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829785

registered interest
date	24/01/2018
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	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 22 December 2017 to Question 120088, on Mental Health Services: Children and Young People, what assessment he has made of the effect of changes in the level of local authority funding on the provision of child and adolescent mental health services in (a) Lewisham constituency, (b) Southwark, (c) London and (d) England; and how his Department plans to make good any shortfalls resulting from those changes.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	124571
answer	answer is ministerial correction date of answer 31/01/2018 answer text <p>In England, the Department and NHS England are investing an additional £1.4 billion by 2019/20 to support the implementation of the Future in Mind transformation programme.</p><p> </p><p>Lewisham Clinical Commissioning Group (CCG) and Southwark CCG advise that they are working with the local authorities in Lewisham and Southwark to review local service provision jointly, using the transformation funding to improve and develop services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 31/01/2018 14:49:21 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4491 label Biography information for Vicky Foxcroft

830018

registered interest
date	24/01/2018
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	To ask the Secretary of State for Health and Social Care, with reference to the Answer of 8 September 2015 to Question 8249, on mental health services: children and young people, how many Child and Adolescent Mental Services in-patient Tier 4 beds were available in each region since January 2017; and what the average waiting time was for such a bed in each such region in that same period.
tabling member constituency	Hampstead and Kilburn
tabling member printed	Tulip Siddiq
uin	124736
answer	answer is ministerial correction date of answer 01/02/2018 answer text <p>The number of Child and Adolescent Mental Health Services inpatient Tier 4 beds by region is shown in the table below.</p><p> </p><table><tbody><tr><td><p>Region</p></td><td><p>Service area</p></td><td><p>January 2017</p></td></tr><tr><td rowspan="2"><p>London</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Regional total</p></td><td><p>231</p></td></tr><tr><td rowspan="2"><p>South</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Regional total</p></td><td><p>323</p></td></tr><tr><td rowspan="2"><p>North</p></td><td><p> </p></td></tr><tr><td><p>Regional total</p></td><td><p>404</p></td></tr><tr><td rowspan="2"><p>Midlands and East</p></td><td><p> </p></td></tr><tr><td><p>Regional total</p></td><td><p>491</p></td></tr><tr><td rowspan="2"><p>National</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>National total</p></td><td><p>1,449</p></td></tr></tbody></table><p>Source: NHS England</p><p> </p><p>Data is not available on the average waiting times for these beds.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 01/02/2018 11:56:49 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4518 label Biography information for Tulip Siddiq

825678

registered interest
date	19/01/2018
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	To ask the Secretary of State for Health and Social Care, what assessment he has made of the implications for his policies of the findings of the Education Policy Institute report, Access and waiting times in children and young people’s mental health services, published in September 2017, on the proportion of children referred to specialist mental health services who are being denied access to those services; and if he will make a statement.
tabling member constituency	Warrington South
tabling member printed	Faisal Rashid
uin	123746
answer	answer is ministerial correction date of answer 29/01/2018 answer text <p>We acknowledge the need for focus on early intervention in children and young people’s mental health services, as set out in the Education Policy Institute report. The additional £1.4 billion that the Government has made available to transform children and young people’s mental health services will ensure that an additional 70,000 children and young people per year will receive treatment from National Health Service specialist services by 2020. The recently published green paper on children and young people’s mental health also includes a proposal to trial a four week waiting time for access to specialist NHS children and young people’s mental health services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 29/01/2018 12:13:38 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4670 label Biography information for Faisal Rashid

823564

registered interest
date	16/01/2018
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	To ask the Secretary of State for Health and Social Care, with reference to the Education Policy Institute’s report Access and Waiting Times in Children and Young People’s Mental Health Services, what steps he plans to take to reduce the variation in waiting times for mental health treatment across the country.
tabling member constituency	Warrington South
tabling member printed	Faisal Rashid
uin	123029
answer	answer is ministerial correction date of answer 22/01/2018 answer text <p>The recent Green Paper, ‘Transforming Children and Young People’s Mental Health Provision’, includes a proposal to trial a four week waiting time for access to specialist National Health Service children and young people’s mental health services. New Mental Health Support Teams, a further announcement in the green paper, will also enable children and young people to access earlier help for emerging problems. Both approaches will be tested using trailblazer areas, operational from 2019, to understand what works.</p><p> </p><p>Two waiting time standards applicable to children and young people’s mental health are already in place; the early intervention in psychosis standard is currently exceeding its target and the children’s eating disorder standard is on track to meet its target by 2020/21.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/01/2018 11:32:44 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4670 label Biography information for Faisal Rashid

