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995622

registered interest
date	26/10/2018
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: Safety
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 improve the safety of patients on mental health wards.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	184453
answer	answer is ministerial correction date of answer 31/10/2018 answer text <p>NHS Improvement and the Care Quality Commission (CQC) launched a national Mental Health Safety Improvement Programme in May 2018. The overall aim of the programme is to ensure every National Health Service trust providing core mental health services in England has understood and agreed their safety priorities and made a measurable improvement in at least one key area of mental health safety by 31 March 2020. The focus the programme introduces is a three-way engagement meeting between the trust, the CQC and NHS Improvement that takes place after the CQC publishes its inspection report, resulting in a safety improvement plan.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 31/10/2018 17:08:18 answering member 4070 label Biography information for Matt Hancock
tabling member	4036 label Biography information for Luciana Berger

994675

registered interest
date	25/10/2018
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 page 9 of the National Audit Office report Improving children and young people’s mental health services, what plans he is putting in place to monitor reliably workforce expansion in children and young people’s mental health services.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	183923
answer	answer is ministerial correction date of answer 30/10/2018 answer text <p>To track progress with implementation of the workforce plan, the Department has asked Health Education England (HEE) to develop a Mental Health Workforce Dashboard to monitor plans for the delivery of the workforce targets. This uses:</p><p>- Data from Strategic Transformation Partnership regional plans (to monitor staff expansion plans);</p><p>- NHS Digital data to track the size of the whole mental health workforce;</p><p>- Data from NHS Improvement on staff retention rates; and</p><p>- Data from HEE on the numbers of trainee staff currently studying and those undertaking specific courses for upskilling themselves to work in mental health.</p><p>For the longer term a project is underway, led by the Department, to improve the way in which NHS Digital data captures changes in workforce numbers. We are hoping that this will enable more accurate reporting of actual staff changes from early next financial year.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 30/10/2018 17:00:10 answering member 4070 label Biography information for Matt Hancock
tabling member	4036 label Biography information for Luciana Berger

994291

registered interest
date	24/10/2018
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: Bereavement Counselling
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 every family bereaved by suicide is proactively offered bereavement support within seven days.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	183510
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The Cross-Government Suicide Prevention Strategy (2012), updated in 2017, has two main aims: to reduce suicides and to improve the support and information provided to people bereaved by suicide. Suicide bereavement support should be provided locally by health and social care services working together along with the third sector.</p><p> </p><p>We are investing £25 million over the next three years in support of the strategy. In 2018/19, £5 million has been provided and £10 million will be provided in each year in 2019/20 and 2020/21. This funding is being provided to sustainability and transformation partnerships (STP) areas to support them to develop their suicide prevention plans and a national quality improvement programme across the National Health Service to improve patient safety and reduce suicides. This first eight STP areas received funding this year. The second year of this funding will be used to support some STPs to develop specific areas of their local suicide prevention plans, including suicide bereavement services.</p><p> </p><p>The Department funds the provision of the ‘Help is at Hand advice and information tool’ which is distributed to local services and can be provided to families bereaved by suicide as soon as is possible and appropriate following a suspected death by suicide.</p><p> </p><p>In July this year, the NHS National Quality Board published ‘Guidance for NHS trusts on working with bereaved families and carers.’ This aims to improve the way the NHS supports, engages and communicates with people who are bereaved, including through suicide, especially when a death is subject to an investigation. It advises that trusts should provide information to bereaved families on support and care that is available to them inside and outside the trust.</p><p> </p><p>Every local authority in England, now has a suicide prevention plan in place, or in development, to reduce suicides in their community. Public Health England published planning guidance to local authorities in 2016 which recommended priorities for local suicide prevention plans including the provision of suicide bereavement support. We are working with the local government sector to ensure their plans are effective, looking at what works and identifying areas for improvement to feed into a wider national programme of support for local authorities.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 29/10/2018 14:17:49 answering member 4070 label Biography information for Matt Hancock
tabling member	4036 label Biography information for Luciana Berger

