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1148748

registered interest
date	14/10/2019
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: Domestic Abuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for the Health and Social Care, what plans he has to improve cooperation between mental health services and the voluntary sector to support victims of domestic abuse with psychiatric health needs.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	272
answer	answer is ministerial correction date of answer 17/10/2019 answer text <p>The National Health Service Mental Health Implementation Plan highlights the essential role the voluntary sector will play in the design and delivery of services, including services which will benefit victims of domestic abuse with psychiatric health needs. It recommends commissioners and providers vary procurement routes to give more opportunity for the voluntary sector to provide services, and encourages commissioners to support and develop local voluntary sector capacity. NHS England and NHS Improvement have commissioned guidance and tools to support this.</p><p>The Department is overseeing £2 million of Government funding to expand a pathfinder programme developing a model health system response to domestic abuse including in mental health settings, to bridge the gap between the voluntary sector and NHS services, and to harness the strengths of each.</p><p> </p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 17/10/2019 15:40:29 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4471 label Biography information for Rachael Maskell

1148873

registered interest
date	14/10/2019
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 Act 1983 Independent Review
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress the Government has made on responding to the recommendations of the Independent Review of the Mental Health Act; and what plans he has to ensure that people with direct experience of the Mental Health Act 1983 continue to be involved in designing future reforms.
tabling member constituency	Twickenham
tabling member printed	Sir Vince Cable
uin	21
answer	answer is ministerial correction date of answer 17/10/2019 answer text <p>We have already accepted a number of the Independent Review of the Mental Health Act 1983’s recommendations and we will publish a White Paper by the end of this year, setting out our response in full. This will pave the way for reform to the Act and tackle issues addressed by the Review.</p><p> </p><p>There will be a public consultation on the reforms. We also plan to run a number of public engagement events, in particular, with those who have had direct experience of the Act.</p><p> </p><p>We have also drawn on the expertise of service users, carers and professionals as we have considered the review’s recommendations.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 17/10/2019 15:36:04 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	207 label Biography information for Sir Vince Cable

1149031

registered interest
date	14/10/2019
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	Patients: Death
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether patient deaths reported to the National Reporting & Learning System by the Norfolk & Suffolk Foundation Trust in 2018-19 included deaths of those using addiction services.
tabling member constituency	Ipswich
tabling member printed	Sandy Martin
uin	365
answer	answer is ministerial correction date of answer 17/10/2019 answer text <p>The Trust reports deaths of patients who are accessing their services, or who have been discharged from these services within the last six months if there is evidence of a patient safety incident. This would include patients who are also known to partner services, such as addiction services.</p><p>The Trust adheres to the National Reporting and Learning System (NRLS) guidance as outlined within the Degree of Harm document available on the NHS Improvement website which specifically highlights “deaths from drugs and alcohol”. This is available at the following link:</p><p><a href="https://improvement.nhs.uk/documents/1673/NRLS_Degree_of_harm_FAQs_-_final_v1.1.pdf" target="_blank">https://improvement.nhs.uk/documents/1673/NRLS_Degree_of_harm_FAQs_-_final_v1.1.pdf</a></p><p>The guidance directs organisations to consider whether there is immediate evidence of a patient safety incident. If not, then no report would be made. However if further evidence comes to light, or post Coroner’s inquest, the cause of death is identified as a patient safety incident, the organisation would at this point make a report to the NRLS.</p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 17/10/2019 15:36:47 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4678 label Biography information for Sandy Martin

1148327

registered interest
date	04/10/2019
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 Illness
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 support local authorities in managing the increase in mental ill health.
tabling member constituency	Crewe and Nantwich
tabling member printed	Laura Smith
uin	294743
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>Public Health England (PHE) provides a variety of resources to support local authorities in managing the increase in mental ill health.</p><p>PHE also provides local government with data on mental health to local authority level via our National Mental Health Intelligence Service. This can be viewed at the following link:</p><p><a href="https://www.gov.uk/guidance/mental-health-data-and-analysis-a-guide-for-health-professionals" target="_blank">https://www.gov.uk/guidance/mental-health-data-and-analysis-a-guide-for-health-professionals</a></p><p>A dedicated profiling tool on our PHE fingertips platform is available at the following link:</p><p><a href="http://fingertips.phe.org.uk/profile-group/mental-health/" target="_blank">http://fingertips.phe.org.uk/profile-group/mental-health/</a></p><p>PHE published a suite of evidence for local areas and local government in August 2017 at the following link:</p><p><a href="https://www.gov.uk/government/publications/prevention-concordat-for-better-mental-health-consensus-statement" target="_blank">https://www.gov.uk/government/publications/prevention-concordat-for-better-mental-health-consensus-statement</a></p><p>This includes work on Commissioning Cost Effective Interventions at the following link:</p><p><a href="https://www.gov.uk/government/publications/mental-health-services-cost-effective-commissioning" target="_blank">https://www.gov.uk/government/publications/mental-health-services-cost-effective-commissioning</a></p><p>These resources give local authorities the evidence they need to take action for mental health promotion and prevention.</p><p> </p><p>PHE provides support to local areas through its Prevention Concordat for Better Mental Health and through the work of the nine PHE local centres who support local authorities in their local areas. To date, over 70 national organisations and 70 local authorities have signed up to the Prevention Concordat programme. The target is to achieve full sign up of all local areas by the end of 2020/21. This work helps support local government in their strategic planning and delivery of mental health work as part of their overall work on improving the health and wellbeing of their local population.</p><p>On 7 October 2019, PHE also launched a new national resource for the public to help them look after their own mental health and support others, Every Mind Matters. This can be viewed at the following link:</p><p><a href="https://www.nhs.uk/oneyou/every-mind-matters/" target="_blank">https://www.nhs.uk/oneyou/every-mind-matters/</a></p><p> </p><p>We are supporting the recruitment of mental health social workers in local authorities and the NHS through the Think Ahead initiative. In addition, the New Roles in mental health social work group, led by Health Education England and Skills for Care, is working to develop the future social work and social care workforce with local authorities.</p><p>NHS England has developed community mental health services framework which aims to deliver greater integration with other services that impact on mental health and wellbeing outcomes - including primary care, general practitioners, social care, education, housing and third sector services. This can be viewed at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/the-community-mental-health-framework-for-adults-and-older-adults/" target="_blank">https://www.england.nhs.uk/publication/the-community-mental-health-framework-for-adults-and-older-adults/</a></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 08/10/2019 14:46:00 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4648 label Biography information for Laura Smith

1148334

registered interest
date	04/10/2019
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	Vasa Praevia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of cases of Vasa Praevia in expectant mothers in the last year for which figures are available; and if he will make a statement.
tabling member constituency	Crewe and Nantwich
tabling member printed	Laura Smith
uin	294749
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>A count of finished consultant episodes (FCEs) with a primary diagnosis or all diagnoses of labour and delivery complicated by vasa praevia, for 2018/19 - activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector can be found in the following table.</p><p> </p><table><tbody><tr><td><p>.</p></td><td><p>FCEs</p></td></tr><tr><td><p>Primary diagnosis</p></td><td><p>109</p></td></tr><tr><td><p>All Diagnoses</p></td><td><p>194</p></td></tr></tbody></table><p>Source: Hospital Episode Statistics (HES), NHS Digital</p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 08/10/2019 15:03:38 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4648 label Biography information for Laura Smith

1148348

registered interest
date	04/10/2019
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	Hospital Wards: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of NHS trusts' compliance with NHS Improvement guidance on safe staffing levels for children and young people’s wards.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	294723
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>We are committed to ensuring that every trust has the support it requires, including the guidance and tools, to determine the right level and skill mix of staff at the right time.</p><p> </p><p>There has been no specific assessment of National Health Service trusts' compliance with NHS Improvement guidance on safe staffing levels for children and young people’s wards.</p><p>However, systematic reviews of all relevant children’s services consider a broad range of aspects of care and include National Quality Board guidance on safe staffing. Any matters pertaining to workforce as a result of these reviews would be referred to the NHS England and NHS Improvement nursing clinical workforce team, who would then provide targeted support.</p><p>In addition, NHS trusts are required to specify the degree of their compliance with Developing Workforce Safeguards, which explains the principles behind safe staffing.</p><p>Developing Workforce Safeguards can be accessed via the following link:</p><p><a href="https://improvement.nhs.uk/resources/developing-workforce-safeguards/" target="_blank">https://improvement.nhs.uk/resources/developing-workforce-safeguards/</a></p><p> </p><p>In addition, appropriate staffing levels are a core element of the Care Quality Commission’s registration regime, which is underpinned by legislation. CQC inspectors assess against the key lines of enquiry on safe staffing in their framework.</p><p><strong> </strong></p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 08/10/2019 14:54:33 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4244 label Biography information for Jonathan Ashworth

1148209

registered interest
date	03/10/2019
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	Montelukast: 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 reports that doctors have been advised to warn asthma patients using the drug Montelukast of potential hallucinations and suicidal thoughts and other side-effects.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	294172
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>Montelukast is effective in the treatment of asthma in adults, adolescents and children aged six months and older who are not adequately controlled on their usual/routine asthma medication and who need additional therapy. Montelukast also helps to prevent the narrowing of airways triggered by exercise. The benefits of montelukast have been shown to outweigh the risks in adults and children.</p><p>The very rare risk (up to 1 in 10,000 people) of neuropsychiatric reactions in association with montelukast treatment has been known for some time and information about adverse reactions including hallucinations and suicidal thinking and behaviour (suicidality) are already included in the product information for montelukast.</p><p>In September the Medicines and Healthcare Products Regulatory Agency published an article in Drug Safety Update to remind prescribers of the very rare risk of neuropsychiatric reactions with use of montelukast. The article outlines the risks and advises healthcare professionals to evaluate carefully the risks and benefits of continuing treatment with montelukast if neuropsychiatric reactions occur. Healthcare professionals are reminded to report any suspected adverse drug reactions associated with montelukast to the Yellow Card Scheme.</p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 08/10/2019 15:07:26 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4131 label Biography information for Jim Shannon

1148262

registered interest
date	03/10/2019
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	Children: Mental Health
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 his Department has made of trends in the number of children being given (a) therapy and (b) psychiatric medication for eco-anxiety; and what steps the Government is taking to reduce those levels.
tabling member constituency	North East Hampshire
tabling member printed	Mr Ranil Jayawardena
uin	294220
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>No such assessment has been made.</p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 08/10/2019 10:25:50 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4498 label Biography information for Mr Ranil Jayawardena

1148273

registered interest
date	03/10/2019
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	Children: Social Media
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 effect on children’s mental health of anonymous abuse and threats made on social media platforms.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	294115
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>We have not made such a specific assessment. However, in February the Chief Medical Officers published their independent systematic map of evidence on screen and social media use in children and young people, and recommended next steps and advice for parents and carers. They concluded that the published scientific research is currently insufficient to support evidence-based guidelines on screen time, but there is enough basis to warrant a precautionary approach and action by schools, government and technology companies.</p><p> </p><p>For children and young people, we know that there can be a link between very high levels of social media use and poorer mental health. Data from the Understanding Society survey indicates that children who spent more than three hours using social networking websites on a school day were twice as likely to report high or very high scores for mental ill-health than those who spent less than three hours on social media. However, it is unclear whether increased use causes poorer mental health or whether poorer mental health increases social media use.</p><p><strong> </strong></p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 294116 question first answered 08/10/2019 14:48:09 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	1511 label Biography information for Lord Austin of Dudley

1148274

registered interest
date	03/10/2019
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: Social Media
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 effect on mental health of anonymous abuse or threats on online platforms such as Twitter.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	294116
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>We have not made such a specific assessment. However, in February the Chief Medical Officers published their independent systematic map of evidence on screen and social media use in children and young people, and recommended next steps and advice for parents and carers. They concluded that the published scientific research is currently insufficient to support evidence-based guidelines on screen time, but there is enough basis to warrant a precautionary approach and action by schools, government and technology companies.</p><p> </p><p>For children and young people, we know that there can be a link between very high levels of social media use and poorer mental health. Data from the Understanding Society survey indicates that children who spent more than three hours using social networking websites on a school day were twice as likely to report high or very high scores for mental ill-health than those who spent less than three hours on social media. However, it is unclear whether increased use causes poorer mental health or whether poorer mental health increases social media use.</p><p><strong> </strong></p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 294115 question first answered 08/10/2019 14:48:09 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	1511 label Biography information for Lord Austin of Dudley