This data is not collected centrally. The Care Quality Commission (CQC) rating of all providers \u2013 both National Health Service and independent sector - will vary over time and between the CQC\u2019s 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>"} , "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" : "2019-06-17", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-06-17T15:32:20.087Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-06-12", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Health Services: Autism and Learning Disability"} , "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, 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.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1588", "label" : {"_value" : "Biography information for Barbara Keeley"} } , "tablingMemberConstituency" : {"_value" : "Worsley and Eccles South"} , "tablingMemberPrinted" : [{"_value" : "Barbara Keeley"} ], "uin" : "263786"} , {"_about" : "http://data.parliament.uk/resources/1131611", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1131611/answer", "answerText" : {"_value" : "
This data is not collected centrally. The Care Quality Commission (CQC) rating of all providers \u2013 both National Health Service and independent sector - will vary over time and between the CQC\u2019s 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>"} , "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" : "2019-06-17", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-06-17T15:33:43.447Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-06-12", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Mental Health Services: Children and Young People"} , "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, 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.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1588", "label" : {"_value" : "Biography information for Barbara Keeley"} } , "tablingMemberConstituency" : {"_value" : "Worsley and Eccles South"} , "tablingMemberPrinted" : [{"_value" : "Barbara Keeley"} ], "uin" : "263787"} , {"_about" : "http://data.parliament.uk/resources/1131221", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1131221/answer", "answerText" : {"_value" : "
Information on the length of stay for out of area placements is not collected centrally.<\/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>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4065", "label" : {"_value" : "Biography information for Dame Jackie Doyle-Price"} } , "answeringMemberConstituency" : {"_value" : "Thurrock"} , "answeringMemberPrinted" : {"_value" : "Jackie Doyle-Price"} , "dateOfAnswer" : {"_value" : "2019-06-17", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-06-17T15:50:18.083Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-06-11", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Mental Health Services: Children"} , "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, 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.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1588", "label" : {"_value" : "Biography information for Barbara Keeley"} } , "tablingMemberConstituency" : {"_value" : "Worsley and Eccles South"} , "tablingMemberPrinted" : [{"_value" : "Barbara Keeley"} ], "uin" : "263117"} , {"_about" : "http://data.parliament.uk/resources/1131306", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1131306/answer", "answerText" : {"_value" : "
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\u2019s mental health services will grow faster than both overall NHS funding and total mental health spending. This means that children and young people\u2019s 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>
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>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4065", "label" : {"_value" : "Biography information for Dame Jackie Doyle-Price"} } , "answeringMemberConstituency" : {"_value" : "Thurrock"} , "answeringMemberPrinted" : {"_value" : "Jackie Doyle-Price"} , "dateOfAnswer" : {"_value" : "2019-06-17", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-06-17T15:47:19.283Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-06-11", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Mental Health Services: Children and Young People"} , "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, 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\u2019s mental health services as set out in the NHS Long Term Plan.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1588", "label" : {"_value" : "Biography information for Barbara Keeley"} } , "tablingMemberConstituency" : {"_value" : "Worsley and Eccles South"} , "tablingMemberPrinted" : [{"_value" : "Barbara Keeley"} ], "uin" : "263118"} , {"_about" : "http://data.parliament.uk/resources/1130890", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1130890/answer", "answerText" : {"_value" : "
In 2018/19, NHS England commissioned 57 placements at St Andrew\u2019s 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>
The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.<\/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>
Year<\/p><\/td> | Commissioned Placements<\/p><\/td><\/tr> | ||||||||||||||||||||||||||||||||
2016/17<\/p><\/td> | 4,530<\/p><\/td><\/tr> | ||||||||||||||||||||||||||||||||
2017/18<\/p><\/td> | 4,604<\/p><\/td><\/tr> | ||||||||||||||||||||||||||||||||
2018/19<\/p><\/td> | 4,635<\/p><\/td><\/tr><\/tbody><\/table> <\/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> 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> 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> 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> 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> https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf<\/a><\/p>
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