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1126827

	registered interest
	date	15/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Mental Health Services: Expenditure
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what plans he has to reduce the differential in spending on mental health support between different parts of the country.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	254721
	answer	answer is ministerial correction date of answer 20/05/2019 answer text <p>Funding allocations to clinical commissioning groups vary to meet the needs of local populations, including mental health need. These allocations are determined by a formula managed for the National Health Service by the Advisory Committee on Resource Allocation.</p><p>Clinical commissioning groups (CCGs) are required to continue to increase investment in mental health services in line with the mental health investment standard. In 2017/18, all CCGs met the standard. For 2019/20, the standard requires CCGs to increase spend by at least their overall programme allocation growth, plus an additional percentage increment to reflect the additional mental health funding included in CCG allocations for 2019/20.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/05/2019 14:20:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	252 label Biography information for Dr David Drew

1126891

	registered interest
	date	15/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to record national figures on patient discharge from community mental health services.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	254737
	answer	answer is ministerial correction date of answer 20/05/2019 answer text <p>National figures on patients discharged from community mental health services in England are recorded and can be extracted from data collected by NHS Digital as part of the Mental Health Services Dataset (MHSDS).</p><p>This breakdown of the data is not published by NHS Digital and there are no current plans to do so.</p><p>To note, the MHSDS data collection is still experimental and should be interpreted with caution.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/05/2019 14:10:31 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	308 label Biography information for Mr Jim Cunningham

1126898

	registered interest
	date	15/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Perinatal Mortality
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when he plans to publish a report on proposals to change the law on the registration of stillborn babies before the 24 week viability threshold.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	254710
	answer	answer is ministerial correction date of answer 20/05/2019 answer text <p>The Pregnancy Loss Review was commissioned by the Department in March 2018. The Terms of Reference for the Review include considering whether it would, on balance, be beneficial to look at legislative options to amend existing primary legislation to allow parents to register a miscarriage if they so wish. Further information is available at the following link:</p><p><a href="https://www.gov.uk/government/groups/pregnancy-loss-review-group" target="_blank">https://www.gov.uk/government/groups/pregnancy-loss-review-group</a></p><p>The Department expects to publish the Review report by the end of the year.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/05/2019 14:08:26 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	114 label Biography information for Tim Loughton

1126957

	registered interest
	date	15/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Suicide
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 30 April 2019 to Question 247685 on Suicide, how many local authorities have policies to tackle financial difficulty in their suicide prevention plans.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	254804
	answer	answer is ministerial correction date of answer 20/05/2019 answer text <p>The Government consulted on the Breathing Space programme between October 2018 and January 2019. Breathing Space is a statutory debt repayment plan which aims to give people in problem debt the opportunity to take control of their finances and put them on a sustainable footing. The scheme includes a specific mechanism to make it easier for people experiencing a mental health crisis to access support. A response to the consultation will be published in due course.</p><p>The National Suicide Prevention Strategy highlights groups that need tailored approaches to address their mental health needs to reduce their suicide risk, including people who are vulnerable due to social or economic circumstances. We are working with the local government sector to assess the effectiveness of those plans, and a report will be published shortly that highlights areas of best practice and areas for improvement. This report will include an analysis of the extent to which local authority plans are addressing high risk groups.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/05/2019 14:13:53 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4036 label Biography information for Luciana Berger

1126959

	registered interest
	date	15/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Postnatal Depression: Suicide
	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 women have taken their own lives in the first year after the birth of their child in each year since 2010.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	254806
	answer	answer is ministerial correction date of answer 20/05/2019 answer text <p>The maternal mortality rates by suicide, per 100,000 maternities up to one year post-partum are set out in the following table.</p><table><tbody><tr><td><p>Cause of death</p></td><td><p>2010-12</p></td><td><p>2011-13</p></td><td><p>2012-14</p></td><td><p>2013-15</p></td><td><p>2014-16</p></td></tr><tr><td><p>Psychiatric Causes – Suicide</p></td><td><p>10</p></td><td><p>13</p></td><td><p>14</p></td><td><p>12</p></td><td><p>16</p></td></tr></tbody></table><p>Source: MBRRACE-UK, Office for National Statistics, National Records Scotland, Northern Ireland Statistics and Research Agency. Data for United Kingdom.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/05/2019 14:05:40 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4036 label Biography information for Luciana Berger

1127186

	registered interest
	date	16/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Mental Health Services: Prisons
	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 have been taken to tackle delays in transferring people with mental health problems from prison to hospital.
	tabling member constituency	Newcastle upon Tyne Central
	tabling member printed	Chi Onwurah
	uin	255327
	answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>NHS England is the commissioning body responsible for ensuring high quality low, medium and high secure hospital accommodation.</p><p> </p><p>As part of this role, NHS England has developed a national approach to ensuring close partnership working with local NHS England health and justice teams to review patients’ needs and expedite access to secure mental health beds. This also includes a more detailed understanding of challenges in the system in relation to remissions from hospital to prison, so that access, progress and throughput is improved.</p><p> </p><p>NHS England commissioned a repeat of the 2017 National Health Service benchmarking audit on transfers and remissions in early 2019, and a full analysis of this data is currently taking place. This information will help to ensure that challenges and delays in the system are addressed to ensure timely and appropriate transfers of care.</p><p> </p><p>The current ‘Prison Transfer and Remission Best Practice Guidance’, published by the Department in 2011, is being reviewed and two separate documents are being developed to replace it: one for immigration removal centres and another for prisons.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/05/2019 16:31:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4124 label Biography information for Chi Onwurah

1127334

	registered interest
	date	17/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Isotretinoin: Side Effects
	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 health risks and psychiatric side-effects of the drug Roaccutane.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	255661
	answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>As with all medicines in the United Kingdom, the Medicines and Healthcare products Regulatory Agency continuously monitors the safety of isotretinoin-containing medicines. This includes reports of suspected adverse drug reactions submitted by healthcare professionals, patients and carers through the Yellow Card scheme, as well as published and unpublished data. As new evidence on safety emerges it is carefully evaluated and, where appropriate, product information is updated and advice for prescribers and patients is issued.</p><p>Specific assessments of possible psychiatric side effects associated with isotretinoin were considered by an Expert Working Group of the Commission on Human Medicines in 2005 and 2014. In addition, the risk of neuropsychiatric disorders was evaluated in a European review which was completed in 2018. This review concluded that the warnings in the product information for medicines containing isotretinoin regarding possible psychiatric adverse effects reflected what was known.</p><p>Since 1998, warnings regarding the possible risk of developing depression and other psychiatric side effects have been included in the product information for Roaccutane and the generic versions of isotretinoin (the Summary of Product Characteristics for healthcare professionals and the patient information leaflet). The product information for isotretinoin warns that treatment may be associated with possible psychiatric side effects, that particular care needs to be taken in patients with a history of depression; and that all patients on isotretinoin should be monitored for signs of depression and referred for appropriate treatment if necessary. It also states that stopping isotretinoin may not lead to improvement and therefore further psychiatric or psychological evaluation may be necessary.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/05/2019 16:42:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1127468

	registered interest
	date	20/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Health Professions: Recruitment
	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 he is taking to increase the number of (a) school nurses and (b) health visitors.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	256319
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>From April 2013, local authorities have been responsible for public health locally, including commissioning public health services for school aged children in their areas. In October 2015 responsibility for zero to five commissioning was also transferred to local authorities.</p><p>It is therefore for local authorities to assess the health needs of their populations and commission the appropriate health visiting and school nursing services and workforce, based around local needs.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/05/2019 16:45:18 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1127680

	registered interest
	date	20/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Psychiatric Hospitals: Children
	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 children are not unnecessarily admitted to mental health hospitals.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	256250
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>The Department is committing increased expenditure to support the provision of mental health services in the community, to reduce the need for children to be admitted to mental health hospitals unless absolutely necessary.</p><p>Through the NHS Long Term Plan, published in January 2019, mental health funding will grow by at least £2.3 billion a year by 2023/24, with funding for children and young people’s mental health services growing faster than both overall National Health Service funding and total mental health spending. This extra investment will mean an extra 345,000 children and young people aged 0-25 will receive mental health support by 2023/24.</p><p>The key proposals in ‘Transforming children and young people’s mental health provision: a green paper’ aim to improve early intervention. New mental health support teams will deliver evidence-based interventions in or close to schools and colleges for those with mild to moderate mental health issues in 25 trailblazer areas in England. 12 of the 25 trailblazer sites will pilot a four-week waiting time to speed up children and young people’s access to NHS mental health services.</p><p>Over the next five years, the NHS will therefore continue to invest in expanding access to community-based mental health services to meet the needs of more children and young people.</p><p>The NHS Long Term Plan prioritises services for children and young people, providing a clear focus on improving the health and wellbeing of children and young people with learning disabilities and/or autism, as well as committing to implementing ‘Building the right support’ in full, achieving at least a 50% reduction in the number of people with a learning disability or autism who are inpatients, compared to the figure in 2015, by the end of 2023/24.</p><p>The Long Term Plan sets out specific commitments to achieve this by developing new models of care to provide care closer to home and investing in intensive, crisis and forensic community support. By 2023/24 children and young people with a learning disability, autism or both with the most complex needs will also have a designated keyworker. These will be initially provided to children and young people who are inpatients or at risk of being admitted to hospital.</p><p>Furthermore, the Government is committed to reviewing mental health legislation so that it works better for both adults and children. We are currently considering the findings from the independent review of the Mental Health Act 1983, which covers how a person can be detained or sectioned for treatment and will respond in due course.</p><p> </p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/05/2019 16:47:51 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1126842

	registered interest
	date	15/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Baby Care Units: 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, whether his Department holds information on the number of neonatal units that have a dedicated (a) psychologist and (b) counsellor who is fully-funded by the NHS.
	tabling member constituency	Lewisham, Deptford
	tabling member printed	Vicky Foxcroft
	uin	254844
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>Information relating to neonatal units is not separately identifiable.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/05/2019 12:47:52 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4491 label Biography information for Vicky Foxcroft