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169675

registered interest
date	11/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Learning Disability: Nurses
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to ensure that every acute hospital employs a learning disability liaison nurse.
tabling member printed	Baroness Hollins
uin	HL3662
answer	answer is ministerial correction date of answer 23/12/2014 answer text <p>The Equality Act 2010 exists to protect people with disabilities from discrimination. All National Health Service providers including acute hospitals have a duty to promote disability equality.</p><p> </p><p> </p><p> </p><p>The requirement for acute hospitals to make ‘reasonable adjustments’ for people with learning disabilities is normally included in commissioner contracts and compliance measured as part of the contract management role/process. Trusts are held to account through this mechanism.</p><p> </p><p> </p><p> </p><p>Learning Disability Liaison Nurses are proven to improve the quality of services for people with learning disabilities in acute hospitals, and are an important way of demonstrating compliance with the requirement.</p><p> </p><p> </p><p> </p><p>The Care Quality Commission’s (CQC) approach to inspecting trusts ensures that the trust has made appropriate adjustments to meet the needs of service users, as outlined in the Key Line Of Enquiry for ‘Responsive’ in the appendix to the acute hospital handbook, available on the CQC’s website. Appropriate adjustments specifically include provision for the care of patients with learning disabilities.</p><p> </p><p> </p><p> </p><p>The Government’s Mandate to NHS England sets out our ambitions for the health service, which include an objective that NHS England ensures clinical commissioning groups work with local authorities to ensure that vulnerable people, particularly those with learning disabilities and autism, receive safe, appropriate, high quality care. NHS England sets out how it will achieve the objectives in the Mandate in its 2014-15 – 2016-17 business plan. The Government will hold NHS England to account for its achievement.</p><p> </p><p> </p><p> </p> answering member printed Earl Howe question first answered 23/12/2014 17:06:40 answering member 2000 label Biography information for Earl Howe
tabling member	4190 label Biography information for Baroness Hollins

169676

registered interest
date	11/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to ensure that people experiencing mental health problems, including those with an additional learning disability, do not have to wait for longer than 18 weeks to receive appropriate treatment.
tabling member printed	Baroness Hollins
uin	HL3663
answer	answer is ministerial correction date of answer 18/12/2014 answer text <p>Mental health and well-being is a priority for this Government. We have legislated for parity of esteem between mental and physical health and included it in our Mandate to NHS England. This makes it clear that “everyone who needs it should have timely access to evidence-based services”. This will involve extending and ensuring more open access to programmes.</p><p> </p><p><br> In our new five-year plan for mental health, <em>Achieving Better Access to Mental Health Services by 2020</em>, we identified £40 million additional spending this year and freed up a further £80 million for 2015-16. This will, for the first time ever, enable the setting of access and waiting time standards in mental health services, including for people with mental health problems and learning disabilities. The standards will include:<br> <br></p><p> </p><p>- treatment within six weeks for 75% of people referred to the Improving Access to Psychological Therapies programme, with 95% of people being treated within 18 weeks;</p><p> </p><p>- treatment within two weeks for more than 50% of people experiencing a first episode of psychosis; and</p><p> </p><p>- £30 million targeted investment will help people in crisis to access effective support in accident and emergency.</p><p> </p><p> </p><p> </p><p>Starting this year, the Department and NHS England will work together with mental health system partners to develop detailed proposals for the introduction of further access and waiting time standards from 2016 onwards.</p><p> </p> answering member printed Earl Howe question first answered 18/12/2014 15:59:15 answering member 2000 label Biography information for Earl Howe
tabling member	4190 label Biography information for Baroness Hollins

169677

registered interest
date	11/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Illness: Police Custody
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what progress has been made to eliminate the use of police cells as a place of safety for children and adults experiencing a mental health crisis.
tabling member printed	Baroness Hollins
uin	HL3664
answer	answer is ministerial correction date of answer 18/12/2014 answer text <p>The Government is taking action to prevent the inappropriate use of police cells as a place of safety under the Mental Health Act 1983.</p><p> </p><p> </p><p> </p><p>The Government has an ambition to reduce this practice by 50% this year – and to see how police and health colleagues can work together so that it does not happen at all to children and young people.</p><p> </p><p> </p><p> </p><p>Last year the number of people taken to police cells as places of safety fell significantly, from 8,667 in 2011-12 to 6,028 in 2013-14. The police have told us that between the six months of April and September this year there have been 2,282 such cases – which, if maintained over the rest of the year, would result in a further 24% decrease in use of cells over last year. At the same time the use of health-based places of safety increased by 3,019 uses between 2012-13 and 2013-14.</p><p> </p><p> </p><p> </p><p>This puts us well on track to achieve our aim of reducing the 2011-12 figure of 8,667 uses of police cells by half in 2014-15.</p><p> </p><p> </p><p> </p><p>There was a small reduction of 10% in the numbers of children who were taken to a police cell as a place of safety – for 2013-14 this happened in 236 cases, and for 2012-13 this happened in 263 cases.</p><p> </p><p> </p><p> </p><p>In February, we published a Crisis Care Concordat to make sure people in crisis get the help they need. All localities are working together to complete local crisis declarations agreed by all the local relevant agencies, by the end of the year.</p><p> </p><p> </p><p> </p><p>The concordat states a clear expectation that “police custody is never used as a place of safety” for under-18s, except in very exceptional circumstances where a police officer makes the decision that immediate safety of a child or young person requires it.</p><p> </p><p> </p><p> </p><p>In conjunction with the Home Office, the Department of Health has conducted a review of Section 135 and Section 136 of the Mental Health Act 1983. This was published on 18 December 2014.</p><p> </p><p> </p><p> </p><p>The new Children and Young People's Mental Health and Well-Being Taskforce will also be looking at the issue of under 18s being detained in police custody as part of its Access and Prevention work.</p><p> </p> answering member printed Earl Howe question first answered 18/12/2014 15:59:40 answering member 2000 label Biography information for Earl Howe
tabling member	4190 label Biography information for Baroness Hollins

169678

registered interest
date	11/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Learning Disability: Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to address variations in uptake and quality of annual health checks for people with a learning disability.
tabling member printed	Baroness Hollins
uin	HL3665
answer	answer is ministerial correction date of answer 23/12/2014 answer text <p>General Practitioners are supported to deliver annual health checks for people with learning disabilities from the age of 14 through the Designated Enhanced Service payment scheme. The promotion of and increased access to annual health checks is a priority for NHS England.</p><p> </p><p> </p><p> </p><p>NHS England is working in partnership with the Improving Health and Lives team in Public Health England to deliver workshops for stakeholders, and to improve information to people with learning disabilities and their families and carers to support them to access the services.</p><p> </p><p> </p><p> </p><p>NHS England’s work in 2014-15 has focused on analysing the variation in uptake at the level of its Area Teams, including engaging with a range of stakeholders to assess the barriers and obstacles to improving uptake. This early engagement and analysis has highlighted the importance that local clinical leadership has had in driving up uptake in areas where there is higher uptake.</p><p> </p> answering member printed Earl Howe question first answered 23/12/2014 17:07:14 answering member 2000 label Biography information for Earl Howe
tabling member	4190 label Biography information for Baroness Hollins

169679

registered interest
date	11/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Influenza: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the impact of Public Health England’s recommendation that children and adults with a learning disability should routinely be offered influenza vaccination on uptake among people with a learning disability.
tabling member printed	Baroness Hollins
uin	HL3666
answer	answer is ministerial correction date of answer 23/12/2014 answer text <p>The measures that have been introduced to promote the offer of influenza vaccination to people with a learning disability should result in increased uptake among this group. It is not possible accurately to predict or quantify the scale of the change.</p><p> </p> answering member printed Earl Howe question first answered 23/12/2014 17:07:42 answering member 2000 label Biography information for Earl Howe
tabling member	4190 label Biography information for Baroness Hollins

169680

registered interest
date	11/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Learning Disability and Autism
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what progress they have made in working with Health Education England, Skills for Health and partners to develop a national workforce academy to improve the knowledge and skills of health and social care professionals working with people with a learning disability or autism whose behaviour challenges.
tabling member printed	Baroness Hollins
uin	HL3667
answer	answer is ministerial correction date of answer 23/12/2014 answer text <p>Sir Stephen Bubb’s report, <em>Winterbourne View – Time for Change</em>, which was published in November recommended that a national workforce academy should be established. A cross-system response to the report is expected early in the new year and will be coordinated by NHS England.</p><p> </p> answering member printed Earl Howe question first answered 23/12/2014 17:08:11 answering member 2000 label Biography information for Earl Howe
tabling member	4190 label Biography information for Baroness Hollins

169682

registered interest
date	11/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mesothelioma
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the reply by Lord Faulks on 9 December (HL Deb, col 1710), what evidence they have for the assertion that a lack of good research proposals is deterring research into mesothelioma and that there are no problems concerning availability of funding.
tabling member printed	Lord Alton of Liverpool
uin	HL3669
answer	answer is ministerial correction date of answer 23/12/2014 answer text <p>The Medical Research Council (MRC) and the National Institute for Health Research (NIHR) have been receiving high quality research applications in mesothelioma. The Government is implementing a package of measures to stimulate an increase in the volume of applications and funded research in mesothelioma.</p><p> </p><p> </p><p> </p><p>In the last five financial years (2009-10 to 2013-14) the MRC has received 10 applications for grants or fellowships that relate to research on mesothelioma. Of these 10 applications four were successful resulting in a success rate of 40%. This is higher than the overall success rate for applications to the MRC which during the same period has been between 20% and 25%.</p><p> </p><p> </p><p> </p><p>In the last five financial years, 11 applications relating to mesothelioma have been submitted to research programmes managed by the NIHR. Of these 11 applications four were successful resulting in a success rate of 36%. Success rates for NIHR-managed programmes are available on the NIHR website and are typically lower than 36%.</p><p> </p> answering member printed Earl Howe question first answered 23/12/2014 17:08:39 answering member 2000 label Biography information for Earl Howe
tabling member	738 label Biography information for Lord Alton of Liverpool

169769

registered interest
date	11/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Autism
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many local authorities have an autism strategy.
tabling member constituency	Plymouth, Sutton and Devonport
tabling member printed	Oliver Colvile
uin	218270
answer	answer is ministerial correction date of answer 17/12/2014 answer text <p>This information is not recorded centrally. Local joint commissioning plans for services for adults with autism should be developed and updated based on effective joint strategic needs assessment. The second national Public Health England self-assessment exercise reported on progress being made by the end of September 2013 across all 152 local authority areas in England.</p><p> </p><p><br> Details can be found at:</p><p> </p><p> </p><p> </p><p><a href="http://www.ihal.org.uk/projects/autism2013" target="_blank">www.ihal.org.uk/projects/autism2013</a></p><p> </p><p> </p><p> </p><p>The exercise is a key means of identifying progress in implementing the strategy as a whole and for demonstrating local accountability. The most recent exercise started on 12 December 2014 for completion by 9 March 2015.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 17/12/2014 17:42:56 answering member 1439 label Biography information for Norman Lamb
tabling member	4022 label Biography information for Oliver Colvile

169838

registered interest
date	11/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many referrals were made by GPs to hospitals in England in December (a) 2010, (b) 2012 and (c) 2014.
tabling member constituency	Thirsk and Malton
tabling member printed	Miss Anne McIntosh
uin	218283
answer	answer is ministerial correction date of answer 18/12/2014 answer text <p>The numbers of referrals made by general practitioners (GPs) to hospitals in England in December 2010 and December 2012 are shown in the table below. The data for December 2014 will be available in February 2015.</p><p> </p><p> </p><p> </p><p>Referrals made by GPs to all specialties, December 2010 and December 2012</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>GP referrals made (all specialties)</p></td></tr><tr><td><p>December 2010</p></td><td><p>757,046</p></td></tr><tr><td><p>December 2012</p></td><td><p>802,987</p></td></tr></tbody></table><p> </p><p><em>Source:</em> Monthly Activity Return, NHS England</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 18/12/2014 16:27:36 answering member 3918 label Biography information for Jane Ellison
tabling member	384 label Biography information for Baroness McIntosh of Pickering

