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1006862

registered interest
date	14/11/2018
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: Children
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 his tweet at 2pm on 25 September 2018 on the Panorama programme, Kids in Crisis, broadcast on 24 September 2018, what action he has taken to ensure children have the mental health support they need; and if he will meet with Sean Fletcher, the presenter of that programme.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	191394
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The Government is making an additional £1.4 billion available for children’s mental health service transformation. Clinical commissioning group spend on children’s mental health has increased by 35% since 2015/16 and we are on target to see an additional 70,000 children annually in specialist NHS health services by 2020/21.</p><p> </p><p>We published ‘Transforming Children and Young People’s Mental Health Provision: a Green Paper’ in December last year. This set out ambitious proposals to fill the gap in support for children and young people’s mental health. We are:</p><p>- Incentivising and supporting all schools and colleges to identify and train a Designated Senior Lead for Mental Health - funding new training to help leads put in place whole school approaches to mental health;</p><p>- Introducing new Mental Health Support Teams working in or near schools and colleges to provide earlier access to a wider range of support and treatments; and</p><p>- Piloting a new four week waiting time for NHS children and young people’s mental health services so that specialist help is available sooner.</p><p> </p><p> </p><p>We will pilot our proposals through our trailblazer sites, which will be announced soon. I will be meeting with Sean Fletcher, on behalf of the Secretary of State, to discuss children and young people’s mental health.</p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/11/2018 17:35:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1006868

registered interest
date	14/11/2018
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	Eating Disorders
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 29 October 2018 to Question 183515 on Eating Disorders, what his assessment is of the finding of the research conducted by the vice chair of the Royal College of Psychiatrists’ Eating Disorders Faculty, published by the Post Graduate Medical Journal in April 2018, that 20 per cent of medical schools do not include any training on eating disorders.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	191395
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The General Medical Council (GMC) set standards for medical education. The GMC are clear that all doctors should have a good understanding of a wide range of mental and physical health conditions, including those related to nutrition and eating disorders. The outcome requirements set by the GMC for all stages of United Kingdom medical education and training require medical students and doctors in training to be able to identify and act where adults and children are vulnerable. These outcomes have recently been revised and include more emphasis on mental health and nutrition.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 19/11/2018 15:29:20 answering member 1585 label Biography information for Stephen Hammond
tabling member	4036 label Biography information for Luciana Berger

1006869

registered interest
date	14/11/2018
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: Children and Young People
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 finding in the National Audit Office’s report, Improving children and young people’s mental health services, published in October 2018, that the Government’s programmes will not deliver the Future in Mind proposals in full, what assessment he has made of the implications for his policies of that finding.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	191396
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>We welcome the National Audit Office’s (NAO) focus in this important area and their recognition of the Government’s ambition to achieve parity of esteem for mental health. We accept that there are challenges and far more for Government to do in relation to children and young people’s mental health services.</p><p> </p><p>We are taking forward the headline commitment, made in Future in Mind, to improve access to children and young people’s mental health services, by enabling an additional 70,000 children and young people each year to access services. This commitment was re-stated as a recommendation within the Five Year Forward View for Mental Health, which has been accepted by the Government and NHS England and we are on track to enable an extra 70,000 children and young people to access care by 2020/21. The Five Year Forward View is the cornerstone of the Government’s current ambitions to transform mental health services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/11/2018 17:31:55 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1007141

