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1038994

	registered interest
	date	10/01/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	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, what steps he is taking to include people with (a) learning disabilities and (b) autism in the development of mandatory training for NHS staff.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	207226
	answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>We will shortly consult on proposals for mandatory learning disability and autism training to ensure that staff working in health and social care understand the needs of people with learning disabilities and autism and have the skills to provide them with the most effective care and support. Officials have worked with people with lived experience of learning disabilities and autism to develop the consultation proposals.</p><p> </p><p>We want to hear a range of views, including those from people with a learning disability or autism and their families, and in line with Cabinet Office principles on consultation, we will tailor the consultation to meet the needs and preferences of different groups, including the provision of consultation documents in alternative formats.</p><p> </p><p>The consultation will consider the role of people with a learning disability or autism in the development and deployment of training as they can bring a unique and valuable perspective as users of health and care services.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 207227 question first answered 17/01/2019 12:31:47 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4122 label Biography information for Alex Cunningham

1038995

	registered interest
	date	10/01/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	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, whether mandatory training on learning disability and autism will include people with (a) learning disabilities and (b) autism.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	207227
	answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>We will shortly consult on proposals for mandatory learning disability and autism training to ensure that staff working in health and social care understand the needs of people with learning disabilities and autism and have the skills to provide them with the most effective care and support. Officials have worked with people with lived experience of learning disabilities and autism to develop the consultation proposals.</p><p> </p><p>We want to hear a range of views, including those from people with a learning disability or autism and their families, and in line with Cabinet Office principles on consultation, we will tailor the consultation to meet the needs and preferences of different groups, including the provision of consultation documents in alternative formats.</p><p> </p><p>The consultation will consider the role of people with a learning disability or autism in the development and deployment of training as they can bring a unique and valuable perspective as users of health and care services.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 207226 question first answered 17/01/2019 12:31:47 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4122 label Biography information for Alex Cunningham

1038997

	registered interest
	date	10/01/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Health Services: 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, what steps he is taking to (a) monitor and (b) ensure that services funded by the NHS are compliant with national learning disability improvement standards.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	207228
	answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>The NHS Long Term Plan outlines the expectation that all National Health Service-funded care providers in England should have implemented the learning disability improvement standards by 2023/24.</p><p> </p><p>Inclusion of the improvement standards in the NHS Standard contract 2019/20, mandated by NHS England for use by commissioners of all healthcare services except primary care, means that all providers must have regard to the improvement standards and guidance.</p><p> </p><p>To monitor and ensure compliance with the improvement standards, NHS Improvement has commissioned the NHS Benchmarking Network to facilitate national data collection across all NHS trusts, including NHS community trusts and NHS ambulance trusts.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/01/2019 12:28:08 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4122 label Biography information for Alex Cunningham

1041644

	registered interest
	date	15/01/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Health Services: 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, whether compliance with national learning disability improvement standards will be mandatory for NHS funded services and whether those services will be (a) regulated and (b) rated for national learning disability improvement standards.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	208814
	answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>The NHS Standard Contract 2019/20 mandated by NHS England for use by commissioners of all healthcare services except primary care, requires all providers in England to have regard to the national learning disability improvement standards and guidance. The NHS Long Term Plan outlines the expectation that all National Health Service funded care providers should have implemented the improvement standards by 2023/24 and the Care Quality Commission is working with NHS Improvement to consider how they can ensure adoption of the improvement standards by trusts.</p><p> </p><p>To monitor and ensure compliance with the improvement standards, NHS Improvement has commissioned the NHS Benchmarking Network to facilitate national data collection across all NHS trusts. NHS Improvement has provided tools for trusts to self-assess their performance against the improvement standards which auto-generate performance and ratings scales. NHS Improvement can use these outcomes to identify where there are exemplary assurances processes in place and excellence in care delivery.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 22/01/2019 15:26:12 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4122 label Biography information for Alex Cunningham

1077636

	registered interest
	date	26/02/2019
	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 Capacity (Amendment) Bill (HL)
	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 page four of the Impact Assessment for the Mental Capacity Amendment Bill, what methodology his Department used to calculate that the cost of authorisation and reviews by care settings at zero.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	226099
	answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>The net cost of authorisations and reviews is estimated to be zero because the role for care homes under the Liberty Protection Safeguards will be similar to the role they have currently under the Deprivation of Liberty Safeguards and Care Act. Care homes will not be responsible for conducting assessments in any circumstances. Where appropriate they will prepare the statement provided to the responsible body. In some cases these statements might incorporate existing valid assessments but these assessments will not have been conducted by care home staff.</p><p> </p><p>0.5 days is our best estimate of how long it will take care home managers to be familiarised with their roles in the new system, assuming they are already familiar with how the Deprivation of Liberty Safeguards system operates. The current Deprivation of Liberty system training can be completed in two hours. The half day training considered to be required to familiarise care home manager with the new system is additional to the support government has committed to provide to the sector ahead of implementation of the Liberty Protection Safeguards.</p><p> </p><p>The comprehensive work undertaken by the Law Commission on reforming the Deprivation of Liberty Safeguards system over a three-year period (2014 – 2017) estimated that approximately 1% of applications would result in an appeal to the Court of Protection. This is set out on page 34 of the Law Commissions Impact Assessment on Mental Capacity and Detention. The Bill introduces a new role of the Approved Mental Capacity Professional (AMCP). The AMCP will consider objections and provide an opportunity for resolution outside the Court of Protection. Given uncertainty, we have modelled a range of scenarios. Our central estimate is based on a reduction in the number of appeals to the Court of Protection to 0.5% of applications.</p><p> </p><p>The responsibility of the Approved Mental Capacity Professional is to ensure the independence of the objection process, when an individual disagrees with their care arrangements so that individuals can exercise their right to object in confidence, they are not responsible for formal mediation but provide an opportunity for issues to be resolved outside of court. The Department is working with stakeholders and professionals to develop a Code of Practice which will assist in the implementation and transition period of the Bill.</p><p> </p><p>General practitioners (GPs) and other relevant clinicians will be able to provide evidence used for the purposes of medical and capacity assessments, for example an existing diagnosis of dementia can be used for the purposes of a medical assessment. We are not expecting GPs or other professionals to undertake new functions in addition to routine practice, but rather want to use the current healthcare system and activities to support the more streamlined Liberty Protection Safeguards system through sharing of information that already exists.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 226100 226101 226102 226103 question first answered 05/03/2019 15:34:40 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4122 label Biography information for Alex Cunningham

1077637

	registered interest
	date	26/02/2019
	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 Capacity (Amendment) Bill (HL)
	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 page 23 of the Impact Assessment of the Mental Capacity Amendment Bill, what methodology his Department used to calculate that care home managers would require half a day’s training on the new Liberty Protection Safeguards.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	226100
	answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>The net cost of authorisations and reviews is estimated to be zero because the role for care homes under the Liberty Protection Safeguards will be similar to the role they have currently under the Deprivation of Liberty Safeguards and Care Act. Care homes will not be responsible for conducting assessments in any circumstances. Where appropriate they will prepare the statement provided to the responsible body. In some cases these statements might incorporate existing valid assessments but these assessments will not have been conducted by care home staff.</p><p> </p><p>0.5 days is our best estimate of how long it will take care home managers to be familiarised with their roles in the new system, assuming they are already familiar with how the Deprivation of Liberty Safeguards system operates. The current Deprivation of Liberty system training can be completed in two hours. The half day training considered to be required to familiarise care home manager with the new system is additional to the support government has committed to provide to the sector ahead of implementation of the Liberty Protection Safeguards.</p><p> </p><p>The comprehensive work undertaken by the Law Commission on reforming the Deprivation of Liberty Safeguards system over a three-year period (2014 – 2017) estimated that approximately 1% of applications would result in an appeal to the Court of Protection. This is set out on page 34 of the Law Commissions Impact Assessment on Mental Capacity and Detention. The Bill introduces a new role of the Approved Mental Capacity Professional (AMCP). The AMCP will consider objections and provide an opportunity for resolution outside the Court of Protection. Given uncertainty, we have modelled a range of scenarios. Our central estimate is based on a reduction in the number of appeals to the Court of Protection to 0.5% of applications.</p><p> </p><p>The responsibility of the Approved Mental Capacity Professional is to ensure the independence of the objection process, when an individual disagrees with their care arrangements so that individuals can exercise their right to object in confidence, they are not responsible for formal mediation but provide an opportunity for issues to be resolved outside of court. The Department is working with stakeholders and professionals to develop a Code of Practice which will assist in the implementation and transition period of the Bill.</p><p> </p><p>General practitioners (GPs) and other relevant clinicians will be able to provide evidence used for the purposes of medical and capacity assessments, for example an existing diagnosis of dementia can be used for the purposes of a medical assessment. We are not expecting GPs or other professionals to undertake new functions in addition to routine practice, but rather want to use the current healthcare system and activities to support the more streamlined Liberty Protection Safeguards system through sharing of information that already exists.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 226099 226101 226102 226103 question first answered 05/03/2019 15:34:40 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4122 label Biography information for Alex Cunningham

1077638

	registered interest
	date	26/02/2019
	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 Capacity (Amendment) Bill (HL)
	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 Impact Assessment of the Mental Capacity (Amendment) Bill, what steps his Department will take to support GPs to carry out capacity assessments.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	226101
	answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>The net cost of authorisations and reviews is estimated to be zero because the role for care homes under the Liberty Protection Safeguards will be similar to the role they have currently under the Deprivation of Liberty Safeguards and Care Act. Care homes will not be responsible for conducting assessments in any circumstances. Where appropriate they will prepare the statement provided to the responsible body. In some cases these statements might incorporate existing valid assessments but these assessments will not have been conducted by care home staff.</p><p> </p><p>0.5 days is our best estimate of how long it will take care home managers to be familiarised with their roles in the new system, assuming they are already familiar with how the Deprivation of Liberty Safeguards system operates. The current Deprivation of Liberty system training can be completed in two hours. The half day training considered to be required to familiarise care home manager with the new system is additional to the support government has committed to provide to the sector ahead of implementation of the Liberty Protection Safeguards.</p><p> </p><p>The comprehensive work undertaken by the Law Commission on reforming the Deprivation of Liberty Safeguards system over a three-year period (2014 – 2017) estimated that approximately 1% of applications would result in an appeal to the Court of Protection. This is set out on page 34 of the Law Commissions Impact Assessment on Mental Capacity and Detention. The Bill introduces a new role of the Approved Mental Capacity Professional (AMCP). The AMCP will consider objections and provide an opportunity for resolution outside the Court of Protection. Given uncertainty, we have modelled a range of scenarios. Our central estimate is based on a reduction in the number of appeals to the Court of Protection to 0.5% of applications.</p><p> </p><p>The responsibility of the Approved Mental Capacity Professional is to ensure the independence of the objection process, when an individual disagrees with their care arrangements so that individuals can exercise their right to object in confidence, they are not responsible for formal mediation but provide an opportunity for issues to be resolved outside of court. The Department is working with stakeholders and professionals to develop a Code of Practice which will assist in the implementation and transition period of the Bill.</p><p> </p><p>General practitioners (GPs) and other relevant clinicians will be able to provide evidence used for the purposes of medical and capacity assessments, for example an existing diagnosis of dementia can be used for the purposes of a medical assessment. We are not expecting GPs or other professionals to undertake new functions in addition to routine practice, but rather want to use the current healthcare system and activities to support the more streamlined Liberty Protection Safeguards system through sharing of information that already exists.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 226099 226100 226102 226103 question first answered 05/03/2019 15:34:40 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4122 label Biography information for Alex Cunningham

1077639

	registered interest
	date	26/02/2019
	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 Capacity (Amendment) Bill (HL)
	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 Impact Assessment of the Mental Capacity Amendment Bill, what methodology his Department used to calculate that 0.5 per cent of appeals cases would arrive before the Court of Protection.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	226102
	answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>The net cost of authorisations and reviews is estimated to be zero because the role for care homes under the Liberty Protection Safeguards will be similar to the role they have currently under the Deprivation of Liberty Safeguards and Care Act. Care homes will not be responsible for conducting assessments in any circumstances. Where appropriate they will prepare the statement provided to the responsible body. In some cases these statements might incorporate existing valid assessments but these assessments will not have been conducted by care home staff.</p><p> </p><p>0.5 days is our best estimate of how long it will take care home managers to be familiarised with their roles in the new system, assuming they are already familiar with how the Deprivation of Liberty Safeguards system operates. The current Deprivation of Liberty system training can be completed in two hours. The half day training considered to be required to familiarise care home manager with the new system is additional to the support government has committed to provide to the sector ahead of implementation of the Liberty Protection Safeguards.</p><p> </p><p>The comprehensive work undertaken by the Law Commission on reforming the Deprivation of Liberty Safeguards system over a three-year period (2014 – 2017) estimated that approximately 1% of applications would result in an appeal to the Court of Protection. This is set out on page 34 of the Law Commissions Impact Assessment on Mental Capacity and Detention. The Bill introduces a new role of the Approved Mental Capacity Professional (AMCP). The AMCP will consider objections and provide an opportunity for resolution outside the Court of Protection. Given uncertainty, we have modelled a range of scenarios. Our central estimate is based on a reduction in the number of appeals to the Court of Protection to 0.5% of applications.</p><p> </p><p>The responsibility of the Approved Mental Capacity Professional is to ensure the independence of the objection process, when an individual disagrees with their care arrangements so that individuals can exercise their right to object in confidence, they are not responsible for formal mediation but provide an opportunity for issues to be resolved outside of court. The Department is working with stakeholders and professionals to develop a Code of Practice which will assist in the implementation and transition period of the Bill.</p><p> </p><p>General practitioners (GPs) and other relevant clinicians will be able to provide evidence used for the purposes of medical and capacity assessments, for example an existing diagnosis of dementia can be used for the purposes of a medical assessment. We are not expecting GPs or other professionals to undertake new functions in addition to routine practice, but rather want to use the current healthcare system and activities to support the more streamlined Liberty Protection Safeguards system through sharing of information that already exists.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 226099 226100 226101 226103 question first answered 05/03/2019 15:34:40 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4122 label Biography information for Alex Cunningham

1077641

	registered interest
	date	26/02/2019
	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 Capacity (Amendment) Bill (HL)
	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 page 25 of the Impact Assessment for the Mental Capacity Amendment Bill, whether mediation will be available for people who disagree with their care arrangements.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	226103
	answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>The net cost of authorisations and reviews is estimated to be zero because the role for care homes under the Liberty Protection Safeguards will be similar to the role they have currently under the Deprivation of Liberty Safeguards and Care Act. Care homes will not be responsible for conducting assessments in any circumstances. Where appropriate they will prepare the statement provided to the responsible body. In some cases these statements might incorporate existing valid assessments but these assessments will not have been conducted by care home staff.</p><p> </p><p>0.5 days is our best estimate of how long it will take care home managers to be familiarised with their roles in the new system, assuming they are already familiar with how the Deprivation of Liberty Safeguards system operates. The current Deprivation of Liberty system training can be completed in two hours. The half day training considered to be required to familiarise care home manager with the new system is additional to the support government has committed to provide to the sector ahead of implementation of the Liberty Protection Safeguards.</p><p> </p><p>The comprehensive work undertaken by the Law Commission on reforming the Deprivation of Liberty Safeguards system over a three-year period (2014 – 2017) estimated that approximately 1% of applications would result in an appeal to the Court of Protection. This is set out on page 34 of the Law Commissions Impact Assessment on Mental Capacity and Detention. The Bill introduces a new role of the Approved Mental Capacity Professional (AMCP). The AMCP will consider objections and provide an opportunity for resolution outside the Court of Protection. Given uncertainty, we have modelled a range of scenarios. Our central estimate is based on a reduction in the number of appeals to the Court of Protection to 0.5% of applications.</p><p> </p><p>The responsibility of the Approved Mental Capacity Professional is to ensure the independence of the objection process, when an individual disagrees with their care arrangements so that individuals can exercise their right to object in confidence, they are not responsible for formal mediation but provide an opportunity for issues to be resolved outside of court. The Department is working with stakeholders and professionals to develop a Code of Practice which will assist in the implementation and transition period of the Bill.</p><p> </p><p>General practitioners (GPs) and other relevant clinicians will be able to provide evidence used for the purposes of medical and capacity assessments, for example an existing diagnosis of dementia can be used for the purposes of a medical assessment. We are not expecting GPs or other professionals to undertake new functions in addition to routine practice, but rather want to use the current healthcare system and activities to support the more streamlined Liberty Protection Safeguards system through sharing of information that already exists.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 226099 226100 226101 226102 question first answered 05/03/2019 15:34:40 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4122 label Biography information for Alex Cunningham

1130514

	registered interest
	date	06/06/2019
	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	Social Workers
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether social workers will be included in the NHS People Plan.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	261217
	answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>A major uplift was announced on 30 April 2019 to the financial support available to infected and affected beneficiaries registered with the infected blood support scheme in England.</p><p>As announced at that time, the Government is committed to working with its counterparts in the devolved administrations to look at the issue of parity of support across the United Kingdom. I have written to my counterparts in all the other devolved nations, including the Permanent Secretary of Northern Ireland, inviting them to meet to discuss this issue at the earliest opportunity. A date for this meeting is currently being sought.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/06/2019 10:31:01 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4122 label Biography information for Alex Cunningham