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Written Question
Mental Health Services: Waiting Lists
Tuesday 23rd January 2024

Asked by: Abena Oppong-Asare (Labour - Erith and Thamesmead)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 15 January 2024 to Question 8607 on Mental Health Services: Waiting Lists, if she will provide this data by NHS provider.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

The information requested is shown in the attached tables.


Written Question
Mental Health Services: Staff
Thursday 18th January 2024

Asked by: Abena Oppong-Asare (Labour - Erith and Thamesmead)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will publish the number of (a) clinical and (b) non-clinical staff employed in NHS Improving Access to Psychological Therapies services by NHS provider in each quarter between 2015 and 2023.

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. This data is drawn from the Electronic Staff Record, the human resources system for the National Health Service. From this data, the attached tables present the number of full time equivalent clinical and non-clinical staff who have an area of work recorded as ‘Improving Access to Psychological Therapies (IAPT)’. Data is presented for each quarter from March 2015 to September 2023 split by the body employing the staff.

It is likely that some staff working on IAPT may be recorded against other areas of work, therefore these figures likely undercount the total number of staff involved. Differing recording practices may also limit how comparable figures for different trusts are.


Written Question
Mental Health Services: Staff
Wednesday 17th January 2024

Asked by: Abena Oppong-Asare (Labour - Erith and Thamesmead)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will publish the number of full time equivalent (a) trainee and (b) qualified cognitive behavioural therapists employed by NHS provider in each quarter between 2015 and 2023.

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. This data is drawn from the Electronic Staff Record, the human resources system for the National Health Service. From this data, the attached tables present the number of full time equivalent staff who have a job role recorded as being either trainee or qualified cognitive behaviour therapists or high intensity therapists. A small number of those with the job role ‘high intensity therapists’ may not be cognitive behavioural therapists. Data is presented for each quarter from March 2015 to September 2023 split by the body employing the staff.

It is possible that some staff working as cognitive behavioural therapists may be recorded against other job roles, therefore these figures may undercount the total number of staff involved. Differing recording practices may also limit how comparable figures for different trusts are.


Written Question
Mental Health Services: Staff
Wednesday 17th January 2024

Asked by: Abena Oppong-Asare (Labour - Erith and Thamesmead)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will publish the number of full time equivalent (a) trainee and (b) qualified psychological wellbeing practitioners employed by NHS provider in each quarter between 2015 and 2023.

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. This data is drawn from the Electronic Staff Record (ESR), the human resources system for the National Health Service. From this data, the attached tables present the number of full-time equivalent staff who have a job role recorded as being either trainee or qualified psychological wellbeing practitioner. Data is presented for each quarter from March 2015 to September 2023 split by the body employing the staff.

It is possible that some staff working as psychological wellbeing practitioners may be recorded against other job roles, therefore these figures possibly undercount the total number of staff involved. Differing recording practices may also limit how comparable figures for different trusts are.


Written Question
Mental Health Services: Waiting Lists
Monday 15th January 2024

Asked by: Abena Oppong-Asare (Labour - Erith and Thamesmead)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many and what proportion of referrals to NHS Improving Access to Psychological Therapies services waited less than (a) two, (b) four, (c) six and (d) 19 weeks to begin treatment by NHS provider in each quarter between 2021 and 2023.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

The following table shows the counts and proportions of referrals finishing a course of treatment in the quarter who accessed services, which also indicates starting treatment, up to six and 18 weeks after the referral was received:

Period

Count of finishing referrals that accessed services within 6 weeks

Percentage of all finishing referrals that accessed services within 6 weeks

Count of finishing referrals that accessed services within 18 weeks

Percentage of all finishing referrals that accessed services within 18 weeks

January-March 2021

146,030

92.7

155,475

98.7

April-June 2021

157,886

92.6

168,354

98.8

July-September 2021

156,033

91.8

167,953

98.8

October-December 2021

145,607

90.6

158,229

98.5

January-March 2022

146,002

89.3

160,893

98.4

April-June 2022

148,586

88.9

164,638

98.5

July-September 2022

154,384

88.8

171,022

98.4

October-December 2022

145,220

89.3

159,521

98.1

January-March 2023

153,064

90.2

166,886

98.3

April-June 2023

149,428

90.0

163,593

98.5

July-September 2023

153,145

89.2

168,553

98.1

Source: NHS Digital

Notes:

  1. NHS Talking Therapies data are given as a count of patient referrals not patients.
  2. A referral has finished a course of treatment in the quarter if the referral ended in the quarter with the patient having at least two attended treatment appointments or Internet Enabled Therapy logs recorded against it.
  3. A referral has accessed services when the patient has had their first attended, treatment appointment or an Internet Enabled Therapy log has been recorded for them.
  4. Data is taken from the Improving Access to Psychological Therapies (IAPT) dataset held by NHS England. NHS Talking Therapies, for anxiety and depression is a National Health Service programme implemented in England that offers NICE-approved therapies for treating people with depression or anxiety.
  5. Waiting times data at two, four and 19 weeks is not routinely produced. Data is shown for each quarter from January-March 2021 to July-September 2023 which is the latest available quarterly data.

