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1134242

registered interest
date	24/06/2019
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	Care Homes: Standards
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 and what proportion of care homes are rated inadequate by the Care Quality Commission in (a) Liverpool, (b) the North West and (c) England.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	268458
answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>The Care Quality Commission (CQC) has provided the following data:</p><table><tbody><tr><td><p>-</p></td><td><p>Number of active care homes with latest overall rating as ‘Inadequate’</p></td><td><p>Total active care homes</p></td><td><p>Percentage<sup>1</sup> of active care homes by latest overall rating</p></td></tr><tr><td><p>Liverpool Local Authority</p></td><td><p>1</p></td><td><p>89</p></td><td><p>1.1%</p></td></tr><tr><td><p>North West Region</p></td><td><p>20</p></td><td><p>1,915</p></td><td><p>1.0%</p></td></tr><tr><td><p>England</p></td><td><p>230</p></td><td><p>15,668</p></td><td><p>1.5%</p></td></tr></tbody></table><p>Notes: <sup>1</sup>Percentages for each latest overall rating are as a proportion of total active care homes, including homes with no published rating to date.</p><p>The data provided can be used in accordance with the Open Government Licence for Public Sector Information by acknowledging the CQC as the data source.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 27/06/2019 09:57:50 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1128564

registered interest
date	23/05/2019
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 Services: Autism and Learning Disability
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 interim report published by the Care Quality Commission, published on 20 May 2019, whether he will convene an expert group to consider the delivery of best care to people with learning disabilities and autism.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	257739
answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>On 21 May 2019, the Care Quality Commission (CQC) published its ‘Interim Report: Review of restraint, prolonged seclusion and segregation for people with a mental health problem, a learning disability and or autism.’ The Government has accepted all five of the recommendations in the CQC’s interim report including the recommendation that an expert group, that includes clinicians, people with lived experience and academics, should be convened to consider what would be the key features of a better system of care for this specific group of people (that is those with a learning disability and/or autism whose behaviour is so challenging that they are, or are at risk of, being cared for in segregation).</p><p> </p><p>The target in the NHS Long Term Plan is to reduce the number of children with a learning disability, autism or both in a specialist inpatient unit to a level equivalent to no more than 12 to 15 children per one million children in England by 2023-24.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 257740 question first answered 05/06/2019 16:24:31 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1128565

registered interest
date	23/05/2019
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 Services: Learning Disability
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 NHS target to reduce the number of children and young people being held in assessment and treatment units by 50 per cent, by what date he expects that target to be achieved.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	257740
answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>On 21 May 2019, the Care Quality Commission (CQC) published its ‘Interim Report: Review of restraint, prolonged seclusion and segregation for people with a mental health problem, a learning disability and or autism.’ The Government has accepted all five of the recommendations in the CQC’s interim report including the recommendation that an expert group, that includes clinicians, people with lived experience and academics, should be convened to consider what would be the key features of a better system of care for this specific group of people (that is those with a learning disability and/or autism whose behaviour is so challenging that they are, or are at risk of, being cared for in segregation).</p><p> </p><p>The target in the NHS Long Term Plan is to reduce the number of children with a learning disability, autism or both in a specialist inpatient unit to a level equivalent to no more than 12 to 15 children per one million children in England by 2023-24.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 257739 question first answered 05/06/2019 16:24:31 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1128566

registered interest
date	23/05/2019
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: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the NHS workforce strategy will priorities the specialist training required for people working with people with complex needs.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	257741
answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>The interim People Plan, published on 3 June 2019, recognises the need to move to a multi-disciplinary model of care, particularly for people with more complex health and care needs, and places general practitioners at the heart of this model.</p><p>In advance of publishing the final People Plan, NHS England will work to implement the plan set out in Health Education England and NHS Improvement’s report, ‘Maximising the Potential: essential measures to support SAS doctors’, published in February 2019.</p><p>The aim is to provide further support and flexible training for specialty and associate specialist doctors, and establish a national programme board to address geographical and specialty shortages in medicine. The report can be accessed here:</p><p><a href="https://www.hee.nhs.uk/sites/default/files/documents/SAS_Report_Web.pdf" target="_blank">https://www.hee.nhs.uk/sites/default/files/documents/SAS_Report_Web.pdf</a></p><p>Skills for Care and Health Education England are working to ensure that the health and social care workforce have the skills and training they need, including when working with people with complex needs.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/06/2019 16:21:03 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1127690

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, with reference to the report entitled Far less than they deserve published by the Children’s Commissioner on 20 May 2019, what plans he has to publish a national strategy to replace Transforming Care.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	256312
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>‘Building the right support’, published in 2015 by NHS England, the Local Government Association (LGA) and the Association of Directors of Adult Social Services (ADASS) is the national plan in England for reducing the number of people with learning disabilities or autistic people who are inpatients in mental health hospitals. It set out a clear framework for commissioners to reduce inpatient capacity by developing more community services for people with learning disabilities or autistic people with behaviour that challenges. The expectation was for a reduction in inpatient numbers of between 35 and 50% by March 2019.</p><p>By the end of April 2019, inpatient numbers had reduced by 22%. National Health Service planning guidance for 2019/20 requires a 35% reduction in inpatients compared to 2015 no later than the end of 2019/20. The LGA and ADASS, as key delivery partners of the Transforming Care programme, will continue to support work to improve provision of suitable accommodation and services in the community and the Department of Health and Social Care and the Department for Education will remain accountable for ensuring that children and young people receive the support they need.</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>Local health systems have been asked to develop plans for implementing the Long Term Plan’s commitments. These plans will be brought together in a national implementation programme for the Long Term Plan to 2023-24, and an NHS workforce implementation plan, by the end of 2019.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/05/2019 10:14:02 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1126958

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	Death
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 Clinical Commissioning Groups have put in place plans to identify avoidable deaths.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	254805
answer	answer is ministerial correction date of answer 20/05/2019 answer text <p>The information requested is not collected centrally.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 20/05/2019 13:27:23 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1123267

registered interest
date	25/04/2019
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	Care Homes: Closures
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 residential and nursing homes have closed permanently (a) nationally and (b) in the North West region since 2016.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	247683
answer	answer is ministerial correction date of answer 30/04/2019 answer text <p>The Department does not hold data on the number of care home closures since 2016. However, data from the Care Quality Commission (CQC) is available on the change in the number of care homes in England, which reflects both openings and closures over time.</p><p>Due to the devolved nature of social care, figures are only available for England and the North West. These are taken from averaging across quarterly CQC data.</p><p>The CQC’s data shows that there were 16,839 care homes in England in January 2016 compared to 15,738 in April 2019, giving a net reduction of 901 homes, a 6.5% reduction.</p><p>However, the total number of beds in England has remained relatively stable since 2016 because the average size of a care home has increased over that period. There were 461,793 beds in January 2016 compared to 456,333 beds in April 2019, a 1.2% reduction.</p><p>The CQC’s data shows that there were 2,039 care homes in the North West in January 2016 compared to 1,914 in April 2019, giving a net reduction of 105 homes, a 6% reduction.</p><p>However, the total number of beds in the North West has remained relatively stable since 2016 because the average size of a care home has increased over that period. There were 63,005 beds in January 2016 compared to 61,704 beds in April 2019, a 2.06% reduction.</p><p>Nationally, England has seen a decrease of 1.5% in the number of residential and nursing beds from January 2015 to April 2019.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Average Number of Residential and Nursing Beds</p></td></tr><tr><td><p>2015</p></td><td><p>463,792</p></td></tr><tr><td><p>2016</p></td><td><p>460,763</p></td></tr><tr><td><p>2017</p></td><td><p>459,920</p></td></tr><tr><td><p>2018</p></td><td><p>459,001</p></td></tr><tr><td><p>2019</p></td><td><p>456,924</p></td></tr></tbody></table><p> </p><p>In the North West, there has been a decrease of 2% in the number of residential and nursing beds from January 2015 to April 2019.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Average Number of Residential and Nursing Beds</p></td></tr><tr><td><p>2015</p></td><td><p>63,282</p></td></tr><tr><td><p>2016</p></td><td><p>62,969</p></td></tr><tr><td><p>2017</p></td><td><p>62,657</p></td></tr><tr><td><p>2018</p></td><td><p>62,200</p></td></tr><tr><td><p>2019</p></td><td><p>61,920</p></td></tr></tbody></table><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 247684 question first answered 30/04/2019 13:59:28 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1123270

