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1127961

	registered interest
	date	21/05/2019
	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	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, with reference to Written Statement of 21 May 2019, Care Quality Commission Thematic Review of Restrictive Practices, Seclusion and Segregation, HCWS 1569, what additional resources his Department plans to allocate to scrutinise cases of exclusion and long term segregation; and what assessment he has made of the timeframe required to review each such case.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	256961
	answer	answer is ministerial correction date of answer 04/06/2019 answer text <p>On 21 May 2019, the Care Quality Commission (CQC) published its ‘Interim Report: Review of restraint, prolonged seclusion and segregation for people with a mental health problem, a learning disability and or autism.’ The Government has accepted all five of the recommendations in the CQC’s interim report including the recommendation that over the next 12 months, there should be an independent and an in-depth review of the care provided to, and the discharge plan for, each person who is in segregation on a ward for children and young people or on a ward for people with a learning disability and/or autism.</p><p> </p><p>The Department is committed to working with partners across the health, education and care system to ensure that all of the recommendations are implemented effectively.</p><p> </p><p>We will ensure the care of each and every person detained in seclusion or long term segregation is thoroughly scrutinised. The timeframe required to review each case will be case-specific but each review will be conducted efficiently. We are working with the CQC, NHS England and other partner organisations on the arrangements for the reviews and their oversight and will publish further details shortly.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/06/2019 16:16:20 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	534 label Biography information for Chris Ruane

1131764

	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	Department of Health and Social Care: Statistics
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, on how many occasions his Department has received representations from the UK Statistics Authority on his Department's presentation and use of statistics in each year since 2010.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	263735
	answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>Details on the UK Statistics Authority’s interventions are published in the correspondence<sup>1</sup>, publications<sup>2</sup>, and issues log<sup>3</sup> sections of their website since 2010.</p><p> </p><p>The Authority’s Office for Statistics Regulation also carry out regular assessments and systemic reviews, details of which can also be found on the Authority’s website<sup>4</sup>.</p><p> </p><p>In September 2018, the Authority published the first annual summary of its interventions for the financial year 2017/18<sup>5</sup>. The report for 2018/19 will be published in the autumn.</p><p> </p><p>Notes:</p><p><sup>1</sup><a href="https://www.statisticsauthority.gov.uk/correspondence-list/" target="_blank">https://www.statisticsauthority.gov.uk/correspondence-list/</a></p><p><sup>2</sup><a href="https://www.statisticsauthority.gov.uk/publications-list/" target="_blank">https://www.statisticsauthority.gov.uk/publications-list/</a></p><p><sup>3</sup><a href="https://www.statisticsauthority.gov.uk/reports-and-correspondence/issues-log/" target="_blank">https://www.statisticsauthority.gov.uk/reports-and-correspondence/issues-log/</a></p><p><sup>4</sup><a href="https://www.statisticsauthority.gov.uk/osr/" target="_blank">https://www.statisticsauthority.gov.uk/osr/</a></p><p><sup>5</sup><a href="https://www.statisticsauthority.gov.uk/publication/annual-casework-review-20172018/" target="_blank">https://www.statisticsauthority.gov.uk/publication/annual-casework-review-20172018/</a></p><p><sup> </sup></p><p><sup> </sup></p><p><sup> </sup></p><p><sup> </sup></p><p><sup> </sup></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 20/06/2019 10:43:02 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	534 label Biography information for Chris Ruane

1137011

	registered interest
	date	04/07/2019
	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	Stem Cells: Donors
	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 increase BAME recruitment to the stem cell registry.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	273333
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>Since 2011 the Department has provided over £26.8 million in financial support to NHS Blood and Transplant and Anthony Nolan to enable the establishment of a unified United Kingdom Stem Cell Registry and improve access to and outcomes of stem cell donation. This includes improving equity of access to unrelated donor stem cell transplantation for black, Asian and minority ethnic (BAME) patients through targeted recruitment to the UK Stem Cell Registry and the Department has set specific targets about the proportion of donors that must be from BAME backgrounds.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 09/07/2019 12:56:21 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	534 label Biography information for Chris Ruane

1137018

	registered interest
	date	04/07/2019
	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	Carers: Poverty
	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 estimate he has made of the proportion of people caring for someone at the end of their life who experience financial hardship.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	273336
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>This information is not held centrally. However, the Government is committed to continuing to support carers to provide care as they would wish, and to do so in a way that supports their own health and wellbeing, employment and other life chances. That is why it published its Carers Action Plan 2018-2020 in June 2018 which sets out a programme of targeted work to support unpaid carers.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 09/07/2019 13:20:48 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	534 label Biography information for Chris Ruane

1138515

	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	Stem Cells: Donors
	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 9 July 2019 to Question 273333 on Stem cells: donors, what the targets are for the proportion of donors that must be from BAME backgrounds.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	276165
	answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Since 2011 the Department has provided more than £26 million in financial support to NHS Blood and Transplant and Anthony Nolan to enable the establishment of a unified United Kingdom Stem Cell Registry and improve stem cell donation. This includes improving equity of access to unrelated donor stem cell transplantation for Black Asian Minority Ethnic (BAME) patients through targeted recruitment to the UK Stem Cell Registry. This funding is in addition to the recruitment campaigns run by NHS Blood and Transplant, Anthony Nolan and other partners</p><p>In 2017 the Department funded recruitment for 6,000 extra donors from BAME background and continues to fund recruitment of genome-typed BAME donors who are then much more likely to donate. Working collaboratively to recruit more BAME donors with our partners, 22% of donors recruited in 2018-19 were of BAME background.<sup>1</sup></p><p>As part of the funding outlined above an Umbilical Cord Blood bank has been established. In its funding contribution the Department has set specific targets about the proportion of donors that must be from BAME background which is at least 35% and this target is being met.</p><p><sup>1</sup> <a href="https://www.anthonynolan.org/sites/default/files/State_Of_The_Registry_201819.pdf" target="_blank">https://www.anthonynolan.org/sites/default/files/State_Of_The_Registry_201819.pdf</a></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/07/2019 16:26:27 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	534 label Biography information for Chris Ruane

1141460

	registered interest
	date	23/07/2019
	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	Health: 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 he is taking to encourage health and wellbeing boards to measure and monitor children's subjective well-being as a key outcome in their local area.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	280948
	answer	answer is ministerial correction date of answer 29/07/2019 answer text <p>Health and Wellbeing Boards in England bring into one forum representatives from health, social services and the local community to decide what the main public health needs of the local population are, and to determine how best to meet them in an integrated and holistic manner. Health and Wellbeing Boards are required to produce Joint Strategic Needs Assessment (JSNA) for their area. Based on the needs identified the Board produces a Joint Health and Wellbeing Strategy (JHWS). Both the JSNA and JHWS must be taken into account by local authorities, clinical commissioning groups and NHS England when preparing or revising commissioning.</p><p>We believe that local leaders are best placed to make decisions as to the need of the population they serve, including for children and young people’s wellbeing. Places such as Greater Manchester Combined Authority have produced a dedicated Children and Young People Health and Wellbeing Framework for 2018-2022.</p><p>As health is a devolved matter in Wales, it would therefore be the responsibility of the Welsh Government to decide how to monitor children’s wellbeing.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 29/07/2019 09:42:45 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	534 label Biography information for Chris Ruane

1142008

	registered interest
	date	25/07/2019
	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	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 research his Department has commissioned on the efficacy of mindfulness-based therapies in the treatment of (a) stress, (b) depression and (c) other mental health conditions in the last five years; and which organisation conducted each such research project.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	282213
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The Department funds health and care research through the National Institute for Health Research (NIHR). The NIHR welcomes funding applications for research into any aspect of human health, including mindfulness-based therapies for the treatment of mental health conditions. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p><p>The NIHR is the largest funder of mental health research in the United Kingdom and it has considerable investments in translational, clinical and applied mental health research. NIHR investment in mental health research for 2017/18 was £74.8 million. In the last five years the NIHR has funded a number of studies investigating mindfulness-based therapies for a range of mental health conditions across its research programmes, biomedical and applied research centres and research fellowships. These range from a trial of mindfulness-based cognitive therapy for people with mild to moderate depression to a study which is evaluating the effects of mindfulness and connection with nature on chronic stress and well-being in deprived areas.</p><p>The attached table provides details of these studies, including which organisation conducted each project.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 09/09/2019 16:14:07 answering member 4008 label Biography information for Dame Caroline Dinenage attachment 1 file name PQ282213.docx title PQ282213
	tabling member	534 label Biography information for Chris Ruane

