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1685304

registered interest
date	26/01/2024
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: 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 she is taking to reduce the number of people with a learning disability detained in inpatient units for five or more years.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	11609
answer	answer is ministerial correction date of answer 31/01/2024 answer text <p>In 2023/24, we are investing an additional £121 million to improve community support for people with learning disabilities and autistic people, as part of the NHS Long Term Plan. This includes funding for children and young people’s keyworkers.</p><p>In November 2023, NHS England published national guidance setting out that a mental health in-patient stay for a person with a learning disability should be for the most minimal time possible and should be for assessments and treatments which can only be provided in hospital. This was followed by a letter from NHS England, the Local Government Association and the Association of Directors of Adult Social Services to local system partners across health and social care to ask that they have a concerted focus on supporting those people, who no longer need to be in hospital, in moving back into their local community in a safe and timely way, highlighting five key elements that are critical to enable this to happen.</p><p>NHS England continues to work with local system partners to ensure that they have a good understanding of those people that are in hospital who are clinically ready for discharge, including those people that have been in hospital for more than five years, and that there are plans in place to support these people in leaving hospital when they are ready to do so.<em> </em></p><p>In July 2022, we published the Building the Right Support Action Plan, which sets out cross-government actions to strengthen community support and reduce reliance on mental health inpatient care for people with learning disabilities and autistic people. As well as overseeing implementation of the Action Plan going forward, the Building the Right Support Delivery Board will maintain focus on quality of care and on reducing long stays.</p><p>To help ensure that a greater proportion of people with mental health needs, including those with learning disabilities, will be supported in their community, NHS England is investing £36 million over three years as part of the Mental Health, Learning Disability and Autism Inpatient Quality Transformation Programme.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 31/01/2024 10:44:45 answering member 4492 label Biography information for Maria Caulfield
tabling member	4122 label Biography information for Alex Cunningham

1685305

registered interest
date	26/01/2024
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: 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, what information her Department holds on the number of Integrated Care Systems that have a specialist multidisciplinary and crisis support service for (a) autistic people and (b) people with a learning disability; and whether she has made an assessment of the (i) adequacy and (ii) availability of such services.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	11610
answer	answer is ministerial correction date of answer 31/01/2024 answer text <p>The information requested is not held centrally as these services are commissioned locally. The NHS Long Term Plan committed to increased investment in intensive, crisis and forensic community support to enable people with learning disabilities and autistic people to receive personalised care in the community, closer to home, and with reduced preventable admissions to inpatient services. All systems are expected to have a seven-day multi-disciplinary service and crisis care to support people when they are unwell.</p><p>NHS England has worked with local systems to help them understand their gaps against this commitment and has invested £121 million to support local systems in continuing to develop and implement these services during 2023/24. NHS England has commissioned the Local Government Association to work with local systems more intensively to identify and address challenges in implementing this model of community infrastructure, through the peer review programme.</p><p>NHS England will continue to work with regional teams and local systems to identify and share areas of good practice, where services have been successful in reducing avoidable admissions to hospital, and helping people to leave hospital when they are clinically ready for discharge.</p><p>Each integrated care board produces a five-year joint forward plan with partner trusts and foundation trusts. This will include the needs of the entire local population, including people with a learning disability and autistic people.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 31/01/2024 10:03:32 answering member 4492 label Biography information for Maria Caulfield
tabling member	4122 label Biography information for Alex Cunningham

1685306

registered interest
date	26/01/2024
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: 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, what assessment her Department has made of the (a) adequacy and (b) availability of forensic community support services for (a) autistic people and (b) people with a learning disability.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	11611
answer	answer is ministerial correction date of answer 31/01/2024 answer text <p>This specific assessment has not been made. The NHS Long Term Plan committed to increased investment in intensive, crisis and forensic community support to enable people with learning disabilities and autistic people receive personalised care in the community, closer to home, and with reduced preventable admissions to inpatient services. All systems are expected to have a seven-day multi-disciplinary service and crisis care to support people when they are unwell.</p><p>NHS England has worked with local systems to help them understand their gaps against this commitment and has invested £121 million to support local systems in continuing to develop and implement these services during 2023/24. NHS England has commissioned the Local Government Association to work with local systems more intensively to identify and address challenges in implementing this model of community infrastructure, through the peer review programme.</p><p>NHS England will continue to work with regional teams and local systems to identify and share areas of good practice, where services have been successful in reducing avoidable admissions to hospital, and helping people to leave hospital when they are clinically ready for discharge.</p><p>Each integrated care board produces a five-year joint forward plan with partner trusts and foundation trusts. This will include the needs of the entire local population, including people with a learning disability and autistic people.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 31/01/2024 10:11:17 answering member 4492 label Biography information for Maria Caulfield
tabling member	4122 label Biography information for Alex Cunningham

1685307

registered interest
date	26/01/2024
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	Autism and Learning Disability: Temporary Accommodation
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 she has made of the (a) adequacy and (b) availability of alternative short-term accommodation provided by integrated care systems for (i) autistic people and (ii) people with a learning disability.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	11612
answer	answer is ministerial correction date of answer 31/01/2024 answer text <p>The NHS Long Term Plan committed to increased investment in intensive, crisis, and forensic community support to enable people with learning disabilities and autistic people to receive personalised care in the community, closer to home, and to reduce preventable admissions to inpatient services. All systems are expected to have a seven-day multi-disciplinary service and crisis care to support people when they are unwell.</p><p>NHS England has worked with local systems to help them understand their gaps against this commitment and has invested £121 million to support local systems to continue developing and implementing these services during 2023/24. NHS England has commissioned the Local Government Association to work with local systems more intensively to identify and address challenges to implementing this model of community infrastructure, through the peer review programme.</p><p>NHS England will continue to work with regional teams and local systems to identify and share areas of good practice, where services have been successful in reducing avoidable admissions to hospital, and helping people to leave hospital when they are clinically ready for discharge.</p><p>Each integrated care board produces a five-year joint forward plan with partner trusts and foundation trusts. This will include the needs of the entire local population, including people with a learning disability and autistic people.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 31/01/2024 16:33:21 answering member 4492 label Biography information for Maria Caulfield
tabling member	4122 label Biography information for Alex Cunningham

