Asked by: Anne Main (Conservative - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the Answer of 18 April 2016 to Question 32700, what assessment his Department has made of the (a) extent to which clinical need can be determined in the absence of a comprehensive specialist initial assessment and (b) extent to which Local Transformation Plans assess need.
Answered by Alistair Burt
Whilst there are a range of health care professionals, for example youth workers and teachers, who deliver interventions and support for children and young people with mental health conditions, clinical need should be determined by a specialist initial assessment in line with guidance produced by the National Institute for Health and Care Excellence.
To improve awareness and knowledge of children and young people’s mental health, the Department of Health has invested £3 million into expanding MindEd, which is a free e-learning platform, so that those in contact with children can better recognise when help is needed and can ensure they get it.
MindEd for Families was also recently launched on 21 April, funded by the Department for Education, to improve knowledge and awareness, reduce stigma and improve parents and carers’ ability to intervene early in mental health issues.
In developing local transformation plans, local areas were asked to work with their key partners across health, education, youth justice and local authorities, and crucially, involving young people and their families, to agree locally how best to meet the mental health needs of children and young people in their local populations. These plans should address the full spectrum of mental health, from prevention and resilience building, to support and care for existing and emerging mental health problems, as well as transitions between services.
Asked by: Anne Main (Conservative - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many infraction proceedings the EU has initiated against his Department in each of the last 10 years; what the reasons were for each such proceeding being undertaken; and what the outcome was of each such proceeding.
Answered by Jane Ellison
The information requested is publicly available on the website of the European Commission where the infringement cases for each member state can be found. This includes the infringement and the decision. These records go back to 2002 and can be found at:
Asked by: Anne Main (Conservative - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the Answer of 24 March 2016 to Question 31409, on Trauma and the report of the work of the Children and Young People's Mental Health Taskforce, Future in Mind, what steps his Department is taking to ensure that children and young people who have been sexually abused or exploited receive a comprehensive specialist initial assessment and referral to appropriate services providing evidence-based interventions according to their need.
Answered by Alistair Burt
Child and Adolescent Mental Health Services are provided on the basis of clinical need in line with guidance produced by the National Institute for Health and Care Excellence.
Following guidance published by NHS England in August 2015, clinical commissioning groups (CCGs) have produced Local Transformation Plans for children and young people’s mental health with their local partners, as proposed in Future in mind. These include plans for how CCGs will ensure that the needs of all children and young people are met locally. These plans cover the full spectrum of mental health issues: from prevention and resilience building, to support and care for existing and emerging mental health problems, as well as transitions between services and addressing the needs of the most vulnerable. This includes those who have been exposed to sexual abuse or exploitation.
Asked by: Anne Main (Conservative - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what steps his Department is taking to implement the recommendations for trauma-focussed care outlined in the report Future in Mind.
Answered by Alistair Burt
It is important that awareness of trauma (from abuse or neglect) and the impact it can have on children and young people’s mental health is raised across the workforce and that there is clarity on roles and responsibilities. The Department has asked that Health Education England (HEE) and NHS England work together to consider the training required for the health and wider children’s workforce to become more trauma aware, building this into HEE’s work programme.
Routine Enquiry (asking about experience of trauma at every appropriate health appointment for over 16 year olds) and sensitive enquiry in all children and young people’s services (which was proposed in Future in Mind) will be tested in key services shortly. However, there is still work to do to make sure we reach out to all parts of the workforce who may see the presentation of trauma in the children that they work with. Routine and sensitive enquiry by frontline health professionals such as general practitioners and mental health professionals is an important starting point, but it will be just as important to use those working in schools and the community to raise awareness more broadly and initiate learning about trauma and its impact on mental health.
Asked by: Anne Main (Conservative - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many inflammatory bowel disease services have defined referral pathways in place to ensure that appropriate support is offered from a psychologist or counsellor with specialist knowledge of that condition.
Answered by Jane Ellison
This information is not collected. The organisation of inflammatory bowel disease (IBD) services is a local matter.
IBD is the collective name used to describe ulcerative colitis and Crohn’s disease. To support commissioners to deliver local services for people with Crohn’s disease and ulcerative colitis, the National Institute for Health and Care Excellence (NICE) published the best practice guidance ‘Crohn’s Disease Management in Adults, Children and Young People’, in October 2012 and ‘Ulcerative Colitis Management in Adults, Children and Young People’ in June 2013.
Both guidelines mention providing access to psychological support and the role it can play in patient care. In addition, patient education and patient information support are also highlighted as priorities for implementation. Commissioners should have regard to NICE guidance when delivering local services. The guidance can be found at the following links:
https://www.nice.org.uk/guidance/CG152/chapter/Key-priorities-for-implementation
https://www.nice.org.uk/guidance/cg166/chapter/Key-priorities-for-implementation
Asked by: Anne Main (Conservative - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what estimate his Department has made of how many inflammatory bowel disease services offer all people who are newly diagnosed a patient education session to help them understand their condition.
Answered by Jane Ellison
This information is not collected. The organisation of inflammatory bowel disease (IBD) services is a local matter.
IBD is the collective name used to describe ulcerative colitis and Crohn’s disease. To support commissioners to deliver local services for people with Crohn’s disease and ulcerative colitis, the National Institute for Health and Care Excellence (NICE) published the best practice guidance ‘Crohn’s Disease Management in Adults, Children and Young People’, in October 2012 and ‘Ulcerative Colitis Management in Adults, Children and Young People’ in June 2013.
Both guidelines mention providing access to psychological support and the role it can play in patient care. In addition, patient education and patient information support are also highlighted as priorities for implementation. Commissioners should have regard to NICE guidance when delivering local services. The guidance can be found at the following links:
https://www.nice.org.uk/guidance/CG152/chapter/Key-priorities-for-implementation
https://www.nice.org.uk/guidance/cg166/chapter/Key-priorities-for-implementation
Asked by: Anne Main (Conservative - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the Answer of 2 March 2016 to Question 28334, from which clinical networks and professional bodies NHS England will approach for advice; what plans he has to appoint clinical advisers in kidney care in order to continue to progress (a) the Think Kidneys programme, (b) ongoing work relating to acute kidney injury and (c) other work programmes that have been led by the National Clinical Director for Renal Disease for NHS England; and who will take over responsibility for delivering that work.
Answered by Jane Ellison
As previously set out, from 1 April 2016 NHS England will be supported by 16 National Clinical Directors (NCDs). In areas where there will no longer be a specific NCD, such as for renal disease, NHS England will secure expert clinical advice from its Clinical Networks and through its relationships with professional bodies and by appointing clinical advisors. Further details will be available shortly. The recruitment of Clinical Reference Group (CRG) Chairs, including the CRG Chair for Renal Services, is due to begin in April.
Think Kidneys is scheduled to continue until the end of 2016, and a strategy for the longer term is being developed. Wider work on renal disease will be taken forward through the specialised commissioning infrastructure within NHS England and through joint working with the Royal Colleges and specialist societies.
Asked by: Anne Main (Conservative - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many nationals of other EU member states have used accident and emergency services in each of the last 10 years.
Answered by Alistair Burt
The Department does not hold this information.
Asked by: Anne Main (Conservative - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many nationals of other EU member states have used NHS maternity services in each of the last 10 years.
Answered by Alistair Burt
The Department does not hold this information.
Asked by: Anne Main (Conservative - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many nationals of other EU member states have received acute care at hospital trusts in each of the last 10 years.
Answered by Alistair Burt
The Department does not hold this information.