819177

registered interest
date	09/01/2018
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	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effectiveness of Local Transformation Plans to improve the provision of local mental health and wellbeing services for child and young people.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	121854
answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>NHS England published a comprehensive quantitative analysis of Local Transformation Plans (LTPs) in March 2016, and a thematic review in August 2016.</p><p> </p><p>This review included detailed analysis of developing models and approaches to identification and management of children and young people with extra vulnerability to mental health problems including those who have experienced abuse or neglect.</p><p> </p><p>The review showed that all LTPs included evidence that clinical commissioning groups and local authorities are working together in the design of the transformation plans; that 90% evidenced partnership with public health colleagues; that 90% evidenced collaboration with education colleagues or consultation with local primary and secondary schools; and that 80% engaged with youth offending teams.</p><p> </p><p>The analysis and the thematic review are both available at:</p><p> </p><p><a href="http://www.england.nhs.uk/mental-health/cyp/transformation/" target="_blank">www.england.nhs.uk/mental-health/cyp/transformation/</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/01/2018 15:45:49 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

819179

registered interest
date	09/01/2018
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	To ask the Secretary of State for Health and Social Care, how many children in England were referred to CAMHS in each year since 2010.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	121856
answer	answer is ministerial correction date of answer 15/01/2018 answer text <p>The information is not available in the format requested.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/01/2018 15:43:26 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

810231

registered interest
date	20/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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, how many of the 122 local areas that published local transformation plans for children and young people published updated versions of those documents in (a) 2016-17 and (b) 2017-18.
tabling member constituency	Croydon North
tabling member printed	Mr Steve Reed
uin	120697
answer	answer is ministerial correction date of answer 11/01/2018 answer text <p>This information is not held centrally.</p><p> </p><p>However, it has been agreed that Local Transformation Plans should be aligned to Sustainability and Transformation Plans and are subject to annual refresh; this has been reinforced through operational planning guidance.</p><p> </p><p>In 2016/17 this was formally tracked through the clinical commissioning group (CCG) Improvement and Assessment Framework. The majority of CCGs reported at the end of 2017 that plans had been refreshed, and those outstanding were followed up by NHS England Clinical networks and regional teams to ensure outstanding CCGs had refreshed plans.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 11/01/2018 17:12:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4268 label Biography information for Steve Reed

810232

registered interest
date	20/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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 what steps his Department is taking to promote the use of de-escalation techniques in Tier 4 CAMHS.
tabling member constituency	Croydon North
tabling member printed	Mr Steve Reed
uin	120698
answer	answer is ministerial correction date of answer 08/01/2018 answer text <p>The Coalition Government published ‘Positive and Proactive Care; reducing the need for restrictive interventions’ and ‘A Positive and Proactive Workforce’ in April 2014. Both guidance documents are clear that corporate training strategies to manage violence and aggression should include clear learning outcomes about effective use of de-escalation techniques, the risks associated with restrictive interventions and safe implementation of restrictive physical interventions. Additionally a multi-agency programme of work is underway to target reductions in restrictive interventions across all mental health services including Child and Adolescent Mental Health Services Tier 4. This includes ensuring provision of accredited training for staff to use de-escalation techniques as appropriate.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 08/01/2018 17:06:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4268 label Biography information for Steve Reed

809848

registered interest
date	19/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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, with reference to oral evidence given by the Parliamentary Under-Secretary of State for Health to the Health Committee's inquiry Child and Adolescent Mental Health Services on 21 November 2017, what the evidential basis is for ring-fences ultimately to become ceilings.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	120468
answer	answer is ministerial correction date of answer 08/01/2018 answer text <p>At a local level, ring fencing has been seen to distort spending, and in line with the Health and Social Care Act 2012 this approach has been replaced by clinical commissioning groups (CCGs) having the autonomy to make decisions about the health services that best meet the health needs of their local population.</p><p>However, the mental health investment standard and NHS England Mental Health Dashboard have been introduced to ensure transparency and accountability and set a requirement for CCGs and specialised commissioning hubs to increase their spend on mental health services by a greater amount than the growth in their programme allocation.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 08/01/2018 17:12:39 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

808979

registered interest
date	18/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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, what plans he has for supporting the mental health needs of children and young people over the next 12 months.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	120088
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>Children and young people’s mental health is a top priority for this Government which is why we are making an additional £1.4 billion available from 2015/16 to 2019/20 to transform children and young people’s mental health services. This additional money provides funding for clinical commissioning groups and various national programmes, including improving crisis support, expanding the workforce and tackling stigma. The additional money will also be used to improve access to services, with the indicative trajectory for 2018/19 (as set out in NHS England’s implementation plan for their ‘Five Year Forward View for Mental Health’ being for an additional 49,000 additional children to access mental health treatment, rising to 70,000 by 2020/21. Bed numbers in the existing Mother and Baby units will increase so that overall capacity increased by 49% in 2018/19.</p><p> </p><p>Our recent joint Department of Health and Department for Education Green Paper, Transforming Children and Young People’s Mental Health Provision, will be supported by over £300 million and aims to improve provision of services in schools, bolster links between schools and the National Health Service, and pilot a four week waiting time. The consultation period will end in March 2018 and we will subsequently analyse responses to inform implementation of the proposals.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/12/2017 14:00:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4491 label Biography information for Vicky Foxcroft