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1127528

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	Hospices: 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 additional funding for children’s palliative care announced in the NHS Long-Term Plan, whether he plans to allocate additional funding to children’s hospices in England in 2019-20.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	256338
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>As part of the NHS Long Term Plan, NHS England committed to increase its investment in children’s palliative care over the next five years by match funding clinical commissioning groups (CCGs) who commit to increase their investment in local children’s palliative and end of life care services.</p><p> </p><p>Subject to CCGs increasing investment, NHS England will match this by up to £7 million a year by 2023/24. This increase is in addition to the Children’s Hospice Grant, which provides an annual contribution of £11 million. NHS England is currently establishing financial reporting systems to monitor the baseline investment of CCGs in children’s palliative and end of life care services. This will enable match funding payments made to CCGs where the investments are increased above the investment baseline in the previous year. As baselining will be ongoing through 2019/20, and therefore match funding will not be available in this year, NHS England will be increasing the children’s hospice grant to £12 million for this period.</p><p> </p><p>With regards to financial sustainability of hospices, these are primarily charity-funded but receive some statutory funding from CCGS for providing local services. The amount of funding varies between CCGs, but on average adult hospices receive approximately 30% of their overall funding from National Health Service sources. CCGs are responsible for determining the level of NHS-funded hospice care locally and they are responsible for ensuring that the services they commission meet the needs of their local population.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 256339 question first answered 23/05/2019 10:16:42 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4637 label Biography information for James Frith

1127529

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	Hospices: Finance
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 ensure the financial sustainability of charitable hospices.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	256339
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>As part of the NHS Long Term Plan, NHS England committed to increase its investment in children’s palliative care over the next five years by match funding clinical commissioning groups (CCGs) who commit to increase their investment in local children’s palliative and end of life care services.</p><p> </p><p>Subject to CCGs increasing investment, NHS England will match this by up to £7 million a year by 2023/24. This increase is in addition to the Children’s Hospice Grant, which provides an annual contribution of £11 million. NHS England is currently establishing financial reporting systems to monitor the baseline investment of CCGs in children’s palliative and end of life care services. This will enable match funding payments made to CCGs where the investments are increased above the investment baseline in the previous year. As baselining will be ongoing through 2019/20, and therefore match funding will not be available in this year, NHS England will be increasing the children’s hospice grant to £12 million for this period.</p><p> </p><p>With regards to financial sustainability of hospices, these are primarily charity-funded but receive some statutory funding from CCGS for providing local services. The amount of funding varies between CCGs, but on average adult hospices receive approximately 30% of their overall funding from National Health Service sources. CCGs are responsible for determining the level of NHS-funded hospice care locally and they are responsible for ensuring that the services they commission meet the needs of their local population.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 256338 question first answered 23/05/2019 10:16:42 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4637 label Biography information for James Frith

1122531

registered interest
date	23/04/2019
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	Autism and Learning Disability: Psychiatric Hospitals
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 2 April 2019 to Question 238347 on Autism and Learning Disability: Psychiatric Hospitals, whether the target in the NHS Long Term Plan to reduce the number of children with a learning disability, autism or both in an inpatient unit by 2023-24 is measured against per one million adults or per one million children.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	246528
answer	answer is ministerial correction date of answer 29/04/2019 answer text <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> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 29/04/2019 12:58:19 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4243 label Biography information for Dan Jarvis

1107833

registered interest
date	29/03/2019
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	Diabetes: Medical Equipment
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 people with diabetes were prescribed insulin pump therapy through the NHS in (a) 2016-7 (b) 2017-8 and (c) 2018-9 to date.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	238603
answer	answer is ministerial correction date of answer 05/04/2019 answer text <p>NHS Digital conducts the National Diabetes Insulin Pump Audit as a part of the National Diabetes Audit (NDA) Programme. Data from this audit shows that the number of people with diabetes attending specialist diabetes services in England in 2016-17 who were using an insulin pump was 9,735. Data for 2017-8 and 2018-9 is not yet available.</p><p> </p><p>It should be noted that disclosure control has been applied to all figures, as per the NDA publication. All numbers are rounded to the nearest five, unless the number is one to seven, in which case it is rounded to five.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/04/2019 11:05:37 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	338 label Biography information for Keith Vaz

