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993991

registered interest
date	24/10/2018
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	Eating Disorders
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 assessment he has made of the treatment options for people suffering with eating disorders and subsequent mental health conditions but who are denied treatment due to weighing more than the required benchmark for diagnosis.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	183240
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) clinical guidance on managing and treating eating disorders, and the Eating Disorder Commissioning Guide, are both clear that people should not be rejected for treatment solely on the grounds of weight or Body Mass Index (BMI).</p><p> </p><p>The NICE clinical guideline for the recognition and treatment of an eating disorder (2017) states “Do not use single measures such as BMI or duration of illness to determine whether to offer treatment for an eating disorder (ref 1.2.8)”. We expect commissioners and providers to adhere to this guidance.</p><p> </p><p>The Eating Disorder Commissioning Guide recognises that “There are reported problems associated with health professionals delaying the provision of appropriate treatment due to their treatment decisions being based primarily on the young person’s weight and BMI. These decisions can lead to a delay in access to appropriate treatment” and re-states that commissioners should adhere to NICE guidelines.</p><p> </p><p>Source:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ng69/chapter/Recommendations#identification-and-assessment" target="_blank">https://www.nice.org.uk/guidance/ng69/chapter/Recommendations#identification-and-assessment</a></p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2015/07/cyp-eating-disorders-access-waiting-time-standard-comm-guid.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2015/07/cyp-eating-disorders-access-waiting-time-standard-comm-guid.pdf</a></p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 29/10/2018 14:13:34 answering member 4070 label Biography information for Matt Hancock
tabling member	308 label Biography information for Mr Jim Cunningham

994001

registered interest
date	24/10/2018
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	NHS: Private Sector
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether private providers of NHS services are using patient data gathered through the provision of NHS service to target patients with advertisements for additional private healthcare and services.
tabling member constituency	Hemsworth
tabling member printed	Jon Trickett
uin	183246
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>We are not aware of such practice.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 29/10/2018 14:21:02 answering member 4070 label Biography information for Matt Hancock
tabling member	410 label Biography information for Jon Trickett

994080

registered interest
date	24/10/2018
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: Children and 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, how much the NHS and its agencies spent on specialised commissioning for children and young people’s mental health services in (a) 2016-17 and (b) 2017-18.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	183395
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The amount that the National Health Service spent on specialised commissioning for children and young people’s mental health in 2016-17 and 2017-18 is shown in the following table. Where this data is incomplete specialised commissioning hubs will apportion / estimate any missing values.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Expenditure £ million</p></td></tr><tr><td><p>2016/17</p></td><td><p>341.5</p></td></tr><tr><td><p>2017/18</p></td><td><p>355.2</p></td></tr></tbody></table> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 29/10/2018 17:36:29 answering member 4070 label Biography information for Matt Hancock
tabling member	4244 label Biography information for Jonathan Ashworth

994091

registered interest
date	24/10/2018
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, with reference to the report, Next Steps on the Five Year Forward View, published by NHS England in March 2017, what progress his Department has made on the objective for 60,000 more people to access psychological, or talking therapies, for common mental health conditions during 2017-18.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	183401
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>This information is not currently available.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 29/10/2018 14:14:48 answering member 4070 label Biography information for Matt Hancock
tabling member	4244 label Biography information for Jonathan Ashworth

994267

registered interest
date	24/10/2018
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	Organs: China
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 potential merits of bringing forward legislative proposals to ban (a) organ trafficking and (b) transplant tourism to China.
tabling member constituency	Edinburgh South
tabling member printed	Ian Murray
uin	183334
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The Human Tissue Act 2004 prohibits commercial dealings in human material for transplantation and makes it an offence to traffic organs.</p><p> </p><p>Clinical advice to United Kingdom patients is not to travel to less well-regulated countries to seek an organ transplant. It is thought that very few patients in the UK choose to do so but data on those who do is not available.</p><p> </p><p>The Government has welcomed China's move to stop using organs harvested from executed prisoners from January 2015. The Government continues to monitor the degree of implementation of this commitment, and encourages China to make further progress in bringing transparency to their organ transplant process.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 29/10/2018 14:15:57 answering member 4070 label Biography information for Matt Hancock
tabling member	3966 label Biography information for Ian Murray

