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947421

registered interest
date	24/07/2018
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: Out of Area Treatment
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 out-of-area placements there have been for children and adolescents with psychosis in (a) England and (b) Birmingham in each year since 2010.
tabling member constituency	Birmingham, Northfield
tabling member printed	Richard Burden
uin	167856
answer	answer is ministerial correction date of answer 04/09/2018 answer text <p>Data is not available in the format requested.</p><p> </p><p>The Department and NHS England are committed to delivering the recommendations of 2016’s Five Year Forward View for Mental Health. By 2020/21, inpatient stays for children and young people will only take place where clinically appropriate, will have the minimum possible length of stay, and will be as close to home as possible to avoid inappropriate out of area placements.</p><p> </p><p>To support the delivery of these targets, NHS England is funding 150-180 new Tier 4 specialist inpatient beds for children and young people in underserved parts of the country to reduce travel distances for treatment.</p><p> </p><p>As part of the Five Year Forward View for Mental Health, by 2020/21 at least 60% of people with first episode psychosis will start treatment in an Early Intervention in Psychosis service within two weeks of referral, with a National Institute for Health and Care Excellence-recommended package of care focused on recovery.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/09/2018 13:34:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	301 label Biography information for Richard Burden

947422

registered interest
date	24/07/2018
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
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 people in (a) Birmingham and (b) England referred for early intervention in psychosis services received help within two weeks of being referred in the last twelve months.
tabling member constituency	Birmingham, Northfield
tabling member printed	Richard Burden
uin	167857
answer	answer is ministerial correction date of answer 04/09/2018 answer text <p>Data on performance against the two-week waiting time standard for early intervention in psychosis is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/eip-waiting-times/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/eip-waiting-times/</a></p><p> </p><p>According to the latest data for England in May 2018, 75.7% of patients referred to Early Intervention in Psychosis services started treatment within two weeks. This performance exceeds our target of 50%. A breakdown for the last 12 months can be found in the following table.</p><p> </p><table><tbody><tr><td rowspan="2"><p>Month</p></td><td colspan="4"><p>Number of patients started treatment by week since referral</p></td><td rowspan="2"><p>Total number of completed pathways (all)</p></td><td rowspan="2"><p>% within 2 weeks</p></td></tr><tr><td><p>More than 0-2 weeks</p></td><td><p>More than 2-6 weeks</p></td><td><p>More than 6-12 weeks</p></td><td><p>12 weeks</p></td></tr><tr><td><p>June 2017</p></td><td><p>873</p></td><td><p>193</p></td><td><p>39</p></td><td><p>22</p></td><td><p>1,127</p></td><td><p>77.50%</p></td></tr><tr><td><p>July 2017</p></td><td><p>824</p></td><td><p>226</p></td><td><p>36</p></td><td><p>14</p></td><td><p>1,100</p></td><td><p>74.90%</p></td></tr><tr><td><p>August 2017</p></td><td><p>816</p></td><td><p>207</p></td><td><p>45</p></td><td><p>16</p></td><td><p>1,084</p></td><td><p>75.30%</p></td></tr><tr><td><p>September 2017</p></td><td><p>818</p></td><td><p>187</p></td><td><p>47</p></td><td><p>15</p></td><td><p>1,067</p></td><td><p>76.70%</p></td></tr><tr><td><p>October 2017</p></td><td><p>836</p></td><td><p>178</p></td><td><p>50</p></td><td><p>18</p></td><td><p>1,082</p></td><td><p>77.30%</p></td></tr><tr><td><p>November 2017</p></td><td><p>787</p></td><td><p>230</p></td><td><p>50</p></td><td><p>22</p></td><td><p>1,089</p></td><td><p>72.30%</p></td></tr><tr><td><p>December 2017</p></td><td><p>699</p></td><td><p>198</p></td><td><p>39</p></td><td><p>19</p></td><td><p>955</p></td><td><p>73.20%</p></td></tr><tr><td><p>January 2018</p></td><td><p>722</p></td><td><p>238</p></td><td><p>65</p></td><td><p>17</p></td><td><p>1042</p></td><td><p>69.30%</p></td></tr><tr><td><p>February 2018</p></td><td><p>807</p></td><td><p>185</p></td><td><p>36</p></td><td><p>24</p></td><td><p>1,052</p></td><td><p>76.70%</p></td></tr><tr><td><p>March 18</p></td><td><p>795</p></td><td><p>178</p></td><td><p>49</p></td><td><p>26</p></td><td><p>1,048</p></td><td><p>75.90%</p></td></tr><tr><td><p>April 2018</p></td><td><p>783</p></td><td><p>204</p></td><td><p>44</p></td><td><p>21</p></td><td><p>1,052</p></td><td><p>74.40%</p></td></tr><tr><td><p>May 2018</p></td><td><p>840</p></td><td><p>210</p></td><td><p>47</p></td><td><p>12</p></td><td><p>1,109</p></td><td><p>75.70%</p></td></tr></tbody></table><p> </p><p>Information for people in Birmingham is not available in the format requested. The number of patients who started treatment for Early Intervention in Psychosis and waited less than 2 weeks are displayed for clinical commissioning groups (CCGs) that cover Birmingham for last 12 months of published data, which cover June 2017 to May 2018. These CCGs are:</p><p> </p><p>- NHS Birmingham Cross City CCG (until March 2018);</p><p>- NHS Birmingham South and Central CCG (until March 2018);</p><p>- NHS Birmingham and Solihull CCG (since April 2018); and</p><p>- NHS Sandwell and West Birmingham CCG (all 12 months).</p><p> </p><p>From April this year there are only two CCGs for Birmingham: NHS Birmingham and Solihull and NHS Sandwell and West Birmingham CCGs.</p><p> </p><p>These figures are attached and can be accessed in the monthly files at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/eip-waiting-times/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/eip-waiting-times/</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/09/2018 13:26:02 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name PQ167857 format.xlsx title PQ167857 attached document
tabling member	301 label Biography information for Richard Burden

947440

registered interest
date	24/07/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: ICT
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with mobile phone providers on enabling their customers to access the NHS Digital website without incurring a mobile data usage charge.
tabling member constituency	Stretford and Urmston
tabling member printed	Kate Green
uin	167985
answer	answer is ministerial correction date of answer 04/09/2018 answer text <p>NHS Digital has advised that it has not had any discussions with mobile phone providers concerning the removal of data charges for customers accessing NHS Digital’s corporate website:</p><p> </p><p><a href="http://www.digital.nhs.uk" target="_blank">www.digital.nhs.uk</a></p><p> </p><p>Mobile phone users can however access the website free of charge via Wi-Fi connectivity available in many National Health Service hospitals and general practices. Free NHS Wi-Fi is expected to be in place across all NHS hospitals and general practitioner practices by the end of 2018.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/09/2018 13:27:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4120 label Biography information for Kate Green

947556

registered interest
date	24/07/2018
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	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 assessment he has made of the effect of the time taken to obtain security clearance for health and social care staff on the delivery of healthcare in prisons.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	168029
answer	answer is ministerial correction date of answer 04/09/2018 answer text <p>The Department has not made a formal assessment of the effect of the time taken to obtain security clearance for health and social care staff on the delivery of healthcare in prisons.</p><p> </p><p>All staff and non-directly employed personnel are subject to a series of pre-appointment security checks to determine their suitability to work in a prison. The unique nature of such work means that checks may need to be more comprehensive than other locations and can take time.</p><p> </p><p>NHS England continues to work with Her Majesty’s Prison and Probation Service and the Ministry of Justice to expedite clearance on a case by case basis where concerns are raised by providers.</p><p> </p><p>The end-to-end recruitment procedure has been reviewed by the Ministry of Justice to identify the points at which delays have or can take place. Action has been taken to address these and the backlog of cases has been reduced significantly from last year. This in turn, should also result in reduced processing times in security vetting for all staff.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/09/2018 13:21:53 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4073 label Biography information for Dr Sarah Wollaston

