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937467

registered interest
date	09/07/2018
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 steps he is taking to ensure that funding allocated to tackling mental illness is spent on that issue.
tabling member constituency	Harrogate and Knaresborough
tabling member printed	Andrew Jones
uin	162058
answer	answer is ministerial correction date of answer 17/07/2018 answer text <p>The Five Year Forward View for Mental Health Dashboard reports detail on the expenditure made by National Health Service clinical commissioning groups (CCGs) on mental health services. It is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/mental-health/taskforce/imp/mh-dashboard" target="_blank">https://www.england.nhs.uk/mental-health/taskforce/imp/mh-dashboard</a></p><p> </p><p>CCGs are required each year, under the Mental Health Investment Standard (MHIS), to increase their spend on mental health services by a greater amount than the growth in their overall programme allocation. The requirement to meet the MHIS is included within the NHS Operational Planning and Contracting Guidance 2017–2019 and is a key part of NHS England’s operational and financial planning assurance process for 2018/19.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/07/2018 16:50:27 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3996 label Biography information for Andrew Jones

934480

registered interest
date	03/07/2018
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	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the Triangle of Care for people suffering with mental health conditions.
tabling member printed	Lord Bradley
uin	HL9161
answer	answer is ministerial correction date of answer 17/07/2018 answer text <p>The Department has made no formal assessment of the Triangle of Care for people suffering with mental health conditions.</p><p>The Triangle of Care, published by the Carers Trust in 2013, aims at achieving better collaboration and partnership with carers in the service user’s and carer’s journey through mental health services. The Government has engaged with Carers Trust, during the development of their <em>Carers Action Plan 2018-2020: supporting carers today</em>. A copy of the Action Plan, published in June 2018, is attached. The plan sets out a two-year programme of targeted work to support unpaid carers. It puts a focus on practical actions and gives visibility to the work already underway or planned within Government.</p><p>The Action Plan is consistent with some of the principles set out in the Triangle of Care. It has a number of actions that seek to improve the awareness and identification of carers among healthcare professionals and social workers to improve access to appropriate information and support for carers. It is also intended to ensure that they feel listened to and that their views are appropriately taken into account when the person they care for is in health and care settings.</p><p>The independent review of the Mental Health Act 1983 will consider further how to improve dignity and respect for service users and carers. It is also considering mechanisms through which carers, families and friends of people who are detained under the Act can be supported to be involved in the care of the person they support. The independent review is due to publish its final report later this year.</p> answering member printed Lord O'Shaughnessy question first answered 17/07/2018 15:02:57 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name carers-action-plan-2018-2020.pdf title Carers Action Plan-2018-2020
tabling member	452 label Biography information for Lord Bradley

932330

registered interest
date	28/06/2018
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, if he will write to clinical commissioning groups to ask them to improve access to mental health support in primary care.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	158739
answer	answer is ministerial correction date of answer 03/07/2018 answer text <p>NHS England has a key role to ensure that clinical commissioning groups (CCGs) deliver the best possible services and outcomes for patients within their financial allocation. In March 2016, NHS England introduced the Improvement and Assessment Framework for CCGs (CCG IAF), which sets out that CCGs will be assessed against health outcomes and care quality.</p><p> </p><p>In the GP Forward View, we committed to investment in an extra 3,000 mental health therapists to work in primary care by 2020, which is an average of a full-time therapist for every 2-3 typical sized general practitioner (GP) practices.</p><p> </p><p>CCGs are responsible for planning and commissioning services which meet the needs of the local population. CCGs commission most secondary care services including mental health services and play a part in the commissioning of GP services.</p><p> </p><p>The Mental Health Investment Standard means that CCGs are required to increase their mental health expenditure year on year by more than their overall allocation growth. The Mental Health Investment Standard is being introduced into planning guidance from 2018/19 so all CCGs will have to meet it.</p><p> </p><p>The Mental Health Five Year Forward View Dashboard is available online and provides detailed breakdowns on spend, including by individual CCG, for the past two financial years. 85% of CCGs increased their mental health expenditure in excess of the overall growth in their allocation in 2016/17. The NHS is reporting a planned expenditure of £11.86 billion on mental health for 2017/18.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 03/07/2018 15:27:15 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

931376

registered interest
date	26/06/2018
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 the timetable is for the publication of the Urgent and Emergency Mental Health Care for All Ages Pathway.
tabling member constituency	Dulwich and West Norwood
tabling member printed	Helen Hayes
uin	157822
answer	answer is ministerial correction date of answer 04/07/2018 answer text <p>The Urgent and Emergency Mental Health Care for All Ages Pathway is being reviewed to ensure that it is in line with and supports the developing long-term plan for the National Health Service. The aim is to ensure it provides the most helpful and relevant guidance to both commissioners and providers within the current context. No timescale for publication has currently been established.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2018 15:50:33 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4510 label Biography information for Helen Hayes

931377

registered interest
date	26/06/2018
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, whether the Acute Mental Health Care Pathway for Adults and Older Adults is planned to include waiting times benchmarks.
tabling member constituency	Dulwich and West Norwood
tabling member printed	Helen Hayes
uin	157823
answer	answer is ministerial correction date of answer 04/07/2018 answer text <p>Prompt access is an essential component of safe care for acutely unwell people. The Acute Mental Health Care Pathway for Adults and Older Adults Pathway, which is currently being finalised for publication, is planned to include key interventions focused on ensuring that people are not waiting an undue length of time to access acute mental health care, whether in an inpatient or community setting.</p><p> </p><p>The pathway will draw on existing good practice examples from areas where timely access is consistently delivered, highlighting the common features of these systems which make this possible, such as robust community-based provision and whole-system capacity management.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2018 15:51:40 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4510 label Biography information for Helen Hayes

929373

registered interest
date	22/06/2018
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 recent assessment his Department has made of the effect of changes to funding for the doctorate in Clinical Psychology on the future provision of mental health services.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	156605
answer	answer is ministerial correction date of answer 27/06/2018 answer text <p>Health Education England is currently reviewing the funding policy model for a number of professions including clinical psychology, to enable the determination of a fair, just and equitable process for allocating these funds now and in the future for all those professions.</p><p> </p><p>This will include working in partnership with key stakeholders, including the British Psychological Society, to ensure the National Health Service continues to have the right people in the right place at the right time.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 27/06/2018 16:18:38 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	308 label Biography information for Mr Jim Cunningham

928761

registered interest
date	21/06/2018
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 recent assessment he has made of trends in waiting times for accessing mental health services.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	156406
answer	answer is ministerial correction date of answer 28/06/2018 answer text <p>The Government is committed to improving access to mental health services across England and ensuring that people get access to the right treatment, at the right time and in the right place.</p><p> </p><p>Performance against Improving Access to Psychological Therapies (IAPT) waiting time standards consistently exceeds the national targets. In March 2018, 98.7% of those people completing treatment waited less than 18 weeks for their treatment to start in England against a target of 95% and 89.2% of people completing treatment waited less than six weeks against a target of 75%. The recovery target, which states that at least 50% of people who complete treatment should move to recovery, was exceeded in March 2018 with a 52.5% recovery rate.</p><p> </p><p>According to the latest data for April 2018, 74.4% of patients referred to Early Intervention in Psychosis services start treatment within two weeks (exceeding our current target of 50%).</p><p> </p><p>For quarter four of 2017/18, children and young people’s eating disorder data showed that 78.9% of patients started urgent treatment within one week and 79.9% of patients started routine treatment within four weeks. This is positive progress towards meeting the 95% target for both routine and urgent cases to start treatment within four weeks and one week respectively, by 2020/21.</p><p> </p><p>Further information on performance against national waiting times standards can be found in NHS England’s Five Year Forward View for Mental Health Dashboard.</p><p> </p><p><a href="https://www.england.nhs.uk/mental-health/taskforce/imp/mh-dashboard/" target="_blank">https://www.england.nhs.uk/mental-health/taskforce/imp/mh-dashboard/</a></p><p> </p><p>Through the joint health and education Green Paper on children and young people’s mental Health, we have also committed to piloting a four week waiting time for access to specialist National Health Service children and young people’s mental health services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/06/2018 14:53:11 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3987 label Biography information for Rehman Chishti

927861

registered interest
date	20/06/2018
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, how much of the new funding for the NHS recently announced by the Prime Minister will be allocated to improving mental health services.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	155687
answer	answer is ministerial correction date of answer 25/06/2018 answer text <p>The Prime Minister has announced a five-year funding agreement which will see the National Health Service budget grow by over £20 billion, in real terms, by 2023-24. No decision has yet been taken on the share of funds to be allocated to improving mental health services under the multi-year financial settlement. However, the Government is clear that one of the principles the plan must deliver on is significantly improving access to good mental health services to deliver parity of esteem to an agreed timetable.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/06/2018 16:52:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	432 label Biography information for Helen Jones

927357

registered interest
date	19/06/2018
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	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how they assess the providers of mental health contracts commissioned by NHS England; and what criteria they use to evaluate the standard of services provided.
tabling member printed	Baroness Uddin
uin	HL8799
answer	answer is ministerial correction date of answer 03/07/2018 answer text <p>All providers of National Health Service funded care (NHS and independent sector providers) for specialised mental health services are contracted using the same standard NHS national contract. These contracts set out the standard terms of business relating to the provider and commissioner relationship.</p><p>The monitoring of performance is undertaken by NHS England centrally and through the contracting hubs. Performance management includes:</p><p>- Performance against operational standards within the NHS Contract;</p><p>- Reporting against Key Performance Indicators undertaken quarterly and reviewed as part of contract management meetings between commissioner and provider;</p><p>- Regular performance review meetings with the provider;</p><p>- Measurement against local quality standards developed by individual hubs;</p><p>- Measurement of service specification compliance;</p><p>- NHS England Hub ward visits;</p><p>- The patient satisfaction survey and implementation of service improvements informed by patient feedback; and</p><p>- Triangulation with Care Quality Commission inspections.</p><p>The Quality Assurance and Improvement Framework sets out the quality assurance and improvement activity undertaken in relation to all specialised commissioned services.</p><p>The outcome of the annual assessment has two features:</p><p>- Identification of levels of surveillance for the following year; and</p><p>- Assessment of compliance and non-compliance and if non-compliant, whether provider action or commissioner action is required.</p><p>A framework has been introduced which requires those reviewing and assessing the information on quality, to categorise services into one of three categories to determine levels of surveillance for the following year:</p><p>- Routine surveillance – services that have been scored at 100% with no risks identified and those services that have not scored 100% but regional teams have determined that the issue is not material;</p><p> </p><p>- Enhanced surveillance – services in this category will require further discussions between provider organisations and relevant commissioning teams to determine whether formal provider action or commissioner action is required, or whether after further discussion the service is deemed to be compliant; and</p><p> </p><p>- Peer review visit – services considered for peer review should be discussed with the provider and commissioner to confirm that the factors leading to this proposed option are relevant and proportionate for the action. Based on the level of risk agreed at hub or regional meetings, the service may also be subject to a provider or commissioner action.</p> answering member printed Lord O'Shaughnessy question first answered 03/07/2018 11:09:45 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1827 label Biography information for Baroness Uddin

924069

registered interest
date	14/06/2018
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, how much of the £1.25 billion allocated for the implementation of the Future in Mind strategy has been spent in each year of the strategy to date; and what plans he has to spend the remaining funding between now and 2020-21.
tabling member constituency	Dewsbury
tabling member printed	Paula Sherriff
uin	153862
answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>Following the publication of Future in Mind in 2015, the Government committed to making £1.25 billion available to transform services for children and young people’s mental health, excluding funding for eating disorders. The total spending for children and young people’s mental health, excluding eating disorders and perinatal mental health, was £173 million in 2015/16, £240 million in 2016/17 and £249 million in 2017/18.</p><p> </p><p>The planned spending for each of the 2018/19 and 2019/20 is £250 million per year, excluding eating disorders.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/06/2018 16:08:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4426 label Biography information for Paula Sherriff