1142016

	registered interest
	date	25/07/2019
	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	Loneliness: Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what research his Department has (a) commissioned and (b) evaluated on the potential effect of loneliness and social isolation on recovery rates from (i) cardiovascular disease, (ii) cancer and (iii) mental health conditions.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	282221
	answer	answer is ministerial correction date of answer 04/09/2019 answer text <p>The Department is investing over £1 billion a year in health research through the National Institute for Health Research (NIHR). The NIHR’s research programmes provide a flexible source of funding. Applications are welcome for research into any aspect of human health, including research on the potential effect of loneliness and social isolation on recovery from Cardiovascular disease, cancer and mental health conditions; it is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p><p> </p><p>The NIHR funds a number of research projects exploring the potential effect of loneliness and social isolation on recovery rates from cardiovascular disease, cancer and mental health conditions. Studies range in their focus, from specific vulnerable groups such as the elderly, those with mental health conditions or learning disabilities to the wider impact of social isolation and loneliness on an individual’s physical and mental health and well-being. The NIHR is funding two large studies focussing on improving the quality of life for people with serious mental health conditions, for example a £2.7 million study which includes testing a targeted, intervention to expand social networks of patients with psychosis and a £3.95 million study on immersive virtual reality as a treatment to help individuals with schizophrenia safely and confidently enter everyday situations. A current trial is testing an intervention to improve the physical and mental health outcomes for people who may be isolated due to a range of physical, psychological and social factors. Other studies, whose primary focus is not loneliness or social isolation, explore the effects of these within a broader context, for example a current study is researching the specific late effects of chemotherapy (such as hearing loss) and the associate impact on quality of life, including social isolation.</p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/09/2019 16:05:43 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	534 label Biography information for Chris Ruane

1142018

	registered interest
	date	25/07/2019
	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	Mental Health Services: Expenditure
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much the Government spent on research into (a) anti-depressant drug treatment and (b) mindfulness-based stress reduction therapy in the latest period for which figures are available.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	282223
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The Department funds health and care research through the National Institute for Health Research (NIHR). The NIHR welcomes funding applications for research into any aspect of human health, including mental health. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality. The NIHR is the largest funder of mental health research in the United Kingdom. It has considerable investments in translational, clinical and applied mental health research. NIHR investment in mental health research for 2017/18 was £74.8 million.</p><p>The latest spend figures for research on antidepressant drug treatment and mindfulness-based stress reduction therapy are as follows:</p><p>Antidepressant drugs:</p><p> </p><table><tbody><tr><td colspan="2"><p>Financial Expenditure</p></td></tr><tr><td><p>2017/18</p></td><td><p>2018/19</p></td></tr><tr><td><p>NIHR Programmes total spend</p></td><td><p>£2,558,406.14</p></td><td><p>£3,269,938.30</p></td></tr></tbody></table><p> </p><p>Mindfulness - based therapy</p><table><tbody><tr><td colspan="2"><p>Financial Expenditure</p></td></tr><tr><td><p>2017/18</p></td><td><p>2018/19</p></td></tr><tr><td><p>NIHR Programmes total spend</p></td><td><p>£206,648</p></td><td><p>£308,645.22</p></td></tr></tbody></table><p>It should be noted that the spend figure on antidepressants will include studies where anti-depressants are repurposed for use in treating other conditions or where an anti-depressant will be being compared to a non-pharmacological intervention.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 09/09/2019 16:09:58 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	534 label Biography information for Chris Ruane