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100198

registered interest
date	21/10/2014
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, how many requests have been made to the Specialist Commissioning team for secure placements or beds for children with mental health issues in the last 12 months.
tabling member constituency	Plymouth, Moor View
tabling member printed	Alison Seabeck
uin	211320
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The data requested is not currently available.</p><p> </p><p><strong> </strong></p><p> </p><p>NHS England took responsibility for the commissioning of CAMH Tier 4 (inpatient) services in April 2013. A standardised approach to admissions was not in place which meant that a clear understanding of the numbers of cases referred, or the reasons for referral was not available.</p><p> </p><p> </p><p> </p><p>The need for a national process for admissions was highlighted in the Child and Adolescent Mental Health Services (CAMHS) Tier 4 Report, published in July and NHS England have been working with young people and their families during August and September to develop an admissions standard protocol.</p><p> </p><p> </p><p> </p><p>NHS Area Teams are currently discussing with relevant CAMHS providers the introduction of the protocol in November 2014. The protocol will be reviewed in January 2015.</p><p> </p><p> </p><p> </p><p>NHS England anticipates that a standard protocol will be included in contracts from 2015. This will allow the standard recording of information for CAMHS Tier 4 admissions.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 28/10/2014 15:40:56 answering member 1439 label Biography information for Norman Lamb
tabling member	1552 label Biography information for Alison Seabeck

165805

registered interest
date	19/11/2014
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, what recent assessment he has made of the adequacy of child and adolescent mental health services.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	906235
answer	answer is ministerial correction date of answer 25/11/2014 answer text <p>The recent NHS England <em>CAMHS Tier 4 Report</em> and Health Committee report on child and adolescent mental health found variation in services. The Taskforce on Child and Adolescent Mental Health and Wellbeing is considering ways to improve access and ensure services are more responsive to children and young people’s needs.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 25/11/2014 17:13:58 answering member 1439 label Biography information for Norman Lamb
tabling member	4124 label Biography information for Chi Onwurah

167774

registered interest
date	03/12/2014
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, on how many occasions children with mental health problems have been detained in police custody or in prison in Devon because of a lack of appropriate accommodation in each of the last five years.
tabling member constituency	Exeter
tabling member printed	Mr Ben Bradshaw
uin	217065
answer	answer is ministerial correction date of answer 10/12/2014 answer text <p>The information requested is not available. Such information as is available is as follows.</p><p> </p><p> </p><p> </p><p>We are advised that in the area served by Devon and Cornwall Constabulary, in 2013-14 30 people aged under 18 were taken to a police station as a place of safety, following a detention made under section 136 of the Mental Health Act (MHA) 1983.</p><p> </p><p> </p><p> </p><p>The MHA does not, under any circumstances, allow for the use of prison for the detention of people of any age.</p><p> </p><p> </p><p> </p><p>We are also advised that the Northern Eastern and Western Devon Clinical Commissioning Group is currently looking at the possibility of commissioning an existing unit within its area as a Place of Safety, to ensure that the risk of delays between Tier Three and Tier Four services is reduced as much as possible. Discussions with NHS England and Plymouth Community Healthcare about this are ongoing.</p><p> </p><p> </p><p> </p><p>Devon and Cornwall have now signed their local crisis care declaration, demonstrating a commitment to deliver improved outcomes for people in crisis at a local level. The Crisis Care Concordat includes a standard that no child under the age of 18 should be place in a police cell as a result of experiencing a mental health crisis.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 217064 question first answered 10/12/2014 16:39:24 answering member 1439 label Biography information for Norman Lamb
tabling member	230 label Biography information for Mr Ben Bradshaw

167785

registered interest
date	03/12/2014
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, how much was spent on the treatment of mental illness in children and young people in (a) 2011-12, (b) 2012-13 and (c) 2013-14.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	217108
answer	answer is ministerial correction date of answer 10/12/2014 answer text <p>Children and young people with mental health problems are provided with treatment by a wide range of services and organisations and in a variety of settings. The figures below show what is spent on child and adolescent mental health services but are not representative of all spending on treating mental health problems in children and young people. The figures outline the aggregated primary care trust (PCT) spend on Child and Adolescent Mental Health Services in England since 2010. The figures outline what PCTs have spent but do not indicate the amount of funding provided by the Department of Health. The figures in the table have been rounded to the nearest £million.</p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td></tr><tr><td><p>713</p></td><td><p>704</p></td><td><p>Not yet available</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p>However, the figures do not include:</p><p> </p><p>- spend by local authorities, including children’s services and schools’ expenditure on early intervention or emotional resilience programmes;</p><p> </p><p>- £54 million invested by the Department over the four years from 2011-12 to 2014-15 in the Children and Young People’s Improving Access to Psychological Therapies programme; and</p><p> </p><p>- The £150 million investment over the next five years for NHS England in child and adolescent mental health services including services for the treatment of eating disorders, announced in the Autumn Statement.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 10/12/2014 16:19:26 answering member 1439 label Biography information for Norman Lamb
tabling member	534 label Biography information for Chris Ruane

167787

registered interest
date	03/12/2014
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, what steps he is taking to improve access and reduce waiting times for children's mental health services.
tabling member constituency	Bolton South East
tabling member printed	Yasmin Qureshi
uin	217112
answer	answer is ministerial correction date of answer 10/12/2014 answer text <p><em>Achieving Better Access to Mental Health Services by 2020</em> also announces the introduction of standard waiting times for Early Intervention in Psychosis services which will be of benefit to young people, and for the adult Improving Access to Psychological Therapies (IAPT) programme. It makes it clear that the waiting time standards announced are a first step. There will also be £30 million increased investment in liaison psychiatry to help people including young people presenting in accident and emergency departments with mental health problems. The vision is for comprehensive standards to be developed over the coming years for all ages, including for children and young people. Where adult IAPT services are commissioned to provide a service to 16 and 17 year olds, the new waiting time standard will apply.</p><p> </p><p> </p><p> </p><p>The Department and NHS England will work together with mental health system partners to set out how and when access and further waiting time standards could be introduced, subject to resourcing decisions following the next Spending Review.</p><p> </p><p> </p><p> </p><p>We have invested £54 million into the Children and Young people’s Improving Access to Psychological Therapies programme (CYP IAPT) over 2011-15/16, which is designed to improve access to evidence-based psychological therapies and collaboration with children, young people and families. The programme works with 82 Child and Adolescent Mental Health Service (CAMHS) partnerships and currently covers 60% of the 0-19 population. The Government’s aim is that all of England will be involved by 2018 reflected in the Mandate with NHS England.</p><p> </p><p> </p><p> </p><p>The Children and Young People’s Mental Health and Well-Being Taskforce is considering ways to improve access for children and young people and promote collaborative commissioning of services to reflect the needs of children and young people.</p><p> </p><p> </p><p> </p><p>On 2 December, the Deputy Prime Minister announced recurrent funding for the next 5 years of £30 million per year to improve services for young people with mental health problems. This investment places a particular emphasis on eating disorders and self-harm and it will deliver swifter access to evidence-based community treatment for children and young people with eating disorders.</p><p> </p><p> </p><p> </p><p>In response to NHS England’s <em>Child and Adolescent Mental Health Services Tier 4 Report, </em>published in July, NHS England are using £7 million to provide 50 extra CAMHS specialised Tier 4 beds for young patients in the areas with the least provision. 36 of the 50 planned new beds have opened - 27 in South Yorkshire and Bassetlaw, five in East Anglia and four in Somerset. NHS England continues to seek to build capacity in the areas with least provision.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 10/12/2014 16:45:15 answering member 1439 label Biography information for Norman Lamb
tabling member	3924 label Biography information for Yasmin Qureshi

167789

registered interest
date	03/12/2014
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, on how many occasions mental health professionals in Devon have been unable to find suitable accommodation for children suffering a crisis in each of the last five years.
tabling member constituency	Exeter
tabling member printed	Mr Ben Bradshaw
uin	217064
answer	answer is ministerial correction date of answer 10/12/2014 answer text <p>The information requested is not available. Such information as is available is as follows.</p><p> </p><p> </p><p> </p><p>We are advised that in the area served by Devon and Cornwall Constabulary, in 2013-14 30 people aged under 18 were taken to a police station as a place of safety, following a detention made under section 136 of the Mental Health Act (MHA) 1983.</p><p> </p><p> </p><p> </p><p>The MHA does not, under any circumstances, allow for the use of prison for the detention of people of any age.</p><p> </p><p> </p><p> </p><p>We are also advised that the Northern Eastern and Western Devon Clinical Commissioning Group is currently looking at the possibility of commissioning an existing unit within its area as a Place of Safety, to ensure that the risk of delays between Tier Three and Tier Four services is reduced as much as possible. Discussions with NHS England and Plymouth Community Healthcare about this are ongoing.</p><p> </p><p> </p><p> </p><p>Devon and Cornwall have now signed their local crisis care declaration, demonstrating a commitment to deliver improved outcomes for people in crisis at a local level. The Crisis Care Concordat includes a standard that no child under the age of 18 should be place in a police cell as a result of experiencing a mental health crisis.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 217065 question first answered 10/12/2014 16:39:24 answering member 1439 label Biography information for Norman Lamb
tabling member	230 label Biography information for Mr Ben Bradshaw

