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1139689

	registered interest
	date	17/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Continuing Care
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many applications for Standard NHS Continuing Healthcare were completed in (a) 2015-16, (b) 2016-17, (c) 2017-18 and (d) 2018-19.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	278451
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The following table provides the total number of standard referrals received for standard NHS Continuing Healthcare (CHC), for the years 2016/17 to 2018/19. We do not hold this data for 2015/16.</p><table><tbody><tr><td><p>Period</p></td><td><p>Number of Referrals</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td></tr></tbody></table><p> </p><p>The following table shows the number of referrals which were completed for standard CHC, for the years 2017/18 to 2018/19. We do not hold data on the number of referrals which were completed before 2017/18.</p><table><tbody><tr><td><p>Period</p></td><td><p>Number of referrals completed</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,426</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td></tr></tbody></table><p> </p><p>The following table shows the number of people assessed as eligible for standard CHC, for the years 2015/16 to 2018/19.</p><table><tbody><tr><td><p>Period</p></td><td><p>Number assessed as eligible</p></td></tr><tr><td><p>2015/16</p></td><td><p>22,346</p></td></tr><tr><td><p>2016/17</p></td><td><p>19,173</p></td></tr><tr><td><p>2017/18</p></td><td><p>16,947</p></td></tr><tr><td><p>2018/19</p></td><td><p>15,963</p></td></tr></tbody></table> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 278452 278453 question first answered 22/07/2019 16:28:36 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1139842

	registered interest
	date	17/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Continuing Care: Medical Examinations
	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 assessment process for eligibility for NHS continuing healthcare; and whether he has any plans to review that process.
	tabling member constituency	Sheffield Central
	tabling member printed	Paul Blomfield
	uin	278480
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The Department published an updated National Framework for NHS Continuing Healthcare (CHC) in March 2018, following a period of extensive engagement with stakeholders and those working across the National Health Service and local government.</p><p>The update provided clarity on policy areas and reflected legislative changes such as the Care Act 2014. Importantly, none of the 2018 amendments and clarifications to the National Framework changed the eligibility criteria for NHS CHC.</p><p>Following the of the National Framework, the Department and NHS England are working jointly to explore the NHS CHC and NHS-funded Nursing Care initial pathway including the CHC Checklist tool.</p><p>NHS England has launched an NHS CHC Strategic Improvement Programme and is helping clinical commissioning groups to improve their application of the NHS CHC National Framework. The Programme aims are to provide fair access to CHC in a way which ensures better outcomes, better experience, and better use of resources.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 22/07/2019 16:26:31 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4058 label Biography information for Paul Blomfield

1139909

	registered interest
	date	17/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Social Security Benefits: Haemochromatosis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent steps he has taken to improve her Department's support for people with haemochromatosis in (a) England and (b) Yorkshire and the Humber.
	tabling member constituency	Leeds North West
	tabling member printed	Alex Sobel
	uin	278593
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>Services for patients with genetic haemochromatosis are commissioned locally through clinical commissioning groups (CCGs) which have a statutory responsibility to commission services which meet the needs of their local population. For example, Leeds CCG commissions the consultant led haematology service at Leeds Teaching Hospitals, which includes support for haemochromatosis. Sustainability and transformation partnerships (STPs) are enabling service coordination across wider footprints and the NHS Long Term Plan sets out the ambition for all STPs to evolve into integrated care systems (ICSs) by April 2021. ICSs are an ‘evolved’ form of a STP, making faster progress in integrating care across their area, bringing together organisations to provide more seamless care for patients.</p><p>The Government is committed to making the United Kingdom a leader in embedding genomics in healthcare and offer a consistent, world class approach to the genetic identification of rare diseases, including genetic hemochromatosis. The Genomics Medicine Service was announced in October 2018, supported by the National Genomic Test Directory which specifies which genomic tests are commissioned by the NHS in England, the technology by which they are available, and the patients who will be eligible to access a test. Genetic haemochromatosis is included in the National Genomic Test Directory.</p><p> </p><p><strong> </strong></p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 22/07/2019 16:27:07 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4658 label Biography information for Alex Sobel

1139225

	registered interest
	date	16/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Loneliness: Social Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what progress has been made against his Department’s commitment, as set out in the 2018 Loneliness Strategy, to improve knowledge sharing among social workers through the Chief Social Worker for Adults to develop social workers’ (a) ability to recognise people who may be experiencing loneliness and (b) their knowledge and services or support to refer people on to.
	tabling member constituency	Kingston upon Hull North
	tabling member printed	Diana Johnson
	uin	277686
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The Government’s Loneliness Strategy ‘A connected society: A Strategy for tackling loneliness – laying the foundations for change,’ acknowledged that tackling loneliness is complex and a long-term challenge, requiring action across many fronts and working with local government, public services, the voluntary and community sector and businesses to identify opportunities to tackle loneliness and build more integrated communities.</p><p>The Government has commissioned an evidence review to support the Chief Social Worker for Adults’ commitment in the Loneliness Strategy, to improve knowledge sharing among social workers and recognition and support for people who may be experiencing loneliness.</p><p>The review summarises the evidence into key messages and recommendations for social workers, other social care practitioners and employers. The Department will publish the review in the summer – this will inform specific guidance for social workers to ensure that they include loneliness in their assessment and care planning and that they also contribute to community development and other projects that can help tackle loneliness.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 22/07/2019 16:16:45 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1533 label Biography information for Dame Diana Johnson

1139226

	registered interest
	date	16/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Loneliness: Health Education
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what progress has been made against his Department’s commitment, as set out in the 2018 Loneliness Strategy, for Public Health England to reach one million members of the public with information on loneliness as a key risk factor for mental health problems.
	tabling member constituency	Kingston upon Hull North
	tabling member printed	Diana Johnson
	uin	277687
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The Government’s Loneliness Strategy ‘A connected society: A Strategy for tackling loneliness – laying the foundations for change’, acknowledged that tackling loneliness is complex and a long-term challenge, requiring action across many fronts and working with local government, public services, the voluntary and community sector and businesses to identify opportunities to tackle loneliness and build more integrated communities.</p><p>The Every Mind Matters campaign was piloted in the Midlands in October 2018 and will be launched across England in October 2019. The campaign launch can be viewed at the following link:</p><p><a href="https://www.gov.uk/government/news/pm-launches-new-mission-to-put-prevention-at-the-top-of-the-mental-health-agenda" target="_blank">https://www.gov.uk/government/news/pm-launches-new-mission-to-put-prevention-at-the-top-of-the-mental-health-agenda</a></p><p>The Midlands campaign can be viewed at the following link:</p><p><a href="https://www.gov.uk/government/news/new-mental-health-campaign-launched-across-the-midlands" target="_blank">https://www.gov.uk/government/news/new-mental-health-campaign-launched-across-the-midlands</a></p><p>The campaign aims to help people become better informed and equipped to look after their own mental health and contains advice on the impact of loneliness on mental health, promotes the benefits of social connection and facilitates self-care to improve mental health by offering personalised action plans.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 22/07/2019 16:28:22 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1533 label Biography information for Dame Diana Johnson

1139227

	registered interest
	date	16/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Loneliness
	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 2018 Loneliness Strategy, what steps his Department has taken to work with the Loneliness Action Group to share learning on loneliness and ensure effective implementation of the strategy.
	tabling member constituency	Kingston upon Hull North
	tabling member printed	Diana Johnson
	uin	277688
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The Government has engaged closely with the Loneliness Action Group in the development of and now implementation of its loneliness strategy. Government officials have regularly attended the quarterly Loneliness Action Group meetings, to share updates and hear the group's views. The Parliamentary Under Secretary of State for Sport and Civil Society (Mims Davies MP), who leads the Government's work on loneliness, spoke at the Loneliness Action Group conference in May 2019.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 22/07/2019 16:14:09 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1533 label Biography information for Dame Diana Johnson

