Lord Bradley

The final financial position for individual integrated care boards (ICBs) for the financial year 2022/23 will be confirmed in their year-end accounts which will be published in due course. The following table shows the latest projected year-end surplus/deficit position reported to the Department by NHS England and shows that 34 out of 42 ICBs are projected to end the financial year in a deficit position.

Source: NHS England

NHS England has advised that they are working with their partners to finalise the review and anticipate publication will be during the Summer of 2023.

We have announced the development of a new National Partnership Agreement between policing and health partners to ensure that the right agency responds to a mental health incident, removing police involvement earlier in the process where it’s not needed. This will support roll-out of the Right Care, Right Person approach, under which police will only engage in a mental health incident when there is a real and immediate risk to life or serious harm.

We have already achieved a significant reduction in the number of people taken to a police cell as a place of safety in recent years. In 2021/22 a police station was used as a place of safety 254 times in England out of a total of 36,594 Section 136 incidents. This represents less than 1% of incidents and is down from an estimated 8,667 times out of a total of 23,907 such incidents in 2011/12. The Draft Mental Health Bill contains provisions to remove police stations as a place of safety, so that people held under Section 136 will be in more appropriate health-based settings when in crisis or waiting for a place on a specialist ward. The Bill will be introduced when parliamentary time allows.

On 23 January 2023 we set out details on how £150 million of capital investment, first announced in the 2021 Spending Review, will be used to build mental health urgent and emergency care infrastructure. This includes £7 million for specialised mental health ambulances across the country to provide better care and support for people experiencing a mental health crisis.

We are also funding over 160 wider capital schemes including to provide and improve crisis cafes, crisis houses, mental health urgent care centres, health-based places of safety and broader improvements to crisis lines and emergency departments. This will mean care can be provided in more appropriate spaces for those in need, and will reduce pressure on wider parts of the system including accident and emergency.

On 23 January 2023, we set out details on how £150 million of capital investment, first announced at the 2021 Spending Review, will be used to improve mental health urgent and emergency care infrastructure. This includes funding for 150 schemes across the country on a fair shares basis, reaching all 42 integrated care boards.

This will support the building and expanding of capacity for health-based places of safety, section 136 suites and mental health assessment, care and treatment units. It will also support crisis cafes, crisis houses and broader improvements to crisis lines and accident and emergency departments, as well as the procurement of up to 100 specialised mental health ambulances over the next two years. This will provide care in more appropriate spaces for those experiencing a mental health crisis and will reduce pressure on wider parts of the healthcare system.

Integrated care boards (ICBs) are required to publish the list of ICB board members including ordinary members in accordance with the Health and Care Act 2022. ICBs have made the information publicly available on its websites regarding board members including expertise and knowledge. Details of ICB board membership is not held by Government in a central record.

This information is not held in the format requested. However, local commissioners will determine how this funding will be used to meet the health needs of the local population.

This information is not held centrally. National Health Service regional commissioners hold contracts with a number of healthcare providers to deliver health services within each prison. While the contract specifies the services which should be provided, it may not stipulate the number of staff which should be employed or the specific roles of health professionals to fulfil those services.

The information requested is not held centrally.

It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.

The information is not held in the format requested. Due to the way NHS England commissions integrated services across the secure and detained estate, it is not possible to determine specific expenditure on mental health services and substance misuse services.

In England, spending on health services in prisons has increased from £400 million in 2016/17 to approximately £496 million in 2020/21. Integrated spending on substance misuse and mental health services in prisons has increased from £148 million in 2016/17 to £203 million in 2020/21. This expenditure relates to both the male and female adult secure estate.

Information on health care spending in Wales is not held as this is a devolved matter.

All eligible adults in England were offered a booster vaccination by 31 December 2021, including those who received primary doses in the European Union and Switzerland.

Vaccines approved by the Medicines and Healthcare products Regulatory Agency administered overseas can be recorded via the National Booking Service or 119. Doses can be verified at a face-to-face appointment at a designated vaccination centre and updated within the National Immunisation Management Service (NIMS). If an individual’s overseas vaccination is recorded in NIMS, they will automatically be invited to receive a booster dose when eligible. Vaccinations can also be accessed at a walk-in centre without the record being updated in advance.

No assessment has been made on the benefits of protecting funding to Clinical Commissioning Groups for diabetes technology. Clinical Commissioning Groups are responsible for commissioning diabetes services for their local populations and are best placed as clinically-led organisations that have both the local knowledge and accountability, to make commissioning decisions in the best interests of their patients. This includes prescribing technologies for people living with diabetes, for example glucose monitoring devices.

Commissioning decisions for the adoption of technology products in diabetes are always guided by clinical and cost effective assessments, delivered by NICE and other regulatory bodies.

The Local Improvement Finance Trust programme set up in 2001 has secured investment of over £2.5 billion to deliver 350 high quality, modern primary care and community facilities and supporting the integration of local services for the benefit of patients. The portfolio provides well maintained and flexible clinical space for over 1,400 individual general practitioner practices, dentists, community services, acute trusts, pharmacies and other healthcare professionals.

The information is not currently held in the format requested. A national access and waiting times standard for children and adolescent people’s mental health services has not yet been defined.

The NHS People Plan is not a single document but a shared programme of work to grow the workforce, support new ways of working and develop a compassionate and inclusive workplace culture in order to deliver the NHS Long Term Plan. The NHS People Plan 2020-21, published last summer, is focused on supporting National Health Service staff to manage the COVID-19 response and winter pressures, with a strong focus on looking after the health and wellbeing of staff.

