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1132847

registered interest
date	18/06/2019
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	Mental Health Services: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether Care Commissioning Groups have responsibility for commissioning mental health services for children aged zero to two; and what steps his Department are taking to ensure that those groups secure that provision.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	266054
answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning non-specialised mental health services for all age groups in their local populations.</p><p>The Government continues to ensure that the National Health Service invests more in mental health both through significant central investments as part of the NHS Long Term Plan and through the Mental Health Investment Standard (MHIS). This standard requires CCGs to increase investment in mental health services in line with overall increase in funding. In 2018/19, it is expected all CCGs will achieve the MHIS level of investment.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/06/2019 16:41:50 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	114 label Biography information for Tim Loughton

1132849

registered interest
date	18/06/2019
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	Mental Health Services: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which Minister in his Department has responsibility for the provision of mental health services for children aged zero to two; and what (a) data and (b) information is supplied to that Minister on the provision of those services.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	266055
answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>I have Ministerial responsibility for the provision of mental health services. A wide range of data and information is regularly provided to support the work in this role, such as the Mental Health Five Year Forward View dashboard which brings together key data from across mental health services to measure the performance of the National Health Service in delivering our plans.</p><p>It includes data on the number of admissions in child and adolescent mental health service wards for patients aged 0-17 who are referred for treatment for example. An age breakdown is available for those aged 0-5 from in each Mental Health Services Data Set annual report. This data can only be provided at an aggregate level and not specifically for children aged 0-2.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/06/2019 16:44:26 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	114 label Biography information for Tim Loughton

1131221

registered interest
date	11/06/2019
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	Mental Health Services: Children
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 out of area placements for children and young people under the age of 18 NHS England has commissioned in in-patient mental health hospitals in each of the last three years where the length of stay for the patient has exceeded (a) one year, (b) two years and (c) three years.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	263117
answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>Information on the length of stay for out of area placements is not collected centrally.</p><p>The length of stay of an individual patient is influenced by many factors. The aim is always to have as short a stay as possible in an in-patient setting with patients returning home and having support from community-based services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/06/2019 15:50:18 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1588 label Biography information for Barbara Keeley

1130893

registered interest
date	10/06/2019
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	Mental Health Services: Children
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 placements in Assessment and Treatment Units NHS England have commissioned for patients under the age of 18 in each of the past 3 years.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	262334
answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 262331 262332 262333 262335 question first answered 13/06/2019 13:32:38 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1130894

registered interest
date	10/06/2019
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	Mental Health Services: Children
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 placements in in-patient mental health hospitals for children and young people under the age of 18 with (a) autism, (b) a learning disability and (c) a mental health condition NHS England has commissioned in each of the past 3 years.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	262335
answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 262331 262332 262333 262334 question first answered 13/06/2019 13:32:38 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1125046

registered interest
date	07/05/2019
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	Mental Health Services: Children
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 children have waited for over six months for mental health treatment following a referral in West Yorkshire.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	251237
answer	answer is ministerial correction date of answer 15/05/2019 answer text <p>This data is not available in the format requested.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/05/2019 16:21:25 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	411 label Biography information for Mr Barry Sheerman

1125047

registered interest
date	07/05/2019
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	Mental Health Services: Children
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 his Department is taking to reduce waiting times for children receiving initial mental health treatment in West Yorkshire.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	251238
answer	answer is ministerial correction date of answer 15/05/2019 answer text <p>Protecting our children’s mental health is a priority for this Government and a core part of the NHS Long Term Plan. The National Health Service has set a goal of an extra 345,000 children and young people, aged 0-25, receiving support via NHS-funded mental health services by 2023/24.</p><p> </p><p>Close to 325,000 children and young people have been treated through NHS commissioned community services in 2017/18. We are on track to deliver the Five Year Forward View for Mental Health’s commitment to improve care and extend access to 70,000 more children and young people by 2020/21.</p><p> </p><p>The recent ‘Transforming children and young people’s mental health provision: a Green Paper’ aims to improve provision of support for all children and young people through its three key proposals:</p><p>- Incentivising every school/college to identify and train Designated Senior Lead for Mental Health;</p><p>- Creating new Mental Health Support Teams in/around schools; and</p><p>- Piloting a four-week waiting time for specialist NHS services.</p><p> </p><p>Clinical commissioning groups in West Yorkshire are responsible for ensuring adequate access to mental health treatment locally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/05/2019 16:26:35 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	411 label Biography information for Mr Barry Sheerman

1121897

registered interest
date	18/04/2019
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	Mental Health Services: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he plans to increase funding for children's mental health services in the next financial year.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	245648
answer	answer is ministerial correction date of answer 26/04/2019 answer text <p>The NHS Long Term Plan, published on 7 January 2019, announced that mental health services will continue to receive a growing share of the National Health Service budget, with funding to grow by at least £2.3 billion a year by 2023/24. Under this Long Term Plan, funding for children and young people’s mental health services will grow faster than both overall NHS funding and total mental health spending.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/04/2019 13:13:07 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	481 label Biography information for Sir George Howarth

1121899

registered interest
date	18/04/2019
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	Mental Health Services: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will (a) introduce legislative proposals and (b) set out a timetable for their introduction to require individuals who wish to work therapeutically with children to register with an independent government-approved agency such as the Professional Authority's Accredited Register programme or Health and Care Professions Council.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	245649
answer	answer is ministerial correction date of answer 26/04/2019 answer text <p>The Government has no plans to introduce legislative proposals to require unregulated professions who work therapeutically with children to be regulated by the Health and Care Professions Council.</p><p>The Government is clear that statutory professional regulation should only be used in cases where the risks to the public cannot be mitigated in other ways, such as through employer oversight or accredited voluntary registration.</p><p>Unregulated professions are encouraged to register with an appropriate professional body whose register has been accredited by the Professional Standards Authority. Accreditation provides assurance that practitioners on the register meet set standards and demonstrates that the organisation is committed to protecting the public.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 26/04/2019 13:05:26 answering member 1585 label Biography information for Stephen Hammond
tabling member	481 label Biography information for Sir George Howarth

1121900

registered interest
date	18/04/2019
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	Mental Health Services: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what support is available for parents and carers of children with a diagnosable mental health disorder in each region; what plans he has to provide additional support; and what steps he is taking to ensure joined up working between school and healthcare settings to improve the effectiveness of current levels of support.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	245650
answer	answer is ministerial correction date of answer 30/04/2019 answer text <p>Data on the support available for parents and carers of children with a diagnosable mental health disorder is not collected by the Department.</p><p> </p><p>The Department is committed to ensuring carers can continue to give care as they wish. Last summer, the Department published the Carers Action Plan which gives visibility to the work that is being done or is planned across government to support carers. In the plan the Department has committed to funding a project to support parent carers navigate the transition from child to adult services as their child approaches 18.</p><p> </p><p><em>‘</em>Transforming Children and Young People’s Mental Health Provision: a Green Paper’, published by the Department of Health and Social Care and the Department for Education in December 2017, also ensures joined up working between school and healthcare settings through its proposals to create new Mental Health Support Teams in and around schools, and incentivising every school and college to identify and train a Senior Mental Health Lead. Mental Health Support Teams, the first cohort of which started training in January 2019, will work closely with parents and carers to support their children with their mental health. This will include working directly with parents on evidence-based interventions, such as parent-led cognitive behavioural therapy for anxiety or assisting with parent training for conduct problems, as well as supporting parents where interventions are delivered directly to children and young people, to help them support their children.</p><p>Public Health England's Start4Life information service for parents is a programme that helps parents adopt healthy behaviours, including providing advice and practical guidance on promoting the mental health of babies and pre-school age children. Further information is available at the following link:</p><p> </p><p><a href="https://campaignresources.phe.gov.uk/resources/campaigns/2-start4life/overview" target="_blank">https://campaignresources.phe.gov.uk/resources/campaigns/2-start4life/overview</a></p><p> </p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 30/04/2019 16:02:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	481 label Biography information for Sir George Howarth