registered interest
date	25/04/2019
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	Care Homes
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 residential and nursing home beds were available in each of the last five years in the (a) UK and (b) North West.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	247684
answer	answer is ministerial correction date of answer 30/04/2019 answer text <p>The Department does not hold data on the number of care home closures since 2016. However, data from the Care Quality Commission (CQC) is available on the change in the number of care homes in England, which reflects both openings and closures over time.</p><p>Due to the devolved nature of social care, figures are only available for England and the North West. These are taken from averaging across quarterly CQC data.</p><p>The CQC’s data shows that there were 16,839 care homes in England in January 2016 compared to 15,738 in April 2019, giving a net reduction of 901 homes, a 6.5% reduction.</p><p>However, the total number of beds in England has remained relatively stable since 2016 because the average size of a care home has increased over that period. There were 461,793 beds in January 2016 compared to 456,333 beds in April 2019, a 1.2% reduction.</p><p>The CQC’s data shows that there were 2,039 care homes in the North West in January 2016 compared to 1,914 in April 2019, giving a net reduction of 105 homes, a 6% reduction.</p><p>However, the total number of beds in the North West has remained relatively stable since 2016 because the average size of a care home has increased over that period. There were 63,005 beds in January 2016 compared to 61,704 beds in April 2019, a 2.06% reduction.</p><p>Nationally, England has seen a decrease of 1.5% in the number of residential and nursing beds from January 2015 to April 2019.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Average Number of Residential and Nursing Beds</p></td></tr><tr><td><p>2015</p></td><td><p>463,792</p></td></tr><tr><td><p>2016</p></td><td><p>460,763</p></td></tr><tr><td><p>2017</p></td><td><p>459,920</p></td></tr><tr><td><p>2018</p></td><td><p>459,001</p></td></tr><tr><td><p>2019</p></td><td><p>456,924</p></td></tr></tbody></table><p> </p><p>In the North West, there has been a decrease of 2% in the number of residential and nursing beds from January 2015 to April 2019.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Average Number of Residential and Nursing Beds</p></td></tr><tr><td><p>2015</p></td><td><p>63,282</p></td></tr><tr><td><p>2016</p></td><td><p>62,969</p></td></tr><tr><td><p>2017</p></td><td><p>62,657</p></td></tr><tr><td><p>2018</p></td><td><p>62,200</p></td></tr><tr><td><p>2019</p></td><td><p>61,920</p></td></tr></tbody></table><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 247683 question first answered 30/04/2019 13:59:28 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1077754

registered interest
date	26/02/2019
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	Social Services
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 publish the civil service briefing entitled Introduction to no deal adult social care planning, as reported by The Guardian on 26 February 2019.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	226092
answer	answer is ministerial correction date of answer 04/03/2019 answer text <p>The Department does not comment on leaked documents.</p><p> </p><p>Information on a ‘no deal’ European Union exit planning for adult social care is available on GOV.UK at the following links:</p><p> </p><p><a href="https://www.gov.uk/government/publications/letter-to-the-health-and-care-sector-preparations-for-a-potential-no-deal-brexit" target="_blank">https://www.gov.uk/government/publications/letter-to-the-health-and-care-sector-preparations-for-a-potential-no-deal-brexit</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/commissioners-and-providers-of-social-care-brexit-planning-update" target="_blank">https://www.gov.uk/government/publications/commissioners-and-providers-of-social-care-brexit-planning-update</a></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/03/2019 16:47:19 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1077755

registered interest
date	26/02/2019
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	Social 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 (a) briefings and (b) advice his Department has provided to social care providers on the potential effect on that sector of the UK leaving the EU without a deal.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	226093
answer	answer is ministerial correction date of answer 04/03/2019 answer text <p>Ministers and the Department have written to social care providers and commissioners about the Government's preparations for a potential ‘no deal’ European Union exit, and about actions that providers and commissioners of social care services should take to prepare for, and manage, the risks of a ‘no deal’ EU exit scenario. This correspondence and guidance is available online on GOV.UK.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/03/2019 16:43:16 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger