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1130021

	registered interest
	date	05/06/2019
	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	Self-harm: Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the implications for his policies on increasing support for people who are self-harming of the Lancet article, Prevalence of non-suicidal self-harm and service contact in England, 2000–14: repeated cross-sectional surveys of the general population, published on 4 June 2019.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	260566
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>We are aware of the rise in young people self-harming, which is why we included a new key area for action to address self-harming in the cross-government National Suicide Prevention Strategy in 2017.</p><p>Our close work with the Department for Digital, Culture, Media and Sport on its Online Harms White Paper will also help to tackle online harms associated with harmful suicide and self-harm content across the internet, including social media.</p><p>We continue to fund research into self-harming through the multi-centre study for self-harm in England, which will look at self-harming in children and young people in more detail over the next two years.</p><p>Through the NHS Long Term Plan we have also invested £249 million to ensure every emergency department has a mental health liaison team in place by 2020/21, which are well placed to treat people who present at hospital for self-harm. The Plan also commits to developing integrated models of primary and community care to support people with complex needs, including self-harming.</p><p>Investment in the Mental Health Five Year Forward View and NHS Long Term Plan will deliver timely, high-quality mental health support, including by 2023/24. By expanding services and working with schools and colleges an additional 345,000 children and young people aged 0-25 will be able to access comprehensive support.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 11/06/2019 16:10:51 answering member 4065 label Biography information for Dame Jackie Doyle-Price previous answer version 121596 answering member constituency Thurrock answering member printed Jackie Doyle-Price answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1132109

	registered interest
	date	13/06/2019
	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: Economic Situation
	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 study entitled Recession, recovery and suicide in mental health patients in England: time trend analysis, published in the British Journal of Psychiatry on 13 June 2019, what assessment he has made of the effect of economic pressures on male adults' mental health; and what steps he is taking to provide support and targeted interventions for patients experiencing financial difficulties.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	264352
	answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>The Government recognises the impact that debt and financial difficulty can have on men’s mental health and wellbeing and that men are at a higher risk of suicide.</p><p> </p><p>The National Suicide Prevention Strategy highlights groups that need tailored approaches to address their mental health needs to reduce their suicide risk, including men. Every local authority has a suicide prevention plan in place and we are investing £25 million over the next three years to support these local plans. We have worked with NHS England and Public Health England to ensure that this funding is used to test different approaches to reaching men in local communities.</p><p> </p><p>We are working with the local government sector to assess the effectiveness of those plans, and a report will be published shortly that will highlight areas of best practice and areas for improvement. This report will include an analysis of the extent to which local authority plans are addressing high risk groups.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/06/2019 16:40:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price previous answer version 123848 answering member constituency Thurrock answering member printed Jackie Doyle-Price answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1110180

	registered interest
	date	08/04/2019
	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	Breasts: Plastic Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment his Department of the implications for his policies of France's National Agency for Medicines and Health Products' decision to ban macro-textured and polyurethane breast implants for cosmetic and reconstructive surgery.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	242037
	answer	answer is ministerial correction date of answer 11/04/2019 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for regulating medical devices in the United Kingdom.</p><p> </p><p>The Agency is aware of the French National Agency for Medicines and Health Products’ (ANSM) announcement restricting the use of certain types of breast implants. This does not include all macro-textured breast implants on the French market.</p><p> </p><p>France has said its approach is a precautionary measure as part of their ongoing investigation into Breast Implant Associated- Anaplastic Large Cell Lymphoma. This action goes further than the recommendations of ANSM’s own expert panel in February 2019.</p><p> </p><p>Based on an analysis of the scientific evidence available and independent expert clinical advice received, it was confirmed there was no new evidence which would change the United Kingdom Regulator’s view, because there was nothing to indicate any increased risk to patients with these implants over what is already known.</p><p> </p><p>At this time, the MHRA’s position is consistent with all other European Union member states.</p><p> </p><p>The MHRA’s advice continues to be, if people have any questions about their implants, they should speak to their implanting surgeon or general practitioner.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 11/04/2019 16:13:00 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1110597

	registered interest
	date	09/04/2019
	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: Older People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of the adequacy of mental health provision for the elderly.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	242728
	answer	answer is ministerial correction date of answer 15/04/2019 answer text <p>The NHS Long Term Plan, published on 7 January 2019, commits the National Health Service to improving the provision of mental health support for older people with a range of needs and diagnoses, including common mental health problems and severe mental illnesses. This improvement applies across all mental and physical health services and settings, including Improving Access to Psychological Therapies (IAPT), community, crisis and liaison mental health care as well as new models of integrated care for older people living with frailty. The National Implementation Framework, to be published later this spring, will provide further information on how the Long Term Plan will drive improvements in older people’s mental health care.</p><p> </p><p>The Department and NHS England remains committed to increasing older people’s access to psychological therapies via the IAPT programme. Data shows that once older people access psychological therapy in IAPT they achieve positive outcomes. The recovery rate for those people aged 65 and over who access treatment has increased from 57.8% in 2014/15 to 64.9% in 2017/18.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/04/2019 12:44:15 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1123271

	registered interest
	date	25/04/2019
	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: Older People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 15 April 2019 to Question 242728, whether he plans to increase the number of older people accessing psychological therapies.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	247609
	answer	answer is ministerial correction date of answer 30/04/2019 answer text <p>The Department, through NHS England, remains committed to increasing older people’s access to psychological therapies via the Improving Access to Psychological Therapies (IAPT) programme.</p><p>Referrals into IAPT services for people aged 65 and over show a consistent rise over the last five years, from 5.5% of referrals in 2012/13 to 6.8% in 2017/18. This equates to approximately 2,000 extra referrals of people aged 65 and over each year.</p><p>Since April 2018 all clinical commissioning groups (CCGs) have been expected to expand IAPT by commissioning services that are integrated into physical healthcare pathways. These services are designed to support people with combined physical health long-term conditions (LTCs) and mental health problems. It is expected that this expansion will further increase access for older people, who are more likely than working age people to live with one or more LTCs.</p><p>We have introduced financial incentives through the Mental Health Quality Premium in 2017/18 and 2018/19 to reward CCGs for improvements in access to, and outcomes from, IAPT services for under-represented groups, in particular older people.</p><p>The NHS Long Term Plan, published on 7 January 2019, commits the National Health Service to improving the provision of mental health support for older people with a range of needs and diagnoses, including common mental health problems and severe mental illnesses.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 30/04/2019 15:36:40 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1124994

	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	Eating Disorders
	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 enforce NICE guidance on Eating disorders: recognition and treatment, to ensure that people with a healthy BMI are not denied treatment for an eating disorder.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	251225
	answer	answer is ministerial correction date of answer 13/05/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) guideline on ‘Eating disorders: recognition and treatment’ makes it clear that a person’s Body Mass Index is just one of the factors that should be taken into account to determine whether to offer treatment for an eating disorder, but that it should not be used on its own.</p><p> </p><p>Clinical commissioning groups and providers of healthcare are expected to have regard to national guidance and are responsible for developing their own local approaches to its implementation taking into account local priorities and needs.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 13/05/2019 16:32:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1125002

	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	Maternity Services: Vacancies
	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 he is taking to address staff shortages in maternity units; and if he will make a statement.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	251226
	answer	answer is ministerial correction date of answer 15/05/2019 answer text <p>Health Education England released its strategy to increase the numbers of staff working in maternity services within the Maternity Workforce Strategy. This can be found at the following link:</p><p><a href="https://www.hee.nhs.uk/our-work/maternity/maternity-workforce-transformation-strategy" target="_blank">https://www.hee.nhs.uk/our-work/maternity/maternity-workforce-transformation-strategy</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/05/2019 16:21:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1127334