registered interest
date	14/11/2018
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: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of publicly-funded CAMHS in-patient services are delivered by private providers; and what the names are of those providers.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	191397
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The following table shows total child and adolescent mental health services (CAMHS) expenditure for the last five years split by type of provider. The information relates to Tier 4 specialised mental health beds for children and young people, aged 13-18, commissioned by NHS England. CAMHS Tier 4 includes general inpatient care and specialised eating disorders services. These figures will include very small elements of non-in-patient services as we are unable to detail spend on inpatients only.</p><p> </p><table><tbody><tr><td><p><strong> </strong></p></td><td><p>CAMHS Expenditure</p></td><td><p>Expenditure at Independent Sector (IS) Providers on CAMHS</p></td><td><p>Expenditure at National Health Service Providers on CAMHS</p></td><td><p>Expenditure at IS Providers on CAMHS</p></td><td><p>Expenditure at NHS Providers on CAMHS</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>%</p></td><td><p>%</p></td></tr><tr><td><p>2013/14</p></td><td><p>252.0</p></td><td><p>122.0</p></td><td><p>130.0</p></td><td><p>48%</p></td><td><p>52%</p></td></tr><tr><td><p>2014/15</p></td><td><p>279.6</p></td><td><p>120.3</p></td><td><p>159.3</p></td><td><p>43%</p></td><td><p>57%</p></td></tr><tr><td><p>2015/16</p></td><td><p>319.1</p></td><td><p>136.6</p></td><td><p>182.5</p></td><td><p>43%</p></td><td><p>57%</p></td></tr><tr><td><p>2016/17</p></td><td><p>341.5</p></td><td><p>156.4</p></td><td><p>185.1</p></td><td><p>46%</p></td><td><p>54%</p></td></tr><tr><td><p>2017/18</p></td><td><p>355.2</p></td><td><p>156.5</p></td><td><p>198.7</p></td><td><p>44%</p></td><td><p>56%</p></td></tr></tbody></table><p> </p><p>Spend in Independent Sector providers in 2017/18 totalled £156.5 million.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 191398 question first answered 19/11/2018 17:23:46 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1007142

registered interest
date	14/11/2018
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: Children and Young People
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 his Department has spent on CAMHS in-patient services in each of the last five years; and what proportion of that spend is received by private providers.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	191398
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The following table shows total child and adolescent mental health services (CAMHS) expenditure for the last five years split by type of provider. The information relates to Tier 4 specialised mental health beds for children and young people, aged 13-18, commissioned by NHS England. CAMHS Tier 4 includes general inpatient care and specialised eating disorders services. These figures will include very small elements of non-in-patient services as we are unable to detail spend on inpatients only.</p><p> </p><table><tbody><tr><td><p><strong> </strong></p></td><td><p>CAMHS Expenditure</p></td><td><p>Expenditure at Independent Sector (IS) Providers on CAMHS</p></td><td><p>Expenditure at National Health Service Providers on CAMHS</p></td><td><p>Expenditure at IS Providers on CAMHS</p></td><td><p>Expenditure at NHS Providers on CAMHS</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>%</p></td><td><p>%</p></td></tr><tr><td><p>2013/14</p></td><td><p>252.0</p></td><td><p>122.0</p></td><td><p>130.0</p></td><td><p>48%</p></td><td><p>52%</p></td></tr><tr><td><p>2014/15</p></td><td><p>279.6</p></td><td><p>120.3</p></td><td><p>159.3</p></td><td><p>43%</p></td><td><p>57%</p></td></tr><tr><td><p>2015/16</p></td><td><p>319.1</p></td><td><p>136.6</p></td><td><p>182.5</p></td><td><p>43%</p></td><td><p>57%</p></td></tr><tr><td><p>2016/17</p></td><td><p>341.5</p></td><td><p>156.4</p></td><td><p>185.1</p></td><td><p>46%</p></td><td><p>54%</p></td></tr><tr><td><p>2017/18</p></td><td><p>355.2</p></td><td><p>156.5</p></td><td><p>198.7</p></td><td><p>44%</p></td><td><p>56%</p></td></tr></tbody></table><p> </p><p>Spend in Independent Sector providers in 2017/18 totalled £156.5 million.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 191397 question first answered 19/11/2018 17:23:46 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1006158

registered interest
date	13/11/2018
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	Learning Disability: Community Care
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 Written Statement of 10 November 2015 on Government response to ‘No voice unheard, no right ignored’ consultation, HCWS302, how much of the £45 million in funding made available to Transforming Care Partnerships has been spent; and how that funding has been allocated.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	190866
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The quoted £45 million funding figure includes both revenue and capital funding elements: £30 million and £15 million respectively.</p><p> </p><p>NHS England made available up to £30 million of transformation funding over three years, with national funding conditional on match-funding from local commissioners. This funding was intended to support local areas with transitional costs associated with moving to a new community-based care model.</p><p> </p><p>The ‘Building the right support’ plan also committed NHS England to investing £15 million in capital schemes. Following the subsequent 2015 Spending Review, the transformation capital grants were increased to up to £20 million per year to be made available for the subsequent five years for investing in learning disability and autism capital projects.</p><p> </p><p>The following table summarises NHS England capital spend:</p><table><tbody><tr><td><p>For 2016/17</p></td><td><p>11,050,000</p></td></tr><tr><td><p>For 2017/18</p></td><td><p>11,151,984</p></td></tr><tr><td><p>For 2018/19 capital spend so far this year</p></td><td><p>1,775,546</p></td></tr><tr><td><p>Capital approved but not yet released</p></td><td><p>8,055,696</p></td></tr><tr><td><p>Capital applications currently going through approval process</p></td><td><p>18,376,674</p></td></tr></tbody></table> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 19/11/2018 16:25:46 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1006159

registered interest
date	13/11/2018
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	Learning Disability: Community Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect changes in the level of Government funding for local authorities on their capacity to provide care in the community for people with learning disabilities and autism since 2010.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	190867
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>Under the Care Act 2014 local authorities have a statutory duty to assess the care and support needs of an adult where it appears they have a need for support. This includes providing support in the community to people with learning disabilities and autism. In 2017/18, the total number of working age adults receiving long term social care support was 253,810. Of these around 45% have a primary reason for support given as learning disability. We have given local authorities access to up to £9.4 billion more dedicated funding for social care over the three years from 2017/18, including the Local Government Finance settlement announcement of a further £150 million for social care. This is supplemented by National Health Service expenditure for example on the development of community support for people with learning disability and autism which has supported a net reduction of around 19% in the number of people with learning disabilities and/or autism who were inpatients in mental health hospitals from a March 2015 baseline of 2,880.</p><p> </p><p>Progress in delivering Building the Right Support is monitored through the Assuring Transformation Dataset with published monthly reports setting out the number of inpatients and the number who have left hospital to live in the community.</p><p> </p><p>NHS England and NHS Digital are developing a reasonable adjustment flag on patients’ summary care records, which can be shared between services, information on the support needs and associated reasonable adjustments for a patient with learning disability or autism.</p><p> </p><p>We have not estimated the number of people with a learning disability or autism living in the community who have a local care and support navigator or key worker. The Department has commissioned the Institute of Public Care to review best practice in care co-ordination for people with a learning disability and long-term conditions who need healthcare services.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 190868 190869 question first answered 19/11/2018 16:28:01 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1006160

registered interest
date	13/11/2018
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	Learning Disability: Community Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of people with (a) learning disabilities and (b) autism living in the community who have a local care and support navigator or key worker.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	190868
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>Under the Care Act 2014 local authorities have a statutory duty to assess the care and support needs of an adult where it appears they have a need for support. This includes providing support in the community to people with learning disabilities and autism. In 2017/18, the total number of working age adults receiving long term social care support was 253,810. Of these around 45% have a primary reason for support given as learning disability. We have given local authorities access to up to £9.4 billion more dedicated funding for social care over the three years from 2017/18, including the Local Government Finance settlement announcement of a further £150 million for social care. This is supplemented by National Health Service expenditure for example on the development of community support for people with learning disability and autism which has supported a net reduction of around 19% in the number of people with learning disabilities and/or autism who were inpatients in mental health hospitals from a March 2015 baseline of 2,880.</p><p> </p><p>Progress in delivering Building the Right Support is monitored through the Assuring Transformation Dataset with published monthly reports setting out the number of inpatients and the number who have left hospital to live in the community.</p><p> </p><p>NHS England and NHS Digital are developing a reasonable adjustment flag on patients’ summary care records, which can be shared between services, information on the support needs and associated reasonable adjustments for a patient with learning disability or autism.</p><p> </p><p>We have not estimated the number of people with a learning disability or autism living in the community who have a local care and support navigator or key worker. The Department has commissioned the Institute of Public Care to review best practice in care co-ordination for people with a learning disability and long-term conditions who need healthcare services.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 190867 190869 question first answered 19/11/2018 16:28:01 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1006162

