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1127468

registered interest
date	20/05/2019
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	Health Professions: Recruitment
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 he is taking to increase the number of (a) school nurses and (b) health visitors.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	256319
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>From April 2013, local authorities have been responsible for public health locally, including commissioning public health services for school aged children in their areas. In October 2015 responsibility for zero to five commissioning was also transferred to local authorities.</p><p>It is therefore for local authorities to assess the health needs of their populations and commission the appropriate health visiting and school nursing services and workforce, based around local needs.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/05/2019 16:45:18 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1127680

registered interest
date	20/05/2019
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: 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 steps his Department is taking to ensure that children are not unnecessarily admitted to mental health hospitals.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	256250
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>The Department is committing increased expenditure to support the provision of mental health services in the community, to reduce the need for children to be admitted to mental health hospitals unless absolutely necessary.</p><p>Through the NHS Long Term Plan, published in January 2019, mental health funding will grow by at least £2.3 billion a year by 2023/24, with funding for children and young people’s mental health services growing faster than both overall National Health Service funding and total mental health spending. This extra investment will mean an extra 345,000 children and young people aged 0-25 will receive mental health support by 2023/24.</p><p>The key proposals in ‘Transforming children and young people’s mental health provision: a green paper’ aim to improve early intervention. New mental health support teams will deliver evidence-based interventions in or close to schools and colleges for those with mild to moderate mental health issues in 25 trailblazer areas in England. 12 of the 25 trailblazer sites will pilot a four-week waiting time to speed up children and young people’s access to NHS mental health services.</p><p>Over the next five years, the NHS will therefore continue to invest in expanding access to community-based mental health services to meet the needs of more children and young people.</p><p>The NHS Long Term Plan prioritises services for children and young people, providing a clear focus on improving the health and wellbeing of children and young people with learning disabilities and/or autism, as well as committing to implementing ‘Building the right support’ in full, achieving at least a 50% reduction in the number of people with a learning disability or autism who are inpatients, compared to the figure in 2015, by the end of 2023/24.</p><p>The Long Term Plan sets out specific commitments to achieve this by developing new models of care to provide care closer to home and investing in intensive, crisis and forensic community support. By 2023/24 children and young people with a learning disability, autism or both with the most complex needs will also have a designated keyworker. These will be initially provided to children and young people who are inpatients or at risk of being admitted to hospital.</p><p>Furthermore, the Government is committed to reviewing mental health legislation so that it works better for both adults and children. We are currently considering the findings from the independent review of the Mental Health Act 1983, which covers how a person can be detained or sectioned for treatment and will respond in due course.</p><p> </p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/05/2019 16:47:51 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1436 label Biography information for Paul Farrelly

1127334

registered interest
date	17/05/2019
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	Isotretinoin: Side Effects
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 potential health risks and psychiatric side-effects of the drug Roaccutane.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	255661
answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>As with all medicines in the United Kingdom, the Medicines and Healthcare products Regulatory Agency continuously monitors the safety of isotretinoin-containing medicines. This includes reports of suspected adverse drug reactions submitted by healthcare professionals, patients and carers through the Yellow Card scheme, as well as published and unpublished data. As new evidence on safety emerges it is carefully evaluated and, where appropriate, product information is updated and advice for prescribers and patients is issued.</p><p>Specific assessments of possible psychiatric side effects associated with isotretinoin were considered by an Expert Working Group of the Commission on Human Medicines in 2005 and 2014. In addition, the risk of neuropsychiatric disorders was evaluated in a European review which was completed in 2018. This review concluded that the warnings in the product information for medicines containing isotretinoin regarding possible psychiatric adverse effects reflected what was known.</p><p>Since 1998, warnings regarding the possible risk of developing depression and other psychiatric side effects have been included in the product information for Roaccutane and the generic versions of isotretinoin (the Summary of Product Characteristics for healthcare professionals and the patient information leaflet). The product information for isotretinoin warns that treatment may be associated with possible psychiatric side effects, that particular care needs to be taken in patients with a history of depression; and that all patients on isotretinoin should be monitored for signs of depression and referred for appropriate treatment if necessary. It also states that stopping isotretinoin may not lead to improvement and therefore further psychiatric or psychological evaluation may be necessary.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/05/2019 16:42:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1436 label Biography information for Paul Farrelly

