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989335

registered interest
date	16/10/2018
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 Illness
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether NHS guidelines require periodic reviews to be conducted in cases of patients with severe mental ill-health; and if so, whether both physical and mental health issues are reviewed at the same time.
tabling member printed	Lord Hylton
uin	HL10729
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>In general, mental health trusts use the Care Programme Approach (CPA), which is a framework for people under the care of secondary mental health services at high risk or with multiple, complex needs that require planning and co-ordination across different services. Government guidance on the CPA published in 2008 recommends that all patients placed on the CPA should receive a formal review at least every 12 months. Many trusts operate a policy of at least six-monthly reviews.</p><p>In 2018/19, NHS England is developing a new framework for adult non-specialist community mental health services, which will set out updated recommendations on the co-ordination, planning and reviewing of physical and mental health care.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 14:33:33 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2018 label Biography information for Lord Hylton

988447

registered interest
date	15/10/2018
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	Prescription Drugs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether the NHS rules and guidelines for psychotropic medicines apply equally to general practitioners, specialists, and consultants.
tabling member printed	Lord Hylton
uin	HL10646
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>All healthcare professionals are expected to follow professional clinical guidelines around the use of psychotropic medicines. Information about the use of medicines is also included in the summary of product characteristics for healthcare professionals and in the patient information leaflet.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 14:19:50 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2018 label Biography information for Lord Hylton

988448

registered interest
date	15/10/2018
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	Compulsorily Detained Psychiatric Patients
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether there is a recommended time after a person has been detained under the Mental Health Act 1983 at which there must be a comprehensive review of all the available medical evidence in that case.
tabling member printed	Lord Hylton
uin	HL10647
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>Every patient detained under the Mental Health Act 1983 must be assigned a Responsible Clinician, who must review cases regularly to make decisions about treatment, review detentions, and make decisions on discharge. These decisions are based on a consideration of a person’s mental disorder, of the risk the person may present to themselves or others, and on appropriate medical treatment being available for the person.</p><p>If a patient disagrees, and is detained under section 2 and section 3 of the Mental Health Act 1983 - the majority of detentions - he or she is able to apply to a tribunal to appeal their section. Applications can also be made by the patient’s nearest relative. The Act sets out the required times when appeals can be made. Patients admitted to hospital for assessment under section 2 of the Act can be detained for up to 28 days and can appeal to the Tribunal within the first 14 days. For patients detained under the long term section 3, patients can apply once in the first six months of their detention and annually after that.</p><p>The Tribunal will consider evidence such as a medical report, a nursing report and a social circumstances report on the patient’s case. In determining whether to discharge the patient, the Tribunal must have regard to the patient's history of mental disorder and any other relevant factors, what risk there would be of a deterioration of the patient's condition if he were to continue not to be detained in a hospital.</p><p>In the absence of an application by the patient or their nearest relative, Hospital managers have a duty under section 68 of the Act to refer patients to a tribunal six months after the person was first detained. In addition hospital managers must refer any patients over 18 who have spent three years without the Tribunal considering their detention.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 15:06:46 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2018 label Biography information for Lord Hylton

988449

registered interest
date	15/10/2018
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: Locums
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what percentage of permanent psychiatric and mental health practitioner posts in England are currently held by locums; and what assessment they have made of the impact of the use of locum practitioners on the quality and effectiveness of treatments.
tabling member printed	Lord Hylton
uin	HL10648
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>Information concerning the percentage of permanent psychiatric and mental health practitioner posts in England is not held centrally.</p><p>Many locum workers are substantive employees, known to the trusts. By encouraging mental health trusts to offer bank staff long term placements the continuity of care is promoted.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 15:05:12 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2018 label Biography information for Lord Hylton

988450

registered interest
date	15/10/2018
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: Vacancies
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many posts for qualified psychiatrists and mental health specialists in NHS England are currently vacant; and what percentage of the total this represents.
tabling member printed	Lord Hylton
uin	HL10649
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The Department does not hold the information requested.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 15:15:48 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2018 label Biography information for Lord Hylton

985807

registered interest
date	11/10/2018
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	Religious Freedom
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government in what ways, if any, they plan to mark the International Day for Freedom of Religion or Belief on 27 October; and whether they will issue guidance to all embassies and overseas missions on the UK policy on such freedom.
tabling member printed	Lord Hylton
uin	HL10613
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>The Prime Minister demonstrated the British Government's commitment to promoting freedom of religion or belief when in July this year she appointed me as her special envoy. The British Government sees International Religious Freedom Day on 27 October as an opportunity to reflect on the persecution suffered around the world by people due to their religion or beliefs; and to promote respect between communities<em>.</em> The British Government will mark the day on social media, and through an event jointly hosted by myself and Lord Bates on 7 November to mark the occasion. We will also use the occasion to re-issue the Foreign and Commonwealth Office's toolkit on Freedom of Religion or Belief to all of our overseas embassies and missions across our global network, and encourage them to promote and defend this important human right. Finally we are pleased that almost £1 million of funding has been allocated to pursue our freedom of religion or belief policy objectives through the Magna Carta Fund for Human Rights and Democracy.</p> answering member printed Lord Ahmad of Wimbledon question first answered 23/10/2018 12:31:39 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
tabling member	2018 label Biography information for Lord Hylton

985815

registered interest
date	11/10/2018
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	China: Detainees
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of reports of the widespread use of detention centres in Xinjiang, China; and whether they will make representations to the government of China to allow access to such centres by UN rapporteurs and the International Committee of the Red Cross.
tabling member printed	Lord Hylton
uin	HL10621
answer	answer is ministerial correction date of answer 25/10/2018 answer text <p>We have serious concerns about the human rights situation in Xinjiang and reports of the Chinese Government’s deepening crackdown; including credible reports of re-education camps and widespread surveillance and restrictions targeted at ethnic minorities. The Minister of State for Asia and the Pacific, Mark Field, raised our concerns about Xinjiang with Vice Minister Guo Yezhou during his visit to China on 22 July 2018. The Foreign Secretary also raised our concerns about the region with Chinese State Councillor and Foreign Minister Wang Yi during his visit to China on 30 July 2018. The UK raised our concerns about Xinjiang in our Item 4 statement at the September UN Human Rights Council.</p> answering member printed Lord Ahmad of Wimbledon question first answered 25/10/2018 13:45:58 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
tabling member	2018 label Biography information for Lord Hylton

985818

registered interest
date	11/10/2018
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	Compulsorily Detained Psychiatric Patients
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many adults are currently sectioned under the Mental Health Act 2007; and what is the (1) average, and (2) median lengths of the restrictions to which they are subject.
tabling member printed	Lord Hylton
uin	HL10624
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>The information is not available in the format requested.</p> answering member printed Lord O'Shaughnessy question first answered 23/10/2018 11:11:31 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2018 label Biography information for Lord Hylton

985819

registered interest
date	11/10/2018
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	Compulsorily Detained Psychiatric Patients
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether the powers to restrict an individual’s liberty in the Mental Health Act 2007 are used differently within the regions of England, and between England, Wales and Scotland.
tabling member printed	Lord Hylton
uin	HL10625
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>The Mental Health Act 1983, as amended in 2007, operates in England and Wales only. The powers under the Mental Health Act 1983 are the same within the regions of England.</p> answering member printed Lord O'Shaughnessy question first answered 23/10/2018 11:12:28 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2018 label Biography information for Lord Hylton

985820

registered interest
date	11/10/2018
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	Compulsorily Detained Psychiatric Patients
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what percentage of sectioned persons seek a second opinion about their treatment.
tabling member printed	Lord Hylton
uin	HL10626
answer	answer is ministerial correction date of answer 22/10/2018 answer text <p>The information requested is not collected.</p> answering member printed Lord O'Shaughnessy question first answered 22/10/2018 10:49:13 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2018 label Biography information for Lord Hylton