Asked by: Lord Patel of Bradford (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 11 September (HL813), whether their definition of "out of areas placement" includes admission to an appropriate independent sector mental health inpatient facility, which is in the patient’s local area and where his or her care co-ordinator can visit regularly.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
An out of area placement (OAP) for acute mental health in-patient care happens when a person with assessed acute mental health needs, who requires adult mental health acute inpatient care, is admitted to a unit that does not form part of the usual local network of services.
By this, we mean an inpatient unit that does not usually admit people living in the catchment of the person’s local community mental health service, and where the person cannot be visited regularly by their care co-ordinator to ensure continuity of care and effective discharge planning.
Sending Providers are to determine if a placement is classed as an OAP. The definition necessarily allows providers to apply knowledge of local catchment arrangements and the patient’s circumstances in taking a decision if a placement is an OAP. OAPs can occur within one NHS Provider, in other NHS Providers, or in Independent Sector Providers.
Based on this definition of an adult acute mental health OAP, it is the decision and responsibility of the Sending Provider to submit data identifying the OAP based on the provider’s knowledge of local catchment arrangements and the person’s circumstances. The definition necessarily allows providers the flexibility to make this decision
Asked by: Lord Patel of Bradford (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what constitutes an 'out of area' placement for an adult acute mental health inpatient, specifically whether it is defined by geography or by the institution the patient is referred to.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
For the purposes of data collection, NHS England defines an out of area placement for adult acute mental health inpatient care as happening when ‘a person with assessed acute mental health needs who requires adult mental health acute inpatient care, is admitted to a unit that does not form part of their usual local network of services. By this we mean an inpatient unit that does not usually admit people living in the catchment of the person’s local community mental health service, and where the person cannot be visited regularly by their care co-ordinator to ensure continuity of care and effective discharge planning’.
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.