registered interest
date	13/11/2018
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	Learning Disability: Community Care
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 October 2015 Government document Building the Right Support: A national implementation plan to develop community services and close inpatient facilities, whether he has made an assessment of the effectiveness of the process for collecting and sharing data on people with learning disabilities and autism.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	190869
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>Under the Care Act 2014 local authorities have a statutory duty to assess the care and support needs of an adult where it appears they have a need for support. This includes providing support in the community to people with learning disabilities and autism. In 2017/18, the total number of working age adults receiving long term social care support was 253,810. Of these around 45% have a primary reason for support given as learning disability. We have given local authorities access to up to £9.4 billion more dedicated funding for social care over the three years from 2017/18, including the Local Government Finance settlement announcement of a further £150 million for social care. This is supplemented by National Health Service expenditure for example on the development of community support for people with learning disability and autism which has supported a net reduction of around 19% in the number of people with learning disabilities and/or autism who were inpatients in mental health hospitals from a March 2015 baseline of 2,880.</p><p> </p><p>Progress in delivering Building the Right Support is monitored through the Assuring Transformation Dataset with published monthly reports setting out the number of inpatients and the number who have left hospital to live in the community.</p><p> </p><p>NHS England and NHS Digital are developing a reasonable adjustment flag on patients’ summary care records, which can be shared between services, information on the support needs and associated reasonable adjustments for a patient with learning disability or autism.</p><p> </p><p>We have not estimated the number of people with a learning disability or autism living in the community who have a local care and support navigator or key worker. The Department has commissioned the Institute of Public Care to review best practice in care co-ordination for people with a learning disability and long-term conditions who need healthcare services.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 190867 190868 question first answered 19/11/2018 16:28:01 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1005813

registered interest
date	12/11/2018
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	Mersey Care NHS Foundation Trust
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 October 2015 document Building the Right Support: A national implementation plan to develop community services and close inpatient facilities, how many hospital beds at the Calderstones site have been closed.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	190445
answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>Building the Right Support, published in October 2015, set out the national plan to develop community services for people with learning disability and autism who are mental health inpatients, so they can leave hospital and receive more appropriate care and enjoy better outcomes in the community. This reduces the need for specialist inpatient beds.</p><p> </p><p>140 beds (59% of the original total) at the Merseycare Whalley site, formerly known as Calderstones Hospital, have been closed by National Health Service commissioners over the last five years. The safety of patients remains the over-riding priority for the NHS, so appropriate support needs to be in place for everyone to ensure a smooth transition to any new care package or facility before beds are closed. Discussions about the timescales for formal closure of the site are ongoing.</p><p> </p><p>The attached table shows the reductions in numbers of beds in each of the fast-track Transforming Care Partnerships referred to in the Building the Right Support publication.</p><p> </p><p>During 2016/17, all Transforming Care Partnerships published local transformation plans.</p><p> </p><p>NHS England has commissioned an evaluation of progress made since publication of Building the Right Support. The report is expected to be published in 2019. Latest figures from NHS Digital show around a 19% reduction in people with a learning disability, autism or both in an inpatient setting from March 2015.</p><p> </p><p>Further improvement in outcomes, health and care for people with a learning disabilities and autism is a clinical priority as part of the long-term plan for the NHS, which will be published shortly.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 190446 190447 190448 190449 question first answered 15/11/2018 16:16:58 answering member 4008 label Biography information for Dame Caroline Dinenage attachment 1 file name PQ190445,446,447,448,449 attached table.docx title Attached table
tabling member	4036 label Biography information for Luciana Berger