	registered interest
	date	17/05/2019
	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	Isotretinoin: Side Effects
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential health risks and psychiatric side-effects of the drug Roaccutane.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	255661
	answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>As with all medicines in the United Kingdom, the Medicines and Healthcare products Regulatory Agency continuously monitors the safety of isotretinoin-containing medicines. This includes reports of suspected adverse drug reactions submitted by healthcare professionals, patients and carers through the Yellow Card scheme, as well as published and unpublished data. As new evidence on safety emerges it is carefully evaluated and, where appropriate, product information is updated and advice for prescribers and patients is issued.</p><p>Specific assessments of possible psychiatric side effects associated with isotretinoin were considered by an Expert Working Group of the Commission on Human Medicines in 2005 and 2014. In addition, the risk of neuropsychiatric disorders was evaluated in a European review which was completed in 2018. This review concluded that the warnings in the product information for medicines containing isotretinoin regarding possible psychiatric adverse effects reflected what was known.</p><p>Since 1998, warnings regarding the possible risk of developing depression and other psychiatric side effects have been included in the product information for Roaccutane and the generic versions of isotretinoin (the Summary of Product Characteristics for healthcare professionals and the patient information leaflet). The product information for isotretinoin warns that treatment may be associated with possible psychiatric side effects, that particular care needs to be taken in patients with a history of depression; and that all patients on isotretinoin should be monitored for signs of depression and referred for appropriate treatment if necessary. It also states that stopping isotretinoin may not lead to improvement and therefore further psychiatric or psychological evaluation may be necessary.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/05/2019 16:42:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1127680

	registered interest
	date	20/05/2019
	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	Psychiatric Hospitals: 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 ensure that children are not unnecessarily admitted to mental health hospitals.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	256250
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>The Department is committing increased expenditure to support the provision of mental health services in the community, to reduce the need for children to be admitted to mental health hospitals unless absolutely necessary.</p><p>Through the NHS Long Term Plan, published in January 2019, mental health funding will grow by at least £2.3 billion a year by 2023/24, with funding for children and young people’s mental health services growing faster than both overall National Health Service funding and total mental health spending. This extra investment will mean an extra 345,000 children and young people aged 0-25 will receive mental health support by 2023/24.</p><p>The key proposals in ‘Transforming children and young people’s mental health provision: a green paper’ aim to improve early intervention. New mental health support teams will deliver evidence-based interventions in or close to schools and colleges for those with mild to moderate mental health issues in 25 trailblazer areas in England. 12 of the 25 trailblazer sites will pilot a four-week waiting time to speed up children and young people’s access to NHS mental health services.</p><p>Over the next five years, the NHS will therefore continue to invest in expanding access to community-based mental health services to meet the needs of more children and young people.</p><p>The NHS Long Term Plan prioritises services for children and young people, providing a clear focus on improving the health and wellbeing of children and young people with learning disabilities and/or autism, as well as committing to implementing ‘Building the right support’ in full, achieving at least a 50% reduction in the number of people with a learning disability or autism who are inpatients, compared to the figure in 2015, by the end of 2023/24.</p><p>The Long Term Plan sets out specific commitments to achieve this by developing new models of care to provide care closer to home and investing in intensive, crisis and forensic community support. By 2023/24 children and young people with a learning disability, autism or both with the most complex needs will also have a designated keyworker. These will be initially provided to children and young people who are inpatients or at risk of being admitted to hospital.</p><p>Furthermore, the Government is committed to reviewing mental health legislation so that it works better for both adults and children. We are currently considering the findings from the independent review of the Mental Health Act 1983, which covers how a person can be detained or sectioned for treatment and will respond in due course.</p><p> </p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/05/2019 16:47:51 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1128427

	registered interest
	date	22/05/2019
	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	Eating Disorders
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent steps his Department has taken to improve outpatient waiting times for adults suffering from an eating disorder.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	257505
	answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>The Government is committed to reducing waiting times for people of all age groups who suffer with an eating disorder. Within the NHS Long Term Plan ambitions, the Clinical Review of NHS Access Standards aims to “test four-week waiting times for adult and older adult community mental health teams, with selected local areas”. This will form part of wider testing of the new and integrated models of primary and community mental health care.</p><p>The recently-published ‘Guidance for operational and activity plans: assurance statements’, to accompany the NHS Planning Guidance for 2019/20, makes clear that these new models will include services for adults with eating disorders.</p><p>In 2019-20, NHS England will begin funding a number of pilot sites for these new models across the country, including services for adults with eating disorders. Selected sites will work towards maximising access and minimising waits to improve patient care. Sites will be selected within regions over the coming months and will be given pump prime funding.</p><p>In parallel to this, NHS England is rolling out the New Care Models in Mental Health programme, delegating specialised commissioning budgets for adult eating disorder inpatient services to provider collaboratives. These collaboratives will have the power to transform pathways of care and maximise access to dedicated community-based provision to avoid need for admissions as far as possible, building on the success of pilot sites where this work is already underway.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/06/2019 14:12:54 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly