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229127

registered interest
date	23/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Smoking
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to statistics on NHS Stop Smoking Services, England - April 2014 to September 2014, published by the Health and Social Care Information Centre in January 2015, what assessment he has made of the factors that have contributed to the decline in the number of people who have reported stopping smoking through an NHS Stop Smoking Service.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	228776
answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>Whilst no formal assessment has been made of the reduction in the numbers accessing local stop smoking services, as the proportion of the population who smoke declines, there will be a smaller pool of people who might choose to access these services.</p><p> </p><p> </p><p> </p><p>Electronic cigarettes (or nicotine vapourisers) have become an increasingly popular way of quitting.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 26/03/2015 15:21:17 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

229140

registered interest
date	23/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Illness: Suicide
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many patients discharged from mental health in-patient care have taken their own life within (a) one week and (b) two weeks of that discharge in each year since 2010; and how many investigations have been undertaken into those deaths.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	228774
answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>The first three months after discharge remain a time of particularly high suicide risk – this is especially true in the first 1-2 weeks. Between 2002 and 2012 there were 3,225 suicides in the United Kingdom by mental health patients in the post-discharge period, 18% of all patient suicides.</p><p> </p><p> </p><p> </p><p>Post-discharge suicides were most frequent in the first week after leaving hospital when 380 deaths occurred, an average of 35 per year.</p><p> </p><p> </p><p> </p><p>The number and proportion who died in the first week after discharge has not changed over the report period.</p><p> </p><p> </p><p> </p><p>380 of the 3,225 people counted as post-discharge suicides between 2002-12 died in the first week after leaving hospital. 292 people died in the second week.</p><p> </p><p> </p><p> </p><p>The total number of people who died within three months of in-patient discharge is, as follows:</p><p> </p><p> </p><p> </p><p>2010: 202</p><p> </p><p>2011: 220</p><p> </p><p>2012: 177 (estimate)</p><p> </p><p> </p><p> </p><p>We have reviewed the serious incident framework (due to be launched for April 2015) to support better recognition, reporting and investigation of serious incidents (which would include suicide/ self-inflicted death, but also other serious incidents affecting people with mental health needs). We are also exploring changes to the Serious Incident reporting system (STEIS) database to enable incidents, risks, trends and opportunities for learning to be more easily identified.</p><p> </p><p><strong> </strong></p><p> </p><p>This Government is seeking to change the culture that suicide is inevitable for some people. In January this year the Deputy Prime Minister announced our ambition for ‘zero suicides’. This set out an aspiration for every part of the NHS to commit to a ‘zero suicide’ ambition. This ambition has already been adopted in some local areas and we are certain that this kind of approach can work to dramatically reduce suicides.</p><p> </p><p> </p><p> </p><p>Pioneering work in Liverpool, the South-West and in the East of England means that health workers are already focusing on how they care for people with mental health conditions with a view to preventing suicide. The Deputy Prime Minister called on the health service to look at this work being done by these three pioneering areas.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/03/2015 13:00:55 answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger

229142

registered interest
date	23/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 23 March 2015 to Question 228266, what proportion of children and young people who were referred for early intervention treatment in psychosis services started that treatment within two weeks of that referral in the latest quarter for which data is available.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	228775
answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>Data is not available on the proportion of children and young people who were referred for early intervention treatment in psychosis services and started treatment within two weeks of referral. This is because this information is not collected centrally.</p><p> </p><p> </p><p> </p><p>The new Child and Adolescent Mental Health Services (CAMHS) Minimum Dataset will provide comparative data for NHS services that will be used to improve clinical quality and service efficiency; and to commission services in a way that improves health and reduces inequalities. Current plans are for data from the CAMHS Minimum Dataset to begin to flow no later than January 2016.</p><p> </p><p><strong><br> </strong><em>Achieving Better Access to Mental Health Services by 2020, </em>published October 2014<em>,</em> introduces the first waiting time standards for mental health. It includes a standard which will ensure that by 2016 at least 50% of people of all ages referred for early intervention in psychosis services will start treatment within two weeks. This waiting time standard will come into effect from 1 April 2015. This is backed by £33 million investment.</p><p> </p><p><strong> </strong></p><p> </p><p>The Deputy Prime Minister announced on 14 March that £250 million additional funding would be available each year, over the next Parliament, starting in April 2015. This will fund improved access for children and young people with mental health problems - at least 100,000 more children and young people will receive treatment by 2020 and the funding will pay for the introduction of new access and waiting time standards.</p><p> </p><p> </p><p> </p><p>The Government report of the Children and Young People’s Mental Health and Well-Being Taskforce’s findings, <em>Future in mind,</em> published on 17 March 2015, sets out a clear national ambition in the form of key aspirations that the Government would wish to see by 2020. This includes more access and waiting time standards for services so that children and young people can expect prompt treatment when they need it, just as they can for physical health problems.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/03/2015 12:58:36 answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger

229143

registered interest
date	23/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much was spent by his Department on the provision of in-vitro fertilisation in each year since 2010.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	228777
answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>This information is not collected centrally.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 26/03/2015 11:24:54 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

229145

registered interest
date	23/03/2015
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 23 March 2015 to Question 227902, what assessment he has made of whether mental health services are adequately prioritised in clinical commissioning groups' spending plans.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	228778
answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>NHS England published planning guidance for 2015/16 for commissioners which made the expectation clear that each clinical commissioning group’s (CCGs) spending on mental health services in 2015/16 should increase in real terms, and grow by at least the same percentage as each CCG’s allocation increase. CCGs will submit their commissioning plans for 2015/16 to NHS England later in the spring.</p><p> </p><p> </p><p> </p><p>NHS England will assure CCG commissioning plans for 2015/16 after they have been submitted to ensure that they meet the expectation set out in the planning guidance, at that point NHS England and the Department will make an assessment of overall spending plans.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/03/2015 12:55:32 answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger

228868

registered interest
date	20/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hepatitis: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answers of 27 February 2015 to Questions 225235 and 225238, by what process NHS England is developing the interim commissioning policies referred to in those Answers; whether funding has been allocated to support those policies; and whether those policies have been discussed by the Clinical Priorities Advisory Group.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	228635
answer	answer is ministerial correction date of answer 25/03/2015 answer text <p>NHS England’s process for developing interim commissioning policies involves evidence review, recommendation development, and service and financial impact assessment.</p><p> </p><p> </p><p> </p><p>NHS England’s Clinical Reference Groups (CRGs), Public Health England and other stakeholders are involved in these processes.</p><p> </p><p> </p><p> </p><p>The recommendations of CRGs are considered by the relevant Programme of Care Board and then the Clinical Priorities Advisory Group (CPAG).</p><p> </p><p> </p><p> </p><p>The draft interim policy for treatment of hepatitis C in patients with cirrhosis is following this process. NHS England has advised that it will be considered by the Programme of Care Board at the end of March and then by CPAG.</p><p> </p><p> </p><p> </p><p>The financial impact assessment of the interim policy is continuing. This will inform the decision on financial planning that NHS England will take with regard to this policy.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 25/03/2015 16:20:42 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

228869

registered interest
date	20/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Childbirth
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many recorded episodes of births before admission there were in each year since 2009-10.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	228637
answer	answer is ministerial correction date of answer 25/03/2015 answer text <p>This information is not collected centrally.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 25/03/2015 13:05:45 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

228872

registered interest
date	20/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether face-down physical restraint is included in the list of never ever events that must be reported to the Strategic Executive Information System.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	228605
answer	answer is ministerial correction date of answer 25/03/2015 answer text <p>Face-down physical restraint is not included in the list of Never Events contained within the Never Events Framework that must be reported to the Strategic Executive Information System.</p><p> </p><p> </p><p> </p><p>Use of face-down restraint is, however, a patient safety incident that should be reported and submitted to the National Reporting and Learning System. Any serious harm resulting from the use of face-down restraint would be reportable to the Strategic Executive Information System as a Serious Incident.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 25/03/2015 12:42:02 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

228873

registered interest
date	20/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many NHS trusts across the country have a youth advisory partnership group or similar engagement provision for young people using services.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	228606
answer	answer is ministerial correction date of answer 25/03/2015 answer text <p>This information is not collected centrally.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 25/03/2015 12:07:41 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

228874

registered interest
date	20/03/2015
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many and which police forces directly refer people with mental health problems into primary mental health services.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	228604
answer	answer is ministerial correction date of answer 25/03/2015 answer text <p>All police forces work closely with local mental health services and have signed a local mental health crisis declaration, which reflects the principles of the national Mental Health Crisis Care Concordat. The police, working closely with mental health professionals, will work to ensure that people in mental health crisis reach the most appropriate mental health service as soon as possible. Information on which mental health services people are referred to following contact with the police is not collected centrally.</p><p> </p><p> </p><p> </p><p>To assist police officers who make face to face contact with people who may be suffering from a mental illness, street triage programmes provide on the spot advice from nurses to officers about mental health, or about those individuals known to services. Street triage schemes will also make referrals to mental health services. Street triage schemes are now operating in at least 21 police force areas in England.</p><p> </p><p> </p><p> </p><p>In addition the police may use their powers under sections 135 and 136 of the Mental Health Act 1983 to take a person who appears to them to be suffering from a mental disorder, and in need of immediate care and control, to a place of safety; where the person will be assessed by mental health professionals so that arrangements can be made for their further care and treatment.</p><p> </p><p> </p><p> </p><p>For people who have been arrested for a crime, Liaison and Diversion services are available in courts and police stations to make referrals to mental health services when the person’s condition requires it. 10 pilot services went live on 1 April 2014 and a further 14 will go live on 1 April 2015, such that Liaison and Diversion schemes will cover 50% of the English population from 1 April. The aim is for 100% roll-out by 2017/18 subject to the approval of a full business case to HM Treasury and further funding to support the roll out to 100% coverage for 2017/18.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 25/03/2015 17:16:17 answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger