Asked by: Baroness Fall (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government, in the light of the <i>Lightning Review</i> by the Children’s Commissioner published in May 2016 stating that "79% of Child and Adolescent Mental Health Services stated that they imposed restrictions and thresholds on children and young people accessing their services", what are those (1) thresholds, and (2) restrictions.
Answered by Lord O'Shaughnessy
The report, Lightning Review: Access to Child and Adolescent Mental Health Services, was published independently by the Children’s Commissioner published in May 2016.
In the report, the Children’s Commissioner mentioned what they described as thresholds and restrictions to services. In the report these included the age of patients; the conditions that patients present with; the severity of conditions; and the severity of symptoms.
Asked by: Baroness Fall (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what is the meaning of "referred for urgent help" as used in the response to Recommendation 1 of their response to the <i>Five Year Forward View for Mental Health</i>, published on 9 January.
Answered by Lord O'Shaughnessy
The reference to “referred for urgent help” in the Government’s response to the Five Year Forward View for Mental Health about eating disorders, means people whose clinical presentation, in the judgement of the referring professional, should be seen by services quicker than the four weeks for routine cases.
Asked by: Baroness Fall (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government how many times a child or young person will need to be referred before receiving treatment, following the introduction of the new access and waiting times standards for children and young people with an eating disorder which come into force in April.
Answered by Lord O'Shaughnessy
The eating disorder referral to treatment standard states that by 2020, 95% of those referred for assessment or treatment for an eating disorder should receive National Institute for Health and Care Excellence concordant treatment within one week for urgent cases and within 4 weeks for every other case, as published in the Access and Waiting Time Standard for Children and Young People with an Eating Disorder. Therefore, the expectation will be that by 2020, for the great majority of cases, a child or young person will need to be referred only once to services. A copy of Access and Waiting Time Standard for Children and Young People with an Eating Disorder is attached.
Asked by: Baroness Fall (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what guidelines (1) have been, or (2) will be, issued to enable relevant professionals to determine whether a child or young person is in need of treatment under the new access and waiting times standards for children and young people with an eating disorder which come into force in April.
Answered by Lord O'Shaughnessy
The NHS England document Access and Waiting Time Standard for Children and Young People with an Eating Disorder contains detailed guidance on establishing and maintaining a community eating disorder service. It contains information on services, pathways and timelines to help health professionals make decisions on the care that children and young people require. A copy of the guidance is attached.
Asked by: Baroness Fall (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what percentage of child and adolescent mental health services in England imposed restrictions and thresholds on children and young people accessing their services in 2015–16; and what those restrictions and thresholds were.
Answered by Baroness Chisholm of Owlpen
This information is not collected centrally.
Asked by: Baroness Fall (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what percentage of health areas have Tier 3.5 assertive outreach teams.
Answered by Baroness Chisholm of Owlpen
The information is not collected.
Asked by: Baroness Fall (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government when they expect to publish a full update of the 2004 Office for National Statistics prevalence study of mental health problems in children and young people.
Answered by Lord Prior of Brampton
A new national prevalence survey of children and young people’s health has been commissioned with publication due in 2018.
Asked by: Baroness Fall (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what percentage of patients who are children and young people admitted under Tier 4 do not make a recovery.
Answered by Lord Prior of Brampton
This information is not collected centrally.
Asked by: Baroness Fall (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what percentage of Tier 4 inpatients' beds are within one hour’s drive from the place of referral.
Answered by Lord Prior of Brampton
This information is not collected centrally.
Asked by: Baroness Fall (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what percentage of children and young people referred to child and adolescent mental health services in England were not allocated a service in 2015–16; and what proportion of the cases in which a service was not allocated resulted from (1) lack of available trained staff, (2) lack of funding, and (3) both.
Answered by Lord Prior of Brampton
This information is not collected centrally.