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347754

registered interest
date	01/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Isle of Wight Clinical Commissioning Group
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department has taken pursuant to the meeting between the Isle of Wight Clinical Commissioning Group and the Parliamentary Under-Secretary of State for Care Quality on 18 March 2015.
tabling member constituency	Isle of Wight
tabling member printed	Mr Andrew Turner
uin	643
answer	answer is ministerial correction date of answer 04/06/2015 answer text <p>The previous Parliamentary Under-Secretary of State for Health, the hon. Member for Central Suffolk and North Ipswich (Dr Daniel Poulter), wrote to Simon Stevens, Chief Executive of NHS England, further to his meeting of 18 March 2015 with the Isle of Wight Clinical Commissioning Group (CCG), on 24 March 2015.</p><p> </p><p> </p><p> </p><p>The Minister asked that NHS England officials continue to work with the CCG to try and resolve the issues they raised, as the allocation of funding to CCGs now rests with NHS England, rather than the Department.</p><p> </p><p> </p><p> </p><p>NHS England has confirmed that their allocations working group is continuing to look at the CCG funding formula to ensure it accurately reflects the true cost of service provision for all areas of the country.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 04/06/2015 13:52:45 answering member 1201 label Biography information for Alistair Burt
tabling member	1426 label Biography information for Mr Andrew Turner

347787

registered interest
date	01/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Psychiatry: Expenditure
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of the mental health budget has been spent on forensic psychiatry in each of the last five years.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	674
answer	answer is ministerial correction date of answer 04/06/2015 answer text <p>Information about the proportion of the mental health budget spent on forensic psychiatry is not collected centrally by the Department or NHS England.</p><p> </p><p> </p><p> </p><p>The commissioning of a range of services to meet the needs of patients on the forensic psychiatric care pathway is the responsibility of NHS England and clinical commissioning groups.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 04/06/2015 13:45:43 answering member 1201 label Biography information for Alistair Burt
tabling member	4036 label Biography information for Luciana Berger

347790

registered interest
date	01/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of how much the NHS spends on agency and contract staff.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	677
answer	answer is ministerial correction date of answer 04/06/2015 answer text <p>National Health Service spend on agency and contract staff for 2013/14 is £3.34 billion[1].</p><p> </p><p> </p><p> </p><p>Following the Francis[2] report many trusts increased their spend on temporary staffing to meet safe staffing levels. The Department expects trusts to have a strong grip on their finances, and manage their contract and agency staffing spend (including use of locums) responsibly through effective and efficient workforce planning and management and to minimise temporary staffing costs in future years.</p><p> </p><p><strong> </strong></p><p> </p><p>The Government is clear that the current rate of spending is not supporting the best positive outcome for patients. The Secretary of State has announced a comprehensive package of measures to address the problem including:</p><p> </p><p>- setting a maximum hourly rate for doctors and nurses;</p><p> </p><p>- banning the use of agencies that are not approved;</p><p> </p><p>- putting a cap on total agency staff spending for each NHS trust in financial difficulty; and</p><p> </p><p>- requiring specific approval for any expensive consultancy contracts over £50,000.</p><p> </p><br /><p>[1] The 2014/15 figures reflect data collected from NHS trusts and foundation trusts as part of the Q4 data collection which is unpublished and unaudited. Whilst this data would not ordinarily be provided as part of a Parliamentary Question contribution, it has been included within this response as both Monitor and NHS Trust Development Authority have separately released data relating to temporary agency staff spend. It should be noted that their figures vary slightly from those included above. These figures may also be subject to revision as part of the 2014/15 final audited accounts production, and should therefore not be used once the final published Department of Health Annual Report and Accounts.</p><p> </p><p>[2] http://www.midstaffspublicinquiry.com/</p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 04/06/2015 14:33:38 answering member 1201 label Biography information for Alistair Burt
tabling member	4036 label Biography information for Luciana Berger

