate)</p><p> </p><p> </p><p> </p><p>We have reviewed the serious incident framework (due to be launched for April 2015) to support better recognition, reporting and investigation of serious incidents (which would include suicide/ self-inflicted death, but also other serious incidents affecting people with mental health needs). We are also exploring changes to the Serious Incident reporting system (STEIS) database to enable incidents, risks, trends and opportunities for learning to be more easily identified.</p><p> </p><p><strong> </strong></p><p> </p><p>This Government is seeking to change the culture that suicide is inevitable for some people. In January this year the Deputy Prime Minister announced our ambition for ‘zero suicides’. This set out an aspiration for every part of the NHS to commit to a ‘zero suicide’ ambition. This ambition has already been adopted in some local areas and we are certain that this kind of approach can work to dramatically reduce suicides.</p><p> </p><p> </p><p> </p><p>Pioneering work in Liverpool, the South-West and in the East of England means that health workers are already focusing on how they care for people with mental health conditions with a view to preventing suicide. The Deputy Prime Minister called on the health service to look at this work being done by these three pioneering areas.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/03/2015 13:00:55 answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger

229142

	registered interest
	date	23/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer of 23 March 2015 to Question 228266, what proportion of children and young people who were referred for early intervention treatment in psychosis services started that treatment within two weeks of that referral in the latest quarter for which data is available.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	228775
	answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>Data is not available on the proportion of children and young people who were referred for early intervention treatment in psychosis services and started treatment within two weeks of referral. This is because this information is not collected centrally.</p><p> </p><p> </p><p> </p><p>The new Child and Adolescent Mental Health Services (CAMHS) Minimum Dataset will provide comparative data for NHS services that will be used to improve clinical quality and service efficiency; and to commission services in a way that improves health and reduces inequalities. Current plans are for data from the CAMHS Minimum Dataset to begin to flow no later than January 2016.</p><p> </p><p><strong><br> </strong><em>Achieving Better Access to Mental Health Services by 2020, </em>published October 2014<em>,</em> introduces the first waiting time standards for mental health. It includes a standard which will ensure that by 2016 at least 50% of people of all ages referred for early intervention in psychosis services will start treatment within two weeks. This waiting time standard will come into effect from 1 April 2015. This is backed by £33 million investment.</p><p> </p><p><strong> </strong></p><p> </p><p>The Deputy Prime Minister announced on 14 March that £250 million additional funding would be available each year, over the next Parliament, starting in April 2015. This will fund improved access for children and young people with mental health problems - at least 100,000 more children and young people will receive treatment by 2020 and the funding will pay for the introduction of new access and waiting time standards.</p><p> </p><p> </p><p> </p><p>The Government report of the Children and Young People’s Mental Health and Well-Being Taskforce’s findings, <em>Future in mind,</em> published on 17 March 2015, sets out a clear national ambition in the form of key aspirations that the Government would wish to see by 2020. This includes more access and waiting time standards for services so that children and young people can expect prompt treatment when they need it, just as they can for physical health problems.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/03/2015 12:58:36 answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger

229145

	registered interest
	date	23/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, pursuant to the Answer of 23 March 2015 to Question 227902, what assessment he has made of whether mental health services are adequately prioritised in clinical commissioning groups' spending plans.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	228778
	answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>NHS England published planning guidance for 2015/16 for commissioners which made the expectation clear that each clinical commissioning group’s (CCGs) spending on mental health services in 2015/16 should increase in real terms, and grow by at least the same percentage as each CCG’s allocation increase. CCGs will submit their commissioning plans for 2015/16 to NHS England later in the spring.</p><p> </p><p> </p><p> </p><p>NHS England will assure CCG commissioning plans for 2015/16 after they have been submitted to ensure that they meet the expectation set out in the planning guidance, at that point NHS England and the Department will make an assessment of overall spending plans.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/03/2015 12:55:32 answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger

228874

	registered interest
	date	20/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, how many and which police forces directly refer people with mental health problems into primary mental health services.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	228604
	answer	answer is ministerial correction date of answer 25/03/2015 answer text <p>All police forces work closely with local mental health services and have signed a local mental health crisis declaration, which reflects the principles of the national Mental Health Crisis Care Concordat. The police, working closely with mental health professionals, will work to ensure that people in mental health crisis reach the most appropriate mental health service as soon as possible. Information on which mental health services people are referred to following contact with the police is not collected centrally.</p><p> </p><p> </p><p> </p><p>To assist police officers who make face to face contact with people who may be suffering from a mental illness, street triage programmes provide on the spot advice from nurses to officers about mental health, or about those individuals known to services. Street triage schemes will also make referrals to mental health services. Street triage schemes are now operating in at least 21 police force areas in England.</p><p> </p><p> </p><p> </p><p>In addition the police may use their powers under sections 135 and 136 of the Mental Health Act 1983 to take a person who appears to them to be suffering from a mental disorder, and in need of immediate care and control, to a place of safety; where the person will be assessed by mental health professionals so that arrangements can be made for their further care and treatment.</p><p> </p><p> </p><p> </p><p>For people who have been arrested for a crime, Liaison and Diversion services are available in courts and police stations to make referrals to mental health services when the person’s condition requires it. 10 pilot services went live on 1 April 2014 and a further 14 will go live on 1 April 2015, such that Liaison and Diversion schemes will cover 50% of the English population from 1 April. The aim is for 100% roll-out by 2017/18 subject to the approval of a full business case to HM Treasury and further funding to support the roll out to 100% coverage for 2017/18.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 25/03/2015 17:16:17 answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger

228577

	registered interest
	date	19/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, how many (a) child and (b) adult patients with a diagnosis of psychiatric conditions waited longer that four hours in A&E to be seen in (i) each month in 2015 to date and (ii) each year since 2010.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	228434
	answer	answer is ministerial correction date of answer 24/03/2015 answer text <p>This information is not available in the format requested.</p><p> </p><p> </p><p> </p><p>The following table provides a count of accident and emergency (A&amp;E) attendances (excluding planned attendances) with a first diagnosis of a psychiatric condition<sup>1</sup> and a duration to departure<sup>2</sup> of more than four hours, by (a) ages 0-17, and (b) over 18, with annual data for 2010-11 to 2013-14, monthly provisional data for 2014-15<sup>3,4</sup>. Data for the period April 2014 to November 2014 is provisional and subject to change.</p><p> </p><p> </p><p> </p><table><tbody><tr><td> </td><td><p>Ages 0-17</p></td><td><p>Ages 18 and over</p></td></tr><tr><td><p>Year</p></td><td><p>Duration to Departure of more than 4 hours</p></td><td><p>Duration to Departure of more than 4 hours</p></td></tr><tr><td><p>2010-11</p></td><td><p>769</p></td><td><p>11,824</p></td></tr><tr><td><p>2011-12</p></td><td><p>803</p></td><td><p>13,169</p></td></tr><tr><td><p>2012-13</p></td><td><p>1,040</p></td><td><p>14,767</p></td></tr><tr><td><p>2013-14</p></td><td><p>1,601</p></td><td><p>18,272</p></td></tr><tr><td><p>2014-15 (April)</p></td><td><p>149</p></td><td><p>1,630</p></td></tr><tr><td><p>2014-15 (May)</p></td><td><p>193</p></td><td><p>1,813</p></td></tr><tr><td><p>2014-15 (June)</p></td><td><p>172</p></td><td><p>1,794</p></td></tr><tr><td><p>2014-15 (July)</p></td><td><p>147</p></td><td><p>1,760</p></td></tr><tr><td><p>2014-15 (August)</p></td><td><p>103</p></td><td><p>1,877</p></td></tr><tr><td><p>2014-15 (September)</p></td><td><p>149</p></td><td><p>1,887</p></td></tr><tr><td><p>2014-15 (October)</p></td><td><p>202</p></td><td><p>1,892</p></td></tr><tr><td><p>2014-15 (November)</p></td><td><p>469</p></td><td><p>1,905</p></td></tr></tbody></table><p> </p><p>Activity in English NHS hospitals and English NHS commissioned activity in the independent sector</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><ol start="1" type="1"><li>A&amp;E Diagnosis</li></ol><p> </p><p>The following code was used to identify psychiatric conditions within the A&amp;E dataset:</p><p> </p><p>35 = Psychiatric conditions.</p><p> </p><p> </p><p> </p><p>Please note that the recording of the diagnosis field within the A&amp;E data set is not mandatory. It is not known to what extent changes over time are as a result of improvements in recording practice.</p><p> </p><p> </p><p> </p><ol start="2" type="1"><li>Duration to departure</li></ol><p> </p><p>The total amount of time spent in minutes in the A&amp;E department. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient is discharged from A&amp;E care. This includes being admitted to hospital, died in the department, discharged with no follow up or discharged - referred to another specialist department.</p><p> </p><p> </p><p> </p><ol start="3" type="1"><li>Assessing growth through time (A&amp;E)</li></ol><p> </p><p>Hospital Episode Statistics (HES) figures are available from 2007-08 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</p><p> </p><p> </p><p> </p><p>Note that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity occurring between 1 April 2012 and 31 March 2013.</p><p> </p><p><strong> </strong></p><p> </p><ol start="4" type="1"><li>Provisional data: 2014-15</li></ol><p> </p><p>The data is provisional and may be incomplete or contain errors for which no adjustments have yet been made. Counts produced from provisional data are likely to be lower than those generated for the same period in the final dataset. This shortfall will be most pronounced in the final month of the latest period, i.e. November from the (month 9) April to November extract. It is also probable that clinical data are not complete, which may in particular affect the last two months of any given period. There may also be errors due to coding inconsistencies that have not yet been investigated and corrected.</p><p> </p><p><strong> </strong></p><p> </p><ol start="5" type="1"><li>Official source of A&amp;E activity data</li></ol><p> </p><p>HES is not the official source of total A&amp;E activity, this is the NHS England situation reports collection which is available at:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/" target="_blank">http://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/</a></p><p> </p><p> </p><p> </p><p>However, HES permits further analysis of A&amp;E activity as there are a range of data items by which HES can be analysed.</p><p> </p><p> </p><p> </p><ol start="6" type="1"><li>Data quality</li></ol><p> </p><p>The recording of duration in HES A&amp;E is not mandatory and this may particularly have affected the quality of recorded durations to assessment and treatment.</p><p> </p><p><strong> </strong></p><p> </p><p><em>Source:</em> HES, the Health and Social Care Information Centre</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 24/03/2015 15:19:04 answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger

228583

	registered interest
	date	19/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, what recent discussions he has had with the senior national clinical lead for mental health to coordinate education, training and workforce development.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	228435
	answer	answer is ministerial correction date of answer 24/03/2015 answer text <p>My Rt. hon. Friend the Secretary of State has not had any recent discussions with the national clinical lead for mental health.</p><p> </p><p> </p><p> </p><p>The Government has mandated Health Education England (HEE) to provide national leadership on education, training and workforce development in the National Health Service in England.</p><p> </p><p> </p><p> </p><p>HEE is developing a programme of work to deliver the mental health and learning disability workforce development agenda effectively. A steering group is developing the model for training delivery across the life cycle – from public health, perinatal mental health, through children and young people to mental health in adulthood.</p><p> </p><p> </p><p> </p><p>Areas of work covered by this group are dementia, Improving Access to Psychological Therapies, learning disabilities and perinatal mental health. Dr Geraldine Strathdee, the National Clinical Lead for mental health at NHS England, co-chairs the Mental Health Steering Group.</p><p> </p><p><strong> </strong></p><p> </p><p>In addition, the Deputy Prime Minister announced on 14 March 2015, as part of the Budget, that £250 million additional funding would be available each year over the course of the next Parliament, starting in April 2015. This will fund improved access for children and young people with mental health problems - at least 100,000 more children and young people will receive treatment by 2020 and the funding will pay for the introduction of new waiting time standards.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 24/03/2015 15:38:47 answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger

228584

	registered interest
	date	19/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, how much of the funding allocated to clinical commissioning group's for expanding the Improving Access to Psychological Therapies programme has been spent on that programme.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	228436
	answer	answer is ministerial correction date of answer 24/03/2015 answer text <p>We do not centrally hold information on the amount spent by clinical commissioning groups (CCGs) on the Improving Access to Psychological Therapies (IAPT) programme.</p><p> </p><p> </p><p> </p><p>Over £400 million has been invested in the IAPT programme over the course of this spending review period to make a choice of psychological therapies available for those who need them in all parts of England.</p><p> </p><p> </p><p> </p><p>The Department’s 2014-15 Mandate to NHS England makes clear that ‘everyone who needs it should have timely access to evidence based services’. The Mandate sets a clear objective for NHS England to deliver the key objectives of the IAPT programme, providing access to therapies to 15% of those eligible, around 900,000 people per year. CCGs are required to fund IAPT services to meet these requirements.</p><p> </p><p><strong> </strong></p><p> </p><p><em>Achieving Better Access to Mental Health Services by 2020,</em> published in October 2014, articulates our ambition and the immediate actions we are taking to achieve better access and waiting times in mental health services. It includes the commitment of treatment from IAPT services within six weeks of referral for 75% of people; with 95% of people being treated within 18 weeks.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 24/03/2015 15:21:51 answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger

228155

	registered interest
	date	18/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the Deputy Prime Minister's press release of 18 March 2015, on children's mental health services, what the access and waiting time standards will be; when such standards will be introduced; and if he will estimate current performance against such standards.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	228266
	answer	answer is ministerial correction date of answer 23/03/2015 answer text <p>The additional funding announced by the Deputy Prime Minister on 18 March will enable further access targets and waiting time standards to be introduced for children and young people’s mental health services. As far as the access target is concerned, the intention is that a minimum of 110,000 additional children and young people will be treated by 2020. More details will be made available in due course.</p><p> </p><p> </p><p> </p><p>However, the new standards previously announced which are to be introduced from 1 April 2015 will also apply to young people in some cases. By 2016, at least 50% of people of all ages including children and young people, who are referred for early intervention in psychosis services, will start treatment within two weeks. This is the first access and waiting time standard for mental health ever to apply to children.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 23/03/2015 17:15:25 answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger

228157

	registered interest
	date	18/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, how many of the local authorities that have signed up to the Crisis Care Concordat have produced an action plan for the implementation of the provisions of that concordat.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	228265
	answer	answer is ministerial correction date of answer 23/03/2015 answer text <p>The areas that had completed action plans as at 20 March are as follows:</p><p> </p><p> </p><p> </p><p>- Bath and North East Somerset;</p><p> </p><p>- Bradford and Airedale;</p><p> </p><p>- Brighton and Hove;</p><p> </p><p>- Bristol;</p><p> </p><p>- Derby and Derbyshire;</p><p> </p><p>- Doncaster;</p><p> </p><p>- Gloucestershire;</p><p> </p><p>- Greater Manchester (Bolton, Bury, Oldham, Rochdale, Salford, Stockport, Tameside, Trafford, and Wigan);</p><p> </p><p>- Kent and Medway;</p><p> </p><p>- Leicester, Leicestershire and Rutland;</p><p> </p><p>- Lancashire;</p><p> </p><p>- London boroughs of Barking, Havering and Redbridge, Bexley, Brent, Bromley, Camden and Islington, Ealing, Greenwich, Hammersmith and Fulham, Harrow, Hillingdon, Hounslow, Kensington and Chelsea, Tower Hamlets, Waltham Forest, and Westminster;</p><p> </p><p>- Norfolk;</p><p> </p><p>- North Yorkshire;</p><p> </p><p>- Oxfordshire (pending approval);</p><p> </p><p>- Portsmouth (pending approval);</p><p> </p><p>- South Tyneside (pending approval);</p><p> </p><p>- Solihull;</p><p> </p><p>- Staffordshire;</p><p> </p><p>- Suffolk;</p><p> </p><p>- Stoke on Trent;</p><p> </p><p>- Surrey; and</p><p> </p><p>- Wiltshire.</p><p> </p><p> </p><p> </p><p>The Department has also received action plans from the following areas, and is currently reviewing them:</p><p> </p><p> </p><p> </p><p>- London boroughs of Barking, Havering and Redbridge, Bromley, and Newham;</p><p> </p><p>- Oxfordshire;</p><p> </p><p>- Portsmouth;</p><p> </p><p>- South Tyneside;</p><p> </p><p>- Dorset;</p><p> </p><p>- South Gloucestershire; and</p><p> </p><p>- Rotherham.</p><p> </p><p> </p><p> </p><p>All of the areas’ action plans are available to read at <a href="http://www.crisiscareconcordat.org/" target="_blank">www.crisiscareconcordat.org</a>.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 23/03/2015 17:26:44 answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger

227852

	registered interest
	date	17/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, by what mechanisms does his Department hold to account local agencies which have signed up to the Crisis Care Concordat for fulfilling its provisions; and what steps he plans to take in response to such local agencies which do not implement the provisions of that concordat.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	227901
	answer	answer is ministerial correction date of answer 23/03/2015 answer text <p>The Government’s Mandate to NHS England sets out clearly that “we expect NHS England to make rapid progress, working with CCGs and other commissioners, to help deliver on our shared goal to have crisis services that, for an individual, are at all times as accessible, responsive and high quality as other health emergency services.” The Mandate also states that the Government expects “every community to have plans to ensure no one in crisis will be turned away” based on the principles set out in the Crisis Care Concordat.</p><p> </p><p> </p><p> </p><p>It is the role of clinical commissioning groups (CCGs) in England to understand the local demand for crisis services and provide adequate levels of service. NHS England has a generic assurance process which considers how effective CCGs are in discharging their responsibilities. This is an evidence-based process which is designed to challenge where statutory duties are not being met. The revised CCG assurance framework for 2015/16 will have a particular focus on statutory duties.</p><p> </p><p> </p><p> </p><p>The current planning guidance for CCGs, issued in December 2014, which they must have regard to, and which will be part of NHS England’s assurance process, makes specific reference to Concordat action plans, which should enshrine “the actions required of commissioners and providers to ensure that those experiencing a mental health crisis are properly supported”, and sets out the requirements of CCGs including for “the provision of mental health support as an integral part of NHS 111 services; 24/7 Crisis Care Home Treatment Teams; and the need to ensure that there is enough capacity to prevent children, young people or vulnerable adults, undergoing mental health assessments in police cells.” In designing Concordat action plans, the Department has asked local partners to pay particular attention to NHS England’s planning guidance and the Department, NHS England and Mind are supporting all areas to develop their plans and improve existing plans on an ongoing basis.</p><p> </p><p> </p><p> </p><p>We have asked local areas to have governance structures in place to ensure strong local accountability in the monitoring of delivery of actions. The national Crisis Care Concordat works on the basis that all national signatories are jointly accountable to one another and we have asked local partners to adopt a similar approach to ensure that the spirit of collaborative working towards the mutual goal of improving mental health crisis care services for people of all ages is maintained.</p><p> </p><p> </p><p> </p><p>The Care Quality Commission (CQC) has recently carried out local area inspections of services that respond to people experiencing a mental health crisis. CQC will provide feedback to those localities; this enables services to identify areas for improvement which can in turn be addressed through Concordat action plans. In addition, the final report will outline CQC’s plans for inspecting regulated providers that respond to people experiencing a mental health crisis so that key issues are routinely considered within their regulation of services, alongside recommendations for partners across the health and social care sector who have a responsibility towards people in crisis. CQC is seeking to publish the report later in 2015.</p><p> </p><p> </p><p> </p><p>Crisis Teams and Health-based Places of Safety have been defined as core services under CQC’s new inspection model for mental health services, and will be rated by CQC as part of the comprehensive inspection process. As a key partner to the national Crisis Care Concordat, CQC will take into account the Concordat’s principles as part of this process.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 23/03/2015 17:21:03 answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger