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1138388

registered interest
date	11/07/2019
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	NHS: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan implementation framework system support offer, how many of the 75,000 staff to be trained on personalised care approaches will work in (a) autism and learning disability and (b) mental health services.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	276174
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Professionals working in autism, learning disability and mental health will have access to training on personalised care approaches. The exact number to be trained will be determined locally based on staffing levels and local needs.</p><p>The Care Act 2014 places responsibilities on local authorities in England to promote their local care markets. They are required to promote a diverse, sustainable, high quality market of care and support providers for people in their local area.</p><p>Local authorities are expected to understand and articulate likely future demand for services in their area; engage with care providers to understand the likely supply of services; provide signals to the market of their intent; and as needed, intervene in the market to stimulate change and innovation in providers to better meet the needs of people and communities.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276177 question first answered 16/07/2019 16:23:54 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Baroness Keeley

1138390

registered interest
date	11/07/2019
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	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan implementation framework system support offer, what criteria will be used to determine which areas receive transformation funding to develop, test and deliver new approaches to care.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	276176
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>It is for NHS England and NHS Improvement national and regional teams to determine jointly the allocation approach, criteria and process for the distribution of transformation funding to develop their five-year strategic plans.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/07/2019 12:07:17 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1588 label Biography information for Baroness Keeley

1138408

registered interest
date	11/07/2019
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	Autism and Learning Disability: Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan implementation framework system support offer, how his Department will monitor growth in the independent and voluntary sector care and support market for autistic people and people with learning disabilities with more complex needs.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	276177
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Professionals working in autism, learning disability and mental health will have access to training on personalised care approaches. The exact number to be trained will be determined locally based on staffing levels and local needs.</p><p>The Care Act 2014 places responsibilities on local authorities in England to promote their local care markets. They are required to promote a diverse, sustainable, high quality market of care and support providers for people in their local area.</p><p>Local authorities are expected to understand and articulate likely future demand for services in their area; engage with care providers to understand the likely supply of services; provide signals to the market of their intent; and as needed, intervene in the market to stimulate change and innovation in providers to better meet the needs of people and communities.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276174 question first answered 16/07/2019 16:23:54 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Baroness Keeley

1131610

registered interest
date	12/06/2019
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	Health Services: Autism and Learning Disability
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 patient placements commissioned by NHS England through (a) central and (b) local commissioning functions on hospital wards run by independent providers for (i) learning disabilities and (ii) autism services were rated as inadequate by the Care Quality Commission in each of the last three years.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	263786
answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>This data is not collected centrally. The Care Quality Commission (CQC) rating of all providers – both National Health Service and independent sector - will vary over time and between the CQC’s visits. There is a clear process to be followed should a provider receive an inadequate rating to understand the reasons for that rating and the impact on patient care in that unit. This review will inform any required commissioner action.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/06/2019 15:32:20 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Baroness Keeley

1131611

registered interest
date	12/06/2019
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 and Young People
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 patient placements commissioned by NHS England through (a) central and (b) local commissioning functions on hospital wards run by independent providers providing services for children and young people with mental health conditions were rated as inadequate by the Care Quality Commission in each of the last three years.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	263787
answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>This data is not collected centrally. The Care Quality Commission (CQC) rating of all providers – both National Health Service and independent sector - will vary over time and between the CQC’s visits. There is a clear process to be followed should a provider receive an inadequate rating to understand the reasons for that rating and the impact on patient care in that unit. This review will inform any required commissioner action.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/06/2019 15:33:43 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Baroness Keeley

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 Baroness Keeley

1131306

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 and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to section 3.5 of the NHS Operational Planning Guidance 2019-20, what steps his Department is taking to ensure the reduction in CCG administrative budgets does not mean that local areas miss the targets to improve children and young people’s mental health services as set out in the NHS Long Term Plan.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	263118
answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The NHS Long Term Plan commits to grow investment in mental health services faster than growth in the National Health Service budget overall for each of the next five years. This means mental health will receive a growing share of the NHS budget, worth in real terms at least a further £2.3 billion a year by 2023/24. Additionally, the NHS also commits that funding for children and young people’s mental health services will grow faster than both overall NHS funding and total mental health spending. This means that children and young people’s mental health services will for the first time grow as a proportion of all mental health services, which will themselves also be growing faster than the NHS overall. The delivery of this commitment is supported by the annual Mental Health Investment Standard, which requires commissioners to allocate additional growth in funding for mental health.</p><p>The intention, also set out in the Long Term Plan, to make further efficiencies in NHS administrative costs is intended to ensure that an increasing share of the NHS budget is invested in frontline services by, amongst other things, simplifying costly and overly bureaucratic contracting processes.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/06/2019 15:47:19 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1588 label Biography information for Baroness Keeley

1130890

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	St Andrew's Healthcare: Northampton
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 NHS England has commissioned at St Andrew's in-patient Child & Adolescent Mental Health Service in Northampton in the latest period for which figures are available.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	262331
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 262332 262333 262334 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 Baroness Keeley

1130891

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	Health Services: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what NHS England’s policy is on moving patients in NHS commissioned placements when the setting they are in receives a rating of Inadequate from the Care Quality Commission.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	262332
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 262333 262334 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 Baroness Keeley

1130892

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	Health Services: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what guidance NHS England has given to (a) clinical commissioning groups and (b) other NHS bodies on moving patients in NHS commissioned placements when the setting they are in receives a rating of Inadequate from the Care Quality Commission.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	262333
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 262334 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 Baroness Keeley