1138810

	registered interest
	date	15/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Health Services: Autism and Learning Disability
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long-Term Plan implementation framework, what the timeframe is for local areas to produce system plans in relation to services for (a) autistic people and (b) people with learning disabilities.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	277152
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>Publication of the Implementation Framework begins the process of strategic system planning. System plans for delivery through to 2023/24 are required, with an initial submission in September 2019 and a final submission to follow by mid November 2019. Plans should fully align across the organisations within each system so that they can subsequently be translated into organisational plans for 2020/21, which will be required in early 2020.</p><p> </p><p>The NHS Long Term Plan states that by March 2023/24, inpatient provision will have reduced to less than half of 2015 levels and, for every one million adults, there will be no more than 30 people with a learning disability and/or autism cared for in an inpatient unit. For children and young people, no more than 12 to 15 children with a learning disability, autism or both per million, will be cared for in an inpatient facility.</p><p> </p><p>At a local level, clinical commissioning groups (CCGs) are expected to reduce inappropriate hospitalisation of people with a learning disability, autism or both to meet these targets. The targets are for people for a learning disability, autism or both as a whole and do not differentiate between individual groups of patients (other than by age). The target rates expressed in the Long Term Plan are based on the Office for National Statistics mid-year population estimates for 2017 and translate into different inpatient counts in each CCG dependent on the size of the local population. Areas with larger populations will therefore have higher inpatient targets than those with smaller populations.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 277153 question first answered 18/07/2019 11:24:12 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1138811

	registered interest
	date	15/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Health Services: Autism and Learning Disability
	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 page 17 of the NHS Long-Term Plan implementation framework, what criteria will be used to calculate the local area share of the required further reduction of inpatient usage and beds for (a) autistic people and (b) people with learning disabilities.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	277153
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>Publication of the Implementation Framework begins the process of strategic system planning. System plans for delivery through to 2023/24 are required, with an initial submission in September 2019 and a final submission to follow by mid November 2019. Plans should fully align across the organisations within each system so that they can subsequently be translated into organisational plans for 2020/21, which will be required in early 2020.</p><p> </p><p>The NHS Long Term Plan states that by March 2023/24, inpatient provision will have reduced to less than half of 2015 levels and, for every one million adults, there will be no more than 30 people with a learning disability and/or autism cared for in an inpatient unit. For children and young people, no more than 12 to 15 children with a learning disability, autism or both per million, will be cared for in an inpatient facility.</p><p> </p><p>At a local level, clinical commissioning groups (CCGs) are expected to reduce inappropriate hospitalisation of people with a learning disability, autism or both to meet these targets. The targets are for people for a learning disability, autism or both as a whole and do not differentiate between individual groups of patients (other than by age). The target rates expressed in the Long Term Plan are based on the Office for National Statistics mid-year population estimates for 2017 and translate into different inpatient counts in each CCG dependent on the size of the local population. Areas with larger populations will therefore have higher inpatient targets than those with smaller populations.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 277152 question first answered 18/07/2019 11:24:12 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1138812

	registered interest
	date	15/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Autism and Learning Disability: Community Care and Housing
	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 page 18 of the NHS Long Term Plan implementation framework, how much additional funding he plans to allocate to support the development of (a) new housing options and (b) suitable accommodation in the community for (i) autistic people and (ii) people with learning disabilities.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	277154
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>In addition to ongoing capital subsidy by both Ministry of Housing, Communities and Local Government and Department of Health and Social Care, to support the new supply of supported housing, NHS England has committed to invest £100 million of capital funding to support people with a learning disability and autism to live in the community from 2016 to 2021.</p><p> </p><p>Further funding to support housing development relating to the Learning Disability programme from April 2021 will be subject to the capital spending review.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/07/2019 11:24:53 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1138829

	registered interest
	date	15/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	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, what plans his Department has to improve support for people with neurodevelopmental conditions.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	277125
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>The Government is committed to supporting people with neurodevelopmental conditions to live well. We are currently reviewing the adult autism strategy and working with the Department of Education will be extending the scope of the strategy to include children. The refreshed strategy will be published by the end of the year. We are also working closely with the National Institute for Health and Care Excellence (NICE) and their attention deficit hypersensitivity disorder (ADHD) Implementation Working Group to look at how the current NICE guidance and quality standard on ADHD are being implemented. This work includes looking to identify best practice and examples of innovation, which have improved outcomes for people with ADHD, so that these can be widely disseminated to commissioners to improve local practice. We are considering what actions can be taken to support those with other neurodevelopmental conditions.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/07/2019 09:28:06 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1439 label Biography information for Norman Lamb