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156640

	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	Social Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the duties relating to adult social care currently carried out by local authorities that could be transferred to charities in order to increase efficiency and quality of care.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	215170
	answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>Under the Care Act, from April 2015 local authorities will have the power to delegate nearly all of their adult care and support functions, except for some powers and duties around safeguarding, integration, and charging.</p><p> </p><p> </p><p> </p><p>The statutory guidance on delegation, published in October 2014, sets out how this will allow local authorities to work more efficiently and innovatively, including with charities, and provide better quality care and support to local populations. The guidance also notes that many external organisations may have specialist expertise or capacity that could mean delegation is the best approach.</p><p> </p><p><strong> </strong></p><p> </p><p>When a local authority delegates any of its functions, it retains ultimate responsibility for the carrying out of that function.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/11/2014 12:40:16 answering member 1439 label Biography information for Norman Lamb
	tabling member	4079 label Biography information for Julian Sturdy

156626

	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	Swinfen Hall Prison
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many prisoners held in HM Prison and Young Offender Institution Swinfen Hall have been diagnosed with (a) ADHD and (b) Asperger's Syndrome.
	tabling member constituency	Tynemouth
	tabling member printed	Mr Alan Campbell
	uin	215255
	answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>This information is not collected centrally.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/11/2014 12:31:26 answering member 1439 label Biography information for Norman Lamb
	tabling member	529 label Biography information for Sir Alan Campbell

156690

	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	Prisoners: Mental Illness
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of prisoners had mental health difficulties upon arrival in adult prison in each year from 2005 to 2014 to date.
	tabling member constituency	Streatham
	tabling member printed	Mr Chuka Umunna
	uin	215352
	answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>Health assessments are undertaken during an individual’s reception into prison or a youth offender institution. This includes a mental health assessment, which identifies any treatment and support needed. Information on the proportion of people with mental health difficulties entering prison or a youth offender institution is not available centrally.</p><p> </p><p> </p><p> </p><p>The Government is rolling out liaison and diversion services in police stations and courts across England, commissioned by NHS England and with full coverage by 2017. Funding for these services in 2014-15 is £25 million. These services identify offenders with vulnerabilities, including mental health problems, in order to facilitate referral into relevant treatment services as soon as possible.</p><p> </p><p> </p><p> </p><p>Since April 2013, NHS England has commissioned health services within prisons and young offender institutions. As in the community, prison mental health services are provided through a combination of primary care and specialist teams and most prisoners’ needs can be met by primary care. Care for prisoners’ more serious mental health conditions is usually provided by specialist in-reach teams, but if prisoners’ need psychiatric inpatient care they can be transferred to a secure mental health hospital if they meet the criteria to be detained under the Mental Health Act 1983.</p><p> </p><p> </p><p> </p><p>For offenders leaving custody, National Health Service guidance sets an expectation that prisoners are either registered with a general practitioner (GP) practice before they leave or are provided with the necessary information to register with a GP on release and, where possible, provided with support in doing so. This will help facilitate continuity of care on release.</p><p> </p><p> </p><p> </p><p>Released prisoners can access the full range of mental health services available in the community. Offenders with identified mental health problems, who need secondary mental health services, are subject to the Care Programme Approach (CPA) during their stay in prison and on release. CPA enables the planning of treatment and continuity of mental health care for the individual. On release from prison, offenders needing CPA should have a care plan and, pre-release, the prison mental health in-reach team should inform and share information with the individual's GP to ensure continuity of care.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 215353 215354 215355 question first answered 26/11/2014 12:29:42 answering member 1439 label Biography information for Norman Lamb
	tabling member	4128 label Biography information for Chuka Umunna