1127186

registered interest
date	16/05/2019
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: Prisons
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 have been taken to tackle delays in transferring people with mental health problems from prison to hospital.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	255327
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>NHS England is the commissioning body responsible for ensuring high quality low, medium and high secure hospital accommodation.</p><p> </p><p>As part of this role, NHS England has developed a national approach to ensuring close partnership working with local NHS England health and justice teams to review patients’ needs and expedite access to secure mental health beds. This also includes a more detailed understanding of challenges in the system in relation to remissions from hospital to prison, so that access, progress and throughput is improved.</p><p> </p><p>NHS England commissioned a repeat of the 2017 National Health Service benchmarking audit on transfers and remissions in early 2019, and a full analysis of this data is currently taking place. This information will help to ensure that challenges and delays in the system are addressed to ensure timely and appropriate transfers of care.</p><p> </p><p>The current ‘Prison Transfer and Remission Best Practice Guidance’, published by the Department in 2011, is being reviewed and two separate documents are being developed to replace it: one for immigration removal centres and another for prisons.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/05/2019 16:31:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4124 label Biography information for Chi Onwurah

1126827

registered interest
date	15/05/2019
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: Expenditure
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans he has to reduce the differential in spending on mental health support between different parts of the country.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	254721
answer	answer is ministerial correction date of answer 20/05/2019 answer text <p>Funding allocations to clinical commissioning groups vary to meet the needs of local populations, including mental health need. These allocations are determined by a formula managed for the National Health Service by the Advisory Committee on Resource Allocation.</p><p>Clinical commissioning groups (CCGs) are required to continue to increase investment in mental health services in line with the mental health investment standard. In 2017/18, all CCGs met the standard. For 2019/20, the standard requires CCGs to increase spend by at least their overall programme allocation growth, plus an additional percentage increment to reflect the additional mental health funding included in CCG allocations for 2019/20.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/05/2019 14:20:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

1126877

registered interest
date	15/05/2019
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: Cybersecurity
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 the National Health Service spent on cyber security in each of the last five years.
tabling member constituency	Windsor
tabling member printed	Adam Afriyie
uin	254785
answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The information requested on cyber spending covers sensitive detail about cyber security investment for the National Health Service. In this instance, releasing this information at the level of any annual breakdown may assist in determining the effectiveness of detecting cyber-attacks on the NHS, and could compromise measures to protect NHS IT systems, leaving them vulnerable to future cyber-attacks.</p><p>However, in total, over £250 million will have been invested nationally to improve the cyber security of the health and care system between 2016 and 2021. This excludes both investment by local organisations, and wider national IT investment which supports better security such as Microsoft licensing for NHS organisations.</p><p>Regarding the steps taken to defend against cyber attacks on the NHS, the active cyber defence of NHS organisations is a local responsibility for each organisation to carry out. However, there is national support and practical guidance available to NHS organisations which is primarily delivered by NHS Digital but supported and prioritised for the highest risk organisations by NHS England and the Department. In the event of national-scale incidents that affect many health and care organisations, NHS Digital plays a vital role in coordinating and ensuring appropriate technical remediation, as part of the wider cross-system cyber security response led by the Department.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 254786 question first answered 24/05/2019 12:33:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1586 label Biography information for Adam Afriyie

