Asked by: Barbara Keeley (Labour - Worsley and Eccles South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to monitor the (a) spend and (b) development of appropriate community services under the Building the Right Support Action Plan.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Building the Right Support Delivery Board is responsible for monitoring the commitments made in the Action Plan. In 2022/23, we are providing an additional £90 million to develop community support and for discharge for those with a learning disability and autistic people, including £21 million for the Community Discharge Grant.
NHS England provides guidance, support and investment to local areas to commission community services for those with a learning disability and autistic people in line with Building the Right Support and the national service model. NHS England continues to work with other organisations to ensure appropriate plans are in place for this investment. The Building the Right Support Delivery Board has established a task and finish group to review how national oversight of National Health Service and local authority spending related to Building the Right Support can be improved.
Asked by: Barbara Keeley (Labour - Worsley and Eccles South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to recommendation 3 of the Care Quality Commission report Out of Sight – who cares? Restraint, segregation and seclusion review, what steps he is taking to increase the number and quality of community teams to support (a) autistic people and (b) people with learning disabilities.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
In 2022/23, £40 million has been invested to improve the capacity and capability of seven days a week specialist multidisciplinary and crisis support for autistic people and those with a learning disability. We have also provided £30 million for keyworkers for children and young people with the most complex needs.
We continue to support local areas in the delivery of Care (Education) and Treatment Reviews and dynamic support registers to ensure the appropriate support is available for children, young people and their families in the community. NHS England will publish refreshed guidance in 2022/23.
Asked by: Barbara Keeley (Labour - Worsley and Eccles South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many housing units have been provided through the Affordable Housing Programme and Care Specialist Support Housing Fund for people with (a) learning disabilities and (b) autistic people in each of the last three years.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
This information is not held in the format requested.
In 2019/20, 50 units were completed for adults with learning disabilities and autistic people under the Care and Support Specialised Housing Fund, with 17 completed in 2020/21 and 26 in 2021/22. As of March 2022, the Affordable Homes Programme has delivered over 6,600 grant funded specialist or supported homes.
Asked by: Barbara Keeley (Labour - Worsley and Eccles South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what discussions he has had with the Secretary of State for Justice on the potential merits of providing specific preventative support for (a) people with learning disabilities and (b) autistic people who are at risk of coming into contact with the criminal justice system.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Secretary of State for Health and Social Care regularly discusses a range of issues with Cabinet colleagues. The Building the Right Support Action Plan, published 14 July 2022, includes actions to reduce the number of those with a learning disability and autistic people in inpatient care under Part III of the Mental Health Act 1983 and to improve support for people at all stages of the criminal justice system. The Ministry of Justice is working with NHS England to understand the role of liaison and diversion services in the initial stages of the criminal justice pathway.
Under the proposed Mental Health Act reforms, commissioners will have a duty to ensure there is an understanding of the risk of crisis of individuals in the area and there are sufficient community-based services for those with a learning disability and autistic people at risk of admission under Part II of the Act.
Asked by: Barbara Keeley (Labour - Worsley and Eccles South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce the number of (a) autistic children and (b) children with learning disabilities in inpatient units.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The ‘Building the Right Support Action Plan’, published 14 July 2022, sets out actions to reduce reliance on inpatient care by strengthening community support. The NHS Long Term Plan committed to ensuring children and young people with a learning disability and autistic children with the most complex needs will have a designated keyworker by 2023/24. The keyworker programme was developed and tested in 13 pilot sites and the service is now operational in 26 integrated care boards. By March 2023, there will be a keyworker service in all areas.