347269

registered interest
date	28/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Herefordshire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to ensure Kington in Herefordshire has sufficient full-time GPs.
tabling member constituency	North Herefordshire
tabling member printed	Bill Wiggin
uin	361
answer	answer is ministerial correction date of answer 04/06/2015 answer text <p>NHS England is responsible for commissioning general practitioner (GP) services, and is aware of recruiting difficulties in Herefordshire. NHS England is working with the local GP Federation to promote Herefordshire to GP trainees.</p><p> </p><p> </p><p> </p><p>Nationally, there has been an increase of 1,677 full-time equivalent GPs (including Registrars and Retainers) since September 2010. At 30 September 2014 the total number of GPs was 36,920, which represents a real increase in capacity.</p><p> </p><p> </p><p> </p><p>In addition this Government is committed to making 5,000 more GPs available by 2020. We will increase the number of GP trainees from 40% to 50% of all trainee doctors and expect Health Education England to ensure this happens. This will mean 3,250 training places for GPs each year from 2016.</p><p> </p><p> </p><p> </p><p>NHS England, working with Health Education England, the Royal College of GPs, and the British Medical Association, published ‘<em>Building the workforce’</em> in January 2015, which sets out plans to increase the size of the GP workforce backed with £10 million funding.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 04/06/2015 13:23:45 answering member 1201 label Biography information for Alistair Burt
tabling member	1428 label Biography information for Sir Bill Wiggin

347270

registered interest
date	28/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Herefordshire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to maintain the level of out-of-hours GP cover in Herefordshire.
tabling member constituency	North Herefordshire
tabling member printed	Bill Wiggin
uin	362
answer	answer is ministerial correction date of answer 04/06/2015 answer text <p>This is a matter for the National Health Service locally.</p><p> </p><p> </p><p> </p><p>We are advised by NHS England that Herefordshire Clinical Commissioning Group currently commissions out of hours general practitioner services from Primecare and confirms there are no current plans to change the level of provision of these services.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 04/06/2015 13:25:02 answering member 1201 label Biography information for Alistair Burt
tabling member	1428 label Biography information for Sir Bill Wiggin

347271

registered interest
date	28/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Locums
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many locum GPs are available; and what the average daily rate is for a locum GP.
tabling member constituency	North Herefordshire
tabling member printed	Bill Wiggin
uin	363
answer	answer is ministerial correction date of answer 04/06/2015 answer text <p>The requested information is not collected centrally.</p><p> </p><p><strong> </strong></p><p> </p><p>General practitioners (GPs) are independent contractors who provide primary medical services on behalf of the National Health Service. As independent businesses, it is the responsibility of individual GP practices to employ locum GPs to meet their needs.</p><p> </p><p> </p><p> </p><p>In employing locums, GP practices must meet the requirements set out in the GP contract regulations to ensure that they are appropriately qualified and registered.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 04/06/2015 13:27:26 answering member 1201 label Biography information for Alistair Burt
tabling member	1428 label Biography information for Sir Bill Wiggin

347391

registered interest
date	28/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Self-harm: Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to reduce the incidence of self-harm amongst children and young people.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	438
answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>Self-harm is a symptom of serious emotional distress which must be acted upon to ensure children and young people get the help they need.</p><p> </p><p> </p><p> </p><p>This Government is committed to making children and young people’s mental health a high priority. The Children and Young People's Improving Access to Psychological Therapies programme is being expanded to cover additional areas of clinical practice, and extended so that by 2018 children and young people across England will have access. This will involve additional clinical staff being trained in the most effective evidence based treatment for self-harm, depression and anxiety.</p><p> </p><p> </p><p> </p><p>The Department funds the multicentre study of self-harm, which provides monitoring data on self-harm including children and young people, and underpins knowledge about self-harm in England. The National Institute for Health and Care Excellence guidelines on the short term and longer term management of self-harm cite many outputs from the study.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 02/06/2015 13:46:29 answering member 1201 label Biography information for Alistair Burt
tabling member	4036 label Biography information for Luciana Berger

346914

registered interest
date	27/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Homes: Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to ensure that residents in care homes have access to therapies to improve their mental wellbeing.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	44
answer	answer is ministerial correction date of answer 03/06/2015 answer text <p>Under the Care Act 2014, local authorities must promote wellbeing when carrying out any of their care and support functions in respect of a person. This is sometimes referred to as “the wellbeing principle” because it is a guiding principle that puts wellbeing at the heart of care and support. The definition of wellbeing includes physical and mental health and emotional wellbeing.</p><p> </p><p> </p><p> </p><p>Assessments under the Care Act will identify the person’s needs and how these impact on their wellbeing. Care Plans must detail the needs to be met and how the needs will be met, and will link back to the outcomes that the adult wishes to achieve in day-to-day life as identified in the assessment process and to the wellbeing principle in the Act.</p><p> </p><p> </p><p> </p><p>The Government has recognised the importance of doing more to consider the mental wellbeing of people in care homes and asked the National Institute for Health and Care Excellence (NICE) to prioritise this area for one of its first Quality Standards for adult social care which were published in December 2013. The links to these standards can be found here:</p><p> </p><p> </p><p> </p><p><a href="http://www.nice.org.uk/guidance/ph16" target="_blank">http://www.nice.org.uk/guidance/ph16</a></p><p> </p><p> </p><p> </p><p><a href="http://www.nice.org.uk/guidance/qs50" target="_blank">http://www.nice.org.uk/guidance/qs50</a></p><p> </p><p> </p><p> </p><p><a href="http://pathways.nice.org.uk/pathways/mental-wellbeing-and-older-people" target="_blank">http://pathways.nice.org.uk/pathways/mental-wellbeing-and-older-people</a></p><p> </p><p> </p><p> </p><p>The Health and Social Care Act 2008 Regulations 2014 sets out the fundamental standards of care people should expect. Regulation 9 – person centred care, makes clear that; “Providers must make every reasonable effort to provide opportunities to involve people in making decisions about their care and treatment, and support them to do this. This includes physical, psychological or emotional support, or support to get information in an accessible format or to understand the content.”</p><p> </p><p> </p><p> </p><p>The independent regulator, the Care Quality Commission when inspecting services to make sure they meet the fundamental standards of quality and safety, use NICE guidelines and quality standards as evidence to inform its inspection processes and to inform the award of good and outstanding ratings.</p><p> </p><p> </p><p> </p><p>A link to the 2008 regulations can be found here:</p><p> </p><p><a href="http://www.cqc.org.uk/content/regulations-service-providers-and-managers" target="_blank">http://www.cqc.org.uk/content/regulations-service-providers-and-managers</a></p><p> </p><p> </p><p> </p><p>The Improving Access to Psychological Therapies Programme, introduced in 2010, offers patients routine NICE approved talking therapies for the treatment of common mental health disorders including anxiety and depression. The programme aims to provide access to at least 15% of those who require treatment by March 2015 (data available July 2015). NHS England is leading work to ensure that older adults and other under-represented groups are encouraged to seek the help that they need.</p><p> </p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 03/06/2015 14:40:41 answering member 1201 label Biography information for Alistair Burt
tabling member	4131 label Biography information for Jim Shannon

346944

registered interest
date	27/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Offences against Children: Counselling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of whether there are financial savings to the public purse from providing long-term counselling in local communities to adults sexually abused in their childhood.
tabling member constituency	West Bromwich East
tabling member printed	Tom Watson
uin	149
answer	answer is ministerial correction date of answer 04/06/2015 answer text <p>This information is not collected centrally.</p><p> </p><p> </p><p> </p><p>No such assessment has been made. However, counselling services should be available as part of the wider mental health provision to support sexually abused children. This Government is committed to improving children and young people’s mental health and wellbeing as a whole, which will also benefit children and young people who have been victims of sexual abuse.</p><p> </p><p> </p><p> </p><p>National Health Service funding for mental health services increased by £300 million last year. Historically, treatment targets have only been attached to physical health – a problem the Government is correcting with £1.25 billion announced in the last Budget. This will direct funding to mental health services and will ensure people, including those whose mental health has been affected through sexual abuse, get the treatment they need when they need it.</p><p> </p><p> </p><p> </p><p>Our investment to date in the Improving Access to Psychological Therapies (IAPT) programme has made a choice of psychological therapies available for those who need them in all parts of England reflecting the objective in the Government’s Mandate to NHS England to provide access to therapies for around 900,000 people per year by 2015, with a recovery rate of 50%. IAPT include therapies for post-traumatic stress disorder (PTSD) in response to sexual abuse as well as therapies for depression and anxiety disorders which may result from the traumatic of the abuse.</p><p> </p><p> </p><p> </p><p>In March 2015, ‘Tackling Child Sexual Exploitation’ published in March 2015, set out cross-Government actions to prevent child sexual exploitation or, where it has happened, ensure victims and survivors get the support they need. The Department and its Arms Length Bodies are taking forward the health related recommendations, which focus on improving data on prevalence so that commissioners can develop the local service response to meet local needs.</p><p> </p><p> </p><p> </p><p>The National Institute for Health and Care Excellence issued guidelines on ‘Post-traumatic stress disorder (PTSD): The management of PTSD in adults and children in primary and secondary care’ issued in March 2005, reviewed in December 2011, and ‘Depression in adults: The treatment and management of depression in adults’, published in October 2009. The guidance includes recommendations for the care and treatment of people with psychological and mental health needs arising from sexual abuse.</p><p> </p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 150 151 question first answered 04/06/2015 14:31:02 answering member 1201 label Biography information for Alistair Burt
tabling member	1463 label Biography information for Lord Watson of Wyre Forest

346945

registered interest
date	27/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Offences against Children: Counselling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many non-statutory organisations providing counselling without pre-determined time-limits to adults who were sexually abused as children were funded by his Department in (a) 2013-14 and (b) 2014-15.
tabling member constituency	West Bromwich East
tabling member printed	Tom Watson
uin	150
answer	answer is ministerial correction date of answer 04/06/2015 answer text <p>This information is not collected centrally.</p><p> </p><p> </p><p> </p><p>No such assessment has been made. However, counselling services should be available as part of the wider mental health provision to support sexually abused children. This Government is committed to improving children and young people’s mental health and wellbeing as a whole, which will also benefit children and young people who have been victims of sexual abuse.</p><p> </p><p> </p><p> </p><p>National Health Service funding for mental health services increased by £300 million last year. Historically, treatment targets have only been attached to physical health – a problem the Government is correcting with £1.25 billion announced in the last Budget. This will direct funding to mental health services and will ensure people, including those whose mental health has been affected through sexual abuse, get the treatment they need when they need it.</p><p> </p><p> </p><p> </p><p>Our investment to date in the Improving Access to Psychological Therapies (IAPT) programme has made a choice of psychological therapies available for those who need them in all parts of England reflecting the objective in the Government’s Mandate to NHS England to provide access to therapies for around 900,000 people per year by 2015, with a recovery rate of 50%. IAPT include therapies for post-traumatic stress disorder (PTSD) in response to sexual abuse as well as therapies for depression and anxiety disorders which may result from the traumatic of the abuse.</p><p> </p><p> </p><p> </p><p>In March 2015, ‘Tackling Child Sexual Exploitation’ published in March 2015, set out cross-Government actions to prevent child sexual exploitation or, where it has happened, ensure victims and survivors get the support they need. The Department and its Arms Length Bodies are taking forward the health related recommendations, which focus on improving data on prevalence so that commissioners can develop the local service response to meet local needs.</p><p> </p><p> </p><p> </p><p>The National Institute for Health and Care Excellence issued guidelines on ‘Post-traumatic stress disorder (PTSD): The management of PTSD in adults and children in primary and secondary care’ issued in March 2005, reviewed in December 2011, and ‘Depression in adults: The treatment and management of depression in adults’, published in October 2009. The guidance includes recommendations for the care and treatment of people with psychological and mental health needs arising from sexual abuse.</p><p> </p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 149 151 question first answered 04/06/2015 14:31:02 answering member 1201 label Biography information for Alistair Burt
tabling member	1463 label Biography information for Lord Watson of Wyre Forest