1126878

registered interest
date	15/05/2019
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: Cybercrime
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 he has taken to ensure that NHS England is prepared to defend the NHS against cyber attacks.
tabling member constituency	Windsor
tabling member printed	Adam Afriyie
uin	254786
answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The information requested on cyber spending covers sensitive detail about cyber security investment for the National Health Service. In this instance, releasing this information at the level of any annual breakdown may assist in determining the effectiveness of detecting cyber-attacks on the NHS, and could compromise measures to protect NHS IT systems, leaving them vulnerable to future cyber-attacks.</p><p>However, in total, over £250 million will have been invested nationally to improve the cyber security of the health and care system between 2016 and 2021. This excludes both investment by local organisations, and wider national IT investment which supports better security such as Microsoft licensing for NHS organisations.</p><p>Regarding the steps taken to defend against cyber attacks on the NHS, the active cyber defence of NHS organisations is a local responsibility for each organisation to carry out. However, there is national support and practical guidance available to NHS organisations which is primarily delivered by NHS Digital but supported and prioritised for the highest risk organisations by NHS England and the Department. In the event of national-scale incidents that affect many health and care organisations, NHS Digital plays a vital role in coordinating and ensuring appropriate technical remediation, as part of the wider cross-system cyber security response led by the Department.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 254785 question first answered 24/05/2019 12:33:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1586 label Biography information for Adam Afriyie

1126891

registered interest
date	15/05/2019
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
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 taking to record national figures on patient discharge from community mental health services.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	254737
answer	answer is ministerial correction date of answer 20/05/2019 answer text <p>National figures on patients discharged from community mental health services in England are recorded and can be extracted from data collected by NHS Digital as part of the Mental Health Services Dataset (MHSDS).</p><p>This breakdown of the data is not published by NHS Digital and there are no current plans to do so.</p><p>To note, the MHSDS data collection is still experimental and should be interpreted with caution.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/05/2019 14:10:31 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	308 label Biography information for Mr Jim Cunningham

1126957

registered interest
date	15/05/2019
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
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 30 April 2019 to Question 247685 on Suicide, how many local authorities have policies to tackle financial difficulty in their suicide prevention plans.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	254804
answer	answer is ministerial correction date of answer 20/05/2019 answer text <p>The Government consulted on the Breathing Space programme between October 2018 and January 2019. Breathing Space is a statutory debt repayment plan which aims to give people in problem debt the opportunity to take control of their finances and put them on a sustainable footing. The scheme includes a specific mechanism to make it easier for people experiencing a mental health crisis to access support. A response to the consultation will be published in due course.</p><p>The National Suicide Prevention Strategy highlights groups that need tailored approaches to address their mental health needs to reduce their suicide risk, including people who are vulnerable due to social or economic circumstances. We are working with the local government sector to assess the effectiveness of those plans, and a report will be published shortly that highlights areas of best practice and areas for improvement. This report will include an analysis of the extent to which local authority plans are addressing high risk groups.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/05/2019 14:13:53 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1126623

registered interest
date	14/05/2019
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	Baby Care Units: Mental 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 recent assessment his Department has made of the adequacy of long-term mental health support given to parents of babies discharged from neonatal units.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	254232
answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>Perinatal mental health services are available to all parents, including parents of babies that have been discharged from neonatal units, when they need it.</p><p>In April 2019, NHS England confirmed that new and expectant mothers across the country are now able to access specialist mental health care in the area where they live. The rollout of specialist community services across the whole of England, means that those suffering from perinatal mental health problems are able to access high quality care much closer to home.</p><p> </p><p>The Five Year Forward View for Mental Health committed to invest £365 million from 2015/16 to 2020/21 in perinatal mental health services to ensure that, by 2020/21, at least 30,000 more women each year are able to access evidence-based specialist mental health care during the perinatal period.</p><p> </p><p>The NHS Long Term Plan includes a commitment for a further 24,000 women to be able to access specialist perinatal mental health care by 2023/24. Specialist care will also be available from preconception to 24 months after birth, which will provide an extra year of support. Support will also be extended to fathers and partners of women accessing specialist perinatal mental health services and maternity outreach clinics.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/05/2019 16:41:06 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4491 label Biography information for Vicky Foxcroft