We are working with NHS England and NHS Improvement, Health Education England and with systems and employers to determine our workforce and people priorities beyond April 2021 to support the recovery of NHS staff and of services. This will include building on many of the positive ways of working that have emerged through the pandemic whilst continuing to support the wellbeing of NHS staff.

We plan to publish a new all-age autism strategy this spring, subject to COVID-19 pressures.

All frontline health and social care staff, including dentists and dental staff, involved in direct patient care are included in phase one of the COVID-19 vaccine deployment. The definition of health and social care staff covers those delivering National Health Service or privately funded care.

Information is not published in the format requested as drug treatment services within the health and justice system are sometimes commissioned together with other services.

I answered the Noble Lord’s questions on 8 and 20 October respectively.

I answered the Noble Lord’s questions on 8 and 20 October respectively.

The Government launched its new NHS Test and Trace service on 28 May 2020. This brings together testing, contact tracing and outbreak management into an end-to-end service.

The information requested is not held.

Prevention of ill-health remains a top priority. The Government will continue its focus on health improvement and preventing ill-health, with support from the expert teams who currently sit in Public Health England (PHE), who will continue their excellent work. We are not envisaging any changes to where those responsibilities will sit until spring 2021. We will be consulting with staff and engaging with an external stakeholder advisory group on where PHE’s health improvement functions would be best placed in order to support the public health system in our aim to increase healthy life expectancy.

We recognise that many charities are facing difficult decisions at the exact time their services are needed most. On 8 April 2020 the Chancellor announced £750 million to support for the charity sector in response to COVID-19. This includes £200 million provided through the National Lottery’s Coronavirus Community Support Fund to support charities working with vulnerable people. Applications closed on 17 August with money being allocated by early November.

The Department does not routinely provide financial support to charities although, as before the COVID-19 pandemic, it is continuing to work with charities to deliver specific aims and objectives for which the organisations will be reimbursed.

I replied to the noble Lord’s question on 7 July.

We are working around the clock to give the social care sector and wider National Health Service the equipment and support they need to tackle this outbreak.

The Government published Coronavirus (COVID-19): Personal Protective Equipment (PPE) plan on 10 April. It incorporates guidance on who needs PPE and when they need it, routes to ensure those who need it can get it at the right time and sets out actions to secure enough PPE to last through the crisis. A copy of the guidance is attached.

Sourcing sufficient supplies of PPE is a challenge that many countries are facing. We are working to expand supply from overseas, improve domestic manufacturing capability and expand and improve the logistics network for delivering to the frontline.

The full weight of the Government is behind this effort and we are working closely with industry, social care providers, the NHS, and the army to ensure the right equipment continues to be delivered.

To improve the Government's understanding of the consequences of risks, such as the effect on the mental wellbeing of the population, the National Risk Register consults a wide variety of experts in Government departments, devolved administrations and outside of Government in agencies, academic institutions and industry.

The publication of the full NHS People Plan has been deferred to later in the year, so that the National Health Service can devote maximum operational effort to COVID-19 readiness and response.

While timing of publication continues to be kept under review, NHS England and NHS Improvement, together with Health Education England, are continuing to grow and transform the workforce and build lasting culture change, in line with the objectives of the People Plan.

This information is not available as autism training is not currently a mandatory requirement though under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, employers are required to take steps to ensure that their staff receive support and training to undertake their roles competently.

In ‘Right to be Heard’, which was published on 5 November 2019, we outlined our plans to introduce mandatory learning disability and autism training for health and social care staff in England. Work is currently underway with Health Education England and Skills for Care to develop and trial, during 2020/21, a standardised training package, which will be known as ‘the Oliver McGowan Mandatory Learning Disability and Autism Training’. The evaluation of the trial, which will be published at the end of March 2021, will inform future roll-out.

The number of individual patients aged under 18 cannot be provided, only the number of unplanned accident and emergency (A&E) attendances for patients aged under 18 with a primary diagnosis in A&E of ‘35 – Psychiatric Condition’.

Information can only be provided on the distance between a patient’s postcode and the A&E where they presented and not the hospital where the patient was subsequently admitted from A&E.

The number of individual patients aged under 18 cannot be provided, only the number of unplanned accident and emergency (A&E) attendances for patients aged under 18 with a primary diagnosis in A&E of ‘35 – Psychiatric Condition’.

Information can only be provided on the distance between a patient’s postcode and the A&E where they presented and not the hospital where the patient was subsequently admitted from A&E.

The number of individual patients aged under 18 cannot be provided, only the number of unplanned accident and emergency (A&E) attendances for patients aged under 18 with a primary diagnosis in A&E of ‘35 – Psychiatric Condition’.

Information can only be provided on the distance between a patient’s postcode and the A&E where they presented and not the hospital where the patient was subsequently admitted from A&E.

This NHS Funding Bill enshrines in law the biggest cash boost in National Health Service history, ensuring the NHS will get an extra £33.9 billion a year by 2023/24. The Bill does not limit the amount of funding we can put in the NHS, but instead sets that the budget must be “at least” what we have committed to.

The NHS Long Term Plan sets out that mental health will receive a growing share of the NHS budget, worth in real terms at least a further £2.3 billion a year by 2023/24.

Tables showing how NHS funding and mental health funding will increase year-on-year to 2023/24 are attached, due to the size of the data.

The data is not held in the format requested.

The data is not held in the format requested.

The data is not held in the format requested.