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1201792

registered interest
date	09/06/2020
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: Nurses
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 (a) individual and (b) full-time equivalent registered mental health nurses have been working for NHS provider organisations in (i) each year since 2009-10 and (ii) 2020-21.
tabling member constituency	Central Suffolk and North Ipswich
tabling member printed	Dr Dan Poulter
uin	57170
answer	answer is ministerial correction date of answer 15/06/2020 answer text <p>NHS Digital publishes Hospital and Community Health Services workforce statistics. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.</p><p>The following table shows the number of mental health nurses as at September each year since 2009 and as at February 2020, the latest available data, full time equivalent (FTE) and headcount.</p><table><tbody><tr><td><p> </p></td><td><p>Mental health nurses, FTE</p></td><td><p>Mental health nurses, headcount</p></td></tr><tr><td><p>September 2009</p></td><td><p>40,602</p></td><td><p>50,844</p></td></tr><tr><td><p>September 2010</p></td><td><p>40,247</p></td><td><p>50,028</p></td></tr><tr><td><p>September 2011</p></td><td><p>39,024</p></td><td><p>48,061</p></td></tr><tr><td><p>September 2012</p></td><td><p>38,135</p></td><td><p>46,395</p></td></tr><tr><td><p>September 2013</p></td><td><p>37,397</p></td><td><p>45,143</p></td></tr><tr><td><p>September 2014</p></td><td><p>36,581</p></td><td><p>44,073</p></td></tr><tr><td><p>September 2015</p></td><td><p>35,671</p></td><td><p>43,169</p></td></tr><tr><td><p>September 2016</p></td><td><p>35,488</p></td><td><p>42,959</p></td></tr><tr><td><p>September 2017</p></td><td><p>35,390</p></td><td><p>42,941</p></td></tr><tr><td><p>September 2018</p></td><td><p>35,835</p></td><td><p>43,539</p></td></tr><tr><td><p>September 2019</p></td><td><p>36,696</p></td><td><p>44,610</p></td></tr><tr><td><p>February 2020</p></td><td><p>37,388</p></td><td><p>45,657</p></td></tr></tbody></table><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 15/06/2020 16:58:23 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	3932 label Biography information for Dr Dan Poulter

1200823

registered interest
date	05/06/2020
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, how many new referrals there were to NHS secondary mental health services in March and April 2020 compared to the same period in 2019.
tabling member constituency	Tooting
tabling member printed	Dr Rosena Allin-Khan
uin	55099
answer	answer is ministerial correction date of answer 15/06/2020 answer text <p>The information requested is shown in the following table.</p><p> </p><table><tbody><tr><td><p>England</p></td><td><p>March 2019</p></td><td><p>April 2019</p></td><td><p>March 2020</p></td><td><p>April 2020<sup>2</sup></p></td></tr><tr><td><p>Referrals to mental health services starting in reporting period<sup>1</sup></p></td><td><p>321,326</p></td><td><p>303,373</p></td><td><p>297,516</p></td><td><p>Not yet available</p></td></tr></tbody></table><p>Source: Mental Health Services Data Set, NHS Digital<sup>3</sup></p><p> </p><p>Notes:</p><p><sup>1 </sup>A person may have had more than one referral within any given period.</p><p><sup>2</sup> Data for April 2020 are still being collected and analysed.</p><p><sup>3</sup> Caution should be made when comparing data as the coverage of the Mental Health Services Data Set has increased with 266 providers submitting data in March 2020 compared to 171 providers in March 2019.</p><p><strong> </strong></p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 15/06/2020 16:52:05 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4573 label Biography information for Dr Rosena Allin-Khan

1200832

registered interest
date	05/06/2020
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 he is taking to ensure that child and adolescent mental health service can meet the needs of children and young people when covid-19 lockdown is fully lifted.
tabling member constituency	Tooting
tabling member printed	Dr Rosena Allin-Khan
uin	55105
answer	answer is ministerial correction date of answer 15/06/2020 answer text <p>National Health Service mental health services have remained open, and services have deployed digital tools to connect with people and provide ongoing support.</p><p>We expect mental health services to liaise with local partners to ensure referral routes are understood, particularly where children and young people are not at school.</p><p>NHS England has asked all mental health trusts to ensure there are 24 hours a day, seven days a week open access telephone lines for urgent NHS mental health support, advice and triage for all ages through a single point of access.</p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 15/06/2020 16:55:09 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4573 label Biography information for Dr Rosena Allin-Khan

1200715

registered interest
date	04/06/2020
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: EU Countries
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government (1) what is their policy on the negotiation of reciprocal healthcare agreements with (a) the European Union and (b) each member country of the European Union, and (2) what progress has been made in each case.
tabling member printed	Lord Greaves
uin	HL5300
answer	answer is ministerial correction date of answer 15/06/2020 answer text <p>The United Kingdom Government is currently negotiating with the European Union Commission on future reciprocal healthcare arrangements with the European Union as part of the negotiating group on ‘mobility and social security coordination’. Negotiating rounds have been constructive. The Government published <em>The Future Relationship with the EU: The UK’s Approach to Negotiations</em> in February 2020 and the draft legal text of a social security agreement, including reciprocal healthcare, in May 2020. A copy is attached.</p> answering member printed Lord Bethell question first answered 15/06/2020 12:49:19 answering member 4708 label Biography information for Lord Bethell attachment 1 file name DRAFT Social Security Coordination Agreement May 2020.pdf title Draft legal text May 2020
tabling member	2569 label Biography information for Lord Greaves

1200718

registered interest
date	04/06/2020
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	Accident and Emergency Departments: Admissions
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government, further to the Written Answer by Lord Bethell on 1 June (HL4699), in what format the information on the number of people reporting to accident and emergency departments with serious non-COVID-19 related conditions is held.
tabling member printed	Lord Kennedy of Southwark
uin	HL5304
answer	answer is ministerial correction date of answer 15/06/2020 answer text <p>All systems relating to the attendance of patients at accident and emergency (A&amp;E) commence at the point the patient is booked in. Administrative information is held in the Secondary Uses Service (SUS) and Hospital Episodes Statistics (HES) datasets which includes details of any investigation, diagnosis made, and treatment carried out during the A&amp;E attendance.</p><p>Information about the data collected during an attendance at A&amp;E can be found in the NHS Data Model and Dictionary. Once this data is processed it is used to create the HES A&amp;E dataset. Details of the fields and content of this asset can be found in the HES A&amp;E data Dictionary.</p><p>The Monthly A&amp;E Attendances and Emergency Admissions collection also collects the total number of attendances in the calendar month for all A&amp;E types, including minor injury units and walk-in centres, and of these, the number discharged, admitted or transferred within four hours of arrival.</p> answering member printed Lord Bethell question first answered 15/06/2020 12:49:56 answering member 4708 label Biography information for Lord Bethell
tabling member	4153 label Biography information for Lord Kennedy of Southwark

1200742

registered interest
date	04/06/2020
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	Medical Records: Data Protection
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government whether NHS England or NHSX is liaising with the Intellectual Property Office and, if so, whether those discussions will result in publication of patent applications which flow from access to the COVID-19 datastore under the Re-use of Public Sector Information Regulations 2015.
tabling member printed	Lord Strasburger
uin	HL5330
answer	answer is ministerial correction date of answer 15/06/2020 answer text <p>NHS England and NHSX are not currently liaising with the Intellectual Property Office (IPO) on the publication of patent applications resulting from access to the NHS COVID-19 Data Store under the Re-use of Public Sector Information (RUPSI) Regulations 2015. The IPO is responsible under United Kingdom law for granting UK patents. Patent applications are published by the IPO in the course of the application process as set out in the Patents Act 1977. NHS England and NHSX are keen to encourage healthcare innovations and would certainly discuss with the IPO on how that could be appropriately encouraged.</p><p>The NHS COVID-19 Data Store has its own controlled procedure for access where specific criteria related to COVID-19 purposes must be met. There is no uncontrolled access to data in the NHS COVID-19 Data Store. NHS England and NHSX would consider and respond to any request they may receive under the RUPSI Regulations, as those Regulations require.</p> answering member printed Lord Bethell question first answered 15/06/2020 12:40:24 answering member 4708 label Biography information for Lord Bethell
tabling member	4204 label Biography information for Lord Strasburger

1200356

registered interest
date	03/06/2020
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	Contact Tracing: Software
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government to what extent they retain ownership of any intellectual property related to the development of the NHSX contact tracing app.
tabling member printed	Lord Strasburger
uin	HL5245
answer	answer is ministerial correction date of answer 15/06/2020 answer text <p>The intellectual property associated with the National Health Service COVID-19 app is retained by the Department. In order to promote transparency, the source code for the app is published under version 3.0 of the Open Government Licence. This licence allows NHSX to make the code Open Source whilst retaining its intellectual property rights related to the development of the app.</p> answering member printed Lord Bethell question first answered 15/06/2020 12:44:22 answering member 4708 label Biography information for Lord Bethell
tabling member	4204 label Biography information for Lord Strasburger