Asked by: Barbara Keeley (Labour - Worsley and Eccles South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how long each meeting of the Building the Right Support Delivery Board lasted since February 2021.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Building the Right Support Delivery Board has met three times since 15 March 2022. A Minister attended all of these meetings apart from September, where the meeting took place in the national period of mourning, in accordance with the Government’s guidance. Each meeting since February 2021 has lasted for one hour. Meetings from December 2022 onwards are expected to last for an hour and a half. The membership of the Building the Right Support Delivery Board is as follows:
- Autism Programme Director, NHS England;
- Chair of the Association of Directors of Children's Services' Health, Care and Additional Needs Policy Committee;
- Chair of the Children and Young People’s Steering Group;
- Chair of the Independent Care (Education) Treatment Reviews Oversight Panel;
- Chief Executive Officer, Skills for Care;
- Chief Inspector of Adult Social Care, Care Quality Commission;
- Chief Nurse, Health Education England;
- Chief Social Worker, Department of Health and Social Care;
- Co-chairs of the Advisory Group of People with Lived Experience;
- Deputy Chief Executive, Local Government Association;
- Deputy Chief Inspector of Adult Social Care, Care Quality Commission;
- Deputy Director of Female Offenders and Health Policy, Ministry of Justice;
- Deputy Director of Housing with Care and Support, Department for Levelling Up, Housing and Communities;
- Deputy Director of Neurodiversity, Disability and Learning Disability, Department of Health and Social Care;
- Deputy Director Operational Research and Statistician, Department of Health and Social Care;
- Director – Adult Social Care Policy, Department of Health and Social Care;
- Director of Mental Health and Disabilities and Enhanced Protection Programme, Department of Health and Social Care;
- Director of Policy for Mental Health and Learning Disability and Autism, NHS England;
- Director of SEND and Alternative Provision, Department for Education;
- Director Youth Justice and Offender Policy, Ministry of Justice;
- Head of Children and Young People, NHS England;
- Head of Disability and Work Opportunities, Department for Work and Pensions;
- Head of Operations for Mental Health and Learning Disability and Autism, NHS England;
- National Clinical Director for Learning Disability and Autism, NHS England;
- National Director for Social Care, Ofsted;
- National Director of Learning Disability and Autism, NHS England;
- President of the Association of Directors of Adult Social Services;
- Representative of the Office of the Children’s Commissioner;
- Representatives of the Health and Wellbeing Alliance, Voluntary and Community Sector; and
- Representatives of the Provider Group.
Asked by: Barbara Keeley (Labour - Worsley and Eccles South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many times the Building the Right Support Delivery Board has met since 15 March 2022; and how many times a Minister has attended those meetings.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Building the Right Support Delivery Board has met three times since 15 March 2022. A Minister attended all of these meetings apart from September, where the meeting took place in the national period of mourning, in accordance with the Government’s guidance. Each meeting since February 2021 has lasted for one hour. Meetings from December 2022 onwards are expected to last for an hour and a half. The membership of the Building the Right Support Delivery Board is as follows:
- Autism Programme Director, NHS England;
- Chair of the Association of Directors of Children's Services' Health, Care and Additional Needs Policy Committee;
- Chair of the Children and Young People’s Steering Group;
- Chair of the Independent Care (Education) Treatment Reviews Oversight Panel;
- Chief Executive Officer, Skills for Care;
- Chief Inspector of Adult Social Care, Care Quality Commission;
- Chief Nurse, Health Education England;
- Chief Social Worker, Department of Health and Social Care;
- Co-chairs of the Advisory Group of People with Lived Experience;
- Deputy Chief Executive, Local Government Association;
- Deputy Chief Inspector of Adult Social Care, Care Quality Commission;
- Deputy Director of Female Offenders and Health Policy, Ministry of Justice;
- Deputy Director of Housing with Care and Support, Department for Levelling Up, Housing and Communities;
- Deputy Director of Neurodiversity, Disability and Learning Disability, Department of Health and Social Care;
- Deputy Director Operational Research and Statistician, Department of Health and Social Care;
- Director – Adult Social Care Policy, Department of Health and Social Care;
- Director of Mental Health and Disabilities and Enhanced Protection Programme, Department of Health and Social Care;
- Director of Policy for Mental Health and Learning Disability and Autism, NHS England;
- Director of SEND and Alternative Provision, Department for Education;
- Director Youth Justice and Offender Policy, Ministry of Justice;
- Head of Children and Young People, NHS England;
- Head of Disability and Work Opportunities, Department for Work and Pensions;
- Head of Operations for Mental Health and Learning Disability and Autism, NHS England;
- National Clinical Director for Learning Disability and Autism, NHS England;
- National Director for Social Care, Ofsted;
- National Director of Learning Disability and Autism, NHS England;
- President of the Association of Directors of Adult Social Services;
- Representative of the Office of the Children’s Commissioner;
- Representatives of the Health and Wellbeing Alliance, Voluntary and Community Sector; and
- Representatives of the Provider Group.
Asked by: Barbara Keeley (Labour - Worsley and Eccles South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, who the members of the Building the Right Support Delivery Board are.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Building the Right Support Delivery Board has met three times since 15 March 2022. A Minister attended all of these meetings apart from September, where the meeting took place in the national period of mourning, in accordance with the Government’s guidance. Each meeting since February 2021 has lasted for one hour. Meetings from December 2022 onwards are expected to last for an hour and a half. The membership of the Building the Right Support Delivery Board is as follows:
- Autism Programme Director, NHS England;
- Chair of the Association of Directors of Children's Services' Health, Care and Additional Needs Policy Committee;
- Chair of the Children and Young People’s Steering Group;
- Chair of the Independent Care (Education) Treatment Reviews Oversight Panel;
- Chief Executive Officer, Skills for Care;
- Chief Inspector of Adult Social Care, Care Quality Commission;
- Chief Nurse, Health Education England;
- Chief Social Worker, Department of Health and Social Care;
- Co-chairs of the Advisory Group of People with Lived Experience;
- Deputy Chief Executive, Local Government Association;
- Deputy Chief Inspector of Adult Social Care, Care Quality Commission;
- Deputy Director of Female Offenders and Health Policy, Ministry of Justice;
- Deputy Director of Housing with Care and Support, Department for Levelling Up, Housing and Communities;
- Deputy Director of Neurodiversity, Disability and Learning Disability, Department of Health and Social Care;
- Deputy Director Operational Research and Statistician, Department of Health and Social Care;
- Director – Adult Social Care Policy, Department of Health and Social Care;
- Director of Mental Health and Disabilities and Enhanced Protection Programme, Department of Health and Social Care;
- Director of Policy for Mental Health and Learning Disability and Autism, NHS England;
- Director of SEND and Alternative Provision, Department for Education;
- Director Youth Justice and Offender Policy, Ministry of Justice;
- Head of Children and Young People, NHS England;
- Head of Disability and Work Opportunities, Department for Work and Pensions;
- Head of Operations for Mental Health and Learning Disability and Autism, NHS England;
- National Clinical Director for Learning Disability and Autism, NHS England;
- National Director for Social Care, Ofsted;
- National Director of Learning Disability and Autism, NHS England;
- President of the Association of Directors of Adult Social Services;
- Representative of the Office of the Children’s Commissioner;
- Representatives of the Health and Wellbeing Alliance, Voluntary and Community Sector; and
- Representatives of the Provider Group.
Asked by: Barbara Keeley (Labour - Worsley and Eccles South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the report by Cordis Bright entitled Learning Disability and Autism Social Care providers: Financial Impact Assessment, published in October 2022, whether he has made an assessment of the implications for his policies of the findings of that report on the impact on quality of care for people with (a) autism and (b) learning disabilities of independent providers having to hand back their contracts.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
No specific assessment has been made. Local authorities are responsible for planning for the care needs of the local population and developing market capacity. Under the Care Act 2014, local authorities are required to shape local markets and ensure that high quality, sustainable and person-centred care and support options are available. The Department regularly monitors any risks to adult social care provider viability and the continuity of care in England.
Asked by: Barbara Keeley (Labour - Worsley and Eccles South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment she has made of the implications for her policies on trends in the level of life expectancy in Worsley and Eccles South constituency.
Answered by Neil O'Brien
No specific assessment has been made.