Asked by: Karin Smyth (Labour - Bristol South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many nurses have worked in NHS community health services on average in each of the last 10 years.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
NHS England publishes Hospital and Community Health Services workforce statistics for England. These include staff working for hospital trusts and integrated care boards, but excludes staff working for other providers such as in primary care, general practice or social care. This data is drawn from the Electronic Staff Record, the human resources system for the National Health Service.
The latest statistics on NHS nursing workforce by area of nursing and care setting can be found in the link below within the ‘Nurses by Setting’ worksheet:
Within this data there are nurses working in community settings within several staff groups including community health nurses, community learning disability nurses, community mental health nurses, and as health visitors.
Asked by: Owen Thompson (Scottish National Party - Midlothian)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, how many staff have been trained in disability awareness in (a) his core Department and (b) Jobcentres in each of the last three years.
Answered by Paul Maynard - Parliamentary Under-Secretary (Department for Work and Pensions)
The Department is unable to provide the information you seek within the appropriate cost limit as you have asked for information that is contained across a wide range of learning journeys.
All staff new to DWP undergo mandatory learning followed by role specific learning, this encompasses vulnerabilities and complex needs training which is threaded throughout learning. Staff continue to build on this in the workplace through accessing policy guidance and point of need learning products.
Please refine your request, for example to mandatory learning to enable data to be provided.
Asked by: Mark Hendrick (Labour (Co-op) - Preston)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to ensure (a) blind, (b) partially sighted, (c) deaf and (d) hearing impaired patients receive (i) care and (ii) communications related to their heath in an accessible format; and if she will make an estimate of the cost to the public purse of missed appointments due to (A) inaccessible and (B) missed communications.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Under the Equality Act (2010), health and social care organisations must make reasonable adjustments to ensure that disabled people, including blind, partially sighted, deaf, and hearing impaired patients, are not disadvantaged. Since 2016, all National Health Service organisations and publicly funded social care providers in England are required to comply with the Accessible Information Standard (AIS).
NHS England is responsible for the AIS, and have completed a review of the AIS to help ensure that the communication needs of people with a disability, impairment, or sensory loss are met in health and care provision. The AIS review included input from individuals with lived experience and voluntary sector organisations for blind, partially sighted, deaf, and hearing impaired patients.
One of the aims of the review was to strengthen assurance of implementation of the AIS, and a self-assessment framework has been developed to support providers of NHS and social care services, to measure their performance against the AIS and develop improvement action plans to address gaps in implementation. The AIS self-assessment framework is designed to enable enhancements around assurance and allows organisations, commissioners, and the Care Quality Commission (CQC) to judge performance and compliance.
NHS England will publish a revised AIS in due course. Following publication, NHS England will continue work to support its implementation with awareness raising, communication and engagement, and updated e-learning modules on the AIS to ensure NHS staff are better aware of the standard, and their roles and responsibilities in implementing it.
NHS England collects data on the total costs of missed appointments, but that data is not broken down sufficiently to enable us to make an estimate of appointments missed due to inaccessible or missed communications.
Asked by: Janet Daby (Labour - Lewisham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to work with local authorities to increase access to support services for people with autism.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Our national autism strategy, published in July 2021, acknowledges the importance of autistic people being able to access community support, including social care, and that this support should be available at the right time, and tailored to autistic people’s needs. We are currently updating the Autism Act Statutory Guidance to support the National Health Service and local authorities in delivering improved outcomes for autistic people. This will include setting out what local authorities must and should be doing to support autistic adults.
Under the Care Act 2014, it is the responsibility of local authorities to assess individuals’ care and support needs, including those of autistic adults, and, where eligible, to meet those needs. A new duty for the Care Quality Commission (CQC), to assess local authorities’ delivery of their Care Act 2014 duties, went live on 1 April 2023, and the formal assessment period has started. The CQC will examine how well local authorities deliver their Care Act duties, including those that apply to autistic people with care and support needs. This will increase transparency and accountability and, most importantly, drive improved outcomes for people who draw on care and support.
Each integrated care board (ICB) must have an Executive Lead for learning disability and autism, to support them in delivering care and support for autistic people in their area. NHS England has published statutory guidance on these Executive Lead roles. Key areas of the Executive Lead role include, but are not limited to: supporting the board in developing a strategic plan for people with a learning disability and autistic people, with local authorities and wider partners; using joint commissioning principles to work together to facilitate appropriate community support, care, and housing; and enabling people to live well at home. It also includes working with local authorities, primary care networks, place-based partnerships, provider collaboratives, health care providers, and wider partners to address inequalities in health outcomes for people with a learning disability and autistic people.
Asked by: Lilian Greenwood (Labour - Nottingham South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when she plans to implement section 95 of the Health and Care Act 2022.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Department plans to implement Section 95 later this year. This will be subject to Parliament’s approval of the regulations setting out the procedure for preparing and publishing mandatory information standards, on which the Department has recently consulted.
Once Section 95 is in force and compliance with information standards becomes mandatory, the Department will use section 251ZA, where appropriate, to monitor compliance with information standards, including by requiring National Health Service providers and others to whom information standards apply, to provide information for this purpose.
NHS England is responsible for the Accessible Information Standard (AIS), and plans to update the AIS to take account of the statutory approach to information standards in due course. NHS England has also completed a review of the AIS to help ensure that the communication needs of people with a disability, impairment, or sensory loss are met in health and care provision. One of the aims of the review was to strengthen assurance of implementation of the AIS, and a self-assessment framework has been developed to support providers of NHS and social care services to measure their performance against the AIS, and develop improvement action plans to address gaps in implementation.