1200379

registered interest
date	03/06/2020
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	Coronavirus: Mental Health
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what plans they have to assess the impact of the easing of the lockdown on 1 June on the mental health and loneliness of those designated clinically vulnerable.
tabling member printed	Lord Watson of Invergowrie
uin	HL5265
answer	answer is ministerial correction date of answer 15/06/2020 answer text <p>We are working with the National Health Service and Public Health England, service users, academics and the voluntary sector to gather evidence and assess the potential longer-term mental health impacts of COVID-19 and plan for how to support the public’s mental health and wellbeing throughout the ‘recovery’ phase.</p><p>At each review point for the social distancing measures, we will also review the risks for the clinical vulnerable and the clinically extremely vulnerable and assess whether the shielding period needs to be extended or whether it is possible for the shielding guidance to be eased further. We will base our assessment on clinical advice from our medical experts, and the best data available about the prevalence of COVID-19 in the community. <br> <br> The Government has also formed a new ‘Tackling Loneliness Network’ of charities, businesses and public figures to help connect groups at risk of isolation and bring together data and insights to better understand the impacts of COVID-19 on loneliness</p><p><br></p> answering member printed Lord Bethell question first answered 15/06/2020 12:47:55 answering member 4708 label Biography information for Lord Bethell
tabling member	1241 label Biography information for Lord Watson of Invergowrie

1199209

registered interest
date	02/06/2020
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	Neurology
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of the impact of COVID-19 on the delivery of NHS secondary care services to people with neurological conditions.
tabling member printed	Lord Dubs
uin	HL4954
answer	answer is ministerial correction date of answer 15/06/2020 answer text <p>No specific assessment has been made.</p><p>In co-operation with the Royal College of Physicians and the Chief Medical Officer’s team, the Association of British Neurologists (ABN) published COVID-19 specific guidance for patients with neurological conditions, as well as clinicians, on 22 March 2020. The guidance identified patient groups at increased risk from COVID-19 and those for whom shielding was recommended. Early in the pandemic, the ABN recommended a reduction in face to face appointments for non-emergency care in services such as neurology, while maintaining essential care to protect patients. NHS England and NHS Improvement advised the system that in-person consultations should quickly be phased out and “should only take place when absolutely necessary”.</p><p>During the pandemic, digital and remote general practitioner consultations and outpatient appointments as means to support patients have become the norm across England. Providers have been rolling out remote consultations using video, telephone, email and text message services as a priority, including for those with neurological conditions. NHS England and NHS Improvement have also published a range of guidance for primary and community health service to identify, support and engage people, such as those with neurological conditions, during the COVID-19 outbreak, including:</p><p>- the NHS England and NHS Improvement <em>Novel coronavirus (COVID-19) standard operating procedure: Community Health Services</em>; and</p><p>- the NHS England and NHS Improvement <em>Guidance and standard operating procedures General practice in the context of coronavirus (COVID-19).</em></p><p> </p><p>Copies of these as well as the ABN guidance <em>Association of British Neurologists Guidance on COVID-19 for people with neurological conditions, their doctors and carers</em> are attached.</p> answering member printed Lord Bethell attachment 1 file name C0198-community-health-services-sop.pdf title Community health services guidance 2 file name CO485-COVID-19-Primary-Care-SOP-GP-Practice-V3-29-May-2020.pdf title General practice guidance 3 file name ABN_Neurology_COVID-19_Guidance_22.3.20.pdf title ABN Guidance for COVID-19 question first answered 15/06/2020 12:34:12 answering member 4708 label Biography information for Lord Bethell
tabling member	805 label Biography information for Lord Dubs

1199212

registered interest
date	02/06/2020
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	Neurology: Charities
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of the impact of COVID-19 on the sustainability of charities working to support people with neurological conditions.
tabling member printed	Lord Dubs
uin	HL4957
answer	answer is ministerial correction date of answer 15/06/2020 answer text <p>The Government is aware of the impact of the COVID-19 pandemic on a range of sectors, including charities.</p><p>To support charities in dealing with the COVID-19 pandemic, there was an announcement by the Chancellor of the Exchequer on 8 April 2020, of a funding package of £750 million for the wider voluntary and charity sector. Of this, £370 million will support charities working with vulnerable people. In England, £200 million of this support will be provided through the National Lottery’s Coronavirus Community Support Fund, to which charities can apply for funding. Applicants will be assessed on the extent to which they meet the objectives of the fund, which are to reduce temporary closures of essential charities and to reduce the burden on the public services, including the National Health Service.</p><p>In addition, charities can access the Coronavirus Job Retention Scheme and the Coronavirus Business Interruption Loan Scheme and are able to benefit from the three-month VAT deferral scheme. Charity shop premises will benefit from the new enhanced retail rate relief at 100%.</p> answering member printed Lord Bethell grouped question UIN HL4958 question first answered 15/06/2020 12:34:50 answering member 4708 label Biography information for Lord Bethell
tabling member	805 label Biography information for Lord Dubs