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1131610

registered interest
date	12/06/2019
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 Services: Autism and 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 patient placements commissioned by NHS England through (a) central and (b) local commissioning functions on hospital wards run by independent providers for (i) learning disabilities and (ii) autism services were rated as inadequate by the Care Quality Commission in each of the last three years.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	263786
answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>This data is not collected centrally. The Care Quality Commission (CQC) rating of all providers – both National Health Service and independent sector - will vary over time and between the CQC’s visits. There is a clear process to be followed should a provider receive an inadequate rating to understand the reasons for that rating and the impact on patient care in that unit. This review will inform any required commissioner action.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/06/2019 15:32:20 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1131611

registered interest
date	12/06/2019
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: 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, how many patient placements commissioned by NHS England through (a) central and (b) local commissioning functions on hospital wards run by independent providers providing services for children and young people with mental health conditions were rated as inadequate by the Care Quality Commission in each of the last three years.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	263787
answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>This data is not collected centrally. The Care Quality Commission (CQC) rating of all providers – both National Health Service and independent sector - will vary over time and between the CQC’s visits. There is a clear process to be followed should a provider receive an inadequate rating to understand the reasons for that rating and the impact on patient care in that unit. This review will inform any required commissioner action.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/06/2019 15:33:43 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1130890

registered interest
date	10/06/2019
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	St Andrew's Healthcare: Northampton
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 placements NHS England has commissioned at St Andrew's in-patient Child & Adolescent Mental Health Service in Northampton in the latest period for which figures are available.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	262331
answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 262332 262333 262334 262335 question first answered 13/06/2019 13:32:38 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1130891

registered interest
date	10/06/2019
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 Services: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what NHS England’s policy is on moving patients in NHS commissioned placements when the setting they are in receives a rating of Inadequate from the Care Quality Commission.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	262332
answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 262331 262333 262334 262335 question first answered 13/06/2019 13:32:38 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1130892

registered interest
date	10/06/2019
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 Services: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what guidance NHS England has given to (a) clinical commissioning groups and (b) other NHS bodies on moving patients in NHS commissioned placements when the setting they are in receives a rating of Inadequate from the Care Quality Commission.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	262333
answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 262331 262332 262334 262335 question first answered 13/06/2019 13:32:38 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1130893

registered interest
date	10/06/2019
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: Children
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 placements in Assessment and Treatment Units NHS England have commissioned for patients under the age of 18 in each of the past 3 years.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	262334
answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 262331 262332 262333 262335 question first answered 13/06/2019 13:32:38 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1130894

registered interest
date	10/06/2019
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: Children
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 placements in in-patient mental health hospitals for children and young people under the age of 18 with (a) autism, (b) a learning disability and (c) a mental health condition NHS England has commissioned in each of the past 3 years.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	262335
answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 262331 262332 262333 262334 question first answered 13/06/2019 13:32:38 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1129741

registered interest
date	04/06/2019
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	Social Services: Recruitment
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 his Department spent on the Every Day is Different social care recruitment campaign between its inception and 31 May 2019.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	259929
answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>Excluding staffing costs, the Department has spent £2.688 million on the Every Day is Different social care recruitment campaign between its inception and 31 May 2019.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 10/06/2019 15:10:06 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1129742

registered interest
date	04/06/2019
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	Social Services: 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 funding his Department has allocated to promoting the Every Day is Different social care recruitment campaign on social media (a) in each month between February and May 2019 and (b) in total.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	259930
answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>The Department has allocated the following net media costs to promoting the Every Day is Different social care recruitment campaign on social media in:</p><p> </p><p>February 2019 £91,739.73</p><p>March 2019 £265,652.63</p><p>April 2019 £0</p><p>May 2019 £0</p><p> </p><p>Total £357,392.36</p><p> </p><p>These are net social media buying costs for the whole of England over almost two months. This activity was tightly targeted and performed strongly amongst the target audience.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 10/06/2019 15:42:19 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1129743

registered interest
date	04/06/2019
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	Social Services: Recruitment
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 applications for social care roles have been made through the Every Day is Different careers portal (a) in each month between February and May 2019 and (b) in total.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	259931
answer	answer is ministerial correction date of answer 10/06/2019 answer text <p>The Every Day is Different campaign drove people to the campaign website www.everydayisdifferent.com to find out more about what it means to work in adult social care, and then signposted people to search and apply for relevant jobs on the existing jobs board website, DWP Find a Job.</p><p>Online applications are therefore not tracked through the ‘Every Day is Different’ website. Potential applicants can also apply through a range of other national and local online jobs boards and through offline means such as walk-in enquiries or by telephone.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 10/06/2019 15:03:46 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley