No assessment has been made of the potential merits of increasing the proportion of specialised social care in community hospitals.<\/p>
<\/p>
Local authorities have duties under the Care Act 2014 to meet the eligible needs of the people in their local area, subject to a financial assessment. Local authorities should ensure that they commission appropriate and effective services for people with eligible care and support needs.<\/p>
<\/p>
Integrated Care Systems (ICSs) bring together local organisations to redesign care and improve population health, creating shared leadership and action. They are a pragmatic and practical way of delivering the \u2018triple integration\u2019 of primary and acute care, physical and mental health services, and health with social care. ICSs will have a key role in working with local authorities at \u2018place\u2019 level and through ICSs, the National Health Service and local government will work together to design services and improve population health. The NHS Long Term Plan set out a vision for ICSs to cover the whole country by April 2021.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4008", "label" : {"_value" : "Biography information for Dame Caroline Dinenage"} } , "answeringMemberConstituency" : {"_value" : "Gosport"} , "answeringMemberPrinted" : {"_value" : "Caroline Dinenage"} , "dateOfAnswer" : {"_value" : "2019-03-19", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "previousAnswerVersion" : {"_about" : "http://data.parliament.uk/resources/1088233/answer/previousversion/108485", "answeringMember" : {"_about" : "http://data.parliament.uk/members/4008", "label" : {"_value" : "Biography information for Dame Caroline Dinenage"} } , "answeringMemberConstituency" : {"_value" : "Gosport"} , "answeringMemberPrinted" : {"_value" : "Caroline Dinenage"} } , "questionFirstAnswered" : [{"_value" : "2019-03-19T11:09:06.577Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Community Hospitals: Social Services"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of increasing the proportion of specialised social care provided by community hospitals.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1436", "label" : {"_value" : "Biography information for Paul Farrelly"} } , "tablingMemberConstituency" : {"_value" : "Newcastle-under-Lyme"} , "tablingMemberPrinted" : [{"_value" : "Paul Farrelly"} ], "uin" : "231928"} , {"_about" : "http://data.parliament.uk/resources/1088242", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1088242/answer", "answerText" : {"_value" : "
Undergraduate medical schools determine the content of their own curricula but are required to integrate the General Medical Council\u2019s \u2018Outcomes for Graduates\u2019. These Outcomes include the knowledge, skills and behaviour that graduates must be able to demonstrate before gaining a licence to practise medicine.<\/p>
The Outcomes were updated in 2018, with the integration of mental and social health care and caring for people with multiple morbidities, including mental health conditions, being key drivers for the update.<\/p>
The new Outcomes specify that newly qualified doctors must explain and illustrate by professional experience the principles for the identification, safe management and referral of patients with mental health conditions. They must also take action in response to factors suggesting patient vulnerability, including assessing the needs of, and support required, for people with mental health conditions. Newly qualified doctors must be able to explain the relationship between psychological and medical conditions and how psychological factors impact on risk and treatment outcome. Finally the Outcomes take into account multi-professional working, noting that newly qualified doctors must work effectively within a multi-professional and multi-disciplinary team and across multiple care settings.<\/p>
Medical schools have to design their curricula and assessments in order for their students to be able to meet all of the Outcomes by the time they complete their course. Schools have until summer 2020 to make sure their curriculum meets the new outcomes.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1585", "label" : {"_value" : "Biography information for Stephen Hammond"} } , "answeringMemberConstituency" : {"_value" : "Wimbledon"} , "answeringMemberPrinted" : {"_value" : "Stephen Hammond"} , "dateOfAnswer" : {"_value" : "2019-03-18", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-03-18T11:30:33.58Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Eating Disorders"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, whether he plans to ensure that on medicine courses the effect of eating disorders on mental health is given parity of esteem with their effect on physical health; and if he will make a statement.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1436", "label" : {"_value" : "Biography information for Paul Farrelly"} } , "tablingMemberConstituency" : {"_value" : "Newcastle-under-Lyme"} , "tablingMemberPrinted" : [{"_value" : "Paul Farrelly"} ], "uin" : "231929"} , {"_about" : "http://data.parliament.uk/resources/1088388", "AnsweringBody" : [{"_value" : "Department for Work and Pensions"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1088388/answer", "answerText" : {"_value" : "