156696

	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	Prisons: Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what funding his Department has provided to prisons to offer care to prisoners with mental health problems.
	tabling member constituency	Streatham
	tabling member printed	Mr Chuka Umunna
	uin	215354
	answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>Health assessments are undertaken during an individual’s reception into prison or a youth offender institution. This includes a mental health assessment, which identifies any treatment and support needed. Information on the proportion of people with mental health difficulties entering prison or a youth offender institution is not available centrally.</p><p> </p><p> </p><p> </p><p>The Government is rolling out liaison and diversion services in police stations and courts across England, commissioned by NHS England and with full coverage by 2017. Funding for these services in 2014-15 is £25 million. These services identify offenders with vulnerabilities, including mental health problems, in order to facilitate referral into relevant treatment services as soon as possible.</p><p> </p><p> </p><p> </p><p>Since April 2013, NHS England has commissioned health services within prisons and young offender institutions. As in the community, prison mental health services are provided through a combination of primary care and specialist teams and most prisoners’ needs can be met by primary care. Care for prisoners’ more serious mental health conditions is usually provided by specialist in-reach teams, but if prisoners’ need psychiatric inpatient care they can be transferred to a secure mental health hospital if they meet the criteria to be detained under the Mental Health Act 1983.</p><p> </p><p> </p><p> </p><p>For offenders leaving custody, National Health Service guidance sets an expectation that prisoners are either registered with a general practitioner (GP) practice before they leave or are provided with the necessary information to register with a GP on release and, where possible, provided with support in doing so. This will help facilitate continuity of care on release.</p><p> </p><p> </p><p> </p><p>Released prisoners can access the full range of mental health services available in the community. Offenders with identified mental health problems, who need secondary mental health services, are subject to the Care Programme Approach (CPA) during their stay in prison and on release. CPA enables the planning of treatment and continuity of mental health care for the individual. On release from prison, offenders needing CPA should have a care plan and, pre-release, the prison mental health in-reach team should inform and share information with the individual's GP to ensure continuity of care.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 215352 215353 215355 question first answered 26/11/2014 12:29:42 answering member 1439 label Biography information for Norman Lamb
	tabling member	4128 label Biography information for Chuka Umunna

156697

	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	Prisoners: Mental Illness
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he has taken to ensure prisoners diagnosed with mental health difficulties continue to receive support upon their release from custody; and if he will make a statement.
	tabling member constituency	Streatham
	tabling member printed	Mr Chuka Umunna
	uin	215355
	answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>Health assessments are undertaken during an individual’s reception into prison or a youth offender institution. This includes a mental health assessment, which identifies any treatment and support needed. Information on the proportion of people with mental health difficulties entering prison or a youth offender institution is not available centrally.</p><p> </p><p> </p><p> </p><p>The Government is rolling out liaison and diversion services in police stations and courts across England, commissioned by NHS England and with full coverage by 2017. Funding for these services in 2014-15 is £25 million. These services identify offenders with vulnerabilities, including mental health problems, in order to facilitate referral into relevant treatment services as soon as possible.</p><p> </p><p> </p><p> </p><p>Since April 2013, NHS England has commissioned health services within prisons and young offender institutions. As in the community, prison mental health services are provided through a combination of primary care and specialist teams and most prisoners’ needs can be met by primary care. Care for prisoners’ more serious mental health conditions is usually provided by specialist in-reach teams, but if prisoners’ need psychiatric inpatient care they can be transferred to a secure mental health hospital if they meet the criteria to be detained under the Mental Health Act 1983.</p><p> </p><p> </p><p> </p><p>For offenders leaving custody, National Health Service guidance sets an expectation that prisoners are either registered with a general practitioner (GP) practice before they leave or are provided with the necessary information to register with a GP on release and, where possible, provided with support in doing so. This will help facilitate continuity of care on release.</p><p> </p><p> </p><p> </p><p>Released prisoners can access the full range of mental health services available in the community. Offenders with identified mental health problems, who need secondary mental health services, are subject to the Care Programme Approach (CPA) during their stay in prison and on release. CPA enables the planning of treatment and continuity of mental health care for the individual. On release from prison, offenders needing CPA should have a care plan and, pre-release, the prison mental health in-reach team should inform and share information with the individual's GP to ensure continuity of care.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 215352 215353 215354 question first answered 26/11/2014 12:29:42 answering member 1439 label Biography information for Norman Lamb
	tabling member	4128 label Biography information for Chuka Umunna

156698

	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	Young Offenders: Mental Illness
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of people in custody in youth offender institutions had mental health difficulties upon arrival in custody in each year from 2005 to 2014 to date.
	tabling member constituency	Streatham
	tabling member printed	Mr Chuka Umunna
	uin	215353
	answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>Health assessments are undertaken during an individual’s reception into prison or a youth offender institution. This includes a mental health assessment, which identifies any treatment and support needed. Information on the proportion of people with mental health difficulties entering prison or a youth offender institution is not available centrally.</p><p> </p><p> </p><p> </p><p>The Government is rolling out liaison and diversion services in police stations and courts across England, commissioned by NHS England and with full coverage by 2017. Funding for these services in 2014-15 is £25 million. These services identify offenders with vulnerabilities, including mental health problems, in order to facilitate referral into relevant treatment services as soon as possible.</p><p> </p><p> </p><p> </p><p>Since April 2013, NHS England has commissioned health services within prisons and young offender institutions. As in the community, prison mental health services are provided through a combination of primary care and specialist teams and most prisoners’ needs can be met by primary care. Care for prisoners’ more serious mental health conditions is usually provided by specialist in-reach teams, but if prisoners’ need psychiatric inpatient care they can be transferred to a secure mental health hospital if they meet the criteria to be detained under the Mental Health Act 1983.</p><p> </p><p> </p><p> </p><p>For offenders leaving custody, National Health Service guidance sets an expectation that prisoners are either registered with a general practitioner (GP) practice before they leave or are provided with the necessary information to register with a GP on release and, where possible, provided with support in doing so. This will help facilitate continuity of care on release.</p><p> </p><p> </p><p> </p><p>Released prisoners can access the full range of mental health services available in the community. Offenders with identified mental health problems, who need secondary mental health services, are subject to the Care Programme Approach (CPA) during their stay in prison and on release. CPA enables the planning of treatment and continuity of mental health care for the individual. On release from prison, offenders needing CPA should have a care plan and, pre-release, the prison mental health in-reach team should inform and share information with the individual's GP to ensure continuity of care.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 215352 215354 215355 question first answered 26/11/2014 12:29:42 answering member 1439 label Biography information for Norman Lamb
	tabling member	4128 label Biography information for Chuka Umunna

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

156671

	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer to Question 213815, what steps the Government is taking to reduce the proportion of eligible discharges which are not followed up within seven days.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	215281
	answer	answer is ministerial correction date of answer 24/11/2014 answer text <p>Commissioning non-specialist mental health services, including seven-day follow-up, is the responsibility of clinical commissioning groups.</p><p> </p><p> </p><p> </p><p>The NHS Standard Contract requires providers to achieve 95% compliance with Care Programme Approach follow-up within seven days of discharge, on a quarterly basis. A financial sanction is available under the Contract which a commissioner must apply when a provider breaches this standard. The Contract offers a range of other approaches through which the commissioner can hold the provider to account and ensure that performance is improved for instance by agreeing and implementing a Remedial Action Plan.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 24/11/2014 17:42:19 answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger

156705

	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	Diabetes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps health and wellbeing boards take to monitor their progress on raising awareness of diabetes.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	215146
	answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>Health and Wellbeing Boards are responsible for the development of Joint Strategic Needs Assessments to identify the current and future health and wellbeing needs of the local population, and a Joint Health and Wellbeing Strategy to meet these needs. This may include an analysis and plans in respect of the prevalence, impact and levels of awareness of diabetes among the local population.</p><p> </p><p> </p><p> </p><p>Local communities are able to see what boards have chosen to prioritise and how they are monitoring progress towards delivery thanks to the duties of openness under which Boards must work; and to hold boards to account through the local democratic process.</p><p> </p><p> </p><p> </p><p>The Department has not highlighted any particular issue over another for attention by Boards, nor has the Department specified the way in which they should monitor progress towards their delivery of their priorities. This would risk undermining the importance of Boards being locally-owned and responding to the needs of their local populations.</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 26/11/2014 12:34:25 answering member 1439 label Biography information for Norman Lamb
	tabling member	338 label Biography information for Keith Vaz