994291

registered interest
date	24/10/2018
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	Suicide: Bereavement Counselling
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 ensure that every family bereaved by suicide is proactively offered bereavement support within seven days.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	183510
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The Cross-Government Suicide Prevention Strategy (2012), updated in 2017, has two main aims: to reduce suicides and to improve the support and information provided to people bereaved by suicide. Suicide bereavement support should be provided locally by health and social care services working together along with the third sector.</p><p> </p><p>We are investing £25 million over the next three years in support of the strategy. In 2018/19, £5 million has been provided and £10 million will be provided in each year in 2019/20 and 2020/21. This funding is being provided to sustainability and transformation partnerships (STP) areas to support them to develop their suicide prevention plans and a national quality improvement programme across the National Health Service to improve patient safety and reduce suicides. This first eight STP areas received funding this year. The second year of this funding will be used to support some STPs to develop specific areas of their local suicide prevention plans, including suicide bereavement services.</p><p> </p><p>The Department funds the provision of the ‘Help is at Hand advice and information tool’ which is distributed to local services and can be provided to families bereaved by suicide as soon as is possible and appropriate following a suspected death by suicide.</p><p> </p><p>In July this year, the NHS National Quality Board published ‘Guidance for NHS trusts on working with bereaved families and carers.’ This aims to improve the way the NHS supports, engages and communicates with people who are bereaved, including through suicide, especially when a death is subject to an investigation. It advises that trusts should provide information to bereaved families on support and care that is available to them inside and outside the trust.</p><p> </p><p>Every local authority in England, now has a suicide prevention plan in place, or in development, to reduce suicides in their community. Public Health England published planning guidance to local authorities in 2016 which recommended priorities for local suicide prevention plans including the provision of suicide bereavement support. We are working with the local government sector to ensure their plans are effective, looking at what works and identifying areas for improvement to feed into a wider national programme of support for local authorities.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 29/10/2018 14:17:49 answering member 4070 label Biography information for Matt Hancock
tabling member	4036 label Biography information for Luciana Berger

994297

registered interest
date	24/10/2018
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: Children and 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, what (a) steps his Department is taking and (b) funding is allocated to implement each proposal in the Children and Young People's Mental Health Task Force report, Future in Mind; and what progress has been made on implementing those proposals to date.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	183516
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>Future in Mind, published in 2015, brought stakeholders together behind a vision to improve children and young people’s mental health at a time when these services were much in need of attention and focus. The vision included significant ambitions around increasing access to children and young people’s mental health services. Following publication, the Government committed £1.4 billion for improvements to children and young people’s mental health services over the following five years.</p><p> </p><p>Action is now underway to make a range of improvements to children and young people’s mental health services including increasing numbers accessing specialist services, new waiting time standards, setting up new support teams in or near schools, training staff to work in these, training teachers and piloting a waiting time for access to specialist services.</p><p> </p><p>The Government committed providing access to specialist mental health services for an additional 70,000 children and young people a year by 2020/21.This is being delivered through implementation of the Five Year Forward View for Mental Health. This programme is at the half way point and available data suggests the Government is on track to deliver against this target.</p><p> </p><p>The Five Year Forward View also introduced two waiting time standards for children and young people. The first aims for 95% of children and young people (up to 19 years old) with eating disorders to receive treatment within a week for urgent cases and four weeks for routine cases by 2020/21. The second is that 50% of patients of all ages experiencing a first episode of psychosis should receive treatment within two weeks of referral by 2020/21. We are currently on track and meeting these waiting time standards respectively.</p><p> </p><p>In relation to the development of a ‘whole system approach’, the Government is going further than the vision set out in Future in Mind. Our Green Paper, published jointly with the Department for Education, sets out our plans for increased support for children and young people in schools. As part of implementing this, we are setting up new Mental Health Support Teams to deliver mental health interventions for those with mild to moderate needs in, or close to, schools and colleges (and refer those with more severe needs on to specialist services). Educational Mental Health practitioners’ training places are now open for 210 new staff. Training will start from January 2019.</p><p> </p><p>We will also ensure that at least one teacher in every primary and secondary school will receive mental health awareness training to enable school staff to spot common signs of mental health issues, and to help children and young people receive appropriate support.</p><p> </p><p>We have also committed to piloting a four week waiting time for access to specialist children and young people’s mental health services.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 29/10/2018 14:10:52 answering member 4070 label Biography information for Matt Hancock
tabling member	4036 label Biography information for Luciana Berger