1673090

registered interest
date	27/11/2023
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	Autism and Learning Disability: Restraint Techniques
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 she has made on implementing the recommendations of Baroness Hollins' report entitled Independent Care (Education) and Treatment Reviews: final report, published on 8 November 2023.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	3804
answer	answer is ministerial correction date of answer 30/11/2023 answer text <p>Work is underway to implement recommendations in Baroness Hollins’ final report and to improve outcomes for people with a learning disability and autistic people through reducing use of restrictive practices.</p><p> </p><p>The HOPE(S) training programme, which aims to embed good practice across inpatient services and reduce the use of long-term segregation and restrictive practices, is in place, currently piloted until 2024, and will be independently evaluated.</p><p> </p><p>The programme of independent reviews will continue, now led by the Care Quality Commission (CQC), to preserve regulatory oversight and support people to less restrictive settings and discharge to the community. CQC are finalising their methodology, quality, and governance processes.</p><p> </p><p>Progress is also being made on proposals to make changes to the CQC regulations, which would be subject to Parliamentary approval, to improve reporting and notifications by providers to CQC on use of restrictive practices.</p><p> </p><p>Additionally, NHS England’s Mental Health, Learning Disability and Autism Inpatient Quality Transformation Programme was established in 2022 and aims to make improvements in quality and safety, so that patients experience good and meaningful care. This programme is backed by £36 million investment over three years.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 30/11/2023 17:16:06 answering member 4492 label Biography information for Maria Caulfield
tabling member	4122 label Biography information for Alex Cunningham

1671975

registered interest
date	21/11/2023
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: 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, when she expects the Adult Senior Intervenors pilot project evaluation report to be published.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	2867
answer	answer is ministerial correction date of answer 27/11/2023 answer text <p>The Adult Senior Intervenors project, initially funded until March 2022, has been extended to ensure those individuals who have a Senior Intervenor continue receiving an intervention. Following the successful impacts of the model, NHS England is now working to embed the approach in a sustainable way across England. This has been supported by the evaluation. We do not intend to publish an evaluation report.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 27/11/2023 17:38:20 answering member 4492 label Biography information for Maria Caulfield
tabling member	4122 label Biography information for Alex Cunningham

1581798

registered interest
date	30/01/2023
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	Draft Mental Health Bill
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the Mental Health Bill will include a statutory duty to provide early intervention strategies to (a) detect and (b) help tackle mental health issues for children and young people within all (i) primary and (ii) secondary schools; and if he will make a statement.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	135270
answer	answer is ministerial correction date of answer 02/02/2023 answer text <p>I refer the hon. Member to the reply I gave to the hon. member for Bootle on 27 January in response to question <a href="https://questions-statements.parliament.uk/written-questions/detail/2023-01-23/129867" target="_blank">129867</a>.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 02/02/2023 17:48:23 answering member 4492 label Biography information for Maria Caulfield
tabling member	4122 label Biography information for Alex Cunningham

1546759

registered interest
date	30/11/2022
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	Coronavirus: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if the Novovax vaccine is yet available for use in the UK, and if not, when will it be
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	99829
answer	answer is ministerial correction date of answer 07/12/2022 answer text <p>On 15 September 2022, the Joint Committee on Vaccination and Immunisation advised that in exceptional circumstances the Novavax COVID-19 vaccine, Nuvaxovid, may be used when no clinically suitable United Kingdom-approved alternative is available. The deployment of Nuvaxovid commenced on 28 September 2022.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 07/12/2022 11:48:47 answering member 4492 label Biography information for Maria Caulfield previous answer version 39740 answering member constituency Lewes answering member printed Maria Caulfield answering member 4492 label Biography information for Maria Caulfield
tabling member	4122 label Biography information for Alex Cunningham

1401421

registered interest
date	10/01/2022
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	Diabetes: 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 assessment he has made of the impact of missed routine diabetes appointments on the number of patients who are presenting with complications from that disease.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	100534
answer	answer is ministerial correction date of answer 13/01/2022 answer text <p>No formal assessment has been made. However, we are analysing the impact of the pandemic on major health conditions to inform how we can recover the provision of routine care.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 13/01/2022 15:02:29 answering member 4492 label Biography information for Maria Caulfield
tabling member	4122 label Biography information for Alex Cunningham

1401423

registered interest
date	10/01/2022
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	Diabetes: 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 assessment he has made of the impact of the suspension of the Quality and Outcome Framework on the size of the backlog of diabetes patients.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	100535
answer	answer is ministerial correction date of answer 13/01/2022 answer text <p>No specific assessment has been made.</p><p>In December 2021 measures were announced to increase general practice capacity and financial support to deliver an expanded vaccine programme, including part-income protecting the 2021/22 Quality and Outcomes Framework (QOF). However, to be eligible for income protection, practices were required to agree a plan with their commissioners to deliver QOF care where possible according to clinical risk and accounting for inequalities, in order to target and support the most vulnerable patients.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 13/01/2022 15:04:15 answering member 4492 label Biography information for Maria Caulfield
tabling member	4122 label Biography information for Alex Cunningham