NHS England will publish a revised AIS in due course. Following publication, NHS England will continue work to support its implementation with awareness raising, communication and engagement, and updated e-learning modules on the AIS, to ensure NHS staff are better aware of the standard, and their roles and responsibilities in implementing it.
Asked by: Layla Moran (Liberal Democrat - Oxford West and Abingdon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the Sixth-Fifth Report of the Committee on Public Accounts of Session 2022-23 on Progress in improving NHS mental health services, HC 1000, if she will make an assessment of the reasons for the reported shortage of mental health professionals in the NHS workforce.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
We are committed to attracting, training, and recruiting the mental health workforce of the future, as well as retaining and developing our current workforce. Since 2016, we have expanded and diversified the types of roles that are available, as well as upskilling and transforming the workforce to deliver innovative models of care. However, while there have been significant increases, we acknowledge that the rise in demand for services means that more growth is needed to improve and expand services, to keep in line with this. The NHS Long Term Workforce Plan sets out the need to grow the overall mental health and learning disability workforce the fastest of all care settings, at 4.4% per year up to 2036/37.
To support this ambition, the plan sets out a number of targeted interventions for the mental health workforce, including increasing mental health training places by 13% by 2025/26 and 28% by 2028/29. These interventions will be delivered via partnerships working across the Department of Health and Social Care, integrated care systems and providers, as well as with wider partners such as the Department for Education and Office for Students.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to assess the healthcare needs of women with autism and ADHD during menopause.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
No specific assessment has been made. Menopause is a priority area within the Women’s Health Strategy, and the Department and National Health Service are implementing an ambitious programme of work to improve menopause care so all women, including those with autism and attention deficit hyperactivity disorder (ADHD), can access the support they need.
Integrated care boards (ICBs) are responsible for providing services that meet the needs of their local population. Every ICB is expected to have an Executive Lead for learning disability and autism, whose remit includes supporting the board in addressing the health inequalities that autistic people and people with a learning disability experience, and supporting equal access to care across all health services.
From 1 July 2022, the Health and Care Act 2022 requires Care Quality Commission registered providers to ensure their staff receive specific training on learning disability and autism, appropriate to their role. Since November 2022, over 1.7 million people have completed the first part of Oliver McGowan Mandatory Training on Learning Disability and Autism. In addition, NHS England is improving the use and recording of reasonable adjustments to ensure care is tailored appropriately for disabled people, including people with autism and ADHD.
Asked by: Layla Moran (Liberal Democrat - Oxford West and Abingdon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to ensure that staffing levels of mental health professionals in the NHS meet levels of demand for their services.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
To deliver the NHS Long Term Plan’s mental health commitments and help reduce waiting times, our aim has been to grow the mental health workforce nationally by an additional 27,000 professionals by March 2024.
We are making positive progress, delivering three quarters of this, or approximately 20,800 new professionals, by December 2023, with further growth expected to have been achieved once the full year figures for 2023/24 are available. This growth is in addition to the commitment to grow the National Health Service’s mental health workforce by 19,000 between 2016/17 and 2020/21, as set out in Stepping Forward to 2020/21: the mental health workforce plan for England, which was achieved in September 2021.
At a national level, we are committed to attracting, training, and recruiting the mental health workforce of the future, as well as retaining and developing our current workforce. The NHS Long Term Workforce Plan’s modelling projections set out a need to grow the overall mental health and learning disability workforce the fastest of all care settings, at 4.4% per year up to 2036/37, to help improve access to services and quality of care.
Asked by: Lilian Greenwood (Labour - Nottingham South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how her Department plans to use Section 95 (3) 251ZA Information Standards (Compliance) of the Health and Care Act 2022 to ensure that NHS providers meet the communication needs of patients set out in the Accessible Information Standard.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Department plans to implement Section 95 later this year. This will be subject to Parliament’s approval of the regulations setting out the procedure for preparing and publishing mandatory information standards, on which the Department has recently consulted.
Once Section 95 is in force and compliance with information standards becomes mandatory, the Department will use section 251ZA, where appropriate, to monitor compliance with information standards, including by requiring National Health Service providers and others to whom information standards apply, to provide information for this purpose.
NHS England is responsible for the Accessible Information Standard (AIS), and plans to update the AIS to take account of the statutory approach to information standards in due course. NHS England has also completed a review of the AIS to help ensure that the communication needs of people with a disability, impairment, or sensory loss are met in health and care provision. One of the aims of the review was to strengthen assurance of implementation of the AIS, and a self-assessment framework has been developed to support providers of NHS and social care services to measure their performance against the AIS, and develop improvement action plans to address gaps in implementation.
NHS England will publish a revised AIS in due course. Following publication, NHS England will continue work to support its implementation with awareness raising, communication and engagement, and updated e-learning modules on the AIS, to ensure NHS staff are better aware of the standard, and their roles and responsibilities in implementing it.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she has taken to ensure that effective support is provided to autistic women (a) during and (b) after childbirth.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Health and Care Act 2022 requires Care Quality Commission registered providers, which includes maternity services, to ensure their staff receive specific training on learning disability and autism, appropriate to their role. We are rolling out the Oliver McGowan Mandatory Training on Learning Disability and Autism to support this. This training will help to ensure that staff have the right skills and knowledge to provide safe and compassionate care, including how to provide reasonable adjustments for autistic people.
NHS England is also working to improve the use and recording of reasonable adjustments to make it easier for autistic people to use health services, by ensuring care is tailored appropriately. This includes the development of a Reasonable Adjustment Digital Flag, which will enable the recording of key information about a patient, including if a person is autistic, and their reasonable adjustment needs, to ensure support can be tailored appropriately.