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867295

registered interest
date	20/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Mental Health Services: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	What steps he is taking to improve the provision of mental health services for children and young people.
tabling member constituency	Thornbury and Yate
tabling member printed	Luke Hall
uin	904476
answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>We are making an additional £1.4 billion available until 2019/20 in order to transform services and ensure access to specialist mental health services for 70,000 additional children and young people each year by 2020/21.</p><p> </p><p>Our recent Green Paper published jointly with the Department for Education, will revolutionise services in schools, bolster links between schools and commits us to pilot a four week waiting time for National Health Service specialist services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/03/2018 14:43:54 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4450 label Biography information for Luke Hall

864284

registered interest
date	15/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Reviews
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary State for Health and Social Care, whether the NHS (a) fit and proper person requirement and (b) duty of candour applies to an individual who undertakes an independent review commissioned by an NHS body that is funded by his Department.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	132768
answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>The fit and proper person requirement requires all registered health and adult social care providers to make sure board directors, board members and individuals who perform the functions equivalent to the functions of a board director and member, are fit for their roles. The Care Quality Commission (CQC) assesses whether registered providers have appropriate processes in place for this. In this regard the CQC does not look at individuals, an approach which would extend to independent reviewers.</p><p> </p><p>The statutory duty of candour applies to organisations, rather than to individual members of staff. All regulated healthcare professionals working in the United Kingdom have an individual professional duty of candour, which is a responsibility to be open and honest. This responsibility is set out in their respective professional codes of conduct. The duty of candour set out in professional codes of conduct would therefore not automatically extend to independent reviewers, but any reviewer would be expected to be independent and able to express views with candour.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/03/2018 17:02:57 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1538 label Biography information for Rosie Cooper

864316

registered interest
date	15/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Gender Dysphoria: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect on the wellbeing of children who may be permitted to change gender below the age of 18 without parental consent.
tabling member constituency	Lagan Valley
tabling member printed	Sir Jeffrey M. Donaldson
uin	132800
answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>Valid consent to treatment is a central to all forms of healthcare, from providing personal care to undertaking major surgery. If a child is not competent to give consent for themselves, consent should be sought from a person with parental responsibility. This will often, but not always, be the child’s parent.</p><p> </p><p>Decisions about whether to give medical treatment in such cases before the age of 18 without parental consent are properly a matter for clinical judgment, having regard to the best interests and wellbeing of the patient. In exercising their judgment, clinicians will be guided by various pieces of evidence based guidance, such as that published in 2017, Endocrine Treatment of Gender-Dysphoric/ Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline. This is available on the National Institute for Health and Care Excellence website at the following link:</p><p> </p><p><a href="https://www.evidence.nhs.uk/search?q=Transgender+conditions" target="_blank">https://www.evidence.nhs.uk/search?q=Transgender+conditions</a></p><p> </p><p>This guideline recognizes that there may be compelling reasons to initiate sex hormone treatment prior to age 16 years, but notes that there are minimal published experience treating prior to 13.5 to 14 years of age. For the care of peri-pubertal youths and older adolescents, the guideline recommends that an expert multidisciplinary team comprised of medical professionals and mental health professionals manage this treatment.</p><p> </p><p>Any child under 18 thought to have gender dysphoria will usually be referred to a specialist child and adolescent Gender Identity Clinic. Staff at these clinics can carry out a detailed assessment of the child, to help them determine what support they need. Depending on the results of this assessment, the options for children and young people with suspected gender dysphoria can include family therapy, individual child psychotherapy and hormone therapy.</p><p> </p><p>Psychological support offers young people and their families a chance to discuss their thoughts and receive support to help them cope with the emotional distress of the condition, without rushing into more drastic treatments. Further information on the laws and guidelines that protect transsexual people and outline how they should be treated by medical professionals is available on the NHS Choices website at:</p><p> </p><p><a href="https://www.nhs.uk/conditions/gender-dysphoria/guidelines/" target="_blank">https://www.nhs.uk/conditions/gender-dysphoria/guidelines/</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/03/2018 17:04:55 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	650 label Biography information for Sir Jeffrey M Donaldson

864439

registered interest
date	15/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Psychiatry: 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 NHS child and adolescent psychiatrists have been employed in the West Midlands in the last two years for which data is available.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	132922
answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>NHS Digital publishes workforce statistics and the following table shows the number of full time equivalent (FTE) child and adolescent psychiatrists employed in the West Midlands between September 2015 and September 2017 and latest data available.</p><p> </p><p>NHS Hospital and Community Health Services (HCHS): Child and Adolescent Psychiatrists in the West Midlands, as at 30 September for each specified year and latest data available, FTE:</p><table><tbody><tr><td><p>Year</p></td><td><p>Child and Adolescent Psychiatrists in Health Education West Midlands (FTE)</p></td></tr><tr><td><p>September 2015</p></td><td><p>90</p></td></tr><tr><td><p>September 2016</p></td><td><p>87</p></td></tr><tr><td><p>September 2017</p></td><td><p>88</p></td></tr><tr><td><p>November 2017</p></td><td><p>89</p></td></tr></tbody></table><p>Source: NHS Digital Monthly HCHS workforce statistics.</p><p> </p><p>Notes:</p><p> </p><p>FTE figures are given as this is the most accurate measure of service capacity.</p><p> </p><p>FTE figures are rounded to the nearest whole number.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/03/2018 17:01:38 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	308 label Biography information for Mr Jim Cunningham