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1007141

registered interest
date	14/11/2018
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 proportion of publicly-funded CAMHS in-patient services are delivered by private providers; and what the names are of those providers.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	191397
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The following table shows total child and adolescent mental health services (CAMHS) expenditure for the last five years split by type of provider. The information relates to Tier 4 specialised mental health beds for children and young people, aged 13-18, commissioned by NHS England. CAMHS Tier 4 includes general inpatient care and specialised eating disorders services. These figures will include very small elements of non-in-patient services as we are unable to detail spend on inpatients only.</p><p> </p><table><tbody><tr><td><p><strong> </strong></p></td><td><p>CAMHS Expenditure</p></td><td><p>Expenditure at Independent Sector (IS) Providers on CAMHS</p></td><td><p>Expenditure at National Health Service Providers on CAMHS</p></td><td><p>Expenditure at IS Providers on CAMHS</p></td><td><p>Expenditure at NHS Providers on CAMHS</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>%</p></td><td><p>%</p></td></tr><tr><td><p>2013/14</p></td><td><p>252.0</p></td><td><p>122.0</p></td><td><p>130.0</p></td><td><p>48%</p></td><td><p>52%</p></td></tr><tr><td><p>2014/15</p></td><td><p>279.6</p></td><td><p>120.3</p></td><td><p>159.3</p></td><td><p>43%</p></td><td><p>57%</p></td></tr><tr><td><p>2015/16</p></td><td><p>319.1</p></td><td><p>136.6</p></td><td><p>182.5</p></td><td><p>43%</p></td><td><p>57%</p></td></tr><tr><td><p>2016/17</p></td><td><p>341.5</p></td><td><p>156.4</p></td><td><p>185.1</p></td><td><p>46%</p></td><td><p>54%</p></td></tr><tr><td><p>2017/18</p></td><td><p>355.2</p></td><td><p>156.5</p></td><td><p>198.7</p></td><td><p>44%</p></td><td><p>56%</p></td></tr></tbody></table><p> </p><p>Spend in Independent Sector providers in 2017/18 totalled £156.5 million.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 191398 question first answered 19/11/2018 17:23:46 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1007142

registered interest
date	14/11/2018
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 much his Department has spent on CAMHS in-patient services in each of the last five years; and what proportion of that spend is received by private providers.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	191398
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The following table shows total child and adolescent mental health services (CAMHS) expenditure for the last five years split by type of provider. The information relates to Tier 4 specialised mental health beds for children and young people, aged 13-18, commissioned by NHS England. CAMHS Tier 4 includes general inpatient care and specialised eating disorders services. These figures will include very small elements of non-in-patient services as we are unable to detail spend on inpatients only.</p><p> </p><table><tbody><tr><td><p><strong> </strong></p></td><td><p>CAMHS Expenditure</p></td><td><p>Expenditure at Independent Sector (IS) Providers on CAMHS</p></td><td><p>Expenditure at National Health Service Providers on CAMHS</p></td><td><p>Expenditure at IS Providers on CAMHS</p></td><td><p>Expenditure at NHS Providers on CAMHS</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>%</p></td><td><p>%</p></td></tr><tr><td><p>2013/14</p></td><td><p>252.0</p></td><td><p>122.0</p></td><td><p>130.0</p></td><td><p>48%</p></td><td><p>52%</p></td></tr><tr><td><p>2014/15</p></td><td><p>279.6</p></td><td><p>120.3</p></td><td><p>159.3</p></td><td><p>43%</p></td><td><p>57%</p></td></tr><tr><td><p>2015/16</p></td><td><p>319.1</p></td><td><p>136.6</p></td><td><p>182.5</p></td><td><p>43%</p></td><td><p>57%</p></td></tr><tr><td><p>2016/17</p></td><td><p>341.5</p></td><td><p>156.4</p></td><td><p>185.1</p></td><td><p>46%</p></td><td><p>54%</p></td></tr><tr><td><p>2017/18</p></td><td><p>355.2</p></td><td><p>156.5</p></td><td><p>198.7</p></td><td><p>44%</p></td><td><p>56%</p></td></tr></tbody></table><p> </p><p>Spend in Independent Sector providers in 2017/18 totalled £156.5 million.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 191397 question first answered 19/11/2018 17:23:46 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1006135

registered interest
date	13/11/2018
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	Suicide: Accident and Emergency Departments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the proportion of people admitted to A&E for attempted suicide who have later attempted it again in the last three years.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	190895
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>Information on numbers of attempted suicides is not collected centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/11/2018 17:25:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4243 label Biography information for Dan Jarvis

1005766

registered interest
date	12/11/2018
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: 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, when his Department plans to publish the results of the most recent Children and Young People’s Mental Health prevalence survey.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	190384
answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>The Mental Health of Children and Young People Survey will be published by NHS Digital shortly.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/11/2018 16:51:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1439 label Biography information for Norman Lamb

1005890

registered interest
date	12/11/2018
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	Eating Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has undertaken a baseline audit of levels of (a) investment, (b) capacity and (c) in (i) inpatient and (ii) community services for adults with eating disorders.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190565
answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>In 2017/18, NHS England commissioned NHS Benchmarking to collect data on current levels of provision for adults with an eating disorder across community and inpatient services for adults with an eating disorder including levels of investment, mapping of services, quantifying the workforce, understanding waiting times and distances travelled for inpatient care. The outputs were reported to NHS England in 2018, and are being used by NHS England to assess levels of geographical variation, and to model the cost and workforce implications of any future commitments to service improvements.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/11/2018 16:52:13 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4657 label Biography information for Anneliese Dodds