947665

registered interest
date	24/07/2018
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	Maternal Mortality
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 steps he has taken to lower the maternal mortality rate.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	168060
answer	answer is ministerial correction date of answer 04/09/2018 answer text <p>It is the ambition of the Department to halve the rate of maternal deaths by 2025. To achieve this, the Department is working with NHS England on a suite of initiatives set out in the 2017 Maternity Safety Strategy which is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/safer-maternity-care-progress-and-next-steps" target="_blank">https://www.gov.uk/government/publications/safer-maternity-care-progress-and-next-steps</a></p><p> </p><p>Initiatives relating to lowering the maternal mortality rate include:</p><p> </p><p>- Independent learning investigations conducted by the Healthcare Safety Investigation Branch into incidents of maternal death. This will ensure that by finding out what went wrong, the maximum learning can be captured for the individual trust in question and for the wider healthcare system to reduce the likelihood of such events occurring again;</p><p> </p><p>- NHS England plans to introduce a network of maternal medicine specialists across the country to care for pregnant women with significant health conditions such as cardiac disease, epilepsy or diabetes. Cardiovascular issues are the leading indirect cause of maternal death in the United Kingdom. In addition, the Department will provide funding over three years to train 12 consultant physicians as ‘Obstetric Physicians’. The Obstetric Physicians will provide expert care for pregnant women with complex medical problems;</p><p> </p><p>- Psychiatric causes such as suicide, drug and alcohol misuse are major causes of maternal death. NHS England is working to increase capacity and capability in perinatal mental health services across England. This will mean that, by 2020/21, 30,000 more women will be able to access appropriate, high-quality specialist mental health care, closer to home, both in the community and in inpatient Mother and Baby Units. This initiative is backed by a £365 million investment; and</p><p> </p><p>- NHS England is also working closely with Health Education England who are leading on the development of a perinatal mental health competency framework. This supports the perinatal mental health workforce to develop the required skills and knowledge to better identify perinatal mental illness, intervene early and improve recovery rates. Targeted funding of £1.2 million was provided in 2017 to enable the training of mental health, maternity and primary care staff to increase awareness and skills related to perinatal mental health.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/09/2018 13:30:31 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

946819

registered interest
date	23/07/2018
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	Depressive Illnesses: Medical Treatments
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 effectiveness of the guidelines issued by the National Institute for Clinical Excellence’s on the treatment of depression.
tabling member constituency	Windsor
tabling member printed	Adam Afriyie
uin	167226
answer	answer is ministerial correction date of answer 04/09/2018 answer text <p>We have made no such assessment. The National Institute for Health and Care Excellence (NICE) is the independent body responsible for developing authoritative, evidence-based guidance for the National Health Service. NICE’s guidance is based on a thorough assessment of the available evidence and is developed through extensive engagement with stakeholders. NICE has not yet published its final guideline on depression and has recently consulted publicly on its draft guidance. NICE will take the comments it has received in response to the consultation fully into account in finalising its guideline.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/09/2018 13:36:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1586 label Biography information for Adam Afriyie

946820

registered interest
date	23/07/2018
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
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 recent trends in the number of dedicated mental health specialists.
tabling member constituency	Windsor
tabling member printed	Adam Afriyie
uin	167227
answer	answer is ministerial correction date of answer 04/09/2018 answer text <p>There is no definition for a ‘dedicated mental health specialist’.</p><p> </p><p>NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics. These include staff working in hospital trusts and clinical commissioning groups (CCGs), but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.</p><p> </p><p>The following table shows the full time equivalent (FTE) figures for the mental health and learning disability workforce in National Health Service trusts and CCGs in England as at 31 March each year, since 2014. There is an increase of over 2,900 in mental health staff between March 2014 and March 2018 in the whole mental health and learning disability workforce.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2014</p></td><td><p>2015</p></td><td><p>2016</p></td><td><p>2017</p></td><td><p>2018</p></td></tr><tr><td><p>Size of mental health and learning disability workforce (FTE)</p></td><td><p>180,573</p></td><td><p>179,701</p></td><td><p>181,352</p></td><td><p>182,560</p></td><td><p>183,476</p></td></tr></tbody></table><p>Source: NHS Digital monthly HCHS workforce Statistics</p><p> </p><p>Following the re-organisation of primary care trusts (PCTs) in 2013, it is not possible to compare figures for mental health and learning disability trusts either side of this reorganisation because it is not possible to separately identify all staff in PCTs providing this service.</p><p> </p><p>Health Education England (HEE) published a Mental Health Workforce plan in July 2017. The plan sets out concrete steps for delivering 21,000 new posts across the mental health system and implementation is underway.</p><p> </p><p>HEE is working with the Royal College of Psychiatrists to encourage more doctors to choose a career in mental health. The Royal College launched the ‘Choose Psychiatry’ campaign in 2017, encouraging doctors to take up psychiatry for their speciality training.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/09/2018 13:20:18 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1586 label Biography information for Adam Afriyie

946869

registered interest
date	23/07/2018
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: Hospital Beds
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 average number of (a) available and (b) occupied consultant-led mental health beds in Yorkshire and the Humber in each year since 2009.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	167393
answer	answer is ministerial correction date of answer 04/09/2018 answer text <p>The information requested is attached.</p><p> </p><p>Since 2013/14, National Health Service trusts may have started to classify an increasing number of mental illness beds as non-consultant-led. This is because some mental health services are now run by multi-disciplinary teams rather than consultants.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/09/2018 10:08:16 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name PQ 167393 - Alex Sobel - Table on Av and Occ mental illness beds YH.xlsx title PQ167393 attached document
tabling member	4658 label Biography information for Alex Sobel

946870

registered interest
date	23/07/2018
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: Out of Area Treatment
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 out-of-area placements made for inpatients in each year since 2009.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	167394
answer	answer is ministerial correction date of answer 04/09/2018 answer text <p>Information is not available in the format requested.</p><p> </p><p>Inappropriate out of area placements (OAPs) are unacceptable and this Government is committed to delivering the target to eliminate these in non-specialist, acute mental health care by 2020/21.</p><p> </p><p>NHS England and NHS Improvement now have a comprehensive national programme supporting reductions in OAPs, and every local area is currently developing a trajectory towards ending this practice by no later than 2021. The commitment to reduce OAPs has been formalised in the NHS 2018/19 planning guidance and included in the NHS Improvement Single Oversight Framework.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/09/2018 10:15:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4658 label Biography information for Alex Sobel

946871

registered interest
date	23/07/2018
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	Compulsorily Detained Psychiatric Patients
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 detentions under the Mental Health Act 2007 in (a) Yorkshire and the Humber and (b) England in each year since 2009.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	167395
answer	answer is ministerial correction date of answer 04/09/2018 answer text <p>The information requested is shown in the following table.</p><p> </p><p>Number of detentions under the Mental Health Act (MHA) 1983, England and National Health Service facilities within Yorkshire and the Humber area, 2009-10 to 2016-17.</p><table><tbody><tr><td><p> </p></td><td><p>2009-10</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td><td><p>2014-15</p></td><td><p>2015-16</p></td><td><p>2016-17</p></td></tr><tr><td><p>England</p></td><td><p>46,600</p></td><td><p>46,348</p></td><td><p>48,631</p></td><td><p>50,408</p></td><td><p>53,176</p></td><td><p>58,399</p></td><td><p>63,622</p></td><td><p>45,864</p></td></tr><tr><td><p>Yorkshire and the Humber</p></td><td><p>3,690</p></td><td><p>3,560</p></td><td><p>3,425</p></td><td><p>3,425</p></td><td><p>3,805</p></td><td><p>4,710</p></td><td><p>4,980</p></td><td><p>4,250</p></td></tr></tbody></table><p>Source: KP90 (2009/10 to 2015/16), Mental Health Services Data Set (MHSDS)/MHA Acute (2016/17) - NHS Digital</p><p> </p><p>Notes:</p><p>For Yorkshire and the Humber, figures are given for NHS facilities only and excludes detentions in independent sector providers (ISP). This is because many large ISPs submit data at organisational level, and it is not possible to apportion detentions to a particular geographical area for these providers.</p><p> </p><p>From 2016/17 the way these statistics are sourced and produced has changed. As a result 2016/17 figures are not directly comparable to previous years. Further information on the MHSDS data collection is available at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-act-statistics-annual-figures/mental-health-act-statistics-annual-figures-2016-17-experimental-statistics" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-act-statistics-annual-figures/mental-health-act-statistics-annual-figures-2016-17-experimental-statistics</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/09/2018 10:14:51 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4658 label Biography information for Alex Sobel