1105900

registered interest
date	28/03/2019
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	Autism and Learning Disability: Psychiatric Hospitals
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what baseline figure his Department will use to measure progress in reducing the number of people with a learning disability and/or autism in mental health hospitals by 50 per cent by end of March 2024 as set out in the NHS 10-year plan for people (a) under 18 years old, (b) between 18-24 years old, (c) aged 25 and over and (d) in all age groups.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	238347
answer	answer is ministerial correction date of answer 02/04/2019 answer text <p>The NHS Digital Assuring Transformation dataset is used to measure the reduction in the numbers of children, young people and adults with a learning disability and/or autism who are inpatients in mental health settings in line with the national plan, ‘Building the Right Support’.</p><p> </p><p>Assuring Transformation is a live data collection, and the data at the time of publication each month is subject to change with retrospective updates and additions. Patients may be reported on long after admission, for example, due to late diagnosis, leading to changes in the baseline count. The most recent patient count for March 2015, published by NHS Digital for the end of February 2019 is 2,890. This is the baseline for planned reductions in inpatient numbers and against which progress in meeting the aims set out in ‘Building the Right Support’ is measured.</p><p> </p><p>The ambition for March 2020 is that we will reduce the rate of inpatients with a learning disability and/or autism to 18.5 adult inpatients in clinical commissioned group-commissioned beds per million adult population, and 18.5 adult inpatients in NHS England-commissioned beds per adult million population.</p><p> </p><p>This will equate to a 35% reduction from March 2015 in the total number of inpatients. The NHS Long Term Plan commits to going further, with a net 50% reduction from March 2015 in the number of people with a learning disability, autism or both in specialist inpatient hospitals, by 2023/24. For every one million adults, there will be no more than 30 people with a learning disability and/or autism cared for in an inpatient unit. For children and young people there will be no more than 12 to 15 children with a learning disability, autism or both by 2023/24.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 238348 238349 question first answered 02/04/2019 14:01:32 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4243 label Biography information for Dan Jarvis

1105902

registered interest
date	28/03/2019
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	Autism and Learning Disability: Psychiatric Hospitals
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 number of people with a learning disability and/or autism in inpatient units (a) who will be (i) under 18 years old, (ii) between 18-24 years old and (iii) aged 25 and over and (b) in total at the end of March 2020.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	238348
answer	answer is ministerial correction date of answer 02/04/2019 answer text <p>The NHS Digital Assuring Transformation dataset is used to measure the reduction in the numbers of children, young people and adults with a learning disability and/or autism who are inpatients in mental health settings in line with the national plan, ‘Building the Right Support’.</p><p> </p><p>Assuring Transformation is a live data collection, and the data at the time of publication each month is subject to change with retrospective updates and additions. Patients may be reported on long after admission, for example, due to late diagnosis, leading to changes in the baseline count. The most recent patient count for March 2015, published by NHS Digital for the end of February 2019 is 2,890. This is the baseline for planned reductions in inpatient numbers and against which progress in meeting the aims set out in ‘Building the Right Support’ is measured.</p><p> </p><p>The ambition for March 2020 is that we will reduce the rate of inpatients with a learning disability and/or autism to 18.5 adult inpatients in clinical commissioned group-commissioned beds per million adult population, and 18.5 adult inpatients in NHS England-commissioned beds per adult million population.</p><p> </p><p>This will equate to a 35% reduction from March 2015 in the total number of inpatients. The NHS Long Term Plan commits to going further, with a net 50% reduction from March 2015 in the number of people with a learning disability, autism or both in specialist inpatient hospitals, by 2023/24. For every one million adults, there will be no more than 30 people with a learning disability and/or autism cared for in an inpatient unit. For children and young people there will be no more than 12 to 15 children with a learning disability, autism or both by 2023/24.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 238347 238349 question first answered 02/04/2019 14:01:32 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4243 label Biography information for Dan Jarvis

1105904

registered interest
date	28/03/2019
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	Autism and Learning Disability: Psychiatric Hospitals
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 used the (a) Assuring Transformation or (b) MHSDS LDA data set to calculate its on the reduction of inpatient provision for children, young people and adults with a learning disability or autism by (i) end of March 2020 and (ii) end of March 2024.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	238349
answer	answer is ministerial correction date of answer 02/04/2019 answer text <p>The NHS Digital Assuring Transformation dataset is used to measure the reduction in the numbers of children, young people and adults with a learning disability and/or autism who are inpatients in mental health settings in line with the national plan, ‘Building the Right Support’.</p><p> </p><p>Assuring Transformation is a live data collection, and the data at the time of publication each month is subject to change with retrospective updates and additions. Patients may be reported on long after admission, for example, due to late diagnosis, leading to changes in the baseline count. The most recent patient count for March 2015, published by NHS Digital for the end of February 2019 is 2,890. This is the baseline for planned reductions in inpatient numbers and against which progress in meeting the aims set out in ‘Building the Right Support’ is measured.</p><p> </p><p>The ambition for March 2020 is that we will reduce the rate of inpatients with a learning disability and/or autism to 18.5 adult inpatients in clinical commissioned group-commissioned beds per million adult population, and 18.5 adult inpatients in NHS England-commissioned beds per adult million population.</p><p> </p><p>This will equate to a 35% reduction from March 2015 in the total number of inpatients. The NHS Long Term Plan commits to going further, with a net 50% reduction from March 2015 in the number of people with a learning disability, autism or both in specialist inpatient hospitals, by 2023/24. For every one million adults, there will be no more than 30 people with a learning disability and/or autism cared for in an inpatient unit. For children and young people there will be no more than 12 to 15 children with a learning disability, autism or both by 2023/24.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 238347 238348 question first answered 02/04/2019 14:01:32 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4243 label Biography information for Dan Jarvis

1104945

registered interest
date	25/03/2019
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: 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 plans NHS England has to ensure that every child and adolescent mental health service includes speech and language therapists.
tabling member constituency	Swansea West
tabling member printed	Geraint Davies
uin	236260
answer	answer is ministerial correction date of answer 02/04/2019 answer text <p>The NHS Long Term Plan, published on 7 January 2019 sets out where extra National Health Service funding will be focused and how services will be designed, including the importance of ensuring speech and language therapy is joined up with children’s mental health services. Work will take place with local areas to design and implement models of care for children and young people that are age appropriate, closer to home and bring together physical and mental health services. These models will support health development by providing holistic care across local authority and NHS services, including primary care, community services, speech and language therapy, school nursing, oral health, acute and specialised services.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 02/04/2019 13:59:15 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	155 label Biography information for Geraint Davies

1104948

registered interest
date	25/03/2019
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	Speech and Language Disorders: 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 and young people in contact with liaison and diversion services have speech, language and communication needs.
tabling member constituency	Swansea West
tabling member printed	Geraint Davies
uin	236262
answer	answer is ministerial correction date of answer 02/04/2019 answer text <p>Over the last four years 2,736 children and young people who engaged with liaison and diversion services commissioned by NHS England, were identified as having a speech, language and communication need, of which 284 cases were referred on to services, as summarised in the following table.</p><p> </p><p>Interventions to address speech, language and communication (SLC) needs</p><p> </p><table><tbody><tr><td><p>Referrals</p></td><td><p>Number of Cases 2015/16</p></td><td><p>Number of Cases 2016/17</p></td><td><p>Number of Cases 2017/18</p></td><td><p>Number of Cases Q1 - Q3 2018/19</p></td><td><p>Total to date</p></td></tr><tr><td><p>Referral to other agency</p></td><td><p>10</p></td><td><p>29</p></td><td><p>26</p></td><td><p>25</p></td><td><p>90</p></td></tr><tr><td><p>Referral for Targeted Service</p></td><td><p>14</p></td><td><p>41</p></td><td><p>36</p></td><td><p>34</p></td><td><p>125</p></td></tr><tr><td><p>Referral to specialist SLC service</p></td><td><p>22</p></td><td><p>9</p></td><td><p>25</p></td><td><p>13</p></td><td><p>69</p></td></tr><tr><td><p>Total Referrals</p></td><td><p>46</p></td><td><p>79</p></td><td><p>87</p></td><td><p>72</p></td><td><p>284</p></td></tr><tr><td><p>Need already met</p></td><td><p>111</p></td><td><p>214</p></td><td><p>316</p></td><td><p>267</p></td><td><p>908</p></td></tr><tr><td><p>Advice given</p></td><td><p>32</p></td><td><p>65</p></td><td><p>60</p></td><td><p>58</p></td><td><p>215</p></td></tr><tr><td><p>Did not meet threshold for referral</p></td><td><p>1</p></td><td><p>5</p></td><td><p>8</p></td><td><p>8</p></td><td><p>22</p></td></tr><tr><td><p>No appropriate service available locally</p></td><td><p>0</p></td><td><p>6</p></td><td><p>8</p></td><td><p>2</p></td><td><p>16</p></td></tr><tr><td><p>Referral/action indicated but refused by client</p></td><td><p>6</p></td><td><p>13</p></td><td><p>32</p></td><td><p>22</p></td><td><p>73</p></td></tr><tr><td><p>Other</p></td><td><p>102</p></td><td><p>261</p></td><td><p>351</p></td><td><p>334</p></td><td><p>1,048</p></td></tr><tr><td><p>Cases needing further follow-up</p></td><td><p>24</p></td><td><p>38</p></td><td><p>43</p></td><td><p>65</p></td><td><p>170</p></td></tr><tr><td><p>Grand Total</p></td><td><p>322</p></td><td><p>681</p></td><td><p>905</p></td><td><p>828</p></td><td><p>2,736</p></td></tr></tbody></table><p>Note:<br>Figures are for England only</p><p> </p><p>Information is collected on the number of cases seen by liaison and diversion services, not the number of individuals seen. An individual may have been seen by liaison and diversion services on more than one occasion in any given time period.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 02/04/2019 13:56:10 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	155 label Biography information for Geraint Davies

1104950

registered interest
date	25/03/2019
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 Capacity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what criteria will be used to determine which professionals can train to become an Approved Mental Capacity Professional; and whether those criteria will be made public.
tabling member constituency	Swansea West
tabling member printed	Geraint Davies
uin	236263
answer	answer is ministerial correction date of answer 02/04/2019 answer text <p>Under the Liberty Protection Safeguards, the Approved Mental Capacity Professional criteria will be set out in regulations. Further detail on the role will also be outlined in the Statutory Code of Practice. The Government envisages professionals such as social workers, learning disability nurses, occupational therapists, psychologists and other suitable health and social care professionals could take on the role if they meet the criteria set out in regulations.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 02/04/2019 11:42:36 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	155 label Biography information for Geraint Davies