1003701

registered interest
date	09/11/2018
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	Musculoskeletal Disorders
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 his Department is reduce the number of working days lost as a result of musculoskeletal disorders; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	189525
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>In 2017, there was a historic low of working days lost due to musculoskeletal disorders (MSK) related sickness absence. However, MSK disorders remain the second largest reason for working days lost due to sickness absence – second only to minor illnesses (like colds and flu)<sup>1</sup>.</p><p> </p><p>This is why in ‘Improving Lives, the Future of Work, Health and Disability’<sup>2</sup> this Government committed itself to ensuring that individuals suffering from MSK disorders get higher-quality, more joined up support - in the workplace and across the health and welfare systems.</p><p> </p><p>The Government’s own strategy, includes research to build our understanding of existing MSK provision and piloting new models of service provision. The intention is to build our understanding of ‘what works’ to improve employment outcomes for individuals with MSK disorders, in order to inform future action.</p><p> </p><p>The Government expects National Health Service leaders, clinicians and experts to develop the long-term plan to ensure that the NHS can cope with the serious demand and cost pressures it faces in the future. The plan should be published later this year.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>Labour Force Survey person datasets, ONS. 2018.</p><p> </p><p><a href="https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016" target="_blank">https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016</a></p><p> </p><p><sup>2</sup>Improving lives: the future of work, health and disability November 2017</p><p> </p><p><a href="https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability" target="_blank">https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 189526 question first answered 14/11/2018 16:24:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	165 label Biography information for Clive Efford

1003702

registered interest
date	09/11/2018
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	Musculoskeletal Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will include musculoskeletal disorders in the long-term plan for the NHS to reduce loss of working days; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	189526
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>In 2017, there was a historic low of working days lost due to musculoskeletal disorders (MSK) related sickness absence. However, MSK disorders remain the second largest reason for working days lost due to sickness absence – second only to minor illnesses (like colds and flu)<sup>1</sup>.</p><p> </p><p>This is why in ‘Improving Lives, the Future of Work, Health and Disability’<sup>2</sup> this Government committed itself to ensuring that individuals suffering from MSK disorders get higher-quality, more joined up support - in the workplace and across the health and welfare systems.</p><p> </p><p>The Government’s own strategy, includes research to build our understanding of existing MSK provision and piloting new models of service provision. The intention is to build our understanding of ‘what works’ to improve employment outcomes for individuals with MSK disorders, in order to inform future action.</p><p> </p><p>The Government expects National Health Service leaders, clinicians and experts to develop the long-term plan to ensure that the NHS can cope with the serious demand and cost pressures it faces in the future. The plan should be published later this year.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>Labour Force Survey person datasets, ONS. 2018.</p><p> </p><p><a href="https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016" target="_blank">https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016</a></p><p> </p><p><sup>2</sup>Improving lives: the future of work, health and disability November 2017</p><p> </p><p><a href="https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability" target="_blank">https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 189525 question first answered 14/11/2018 16:24:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	165 label Biography information for Clive Efford

1002591

registered interest
date	06/11/2018
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: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he plans to extend the expiration date of medicines to reduce waste; and if he will make a statement.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	188702
answer	answer is ministerial correction date of answer 12/11/2018 answer text <p>Any change to the expiry date of a medicine requires an independent review of the stability study by the Medicines and Healthcare products Regulatory Agency (MHRA) or the European Medicine Agency in consultation with the MHRA. The MHRA is the Government agency responsible for ensuring that medicines and medical devices work and are acceptably safe.</p><p> </p><p>Companies can and often do extend the shelf life of their medicines once the product is on the market and additional stability data become available. The MHRA is not able to insist on lengthy shelf lives considering the time needed to complete stability studies as to do so would create additional delays with bringing new medicines to the market. It is not possible however to extend the expiry date of all medicines unilaterally in the absence of supporting stability data.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 12/11/2018 15:39:28 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

1002631

registered interest
date	06/11/2018
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	Medical Records
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 his Department has issued on which people are authorised to make notes on a patient's medical record.
tabling member constituency	Ipswich
tabling member printed	Sandy Martin
uin	188916
answer	answer is ministerial correction date of answer 13/11/2018 answer text <p>In 2016, the Information Governance Alliance published the NHS Records Management Code of Practice which sets out what people working with, or in, National Health Service organisations in England need to do to manage records correctly.</p><p> </p><p>The Code of Practice is based on current legal requirements and professional best practice. It includes advice that each NHS organisation should have an overall policy statement on how it manages all its records, including electronic records.</p><p> </p><p>It is the responsibility of each NHS organisation to ensure that staff are assigned access to patient records based on their role in the organisation and that, where appropriate, they should document their actions and decisions in patients’ records.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 188917 question first answered 13/11/2018 11:48:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4678 label Biography information for Sandy Martin

1002634

registered interest
date	06/11/2018
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	Medical Records
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 his Department has taken to ensure that medically unqualified staff do not make additions to patients' medical notes.
tabling member constituency	Ipswich
tabling member printed	Sandy Martin
uin	188917
answer	answer is ministerial correction date of answer 13/11/2018 answer text <p>In 2016, the Information Governance Alliance published the NHS Records Management Code of Practice which sets out what people working with, or in, National Health Service organisations in England need to do to manage records correctly.</p><p> </p><p>The Code of Practice is based on current legal requirements and professional best practice. It includes advice that each NHS organisation should have an overall policy statement on how it manages all its records, including electronic records.</p><p> </p><p>It is the responsibility of each NHS organisation to ensure that staff are assigned access to patient records based on their role in the organisation and that, where appropriate, they should document their actions and decisions in patients’ records.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 188916 question first answered 13/11/2018 11:48:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4678 label Biography information for Sandy Martin