Written Question
Autism and Learning Disability: Hospital Wards
Wednesday 3rd January 2024

Asked by: Abena Oppong-Asare (Labour - Erith and Thamesmead)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what progress her Department has made on its commitment to reduce the number of people with a learning disability and autistic people in specialist inpatient care by 50% by March 2024 compared with March 2015.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

We have made significant progress towards reducing the number of people with a learning disability and autistic people in inpatient mental health settings.

For people who have a learning disability and who do not have an autism diagnosis, the data shows that there has been a 57% reduction in the number of people in hospital since March 2015. For people who have both a learning disability and autism diagnosis, there has been a 33% reduction in the number of people in hospital since March 2015. However, the number of people with an autism diagnosis, who do not have a learning disability, in hospital inpatient settings has increased significantly over the same period.

Taken together, this results in a net reduction of 30% against a commitment to reduce inpatient numbers by 50% by March 2024; more specifically there were 2,035 people with a learning disability and autistic people in a mental health inpatient setting in October 2023 compared to 2,905 in March 2015.

Actions underway to make more progress include investing an additional £121 million this financial year to improve community support as part of the NHS Long Term Plan, including funding for Children and Young People’s keyworkers.


Written Question
Compulsorily Detained Psychiatric Patients
Wednesday 3rd January 2024

Asked by: Abena Oppong-Asare (Labour - Erith and Thamesmead)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many people have been detained under the Mental Health Act 1983 since the Independent Review of the Mental Health Act 1983 was published on 6 December 2018; and what progress her Department has made on tackling the disproportionate number of people from black and minority ethnic groups being detained under that Act.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

We are continuing to pilot models of Culturally Appropriate Advocacy, investing up to £1.5 million to provide tailored support people from ethnic minorities to better understand their rights when they are detained under the Mental Health Act.

The Patient and Carers Race Equality Framework was published by NHS England in October 2023. Rolling this out will support mental health trusts to improve access, experience and outcomes and reduce disparities for people from ethnic minority backgrounds. All mental health trusts will be required to have a framework in place by March 2025.

Between 1 December 2018 and 31 March 2023, there were 218,219 detentions under the Mental Health Act. It is important to note that the number of detentions is not the same as the number of people detained as some people might have been detained more than once during the period.


Written Question
Mental Health Services: Racial Discrimination
Wednesday 3rd January 2024

Asked by: Abena Oppong-Asare (Labour - Erith and Thamesmead)

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 reduce racial inequalities in the use of the Mental Health Act 1983.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

We are continuing to pilot models of Culturally Appropriate Advocacy, investing up to £1.5 million to provide tailored support people from ethnic minorities to better understand their rights when they are detained under the Mental Health Act.

The Patient and Carers Race Equality Framework was published by NHS England in October 2023. Rolling this out will support mental health trusts to improve access, experience and outcomes and reduce disparities for people from ethnic minority backgrounds. All mental health trusts will be required to have a framework in place by March 2025.

Between 1 December 2018 and 31 March 2023, there were 218,219 detentions under the Mental Health Act. It is important to note that the number of detentions is not the same as the number of people detained as some people might have been detained more than once during the period.


Written Question
Mental Health Services: Standards
Wednesday 27th December 2023

Asked by: Abena Oppong-Asare (Labour - Erith and Thamesmead)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether the NHS is on track to meet the target for NHS Talking Therapies of 1.9 million people in England accessing treatment by the end of 2023/24.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

The additional investment for NHS Talking Therapies from the Autumn Statement is focused on helping people recover from anxiety and depression. It will do this through service expansion over five years, enabling more people to have a course of treatment, representing an additional 384,000 people over five years, and supporting services to be offer patients a larger number of sessions which will improve people's chance of fully recovering.


Written Question
Maternity Services: Expenditure and Negligence
Monday 18th December 2023

Asked by: Abena Oppong-Asare (Labour - Erith and Thamesmead)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how much the NHS spent on provision of maternity services in each of the last five years for which information is available; and how much was claimed for clinical negligence in maternity services in each such year.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

It is not possible for the department to quantify the total amount the National Health Service spent on the provision of maternity services in each of the last five years, as some aspects of those costs extend beyond maternity and neonatal care, such as capital spending and some elements of workforce.

NHS Resolution manages clinical negligence and other claims against the NHS in England. The following tables shows the costs that NHS Resolution has advised of Clinical Negligence Claims Closed or Settled as a Periodical Payment Order (PPO) between 2018/19 and 2022/23 with damages paid where the Specialty is 'Obstetrics':

Year of Closure (Settlement Year for PPOs)

Damages Paid

NHS Legal Costs Paid

Claimant Legal Costs Paid

Total Paid

2018/19

£605,688,009

£25,560,735

£78,394,471

£709,643,216

2019/20

£495,458,879

£22,536,708

£72,295,468

£590,291,055

2020/21

£501,965,729

£22,080,962

£68,796,850

£592,843,541

2021/22

£503,741,949

£21,897,291

£78,114,994

£603,754,235

2022/23

£596,598,917

£25,039,074

£84,939,593

£706,577,584

Source: NHS Resolution

Notes:

  1. The data includes the damages and legal costs paid up until the end of each relevant financial year of closure, or for PPO matters, year of settlement.
  2. Periodical Payment Orders (PPOs) are an agreement between the parties, to pay an initial lump sum and regular future payments (PPO damages) related to the injured party’s ongoing needs, usually care for life i.e. a percentage of the full value of the claim is paid at the point of settlement with the balance paid at regular intervals over subsequent years.