992808

registered interest
date	22/10/2018
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: West Midlands
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 money the NHS has spent on mental health services in the West Midlands in each year since 2010.
tabling member constituency	Wolverhampton North East
tabling member printed	Emma Reynolds
uin	182169
answer	answer is ministerial correction date of answer 25/10/2018 answer text <p>The following tables show expenditure on mental health, including learning disabilities. NHS England does not hold information on mental health spend prior to 2013/14.</p><p> </p><p>West Midlands specialised commissioning hub expenditure on mental health services (includes learning disabilities)</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td><td><p>2017/18</p></td></tr><tr><td><p>Expenditure £ million</p></td><td><p>156.8</p></td><td><p>162.6</p></td><td><p>161.4</p></td><td><p>156.7</p></td><td><p>155.3</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><ol><li>The specialised commissioning spend is contracted expenditure for the West Midlands specialised commissioning hub and as such will include expenditure for some service users who reside outside of the West Midlands. The figures also include learning disability spend.</li></ol><p> </p><ol start="2"><li>The figures for West Midlands Clinical Commissioning Group (CCG) Mental Health spend will relate to West Midlands residents/patients and include spend on learning disabilities and dementia.</li></ol><p> </p><p>West Midlands CCG expenditure on mental health services for West Midlands residents and patients including spend on learning disabilities and dementia</p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="5"><p>Total mental health spend</p></td></tr><tr><td><p>Organisation</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td><td><p>2017/18</p></td></tr><tr><td><p> </p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td></tr><tr><td><p>NHS Wolverhampton CCG</p></td><td><p>35.3</p></td><td><p>32.9</p></td><td><p>41.6</p></td><td><p>46.6</p></td><td><p>46.5</p></td></tr><tr><td><p>NHS Dudley CCG</p></td><td><p>38.8</p></td><td><p>48.6</p></td><td><p>45.9</p></td><td><p>48.3</p></td><td><p>50.9</p></td></tr><tr><td><p>NHS Walsall CCG</p></td><td><p>54.5</p></td><td><p>44.3</p></td><td><p>64.3</p></td><td><p>62.1</p></td><td><p>61.0</p></td></tr><tr><td><p>NHS Sandwell and West Birmingham CCG</p></td><td><p>71.7</p></td><td><p>83.5</p></td><td><p>95.6</p></td><td><p>102.6</p></td><td><p>96.5</p></td></tr><tr><td><p>NHS Solihull CCG</p></td><td><p>28.61</p></td><td><p>46.0</p></td><td><p>50.6</p></td><td><p>43.1</p></td><td><p>44.0</p></td></tr><tr><td><p>NHS Birmingham and CrossCity CCG</p></td><td><p>105.8</p></td><td><p>124.9</p></td><td><p>134.8</p></td><td><p>141.5</p></td><td><p>149.0</p></td></tr><tr><td><p>NHS Birmingham South and Central CCG</p></td><td><p>39.7</p></td><td><p>50.0</p></td><td><p>64.2</p></td><td><p>68.0</p></td><td><p>65.9</p></td></tr><tr><td><p>NHS Warwickshire North CCG</p></td><td><p>23.5</p></td><td><p>23.1</p></td><td><p>34.9</p></td><td><p>36.4</p></td><td><p>34.8</p></td></tr><tr><td><p>NHS Coventry and Rugby CCG</p></td><td><p>83.2</p></td><td><p>83.0</p></td><td><p>92.7</p></td><td><p>99.0</p></td><td><p>101.3</p></td></tr><tr><td><p>NHS South Warwickshire CCG</p></td><td><p>35.6</p></td><td><p>43.6</p></td><td><p>49.4</p></td><td><p>51.0</p></td><td><p>49.9</p></td></tr><tr><td><p>NHS Herefordshire CCG</p></td><td><p>33.7</p></td><td><p>36.9</p></td><td><p>36.8</p></td><td><p>38.0</p></td><td><p>39.1</p></td></tr><tr><td><p>NHS South Worcestershire CCG</p></td><td><p>40.5</p></td><td><p>41.4</p></td><td><p>44.0</p></td><td><p>46.2</p></td><td><p>39.7</p></td></tr><tr><td><p>NHS Wyre Forest CCG</p></td><td><p>19.5</p></td><td><p>15.8</p></td><td><p>18.2</p></td><td><p>19.3</p></td><td><p>17.0</p></td></tr><tr><td><p>NHS Redditch and Bromsgrove CCG</p></td><td><p>27.0</p></td><td><p>22.3</p></td><td><p>25.4</p></td><td><p>26.7</p></td><td><p>23.5</p></td></tr><tr><td><p>Total</p></td><td><p>637.3</p></td><td><p>696.2</p></td><td><p>798.4</p></td><td><p>828.9</p></td><td><p>819.1</p></td></tr></tbody></table><p> </p><p>Note:</p><p> </p><p>Figures for CCG expenditure for 2015/16 and 2016/17 are slightly higher than those published in the online dashboard as they are outturn expenditure, whereas the online dashboard excludes non-recurrent spending in order to help make the figures more comparable over time. The financial values have been consolidated through the use of National Programme of Care (NPoC) codes and are taken from NHS England’s annual CCG expenditure exercise. This exercise uses Provider Aggregate Contract Monitoring (ACM) as the basis for the data; where this data is incomplete hubs will apportion / estimate any missing values.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 25/10/2018 15:27:16 answering member 4070 label Biography information for Matt Hancock
tabling member	4077 label Biography information for Emma Reynolds

992828

registered interest
date	22/10/2018
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	Medical Records: Databases
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 (a) cost and capability of the in-house electronic health records system developed by Leeds Teaching Hospitals Trust and (b) feasibility of replicating that system throughout the NHS.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	182120
answer	answer is ministerial correction date of answer 25/10/2018 answer text <p>There has not been any formal assessment of the cost and capability of the in-house electronic health records system in use in the Leeds Teaching Hospitals NHS Trust or the feasibility of replicating such a system across the National Health Service in England. The availability of electronic health records is a key element of providing digitally enabled services and we expect all trusts to implement such systems. It is a local decision on how best to achieve this, taking into account the digital systems already in place and the capacity and capability available to implement a solution.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 25/10/2018 11:26:55 answering member 4070 label Biography information for Matt Hancock
tabling member	534 label Biography information for Chris Ruane

991163

registered interest
date	19/10/2018
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	NHS Digital
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 redundancies are planned as a result of the restructure of NHS Digital; and where those staff affected by the Org2 redesign are located.
tabling member constituency	Leeds Central
tabling member printed	Hilary Benn
uin	181552
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>Due to the need to reduce the size of the organisation and change the skills and capability of its workforce, NHS Digital’s restructuring is planned to be delivered in a series of ‘waves’ and is due to be completed by 2020/21. Wave one is currently in progress.</p><p> </p><p>At this stage, NHS Digital estimates that a net overall reduction in headcount of circa 500 full time equivalents is expected. A programme of staff engagement and discussions with staff representatives is in place.</p><p> </p><p>All staff will be affected by the restructuring and will be required to apply for posts in the new organisation structure. Staff are currently located in NHS Digital’s offices in London, Leeds, Southport, Exeter, Southampton, Washington and Redditch.</p><p> </p><p>NHS Digital is working to ensure that it provides every facility to help staff secure suitable alternate employment. A professional outplacement service has been secured to work with displaced staff and NHS Digital is seeking opportunities with other public and private sector employers in the areas affected.</p> answering member constituency West Suffolk answering member printed Matt Hancock grouped question UIN 181553 question first answered 29/10/2018 17:35:16 answering member 4070 label Biography information for Matt Hancock
tabling member	413 label Biography information for Hilary Benn