167792

registered interest
date	03/12/2014
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, who is responsible for commissioning secure accommodation for children with mental health illness in England; and how many such secure places have been provided in each of the last five years.
tabling member constituency	Exeter
tabling member printed	Mr Ben Bradshaw
uin	217063
answer	answer is ministerial correction date of answer 10/12/2014 answer text <p>We are unable to provide information on bed numbers that predate NHS England.</p><p> </p><p> </p><p> </p><p>Child and Adolescent Mental Health Services Tier 4 (CAMHS Tier 4) are a specialised service commissioned by NHS England since April 2013. This is the first time that all elements of CAMHS inpatient services have been commissioned nationally.</p><p> </p><p> </p><p> </p><p>As at April 2013 NHS England commissioned 1,343 CAMHS beds which increased to 1,386 in April 2014. Since the summer, they have commissioned additional general CAMHS and intensive care beds where there was identified need. These beds include 109 Low Secure beds and 100 Medium Secure beds.</p><p> </p><p><strong> </strong></p><p> </p><p>Overall, there has been an increase in the number of NHS-funded CAMHS Tier 4 beds. The number has increased from 844 in 1999 to 1,128 in 2006 and from 1,264 in January 2014 to 1,386 in April 2014.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 10/12/2014 16:03:04 answering member 1439 label Biography information for Norman Lamb
tabling member	230 label Biography information for Mr Ben Bradshaw

170425

registered interest
date	15/12/2014
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, how many Tier 4 child and adolescent mental health services beds there were in England in each of the last five years.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	218757
answer	answer is ministerial correction date of answer 18/12/2014 answer text <p>The majority of Child and Adolescent Mental Health Services (CAMHS) services are commissioned locally by a number of commissioners, including clinical commissioning groups, schools and local authorities. Data on attendance at CAMHS is held locally, not nationally and we are therefore not able to provide the information requested.</p><p> </p><p> </p><p> </p><p>A new CAMHS minimum dataset is in development that will provide data on outcomes, length of stay for in-patient care, the source of referral, location of appointment and demographic information. Our current estimate is that data will be collected nationally from spring 2016.</p><p> </p><p> </p><p> </p><p>CAMHS Tier 4 is a specialised in-patient service commissioned by NHS England since April 2013.</p><p> </p><p> </p><p> </p><p>Overall, there has been an increase in the number of NHS-funded CAMHS Tier 4 beds. The number has increased from 844 in 1999 to 1,128 in 2006 and from 1,343 April 2013 to 1,386 in April 2014.</p><p> </p><p> </p><p> </p><p>In the summer, NHS England committed to open 50 additional new general CAMHS and intensive care beds, as of December, 40 have opened. The remaining 10 are planned to open before the end of the financial year.</p><p> </p><p> </p><p> </p><p>Within the total number of beds commissioned, there are 109 Low Secure beds and 100 Medium Secure beds.</p><p> </p><p> </p><p> </p><p>We are unable to provide information on Tier 4 bed numbers that predate the setting-up of NHS England.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 218860 question first answered 18/12/2014 17:06:02 answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger

170597

registered interest
date	16/12/2014
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, how much was spent in (a) cash and (b) real terms on child and adolescent mental health services per young person in England in each of the last five years.
tabling member constituency	Leigh
tabling member printed	Andy Burnham
uin	218865
answer	answer is ministerial correction date of answer 07/01/2015 answer text <p>The following table shows programme budgeting expenditure for Child and Adolescent Mental Health Service (CAMHS) in cash and real terms. It should be noted that:</p><p> </p><p>- Children and young people with mental health problems are provided with treatment by a wide range of services and organisations and in a variety of settings. The figures below show what is spent on CAMHS but are not representative of all spending on treating mental health problems in children and young people.</p><p> </p><p>- Programme budgeting data does not include expenditure by local authorities, schools, children’s services or expenditure on primary care appointments.</p><p> </p><p>- Some primary care trusts (PCTs) may not have had sufficient information to allocate all expenditure on services such as continuing healthcare to specific programmes.</p><p> </p><p>- 2013-14 data is not currently available.</p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td colspan="3"><p>Aggregate PCT expenditure on Child and Adolescent Mental Health Disorders</p><p><strong> </strong></p></td></tr><tr><td><p><strong> </strong></p></td><td><p>£ million (cash)</p></td><td><p>£ million (real, 2013-14 prices)</p></td></tr><tr><td><p>2008-09</p></td><td><p>683</p></td><td><p>758</p></td></tr><tr><td><p>2009-10</p></td><td><p>707</p></td><td><p>766</p></td></tr><tr><td><p>2010-11</p></td><td><p>713</p></td><td><p>751</p></td></tr><tr><td><p>2011-12</p></td><td><p>713</p></td><td><p>738</p></td></tr><tr><td><p>2012-13</p></td><td><p>704</p></td><td><p>717</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p><em>Source:</em> Programme Budgeting data, NHS England</p><p> </p><p><strong> </strong></p><p> </p><p><em>Notes</em></p><p> </p><p>1. Programme budgeting returns are based on a subset of PCT accounts data and represent a subset of overall NHS expenditure data.</p><p> </p><p>2. Calculating programme budgeting data is complex and not all healthcare activity or services can be classified directly to a programme budgeting category or care setting. When it is not possible to reasonably estimate a programme budgeting category, expenditure is classified as ‘Other’. Expenditure on General Medical Services and Personal Medical Services cannot be reasonably estimated at disease specific level, and is separately identified as a subcategory of ‘Other’ expenditure.</p><p> </p><p>3. The allocation of expenditure to programme budgeting subcategories is not always straightforward, and subcategory level data should therefore be used with caution.</p><p> </p><p>4. In order to improve data quality, continual refinements have been made to the programme budgeting data calculation methodology since the first collection in 2003-04. The underlying data which support programme budgeting data are also subject to yearly changes. Programme budgeting data cannot be used to analyse changes in investment in specific service areas between years. Users of the data should note that significant changes to the data calculation methodology were introduced in 2010-11.</p><p> </p><p>5. Figures for years 2003-04 to 2009-10 are calculated using provider costs as a basis. Figures for 2010-11 to 2012-13 are calculated using price paid for specific activities and services purchased from healthcare providers. PCTs follow standard guidance, procedures and mappings when calculating programme budgeting data.</p><p> </p><p>6. PCT figures used to calculate 2010-11 data differ from those previously published in the 2010-11 programme budgeting benchmarking spreadsheet. This is due to the correction of errors identified for five PCTs for this year.</p><p> </p><p>7. Aggregate PCT data supersede previously published England level programme budgeting data. England level data incorporated estimates of expenditure on healthcare conditions for the Department of Health, Strategic Health Authorities and Special Health Authorities. England level data is no longer published this data as aggregate PCT figures provide a more accurate and meaningful representation of the breakdown of NHS expenditure by healthcare condition.</p><p> </p><p>8. For 2004-05 onwards, figures are based on PCT spend on own population. This is calculated by adjusting net expenditure to add back expenditure funded from sources outside the NHS and to deduct expenditure on other PCT populations incurred through lead commissioning arrangements.</p><p> </p><p><strong> </strong></p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 07/01/2015 17:28:45 answering member 1439 label Biography information for Norman Lamb
tabling member	1427 label Biography information for Andy Burnham

177881

registered interest
date	04/02/2015
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 his Department's report Achieving Better Access to Mental Health Services by 2020, published in October 2014, which of the waiting time standards referred to in that report will apply to child and adolescent mental health services.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	223355
answer	answer is ministerial correction date of answer 09/02/2015 answer text <p>Improving access and reducing waiting times for mental health is a key priority and part of the Government’s commitment to Parity of Esteem.</p><p> </p><p> </p><p> </p><p><em>Achieving Better Access to Mental Health Services by 2020, </em>published 8 October 2014, contains the first waiting time standards for mental health.</p><p> </p><p> </p><p> </p><p>It announces the introduction of standard waiting times for Early Intervention in Psychosis services: treatment within two weeks for more than 50% of people of all ages experiencing a first episode of psychosis, which will benefit young people directly.</p><p> </p><p> </p><p> </p><p>The report also outlines a £30 million increased investment in liaison psychiatry to help people, including children and young people, presenting in accident and emergency departments with mental health problems, which will improve access to support in acute hospitals for those in crisis.</p><p> </p><p> </p><p> </p><p><em>Achieving Better Access to Mental Health Services by 2020 </em>also outlines a standard for the adult Improving Access to Psychological Therapies programme (IAPT): treatment within six weeks for 75% of adults referred to the IAPT programme, with 95% of people being treated within 18 weeks. Where adult IAPT services cover 16 and 17 year olds, they will also be covered by this standard.</p><p> </p><p> </p><p> </p><p><em>Achieving Better Access to Mental Health Services by 2020</em> is intended as a starting point. The vision is for comprehensive standards to be developed for all ages, including for children and young people, by 2020.</p><p> </p><p> </p><p> </p><p>The Department and NHS England will work together with mental health system partners to set out how and when access and further waiting time standards could be introduced, subject to resourcing decisions following the next Spending Review.</p><p> </p><p> </p><p> </p><p>The Children and Young People’s Mental Health and Well-Being Taskforce is also considering ways to improve access for children and young people and how to promote the collaborative commissioning of services to reflect the needs of children and young people.</p><p> </p><p> </p><p> </p><p>As part of the Autumn Statement it was announced the Government will invest £150 million over the next five years in England to improve services for children and young people with mental health problems. This investment places a particular emphasis on eating disorders and it will deliver swifter access to evidence based community treatment for children and young people with eating disorders. With the intention of introducing a waiting time standard in 2016, the funding will begin in 2015/16.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 09/02/2015 16:38:27 answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger