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1049566

registered interest
date	28/01/2019
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	Pregnancy: Mental Illness
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of whether perinatal mental illnesses are being adequately identified and treated; whether they have made any assessment of the links between (1) perinatal mental illness and emotional and behavioural problems in children, and (2) perinatal mental illness and intergenerational cycles of poverty; whether, as a result of any such assessment, they intend to take steps to tackle any under-identification of perinatal mental illness; and if so, what steps.
tabling member printed	Lord Bird
uin	HL13154
answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>Perinatal mental illness covers a wide range of conditions. Although the Government has made no formal assessment of the links between perinatal mental health and intergenerational poverty, we stated in the Five Year Forward View for Mental Health that if left untreated, it can have significant and long-lasting effects not only on the woman but also on the emotional, social and cognitive development of children.</p><p>The Government is committed to improving both the detection and treatment of perinatal mental illness. General practitioners and primary care teams have a crucial role in supporting the identification and treatment of perinatal mental illness, including post-natal depression, and are part of an integrated pathway of services. Support includes monitoring early onset conditions, providing pre-conception counselling and referring women to specialist mental health services, including Improving Access to Psychological Therapies services and specialist perinatal community teams, if necessary.</p><p>To date, NHS England and Health Education England has also funded training for over 3,000 staff and professionals in mental health, maternity services and primary care to better identify and support women with perinatal mental health needs.</p><p>We are investing £365 million from 2015/16 to 2020/21 in perinatal mental health services to ensure that by 2020/21 at least 30,000 more women each year are able to access evidence-based specialist mental health care during the perinatal period. This investment is designed to improve access to specialist perinatal mental health services across England, resulting in better outcomes for women and their families.</p><p>In addition, the NHS Long Term Plan, includes a commitment for a further 24,000 women to be able to access specialist perinatal mental health care by 2023/24, building on the additional 30,000 women who will access these services each year by 2020/21 under pre-existing plans. Specialist care will also be available from preconception to 24 months after birth, which will provide an extra year of support.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2019 13:47:54 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4564 label Biography information for Lord Bird

1002209

registered interest
date	05/11/2018
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	Homelessness: Death
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what (1) guidance, (2) instructions, and (3) resources they provide to local authorities for Safeguarding Adult Reviews in relation to the deaths of homeless people; how many homeless people they estimate died in the last year for which figures are available; in how many of those cases Safeguarding Adult Reviews were carried out; and what steps they are taking to ensure that such reviews are carried out more often.
tabling member printed	Lord Bird
uin	HL11230
answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>We have not provided guidance, instructions or resources to local authorities for Safeguarding Adult Reviews related to the death of homeless people.</p><p> </p><p>At present we do not hold data on how many homeless people died in the last year. Our statistics on Adult Safeguarding Reviews does not include information on place of residence, however, the Office for National Statistics is preparing to publish official estimates in December as experimental statistics.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11231 question first answered 15/11/2018 16:21:27 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4564 label Biography information for Lord Bird

1002210

registered interest
date	05/11/2018
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	Homelessness: Death
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have, if any, to (1) collate Safeguarding Adult Reviews in relation to the deaths of homeless people, and (2) conduct a review to identify patterns and amend policy accordingly.
tabling member printed	Lord Bird
uin	HL11231
answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>We have not provided guidance, instructions or resources to local authorities for Safeguarding Adult Reviews related to the death of homeless people.</p><p> </p><p>At present we do not hold data on how many homeless people died in the last year. Our statistics on Adult Safeguarding Reviews does not include information on place of residence, however, the Office for National Statistics is preparing to publish official estimates in December as experimental statistics.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11230 question first answered 15/11/2018 16:21:27 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4564 label Biography information for Lord Bird

947075

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	Preventive Medicine: Finance
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 funding for preventative health measures is targeted to areas where the majority of avoidable deaths occur.
tabling member printed	Lord Bird
uin	HL9765
answer	answer is ministerial correction date of answer 25/07/2018 answer text <p>The inclusion of weighting for deprivation, need due to age, and health inequalities in the setting of clinical commissioning group (CCG) allocations contributes to ensuring that National Health Service funding is distributed equitably across England to meet the health care needs of the population. CCGs have a duty under the NHS Act 2006 to act with regard to the need to reduce inequalities in access to, and outcomes from, health services.</p><p>Since 2013 local authorities have received a public health grant to support them in improving the health of local people. This is primarily allocated based on historical NHS spend which tended to be greater in areas with the highest levels of health need. As a condition of the grant they receive local authorities must have due regard to reducing inequalities in outcomes from their health services.</p> answering member printed Lord O'Shaughnessy question first answered 25/07/2018 15:54:22 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4564 label Biography information for Lord Bird

947077

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	NHS: Finance
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 NHS resources are targeted towards preventative health and social care.
tabling member printed	Lord Bird
uin	HL9767
answer	answer is ministerial correction date of answer 25/07/2018 answer text <p>The importance of effective prevention was recognised in the National Health Service Five Year Forward View and has been reinforced in the Government’s mandate to NHS England. One of the six principles set for the new NHS long-term plan and funding settlement is “focusing on the prevention of ill-health, so people live longer, healthier, happier lives and take greater responsibility for their own care”.</p><p>In addition, the annual NHS public health functions agreement (under section 7A of the NHS Act 2006) sets out a range of public health and preventative services to be commissioned by NHS England on behalf of the Secretary of State for Health. Ring-fenced NHS funding of £1,205 million is allocated for these functions in 2018/19.</p><p>The Better Care Fund (BCF) requires local authorities and clinical commissioning groups to pool budgets for the purposes of integrated care. Local areas have to submit plans that comply with four national conditions including maintaining the NHS contribution to adult social care in line with inflation. The Government’s policy framework for integration and the BCF envisages integrated, preventative, person-centred care becoming the norm, so that people can be supported to live at home for longer and avoid the need for commissioned health and care services.</p> answering member printed Lord O'Shaughnessy question first answered 25/07/2018 15:44:16 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4564 label Biography information for Lord Bird

870272

registered interest
date	23/03/2018
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	Debts
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of each of the six conclusions in the Royal Society for Public Health report, Life on Debt Row.
tabling member printed	Lord Bird
uin	HL6606
answer	answer is ministerial correction date of answer 09/04/2018 answer text <p>The Department is currently reviewing the six conclusions in the Royal Society for Public Health’s report <em>Life on debt row</em>.</p><p>The Government recognises that experiencing debt problems or a financial crisis can have a wide impact on a person’s health and mental and social wellbeing. The Government takes a comprehensive and strategic approach to reducing health inequalities that addresses the wider causes of ill-health, promotes healthier lifestyles for all and tackles differences in access and outcomes from health and public health services, underpinned by legal duties. Action is led locally to ensure the solutions put in place reflect the needs of individual communities.</p><p>The 2017 manifesto committed the Government to implement a Breathing Space scheme, with the right safeguards to prevent abuse, so that someone in serious problem debt may apply for legal protection from further interest, charges and enforcement action for a period of up to six weeks. Where appropriate, they would be offered a statutory repayment plan to help pay back their debts in a manageable way. A call to evidence to support development of the scheme was conducted between October 2017 and January 2018.</p><p>The National Health Service already provides some services to people who may be experiencing the symptoms of debt problems or financial difficulties. We are aware that some general practitioner (GP) practices signpost patients to debt advice services as part of their care and some practices have arrangements in place with local Citizens Advice Bureaux and debt advice services to provide outreach support in primary care. Mental health services, including Improving Access to Psychological Therapies services, may also signpost patients to debt advice services as part of their care.</p><p>In January 2017, the Prime Minister announced that the Government would review the practice of GPs charging patients experiencing debt issues to complete Mental Health Evidence Forms when they require medical evidence for their creditors. The Department is working with the Money and Mental Health Policy Institute and a range of stakeholders from the financial and debt advice sectors and the British Medical Association to undertake the review, which we will publish in due course.</p> answering member printed Lord O'Shaughnessy question first answered 09/04/2018 14:05:54 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4564 label Biography information for Lord Bird

860823

registered interest
date	12/03/2018
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: Homelessness
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 18 December 2017 (HL3813), what assessment, if any, they have made of the impact of cuts by clinical commissioning groups to homeless and rough sleeping mental health teams, including the decision by Camden NHS Clinical Commissioning Group to reduce its financial support for the Focus Homeless Outreach.
tabling member printed	Lord Bird
uin	HL6222
answer	answer is ministerial correction date of answer 26/03/2018 answer text <p>The Department has not made any such assessment. It is the responsibility of commissioners and health and wellbeing boards to ensure services meet local need as part of the Joint Service Needs Assessments.</p><p>The Government has set an aim to halve rough sleeping by 2022 and eliminate it entirely by 2027. The Homelessness Reduction Act 2017 introduces new duties for specified public services, including the National Health Service, to refer service users they consider may be homeless or threatened with homelessness to a local housing authority.</p> answering member printed Lord O'Shaughnessy question first answered 26/03/2018 16:47:06 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4564 label Biography information for Lord Bird