Asked by: Lord Patel of Bradford (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many people were detained in secure facilities in England in 2019; and for the breakdown of the total by (1) gender, (2) age, and (3) ethnicity.
Answered by Lord Bethell
The information is not available in the format requested.
Asked by: Lord Patel of Bradford (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many patients were in inpatient psychiatric wards in England in 2019; and for the breakdown of the total by (1) gender, (2) age, and (3) ethnicity.
Answered by Lord Bethell
The information is not available in the format requested.
Asked by: Lord Patel of Bradford (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government since March, what is the total number of people in England who have presented at accident and emergency departments with (1) an overdose, or (2) parasuicide; and whether they can provide these figures broken down by region.
Answered by Lord Bethell
The diagnosis coding scheme used in the Emergency Care Data Set does not uniquely identify parasuicide.
The following table shows data on accident and emergency (A&E) attendances with a primary diagnosis of overdose, by commissioning region, April - September 2020.
Commissioning region | Attendances |
London | 4,955 |
South West | 6,710 |
South East | 8,040 |
Midlands | 11,220 |
East of England | 5,895 |
North West | 7,820 |
North East and Yorkshire | 10,825 |
Unknown | 10 |
England | 55,473 |
It should be noted that this is not a count of patients as an individual may have attended an A&E department in any given period.
Asked by: Lord Patel of Bradford (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what is the Care Quality Commision's policy on the number of inspection visits that should take place in a 12 month period to mental health facilities rated as (1) inadequate, (2) requires improvement, (3) good, or (4) outstanding; and how frequently providers should expect a full quality ratings review from the Care Quality Commission when rated as (1) requires improvement, or (2) inadequate.
Answered by Lord Bethell
Prior to the outbreak of the COVID-19 pandemic, the Care Quality Commission (CQC) planned the frequency of routine inspections based on ratings, whilst retaining the ability to inspect at any time in response to risk. However, due to the COVID-19 outbreak, the CQC paused routine inspections and adapted its regulatory model by using an intelligence driven approach, focusing on services where risk to service users is greatest. This approach will continue to develop as the CQC learns from the experiences of the COVID-19 pandemic.
Asked by: Lord Patel of Bradford (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what guidance they will provide for care workers in self-isolation as part of the test and trace programme; whether, under that programme, all care workers who came into contact with a care home resident with COVID-19 symptoms would be expected to self-isolate; and whether a care worker returning to work using public transport after a period of self-isolation would be expected to isolate again if they received another alert.
Answered by Lord Bethell
On 4 June Public Health England updated guidance on the management of staff and exposed patients or residents in health and social care settings to reflect NHS Test and Trace.
This guidance outlines that if a health or care worker has had close recent contact with someone who has COVID-19, healthcare workers must self-isolate if the NHS Test and Trace service advises the individual to do so. If contacted after a previous period of isolation, they would be expected to isolate again. Close contact excludes circumstances where personal protective equipment is being worn in accordance with current guidance on infection, prevention and control.
The COVID-19: management of staff and exposed patients or residents in health and social care settings guidance was first published on 4 April in an online only format on GOV.UK.
Asked by: Lord Patel of Bradford (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many people in adult prisons in England and Wales have mental health problems .
Answered by Lord Bethell
This information is not available in the format requested.
Asked by: Lord Patel of Bradford (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how much NHS England spent on healthcare services in adult prisons in England and Wales in 2019; and how much of this was spent on mental health services.
Answered by Lord Bethell
The information is not held in the format requested.
Asked by: Lord Patel of Bradford (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what services are provided for people with mental health problems in prisons in England and Wales; and how NHS England monitors (1) the quality of mental health services, and (2) the outcomes those services achieve.
Answered by Lord Bethell
Health Needs Assessments are undertaken for each prison to understand what the healthcare needs are for that particular prison population. Mental health services within each prison will be commissioned based on the findings of this assessment and will therefore be different for each prison.
Quality monitoring of NHS England and NHS Improvement commissioned healthcare services in prisons is undertaken by the seven regional commissioning teams through their local contract quality and performance arrangements. National quality reporting requirements have been developed to provide a consistent set of quality indicators for local monitoring.
Asked by: Lord Patel of Bradford (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what is the average waiting time for prisoners to access an accredited drug treatment programme in prison; and how long, on average, an individual participates in an accredited drug treatment programme in prison once they have begun treatment.
Answered by Baroness Blackwood of North Oxford
Data on substance misuse treatment in prisons and other secure settings is available from Public Health England’s National Drug Treatment Monitoring System (NDTMS).
The latest NDTMS report for 2017-18 shows the median time between a person entering an adult secure setting and receiving a triage assessment for substance misuse treatment was one day. Nearly all - 96%, or 34,368/35,689 - adults started their first treatment intervention within three weeks of being assessed but would start treatment immediately if it was clinically appropriate to do so. The rest - 3% or 1,092 - waited over three weeks, and 1% or 229 did not have an intervention recorded.
The report also provides information on the mean length of time adults participate in structured treatment while in a secure setting. The average length of a treatment intervention for opiate clients was 72 days, non-opiate clients was 125 days, non-opiate and alcohol clients was 112 days and alcohol only clients was 78 days.
Asked by: Lord Patel of Bradford (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, in the light of the report Our Invisible Addicts by the Royal College of Psychiatrists and the reported rise in the rates of drug related deaths, whether they plan to carry out a national review of the relationship between service users over 40 participating in structured addiction treatment and those users’ engagement with primary, community and adult social care services.
Answered by Lord O'Shaughnessy
There are no plans to carry out a review into this specific issue. Public Health England (PHE) has already led an inquiry into the rises in drug-related deaths. The inquiry report Understanding and preventing drug-related deaths: The report of a national expert working group to investigate drug-related death in England was published on 9 September 2016 and a copy is attached.
PHE continues to support local authorities in delivering tailored, accessible and effective services where people stand the best chance of recovery.
In 2017, PHE published updated clinical guidelines for clinicians treating people with drug use problems, which contains a section addressing the importance of preventing and treating drug use problems in older people. The guidelines were developed by an expert group and are kept under regular review. A copy of the Drug Misuse and dependence: UK guidelines on clinical management is attached.