Every Government needs to balance the generosity of benefit levels with affordability to the taxpayer and making sure that work pays. This Government continues to spend over £95bn a year on welfare. Since 2016, we have invested an additional £1.7bn a year in Universal Credit, through a reduction in the taper rate, increasing the work allowances for households with children and disabled people and providing additional support for people moving onto UC from existing benefits.<\/p>
<\/p>
This Government has also made sure that work pays. The National Living Wage, rising to £8.21 an hour from April 2019, has given the UK\u2019s lowest earners their fastest pay rise in 20 years. We have cut income tax for over 31 million people and taken four million low earners out of income tax altogether. A typical basic-rate taxpayer now has over £1,000 less in income tax than in 2010. Compared with 2010, there are now over 3.5 million more people in work, 1,024,000 fewer workless households, and, at a near record low, 665,000 fewer children living in workless households This means more families are getting more of their income through earnings. Working Age households and households with children in the bottom 20% of the income distribution now get just over half of their income from employment, up from just over 40% in 2010.<\/p>
<\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/strong><\/p><\/td> <\/p><\/td> <\/p><\/td><\/tr> Sources of household income by income quintile (Before Housing Costs) for households not containing pensioners, plus households containing both pensioners and children, United Kingdom <\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/p><\/td> <\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/p><\/td> <\/p><\/td><\/tr> <\/p><\/td> <\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td><\/tr> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/strong><\/p><\/td> Quintile<\/strong><\/p><\/td> <\/strong><\/p><\/td> <\/strong><\/p><\/td><\/tr> <\/strong><\/p><\/td> Source of income<\/strong><\/p><\/td> Bottom quintile<\/p><\/td> 2nd<\/sup> quintile<\/p><\/td> 3rd quintile<\/p><\/td> 4th quintile<\/p><\/td> Top quintile<\/p><\/td><\/tr> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/strong><\/p><\/td> <\/p><\/td><\/tr> <\/p><\/td> Earnings<\/p><\/td> 43<\/p><\/td> 64<\/p><\/td> 81<\/p><\/td> 90<\/p><\/td> 92<\/p><\/td><\/tr> <\/strong><\/p><\/td> Investments<\/p><\/td> 2<\/p><\/td> 1<\/p><\/td> 1<\/p><\/td> 1<\/p><\/td> 5<\/p><\/td><\/tr> 2009/10<\/strong><\/p><\/td> Occupational pensions<\/p><\/td> 2<\/p><\/td> 1<\/p><\/td> 2<\/p><\/td> 2<\/p><\/td> 2<\/p><\/td><\/tr> <\/strong><\/p><\/td> Miscellaneous<\/p><\/td> 5<\/p><\/td> 4<\/p><\/td> 3<\/p><\/td> 3<\/p><\/td> 1<\/p><\/td><\/tr> <\/strong><\/p><\/td> State support<\/p><\/td> 48<\/p><\/td> 30<\/p><\/td> 13<\/p><\/td> 5<\/p><\/td> 1<\/p><\/td><\/tr> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td><\/tr> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/strong><\/p><\/td> <\/p><\/td><\/tr> <\/p><\/td> Earnings<\/p><\/td> 51<\/p><\/td> 67<\/p><\/td> 81<\/p><\/td> 89<\/p><\/td> 92<\/p><\/td><\/tr> <\/strong><\/p><\/td> Investments<\/p><\/td> 3<\/p><\/td> 1<\/p><\/td> 1<\/p><\/td> 1<\/p><\/td> 4<\/p><\/td><\/tr> 2016/17<\/strong><\/p><\/td> Occupational pensions<\/p><\/td> 2<\/p><\/td> 2<\/p><\/td> 2<\/p><\/td> 2<\/p><\/td> 2<\/p><\/td><\/tr> <\/strong><\/p><\/td> Miscellaneous<\/p><\/td> 4<\/p><\/td> 3<\/p><\/td> 4<\/p><\/td> 4<\/p><\/td> 2<\/p><\/td><\/tr> <\/strong><\/p><\/td> State support<\/p><\/td> 40<\/p><\/td> 26<\/p><\/td> 12<\/p><\/td> 3<\/p><\/td> 1<\/p><\/td><\/tr> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td><\/tr> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td><\/tr><\/tbody><\/table><\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> Percentage of household income<\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td><\/tr> Source, Households Below Average Income, DWP<\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td><\/tr><\/tbody><\/table>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4105", "label" : {"_value" : "Biography information for Justin Tomlinson"}
}
, "answeringMemberConstituency" : {"_value" : "North Swindon"}
, "answeringMemberPrinted" : {"_value" : "Justin Tomlinson"}
, "dateOfAnswer" : {"_value" : "2019-03-18", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-03-18T18:01:19.89Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "29"}
, "answeringDeptShortName" : {"_value" : "Work and Pensions"}
, "answeringDeptSortName" : {"_value" : "Work and Pensions"}
, "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Food Poverty"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Work and Pensions, with reference to the report entitled Families and Food in Hard Times: rising food poverty and the importance of children's experience, published by SPERI in 2018, what steps her Department is taking to ensure that wages and social benefits are in combination adequate to provide socially acceptable levels of eating and living.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1436", "label" : {"_value" : "Biography information for Paul Farrelly"}
}
, "tablingMemberConstituency" : {"_value" : "Newcastle-under-Lyme"}
, "tablingMemberPrinted" : [{"_value" : "Paul Farrelly"}
], "uin" : "231930"}
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