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178163

	registered interest
	date	05/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospitals: Lancashire
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patients received delayed transfers of care in Lancashire NHS Trust hospitals in (a) 2014, (b) 2013, (c) 2012, (d) 2011 and (e) 2010.
	tabling member constituency	Preston
	tabling member printed	Mark Hendrick
	uin	223513
	answer	answer is ministerial correction date of answer 12/02/2015 answer text <p> </p><p /> <p>Information is not collected on the total number of patients that were delayed in each year.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 12/02/2015 16:05:56 answering member 1439 label Biography information for Norman Lamb
	tabling member	473 label Biography information for Sir Mark Hendrick

171266

	registered interest
	date	17/12/2014
	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 the (a) actual and (b) percentage change was in expenditure per head of population aged 65 and over on adult social care services in each English local authority in 2009-10 and 2013-14.
	tabling member constituency	Westminster North
	tabling member printed	Ms Karen Buck
	uin	219191
	answer	answer is ministerial correction date of answer 05/01/2015 answer text <p><del class="ministerial">Data on expenditure per head of population aged 65 and over on adult social care services is not held centrally and could only be obtained at disproportionate cost. The attached table provides the net current expenditure per head of population who receive adult social care aged 65 and over, broken down by local authority and year. The last column shows the percentage change between 2009-10 and 2013-14.</del></p><p> </p><p><ins class="ministerial">Local authorities in England spent £6.7 billion on social care for people aged over 65 and over in 2013-14, compared with £7.4 billion in 2009-10. In 2013-14 the National Health Service transferred £859 million to social care but we are unable to include this investment in the overall spending figure as we do not hold information on how much of it was spent on people aged 65 and over.</ins></p><p><ins class="ministerial">The attached table provides a breakdown of expenditure on social care per head of population aged 65 and over broken down by local authority in 2009-10 and 2013-14. The table also details the percentage change and actual change between those two financial years. The figures do not include NHS transfer funding.</ins></p><p><ins class="ministerial"> <p> </p><p> </p><p /> <p> </p></ins></p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 05/01/2015 16:21:02 question first ministerially corrected 13/01/2015 14:57:52 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Revised table PQ 219191.docx title Social care spend per head of population 2009-14 previous answer version 36913 answering member constituency North Norfolk answering member printed Norman Lamb answering member 1439 label Biography information for Norman Lamb attachment 1 file name 2014-12-22 PQ219191 Karen Buck Table on over 65 LA Expenditure.docx title Over 65 LA expenditure
	tabling member	199 label Biography information for Ms Karen Buck

170424

	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
	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 England referred for talking therapies for treatment of depression and anxiety started their treatment within (a) six and (b) 18 weeks in the last (i) quarter and (ii) year for which information is available.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	218756
	answer	answer is ministerial correction date of answer 18/12/2014 answer text <p><em>Achieving Better Access to Mental Health Services by 2020,</em> published October 2014, articulates our ambition and the immediate actions we will take this year and next to achieve better access and waiting times in mental health services. It includes the Improving Access to Psychological Therapies (IAPT), commitment of treatment within six weeks for 75% of people with 95% of people being treated within 18 weeks.</p><p> </p><p> </p><p> </p><p>The Health and Social Care Information Centre has provided the following information taken from the IAPT Dataset.</p><p> </p><p> </p><p> </p><p>The percentage of referrals waiting less than six weeks and less than 18 weeks from referral and first treatment appointment in IAPT services, nationally, for 2013-14 and Quarter 1 of 2014-15 is as follows:</p><p> </p><p><strong> </strong></p><p> </p><p>- During 2013-14 73.7% of people waited for six weeks or less and 93.2% waited for 18 weeks or less.</p><p> </p><p> </p><p> </p><p>- During first quarter of 2014-15 - 76.1% of people waited for six weeks or less and 95.3% waited for 18 weeks or less.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 18/12/2014 17:00:38 answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger

170422

	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
	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 England referred for Early Intervention in Psychosis services received help within two weeks of being referred in the last (a) quarter and (b) year for which information is available.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	218758
	answer	answer is ministerial correction date of answer 18/12/2014 answer text <p><em>Achieving Better Access to Mental Health Services by 2020,</em> published October 2014, articulates our ambition and the immediate actions we will take this year and next to achieve better waiting times in mental health services. This includes access to a National Institute for Health and Care Excellence-approved package of care within two weeks, for more than 50% of people experiencing a first episode of psychosis.</p><p> </p><p> </p><p> </p><p>The Health and Social Care Information Centre has provided the following information.</p><p> </p><p> </p><p> </p><p>The method for calculating waiting times is only available for 2013-14. No data are available for the latest quarter.</p><p> </p><p> </p><p> </p><p>During 2013-14, 43.6% of initial contacts with early intervention in psychosis were within two weeks.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 18/12/2014 17:33:11 answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger

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

222966

	registered interest
	date	23/02/2015
	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, when he expects that the Child and Adolescent Mental Health Services Dataset will start publishing data; and if he will make a statement.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	225018
	answer	answer is ministerial correction date of answer 26/02/2015 answer text <p><ins class="ministerial">The Health and Social Care Information Centre advise that the collection of data for the Child and Adolescent Mental Health Services dataset will start at the beginning of February 2016. The first submission period will cover January to March 2016. Statistical reports based on the initial data collection will be published in mid-2016.</ins></p><p> </p><p> </p><p> </p><p><del class="ministerial">The National Institute for Health and Care Excellence guidance <em>Multiple sclerosis: management of multiple sclerosis in primary and secondary care</em>, updated in October 2014, sets out best practice on the diagnosis, treatment, care and support of people with multiple sclerosis (MS). The guidance makes a range of recommendations on drug based treatments for MS, but also highlights the importance of involving professionals who can meet the needs of the patient in the best way, such as physiotherapists and occupational therapists. </del></p><p> </p><p> </p><p><ins class="ministerial"></ins></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p><del class="ministerial">With regard to early diagnosis, MS is a difficult condition to diagnose as a number of the symptoms such as fatigue, depression or dizziness may be unrelated. The guidance sets out a number of initial presentations that clinicians should be aware of when looking for signs of MS. It also recommends a number of assessments a clinician should make, including testing of vision and blood tests before referral to a consultant neurologist, who can confirm or exclude a diagnosis of MS, subject to investigation.</del></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/02/2015 15:20:43 question first ministerially corrected 27/02/2015 13:56:12 answering member 1439 label Biography information for Norman Lamb previous answer version 46777 answering member constituency North Norfolk answering member printed Norman Lamb answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger

168042

	registered interest
	date	04/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what budget was allocated to mental health (a) in England and (b) to Norfolk and Suffolk Foundation Trust in each of the last five years; and what budget is expected for 2014-15.
	tabling member constituency	Norwich North
	tabling member printed	Chloe Smith
	uin	217140
	answer	answer is ministerial correction date of answer 11/12/2014 answer text <p><strong> </strong></p><p> </p><p> </p><p> </p><p>The aggregate expenditure on mental health disorders by primary care trust (PCT), for financial years 2008-09 to 2012-13 is set out below.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Financial Year</p></td><td><p>Expenditure (£ billion)</p></td></tr><tr><td><p>2008-09</p></td><td><p>9.79</p></td></tr><tr><td><p>2009-10</p></td><td><p>10.61</p></td></tr><tr><td><p>2010-11</p></td><td><p>10.96</p></td></tr><tr><td><p>2011-12</p></td><td><p>11.16</p></td></tr><tr><td><p>2012-13</p></td><td><p>11.28</p></td></tr></tbody></table><p> </p><p><em>Source:</em> NHS England Programme Budget Data</p><p> </p><p>Aggregate PCT expenditure is not yet available for 2013-14. However, NHS England advises that total mental health spending in 2013-14 was £11.362 billion with an estimated £11.664 billion planned in 2014-15, an increase of £302 million.</p><p> </p><p> </p><p> </p><p>Foundation Trust budget information is not held centrally.</p><p> </p><p> </p><p> </p><p>The table below shows mental health spend for Norfolk and Suffolk Primary Care Trusts, for the years 2008-09 to 2012-13.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Financial Year</p></td><td><p>Norfolk (£ million)</p></td><td><p>Suffolk (£ million)</p></td></tr><tr><td><p>2008-09</p></td><td><p>138</p></td><td><p>90</p></td></tr><tr><td><p>2009-10</p></td><td><p>143</p></td><td><p>98</p></td></tr><tr><td><p>2010-11</p></td><td><p>147</p></td><td><p>98</p></td></tr><tr><td><p>2011-12</p></td><td><p>189</p></td><td><p>100</p></td></tr><tr><td><p>2012-13</p></td><td><p>150</p></td><td><p>100</p></td></tr></tbody></table><p> </p><p><em>Source:</em> NHS England Programme Budget Data</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 11/12/2014 16:35:25 answering member 1439 label Biography information for Norman Lamb
	tabling member	1609 label Biography information for Chloe Smith

166010

	registered interest
	date	25/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Young People
	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 counselling services in the NHS for people under the age of 25 who have a mental illness.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	215904
	answer	answer is ministerial correction date of answer 02/12/2014 answer text <p><strong> </strong></p><p> </p><p>Improving access to psychological therapies for adults, children and young people is fundamental to the success of our drive to improve mental health services.</p><p> </p><p>The Department 2014-15 Mandate to NHS England makes clear that ‘everyone who needs it should have timely access to evidence based services’.</p><p> </p><p> </p><p> </p><p>The Mandate sets a clear objective for NHS England to deliver the key objectives of the Improving Access to Psychological Therapies programme, which is available for those aged 18+.</p><p> </p><p> </p><p> </p><p>Over £400 million is being invested over the spending review period to make a choice of psychological therapies available for those who need them in all parts of England.</p><p> </p><p>For children and young people, the Department is investing £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.</p><p> </p><p> </p><p> </p><p>The programme is working 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 and this is reflected in the Mandate with NHS England.</p><p> </p><p> </p><p> </p><p>The CYP IAPT programme trains service leaders, supervisors and therapists with a combination of outreach continuing professional development and Postgraduate certificate and Masters Qualifications.</p><p> </p><p> </p><p> </p><p>Existing CAMHS therapists are trained to post graduate diploma level in one of four evidence based psychological treatments and approximately 73% of the budget spent to date supports backfill for existing staff to go on courses as well as training costs.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 02/12/2014 15:35:59 answering member 1439 label Biography information for Norman Lamb
	tabling member	1511 label Biography information for Lord Austin of Dudley

101562

	registered interest
	date	29/10/2014
	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 reports he has received from Health and Wellbeing Boards on improvements in raising diabetes awareness.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	212457
	answer	answer is ministerial correction date of answer 05/11/2014 answer text <p><strong> </strong></p><p> </p><p>The Department has received no reports from Health and Wellbeing Boards on improvements in raising awareness of diabetes.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 05/11/2014 16:12:40 answering member 1439 label Biography information for Norman Lamb
	tabling member	338 label Biography information for Keith Vaz

165994

	registered interest
	date	25/11/2014
	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, what recent estimate he has made of the average waiting time for treatments for mental health conditions.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	215970
	answer	answer is ministerial correction date of answer 02/12/2014 answer text <p><strong> </strong></p><p> </p><p>The Department’s most recent estimate of the average waiting times for some mental health services is contained in the impact assessment dated 25 September 2014 which accompanies the Government’s new five-year plan for mental health, <em>Achieving Better Access to Mental Health Services by 2020</em> published on</p><p> </p><p>8 October 2014. <em>Achieving Better Access to Mental Health Services by 2020</em> sets out the immediate actions we will take this year and next to achieve better access and waiting times.</p><p> </p><p> </p><p> </p><p>£40 million in additional funding has been identified to enable change in the current financial year, and a further £80 million will be freed up for 2015-16 to support implementation of waiting times standards in mental health services.</p><p> </p><p> </p><p> </p><p>The Department and NHS England will work together with mental health system partners to develop detailed proposals for the introduction of further access and waiting time standards from 2016 onwards.</p><p> </p><p> </p><p> </p><p>Information on mean and median waiting times for the Improving Access to Psychological Therapy (IAPT) programme by clinical commissioning group in 2013-14 is attached.</p><p> </p><p> </p><p> </p><p>The IAPT dataset did not exist before April 2012 and reliable data became available from April 2013 onwards.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 02/12/2014 16:21:17 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Mean and median waiting times for IAPT services by CCG on 2013-14.xlsx title Mean/median waiting times: IAPT services by CCG
	tabling member	1511 label Biography information for Lord Austin of Dudley