994297

registered interest
date	24/10/2018
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 (a) steps his Department is taking and (b) funding is allocated to implement each proposal in the Children and Young People's Mental Health Task Force report, Future in Mind; and what progress has been made on implementing those proposals to date.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	183516
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>Future in Mind, published in 2015, brought stakeholders together behind a vision to improve children and young people’s mental health at a time when these services were much in need of attention and focus. The vision included significant ambitions around increasing access to children and young people’s mental health services. Following publication, the Government committed £1.4 billion for improvements to children and young people’s mental health services over the following five years.</p><p> </p><p>Action is now underway to make a range of improvements to children and young people’s mental health services including increasing numbers accessing specialist services, new waiting time standards, setting up new support teams in or near schools, training staff to work in these, training teachers and piloting a waiting time for access to specialist services.</p><p> </p><p>The Government committed providing access to specialist mental health services for an additional 70,000 children and young people a year by 2020/21.This is being delivered through implementation of the Five Year Forward View for Mental Health. This programme is at the half way point and available data suggests the Government is on track to deliver against this target.</p><p> </p><p>The Five Year Forward View also introduced two waiting time standards for children and young people. The first aims for 95% of children and young people (up to 19 years old) with eating disorders to receive treatment within a week for urgent cases and four weeks for routine cases by 2020/21. The second is that 50% of patients of all ages experiencing a first episode of psychosis should receive treatment within two weeks of referral by 2020/21. We are currently on track and meeting these waiting time standards respectively.</p><p> </p><p>In relation to the development of a ‘whole system approach’, the Government is going further than the vision set out in Future in Mind. Our Green Paper, published jointly with the Department for Education, sets out our plans for increased support for children and young people in schools. As part of implementing this, we are setting up new Mental Health Support Teams to deliver mental health interventions for those with mild to moderate needs in, or close to, schools and colleges (and refer those with more severe needs on to specialist services). Educational Mental Health practitioners’ training places are now open for 210 new staff. Training will start from January 2019.</p><p> </p><p>We will also ensure that at least one teacher in every primary and secondary school will receive mental health awareness training to enable school staff to spot common signs of mental health issues, and to help children and young people receive appropriate support.</p><p> </p><p>We have also committed to piloting a four week waiting time for access to specialist children and young people’s mental health services.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 29/10/2018 14:10:52 answering member 4070 label Biography information for Matt Hancock
tabling member	4036 label Biography information for Luciana Berger

989550

registered interest
date	17/10/2018
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 steps his Department has taken to ensure that clinical commissioning groups spend funds allocated for children and young people’s mental health services on those services.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	180711
answer	answer is ministerial correction date of answer 22/10/2018 answer text <p>It is not always possible to track actual expenditure on specific services against all funds allocated for those services. However, we can confirm that the clinical commissioning group spend on children and young people’s mental health has increased, rising from £516 million in 2015/16, to £619 million in 2016/17 and to £687 million in 2017/18.</p><p> </p><p>NHS England and NHS Improvement’s Operational Planning and Contracting Guidance 2017-2019 makes it clear that additional transformation funding for mental health care made available to support the Five Year Forward View for Mental Health should “not be used to supplant existing spend or balance reductions elsewhere”.</p><p> </p><p>This requirement applies to deliverables for improved children and young people’s mental health services as well as for adult services.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 22/10/2018 16:50:09 answering member 4070 label Biography information for Matt Hancock
tabling member	4036 label Biography information for Luciana Berger

989551

registered interest
date	17/10/2018
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 paragraph 2.16 of the National Audit Office report, Improving children and young people’s mental health services, published on 9 October 2018, what assessment he has made of the effect on his Department's ability to measure the expansion of NHS workforce against sustainability and transformation plans of Health Education England not expecting to have data on the number of NHS staff working in children and young people’s services until 2019.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	180712
answer	answer is ministerial correction date of answer 22/10/2018 answer text <p>Although some relevant data on staff roles is available on the National Health Service Electronic Staff Record, this does not currently align with the staff groups targeted for growth within the mental health workforce plan.</p><p> </p><p>Because the Department is keen to track progress with implementation of the plan we asked Health Education England (HEE) to develop a Mental Health Workforce Dashboard to monitor plans for the delivery of the workforce targets. This uses:</p><p>- Data from Strategic Transformation Partnership regional plans (to monitor staff expansion plans);</p><p>- NHS Digital data to track the size of the whole mental health workforce;</p><p>- Data from NHS Improvement on staff retention rates; and</p><p>- Data from HEE on the numbers of trainee staff currently studying and those undertaking specific courses for upskilling themselves to work in mental health.</p><p> </p><p>For the longer term a project is underway, led by the Department, to improve the way in which NHS Digital data captures changes in workforce numbers. We are hoping that this will enable more accurate reporting of actual staff changes from early next financial year.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 22/10/2018 16:28:50 answering member 4070 label Biography information for Matt Hancock
tabling member	4036 label Biography information for Luciana Berger

989552

registered interest
date	17/10/2018
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 paragraph 14 on page 9 of the National Audit Office report, Improving children and young people's mental health services, published on 9 October 2018, what steps he is taking to recruit additional NHS staff to work in those services.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	180713
answer	answer is ministerial correction date of answer 22/10/2018 answer text <p>Health Education England (HEE) has established a Mental Health Workforce Delivery Group attended by the Department and its arm’s length bodies. The group oversees implementation of the workforce plan through regional Sustainability and Transformation Partnerships (STPs).</p><p> </p><p>HEE have introduced an online resource for their regional leads in support of workforce planning, called ‘Recipe for good workforce planning’. This includes a ‘confirm and challenge’ process whereby HEE Regional Leads work closely with STP partners to ensure that workforce growth is happening according to STP delivery plans. Regional leads challenge where plans for staff expansion fall short of those required by ‘Stepping Forward’ and ensure that plans are in place to mitigate risks. NHS England is also holding quarterly ‘deep dives’ with all the regional teams to review progress against provider and STP level plans.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 22/10/2018 16:39:25 answering member 4070 label Biography information for Matt Hancock
tabling member	4036 label Biography information for Luciana Berger

