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48546

registered interest
date	25/04/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what systems are in place for recording and publication of children's deaths in psychiatric hospitals who had been either forcefully detained or voluntary in-patients; and to which authority such deaths are reported.
tabling member constituency	Feltham and Heston
tabling member printed	Seema Malhotra
uin	196780
answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>From 1 April 2008, all Local Safeguarding Children Boards (LSCBs) have had a statutory responsibility to review the deaths of all children from birth (excluding still born babies) up to 18 years, who are normally resident within their area. This is known as the Child Death Review Process. Their responsibilities include setting up a Child Death Overview Panel which reviews child deaths on behalf of the LSCB. This would include deaths in psychiatric in-patient settings. The following link presents data collected from LSCBs in England to the year ending 31 March 2013.</p><p> </p><p>www.gov.uk/government/publications/child-death-reviews-year-ending-31-march-2013</p><p> </p><p>The Care Quality Commission (CQC) is currently developing a system of Intelligent Monitoring for Mental Health services; it is considering which indicators, including those that relate to Serious Untoward Incidents to include in it. This will include children and young people.</p><p> </p><p>The CQC is the official source of information on deaths of patients subject to the Mental Health Act. A link to the CQC's <em>Monitoring the Mental Health Act 2012/13</em> is:</p><p>www.cqc.org.uk/sites/default/files/media/documents/cqc_mentalhealth_2012_13_07_update.pdf</p><p> </p><p>Further information can be obtained from:</p><p> </p><p>The Care Quality Commission (CQC)</p><p> </p><p>public.affairs@cqc.org.uk</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	4253 label Biography information for Seema Malhotra

48548

registered interest
date	25/04/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many children of each (a) age and (b) gender have died while in-patients (i) at psychiatric hospitals in total as either forcefully detained or voluntary in-patients and (ii) in each institution in each year since 2000.
tabling member constituency	Feltham and Heston
tabling member printed	Seema Malhotra
uin	196781
answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>Since April 2008 all Local Safeguarding Children Boards have had a statutory duty to review the death of all children from birth to age 18. Statistics on these Child Death Reviews are collated and published by the Care Quality Commission (CQC) and are available on the CQC's website:</p><p> </p><p>www.gov.uk/government/collections/statistics-child-death-reviews.</p><p> </p><p>Statistics on the location of child deaths are available from 2010 onward and show that in this time, no child has died in an inpatient mental health unit.</p><p> </p><p>According to data from the Mental Health Act Commission, six females and one male under 18 died between 2003 and 2008. Owing to patient confidentiality these figures cannot broken down to each institution.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	4253 label Biography information for Seema Malhotra

48549

registered interest
date	25/04/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what systems and controls are in place for recording, monitoring and oversight of the use of force and restraint against children receiving psychiatric in-patient care.
tabling member constituency	Feltham and Heston
tabling member printed	Seema Malhotra
uin	196782
answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Department does not currently collect data on restraint.</p><p> </p><p>The Department is planning on categorising physical restraint as a patient safety incident. All incidents of restraint against children receiving psychiatric in-patient care will need to be reported to the National Reporting and Learning System.</p><p> </p><p>Mental Health Commissioners visit patients detained under the Mental Health Act, including children and review all aspects of their care including restraint.</p><p> </p><p>Plans for the monitoring and oversight of restraint in psychiatric in-patient services will form part of the Care Quality Commission's (CQC's) new inspection approach for all hospitals. The CQC is currently consulting on its handbooks for all sectors and has set out its planned approach to assessing services against five questions: Are they safe? Are they effective? Are they caring? Are they responsive? Are they well-led? Restraint will be reviewed in services against the question of whether the service is safe and the CQC is developing guidance for both providers and inspection teams that will draw upon good practice guidance and tools. For children's psychiatric services specifically, this would require specific key lines of enquiry to be used.</p><p> </p><p>The CQC is planning to work with NHS Confederation to look at how the CQC expects providers to implement the guidance as set out in <em>Positive and Safe</em> and how this will be used in our monitoring and oversight approaches. <em>Positive and Safe</em> is a two year programme with the principal aim to radically reduce all restrictive interventions, including ending the deliberate use of face down restraint and – outside the Mental Health Act – seclusion. The work group will be preparing guidance on restraint in the light of <em>Positive and Safe</em> and using this to inform CQC tools and inspection methodology. The CQC always considers providers' approaches to restraint when carrying out comprehensive inspections. Mental Health Act monitoring visits to inpatient units will also look at individual concerns relating to restraint practices. The methodology for all reviews and inspections which the CQC carries out is informed by the available guidance and the Mental Health Act Code of Practice.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	4253 label Biography information for Seema Malhotra

48550

registered interest
date	25/04/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of places for children and adolescents receiving mental health services are publicly funded; and what proportion of such places are provided by (a) private and (b) public sector healthcare institutions.
tabling member constituency	Feltham and Heston
tabling member printed	Seema Malhotra
uin	196783
answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>NHS England holds only information on beds for children and adolescents receiving mental health services that are funded by the National Health Service (ie publicly funded). The NHS commissions 474 beds for children and adolescents receiving mental health services from independent providers and 783 beds from the NHS.</p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	4253 label Biography information for Seema Malhotra