169839

registered interest
date	11/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Antidepressants: Kent
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many prescriptions were issued for antidepressant medication in (a) Kent, (b) Medway and (c) Gillingham and Rainham constituency in each of the last 10 years.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	218337
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>The information is not available in the format requested. Such information as is available is in the following tables.</p><p> </p><p> </p><p> </p><p>Antidepressant prescription items dispensed in the community in 2006-07 by specific Primary Care Trust (PCT)</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Issuing organisation</p></td><td><p>Prescription items (000s)</p></td></tr><tr><td><p>East Kent Coastal Teaching PCT</p></td><td><p>71.3</p></td></tr><tr><td><p>Eastern &amp; Coastal Kent PCT</p></td><td><p>218.3</p></td></tr><tr><td><p>Medway PCT</p></td><td><p>131.7</p></td></tr><tr><td><p>South West Kent PCT</p></td><td><p>55.9</p></td></tr><tr><td><p>West Kent PCT</p></td><td><p>200.7</p></td></tr></tbody></table><p> </p><p><em>Source: </em>Health and Social Care Information Centre</p><p> </p><p> </p><p> </p><p>Antidepressant prescription items dispensed in the community in 2007-08 to 2012-13 by specific PCT</p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="7"><p>Prescription Items (000s)</p></td></tr><tr><td><p>Issuing organisation</p></td><td><p>2007-08</p></td><td><p>2008-09</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></tr><tr><td><p>Eastern &amp; Coastal Kent PCT</p></td><td><p>462.7</p></td><td><p>490.9</p></td><td><p>537.6</p></td><td><p>590.1</p></td><td><p>647.0</p></td><td><p>691.0</p></td></tr><tr><td><p>Medway PCT</p></td><td><p>142.6</p></td><td><p>152.1</p></td><td><p>173.5</p></td><td><p>199.2</p></td><td><p>222.0</p></td><td><p>243.3</p></td></tr><tr><td><p>West Kent PCT</p></td><td><p>426.7</p></td><td><p>460.7</p></td><td><p>509.2</p></td><td><p>558.3</p></td><td><p>613.3</p></td><td><p>651.1</p></td></tr></tbody></table><p> </p><p><em>Source: </em>Health and Social Care Information Centre</p><p> </p><p> </p><p> </p><p>Antidepressant prescription items dispensed in the community in 2013/14 by specific clinical commissioning groups (CCGs)</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Issuing organisation</p></td><td><p>Prescription items (000s)</p></td></tr><tr><td><p>Ashford CCG</p></td><td><p>107.6</p></td></tr><tr><td><p>Canterbury And Coastal CCG</p></td><td><p>180.0</p></td></tr><tr><td><p>Dartford, Gravesham And Swanley CCG</p></td><td><p>215.7</p></td></tr><tr><td><p>Medway CCG</p></td><td><p>265.3</p></td></tr><tr><td><p>South Kent Coast CCG</p></td><td><p>181.3</p></td></tr><tr><td><p>Swale CCG</p></td><td><p>105.9</p></td></tr><tr><td><p>Thanet CCG</p></td><td><p>161.7</p></td></tr><tr><td><p>West Kent CCG</p></td><td><p>483.6</p></td></tr></tbody></table><p> </p><p><em>Source: </em>Health and Social Care Information Centre</p><p> </p><p><strong> </strong></p><p> </p><p><em>Notes:</em></p><p> </p><ol start="1" type="1"><li>Data on the number of prescription issued is not available. Data on the number of prescription items dispensed in the community are available and have been provided.</li></ol><p> </p><p> </p><p> </p><ol start="2" type="1"><li>We have defined Antidepressant medication as per British National Formulary (BNF) section 4.3 Antidepressant Drugs.</li></ol><p> </p><p> </p><p> </p><ol start="3" type="1"><li>There is no data available at constituency level. Data is available at PCT and CCG.</li></ol><p> </p><p> </p><p> </p><ol start="4" type="1"><li>The structure of NHS organisations has changed several times within the period requested and organisations may not be comparable within the years of change. Data is only available from 2006-07 to 2013-14.</li></ol><p> </p><p> </p><p> </p><ol start="5" type="1"><li>This information was obtained from the Prescribing Analysis and CosT tool (PACT) system, maintained by NHS Prescription Services, a division of NHS Business Services Authority, which covers prescriptions prescribed by general practitioners, nurses, pharmacists and others in England and dispensed in the community in the United Kingdom. For data at PCT level, prescriptions written by a prescriber located in a particular PCT but dispensed outside that PCT will be included in the PCT in which the prescriber is based. The data available in PACT is a rolling 60 month dataset. Prescriptions written in England but dispensed outside England are included. Prescriptions written in hospitals /clinics that are dispensed in the community, prescriptions dispensed in hospitals, dental prescribing and private prescriptions are not included in PACT data. It is important to note this as some BNF sections have a high proportion of prescriptions written in hospitals that are dispensed in the community. For example, BNF chapter 4, &quot;Central Nervous System&quot; has a fair proportion of items written in mental health clinics that are dispensed in the community - these prescriptions are not included in PACT data.</li></ol><p> </p><p> </p><p> </p><ol start="6" type="1"><li>Prescription Items: Prescriptions are written on a prescription form known as a FP10. Each single item written on the form is counted as a prescription item.</li></ol><p> </p><p> </p><p> </p><ol start="7" type="1"><li>BNF Classifications: The PACT system uses the therapeutic classifications defined in the BNF. Information on why a drug is prescribed is not available in this dataset. Since drugs can be prescribed to treat more than one condition, it may not be possible to separate the different conditions for which a drug may have been prescribed.</li></ol><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 16/12/2014 17:24:58 answering member 4020 label Biography information for George Freeman
tabling member	3987 label Biography information for Rehman Chishti