987946

registered interest
date	15/10/2018
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 conclusion in the the National Audit Office report entitled Improving children and young people’s mental health services, published in October 2018, that the Government’s current plans will not deliver the Future in Mind proposals in full.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	179193
answer	answer is ministerial correction date of answer 18/10/2018 answer text <p>This programme is at the half way point and available data suggests the Government is on track to deliver the headline commitment for at least 70,000 additional children and young people each year to access evidence based treatment by 2020/21.</p><p> </p><p>With regards to improving early intervention and resilience, the Government has recently set ambitions for identifying and supporting young people with mental health problems at an earlier stage through bringing education and mental health closer together. These proposals are set out in ‘Transforming Children and Young People’s Mental Health Provision: a green paper’. We have begun recruitment of Educational Mental Health practitioners’, who will staff new Mental Health Support Teams in schools as set out in the Green Paper, with training places now open for 210 new staff. Training will start from January 2019.</p> answering member constituency West Suffolk answering member printed Matt Hancock grouped question UIN 179194 question first answered 18/10/2018 16:14:58 answering member 4070 label Biography information for Matt Hancock
tabling member	4036 label Biography information for Luciana Berger

987947

registered interest
date	15/10/2018
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 Department's policies of the conclusions of report, Improving children and young people’s mental health services, published by the National Audit Office in October 2018 in relation to the absence of explicit objectives for proposals from Future in Mind on early intervention and resilience.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	179194
answer	answer is ministerial correction date of answer 18/10/2018 answer text <p>This programme is at the half way point and available data suggests the Government is on track to deliver the headline commitment for at least 70,000 additional children and young people each year to access evidence based treatment by 2020/21.</p><p> </p><p>With regards to improving early intervention and resilience, the Government has recently set ambitions for identifying and supporting young people with mental health problems at an earlier stage through bringing education and mental health closer together. These proposals are set out in ‘Transforming Children and Young People’s Mental Health Provision: a green paper’. We have begun recruitment of Educational Mental Health practitioners’, who will staff new Mental Health Support Teams in schools as set out in the Green Paper, with training places now open for 210 new staff. Training will start from January 2019.</p> answering member constituency West Suffolk answering member printed Matt Hancock grouped question UIN 179193 question first answered 18/10/2018 16:14:58 answering member 4070 label Biography information for Matt Hancock
tabling member	4036 label Biography information for Luciana Berger

987948

registered interest
date	15/10/2018
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 (a) steps his Department is taking and (b) funding his Department has allocated to implement the proposals contained in the report, Future in Mind, Promoting, protecting and improving our children and young people’s mental health and wellbeing, published by his Department and NHS England in 2015; what progress his Department has made on implementing those proposals; and if he will make a statement.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	179195
answer	answer is ministerial correction date of answer 18/10/2018 answer text <p>Since publication of Future in Mind the Government has committed to transform services and increase access to specialist mental health services for an additional 70,000 children and young people a year by 2020/21. This is being delivered through the Five Year Forward View for Mental Health, which is at the half way point and available data suggests the Government is on track to deliver against this target.</p><p> </p><p>The Five Year Forward View also introduced two waiting time standards for children and young people. The first aims for 95% of children (up to 19 years old) with eating disorders to receive treatment within a week for urgent cases and four weeks for routine cases. The second is that 50% of patients of all ages experiencing a first episode of psychosis receive treatment within two weeks of referral. We are currently exceeding or on track to meet these waiting time standards.</p><p> </p><p>The Government made an additional £1.4 billion available over the course of 2015/16-2020/21 to support this transformation, of which £150 million was for improved eating disorders services.</p><p> </p><p>‘Transforming children and young people’s mental health provision: a green paper’, published jointly with the Department for Education will cost £300 million and will provide increased support for children and young people. As part of this we are setting up new Mental Health Support Teams to deliver mental health interventions for those with mild to moderate needs in or close to schools and colleges (and refer those with more severe needs on to specialist services). Educational Mental Health practitioners’ training places are now open for 210 new staff. Training will start from January 2019.</p><p> </p><p>We will ensure that at least one teacher in every primary and secondary school will receive mental health awareness training to enable school staff to spot common signs of mental health issues, and to help children and young people receive appropriate support. We have also committed to piloting a four week waiting time for access to specialist children and young people’s mental health services.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 18/10/2018 16:13:35 answering member 4070 label Biography information for Matt Hancock
tabling member	4036 label Biography information for Luciana Berger