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1002649

registered interest
date	06/11/2018
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	Health Services: Learning Disability
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 NHS Doctors receive adequate training on learning disabilities.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	188830
answer	answer is ministerial correction date of answer 12/11/2018 answer text <p>Under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 there is a statutory responsibility on providers of health services to provide sufficient numbers of appropriately qualified, competent, skilled and experienced staff to meet the needs of the people using health services, including those with a learning disability.</p><p> </p><p>The Learning Disability Core Skills Education and Training Framework, published in July 2016 sets out the requisite skills and competencies that staff need to deliver care and support to people with a learning disability. The Framework sets out the necessary skills across three tiers. Tier 1, knowledge for roles that require general awareness of learning disabilities; Tier 2, knowledge and skills for roles that will have some regular contact with people with a learning disability and Tier 3, knowledge and skills for those providing care and support for people with a learning disability. Training should be provided in line with this Framework.</p><p> </p><p>Health Education England (HEE) is currently producing eLearning materials to support Tier 1 learning disability awareness training. This free online training will be available to all staff in 2019. HEE also uses a workforce development fund to support the ongoing development of staff, with spending focused on priority areas, including staff working with people with learning disabilities and or autism.</p><p> </p><p>All nurses receive learning disabilities training as part of their pre-registration education. Curricula are set by individual education providers, to standards set by the professional regulators. Since April 2015, newly appointed health care assistants, including those who will provide care and support to people with learning disability have been undergoing training as part of the national implementation of the Care Certificate. The Care Certificate equips new staff with the knowledge and skills which they need to provide safe, compassionate care across a range of areas, including the care of people with a learning disability. Medical education and training includes developing understanding of, and competency in, supporting people with a learning disability, as required in the curricula for medical training approved by the General Medical Council.</p><p> </p><p>In the Government’s response to the learning disabilities mortality review programme report, which we published on 12 September 2018, the Department and its partner organisations committed to a series of actions to increase uptake of learning disability training, including a commitment to consult on mandatory learning disability training for health and care staff, which will conclude by the end of March 2019. The Department is in the process of developing the consultation proposals, and are working with key stakeholders, including people with learning disabilities and autism and the groups that represent them, to shape the consultation proposals, including on how training would be delivered, and to identify the key questions to ask.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 188831 188832 question first answered 12/11/2018 13:48:44 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4243 label Biography information for Dan Jarvis

1002651

registered interest
date	06/11/2018
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	Health Services: Learning Disability
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 NHS Staff receive adequate training on learning disabilities.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	188831
answer	answer is ministerial correction date of answer 12/11/2018 answer text <p>Under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 there is a statutory responsibility on providers of health services to provide sufficient numbers of appropriately qualified, competent, skilled and experienced staff to meet the needs of the people using health services, including those with a learning disability.</p><p> </p><p>The Learning Disability Core Skills Education and Training Framework, published in July 2016 sets out the requisite skills and competencies that staff need to deliver care and support to people with a learning disability. The Framework sets out the necessary skills across three tiers. Tier 1, knowledge for roles that require general awareness of learning disabilities; Tier 2, knowledge and skills for roles that will have some regular contact with people with a learning disability and Tier 3, knowledge and skills for those providing care and support for people with a learning disability. Training should be provided in line with this Framework.</p><p> </p><p>Health Education England (HEE) is currently producing eLearning materials to support Tier 1 learning disability awareness training. This free online training will be available to all staff in 2019. HEE also uses a workforce development fund to support the ongoing development of staff, with spending focused on priority areas, including staff working with people with learning disabilities and or autism.</p><p> </p><p>All nurses receive learning disabilities training as part of their pre-registration education. Curricula are set by individual education providers, to standards set by the professional regulators. Since April 2015, newly appointed health care assistants, including those who will provide care and support to people with learning disability have been undergoing training as part of the national implementation of the Care Certificate. The Care Certificate equips new staff with the knowledge and skills which they need to provide safe, compassionate care across a range of areas, including the care of people with a learning disability. Medical education and training includes developing understanding of, and competency in, supporting people with a learning disability, as required in the curricula for medical training approved by the General Medical Council.</p><p> </p><p>In the Government’s response to the learning disabilities mortality review programme report, which we published on 12 September 2018, the Department and its partner organisations committed to a series of actions to increase uptake of learning disability training, including a commitment to consult on mandatory learning disability training for health and care staff, which will conclude by the end of March 2019. The Department is in the process of developing the consultation proposals, and are working with key stakeholders, including people with learning disabilities and autism and the groups that represent them, to shape the consultation proposals, including on how training would be delivered, and to identify the key questions to ask.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 188830 188832 question first answered 12/11/2018 13:48:44 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4243 label Biography information for Dan Jarvis

1002652

registered interest
date	06/11/2018
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	Health Services: Learning Disability
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 people with a learning disability have a role in the (a) development and (b) delivery of training for NHS doctors and nurses.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	188832
answer	answer is ministerial correction date of answer 12/11/2018 answer text <p>Under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 there is a statutory responsibility on providers of health services to provide sufficient numbers of appropriately qualified, competent, skilled and experienced staff to meet the needs of the people using health services, including those with a learning disability.</p><p> </p><p>The Learning Disability Core Skills Education and Training Framework, published in July 2016 sets out the requisite skills and competencies that staff need to deliver care and support to people with a learning disability. The Framework sets out the necessary skills across three tiers. Tier 1, knowledge for roles that require general awareness of learning disabilities; Tier 2, knowledge and skills for roles that will have some regular contact with people with a learning disability and Tier 3, knowledge and skills for those providing care and support for people with a learning disability. Training should be provided in line with this Framework.</p><p> </p><p>Health Education England (HEE) is currently producing eLearning materials to support Tier 1 learning disability awareness training. This free online training will be available to all staff in 2019. HEE also uses a workforce development fund to support the ongoing development of staff, with spending focused on priority areas, including staff working with people with learning disabilities and or autism.</p><p> </p><p>All nurses receive learning disabilities training as part of their pre-registration education. Curricula are set by individual education providers, to standards set by the professional regulators. Since April 2015, newly appointed health care assistants, including those who will provide care and support to people with learning disability have been undergoing training as part of the national implementation of the Care Certificate. The Care Certificate equips new staff with the knowledge and skills which they need to provide safe, compassionate care across a range of areas, including the care of people with a learning disability. Medical education and training includes developing understanding of, and competency in, supporting people with a learning disability, as required in the curricula for medical training approved by the General Medical Council.</p><p> </p><p>In the Government’s response to the learning disabilities mortality review programme report, which we published on 12 September 2018, the Department and its partner organisations committed to a series of actions to increase uptake of learning disability training, including a commitment to consult on mandatory learning disability training for health and care staff, which will conclude by the end of March 2019. The Department is in the process of developing the consultation proposals, and are working with key stakeholders, including people with learning disabilities and autism and the groups that represent them, to shape the consultation proposals, including on how training would be delivered, and to identify the key questions to ask.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 188830 188831 question first answered 12/11/2018 13:48:44 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4243 label Biography information for Dan Jarvis

999494

registered interest
date	01/11/2018
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	Hospices: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of overall Government funding is allocated to (a) children's and b) adult hospices in England.
tabling member constituency	Birmingham, Edgbaston
tabling member printed	Preet Kaur Gill
uin	187123
answer	answer is ministerial correction date of answer 07/11/2018 answer text <p>The funding and commissioning of palliative and end of life care for both adult and children services is a local matter, over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 07/11/2018 12:59:04 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4603 label Biography information for Preet Kaur Gill

999511

registered interest
date	01/11/2018
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	Hearing Impairment: 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 financial support his Department makes available to support children with hearing difficulties.
tabling member constituency	Southampton, Itchen
tabling member printed	Royston Smith
uin	187092
answer	answer is ministerial correction date of answer 07/11/2018 answer text <p>NHS England commissions some services for children with hearing loss as identified in ‘Commissioning Intentions 2017/2018 and 2018/2019 For Prescribed Specialised Services’. These include provision of cochlear implants, bone conduction hearing aids and mental health services.</p><p> </p><p>Clinical commissioning groups (CCGs) are responsible for commissioning other hearing loss services for their local populations. As with other services which CCGs commission, they should take into consideration assessments of local need and any relevant guidance.</p><p> </p><p>‘Commissioning services for people with hearing loss: A framework for clinical commissioning groups’, published by NHS England in July 2016, provides guidance to inform and support commissioners when making local decisions.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 07/11/2018 12:52:22 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4478 label Biography information for Royston Smith

999577

registered interest
date	01/11/2018
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	Social Services: Fees and Charges
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 funding from the public purse was allocated by his Department to enable local authorities in England to fund the full disregard of war pensions in social care financial assessments in (a) 2016, (b) 2017 and (c) 2018.
tabling member constituency	Leigh
tabling member printed	Jo Platt
uin	187153
answer	answer is ministerial correction date of answer 07/11/2018 answer text <p>In response to the Royal British Legion’s ‘Insult to Injury’ campaign, the Government made a commitment in the 2016 Budget statement to introduce a disregard in the adult social care charging rules for War Pension Scheme payments to veterans to take effect from April 2017.</p><p> </p><p>The Department provided specific funding allocations to local authorities from 2017 when the disregard commenced and which fully funds the new burden on local government.</p><p> </p><p>The allocations are as follows:</p><p>2017/18: £14 million</p><p>2018/19: £13 million</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 07/11/2018 12:51:16 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4673 label Biography information for Jo Platt

999675

registered interest
date	01/11/2018
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	Hospitals: Hygiene
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 13 September 2017 to Question 8915 on Hospitals: Hygiene, when he plans to publish the data on hospital hand hygiene compliance.
tabling member constituency	Amber Valley
tabling member printed	Nigel Mills
uin	187024
answer	answer is ministerial correction date of answer 07/11/2018 answer text <p>The 2008 Health and Social Care Act’s code of practice on the prevention and control of infections requires adequate provision of hand washing facilities, information on the importance of compliance with hand hygiene for visitors, regular refresher training for health professionals and support for patients to wash their hands. The Care Quality Commission monitors compliance with this code.</p><p> </p><p>NHS Improvement leads on infection prevention and control and is developing a plan that will standardise policies and guidance on hand hygiene and will be looking at a national hand hygiene data collection and reporting methodology. This project is still in development and we will be able to advise on timelines as further updates are received from NHS Improvement.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 07/11/2018 12:58:07 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4136 label Biography information for Nigel Mills

999705

registered interest
date	01/11/2018
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	Health Services: Learning Disability
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 (a) adults (b) children with learning disabilities or autism have been admitted to assessment and treatment units in each of the last five years.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	187013
answer	answer is ministerial correction date of answer 06/11/2018 answer text <p>The following table shows the breakdown of inpatients with learning disabilities and/ or autism admitted to acute admission beds within specialised learning disability units by year since 2015*.</p><p> </p><table><tbody><tr><td rowspan="2"><p>Year</p></td><td colspan="2"><p>Learning disability</p></td><td colspan="2"><p>Autism</p></td><td colspan="2"><p>Learning disability and autism</p></td></tr><tr><td><p>Under 18</p></td><td><p>18 and over</p></td><td><p>Under 18</p></td><td><p>18 and over</p></td><td><p>Under 18</p></td><td><p>18 and over</p></td></tr><tr><td><p>2015</p></td><td><p>10</p></td><td><p>410</p></td><td><p>15</p></td><td><p>35</p></td><td><p>10</p></td><td><p>210</p></td></tr><tr><td><p>2016</p></td><td><p>15</p></td><td><p>350</p></td><td><p>30</p></td><td><p>45</p></td><td><p>5</p></td><td><p>195</p></td></tr><tr><td><p>2017</p></td><td><p>10</p></td><td><p>270</p></td><td><p>40</p></td><td><p>35</p></td><td><p>10</p></td><td><p>190</p></td></tr><tr><td><p>2018</p></td><td><p>10</p></td><td><p>145</p></td><td><p>20</p></td><td><p>10</p></td><td><p>5</p></td><td><p>115</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>*NHS Digital does not hold any data prior to February 2015 for the Assuring Transformation dataset, therefore this data covers the period February 2015 to September 2018. The definition of 'acute admission beds within specialised learning disability units' provides a proxy for assessment and treatment units.</p><p> </p><p>The number of data submitters varies month-on-month. If a provider regularly submits data and then doesn’t submit for a given month, this can have a significant impact on the figures. Therefore, caution should be taken when interpreting the data.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 06/11/2018 16:30:29 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

999706

registered interest
date	01/11/2018
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	Health Services: Learning Disability
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, Building the Right Support, published in 2015, what progress his Department is to reduce the number of people with (a) learning disabilities and (b) autism being held on Assessment and Treatment Units by March 2019.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	187014
answer	answer is ministerial correction date of answer 06/11/2018 answer text <p>Implementation of Building the Right Support has seen a reduction in the number of people with learning disability and/or autism who are mental health inpatients, from the 2,880 baseline in March 2015. This includes people who are in Assessment and Treatment Units, and other mental health inpatient settings. The number of inpatients at the end of September 2018 was 2,315.</p><p> </p><p>Since 2015, there have been over 5,700 discharges into the community, including over 620 people who had previously been in hospital five years or more, and 413 inpatient beds decommissioned.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 06/11/2018 17:07:20 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

999130

registered interest
date	31/10/2018
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	Social Services: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what representations he has received from local authorities on the funding of adult social care in England.
tabling member constituency	Oldham West and Royton
tabling member printed	Jim McMahon
uin	186445
answer	answer is ministerial correction date of answer 05/11/2018 answer text <p>The Secretary of State for Health and Social Care meets numerous individuals and often receives representations regarding adult social care as part of his ministerial duties over this policy area.</p><p> </p><p>Our records show 27 items of correspondence received from local authorities in the last six months about the funding of adult social care in England. This figure represents correspondence received by the Department’s Ministerial correspondence unit only.</p><p> </p><p>The Budget announced further funding for adult social care for 2018/19 and 2019/20 which local authorities will benefit from.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/11/2018 16:40:59 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4569 label Biography information for Jim McMahon