Asked by: Baroness Smith of Basildon (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how much investment NHS Property Services has made in Basildon Borough for primary care infrastructure, in each year since April 2013.
Answered by Lord O'Shaughnessy
The table below sets out the capital expenditure by NHS Property Services (NHSPS) on health centres and primary care facilities owned by NHSPS in Sussex and Essex since the establishment of NHSPS in April 2013. The figures exclude hospital buildings from which primary care services may be provided.
| 2013/14 | 2014/15 | 2015/16 | 2016/17 | TOTAL |
Sussex | 27 | 961 | 146 | 25 | 1,159 |
Essex | 448 | 873 | 427 | - | 1,748 |
Total | 475 | 1,834 | 573 | 25 | 2,907 |
There has been no such investment in Basildon Borough since the inception of NHSPS in 2013.
Asked by: Baroness Smith of Basildon (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government how many delayed discharges of mental health hospital patients there were in each year since 2010, broken down by categories of reasons for the delay.
Answered by Lord O'Shaughnessy
This information is not collected in the format requested. Although NHS England does publish snapshot data each month showing the number of patients that had a delayed discharge on one particular day that month, it is not possible to extrapolate accurate yearly data from these reports.
Asked by: Baroness Smith of Basildon (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government how many Sustainability and Transformation Plans include plans for intermediate and step-down care.
Answered by Lord O'Shaughnessy
This information is not held centrally.
The National Health Service and local government partners are currently engaging communities on their draft plans, and no change to services people currently receive will be made without consultation where it is required. Each organisation collaborating on a Sustainability and Transformation Plan retains its usual duties to engage local people on any new proposals. There are longstanding assurance processes in place to make sure this happens.
Asked by: Baroness Smith of Basildon (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what additional capacity they estimate will be required to care for the elderly population over the next 10 years; what assessment has been made of the current capacity in residential, nursing home and domiciliary care; and what measures are in place to ensure the provision of capacity to meet needs.
Answered by Lord O'Shaughnessy
Social care is a means tested service. The Care Act 2014 requires that local authorities must assess any adult who appears to have a care and support need. If a person has eligible care needs and meets the means test criteria the local authority must arrange a package of care. The latest available data suggests that:
- 200,000 packages of short term care were provided in 2015/16 by local authorities; and
- 400,000 elderly people were receiving long term care funded by their local authority on the 31 March 2016
The Personal Social Services Research Unit estimates that this number will increase to 500,000 by 2025, and 590,000 by 2030. These demand projections cover long term care only.
The Government continues to monitor the capacity of the social care system and although there is inevitable churn, bed capacity has remained broadly stable - 460,664 beds in 2010 to 459,874 now.
Commissioning adult social care is the responsibility of local authorities who have duties to meet the needs of eligible people in their area who are entitled to state-funding, and to facilitate an effective market for everyone needing care so they have choice. Local authorities engage with their pool of care providers to encourage changes in capacity where it is needed. These duties were set out in the Care Act 2014.
The Department published statutory guidance for the Care Act to support local authorities in their market shaping duties, including commissioning.
The Department has worked with Association of Directors of Adult Social Services, the Local Government Association, the care sector and other partners to produce a wide range of guidance and support about commissioning, market shaping and contingency planning. We have brought this together in an online hub called Adult Social Care Market Shaping, which is an online only resource widely available to people and organisations including local authorities, service users, and care providers.
Asked by: Baroness Smith of Basildon (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government, further to the answer by Lord O’Shaughnessy on 7 February (HL Deb, col 1601), whether Health Education England conducted a risk assessment of the change in funding for nursing education from bursaries to loans, prior to the introduction of the policy.
Answered by Lord O'Shaughnessy
As part of the Government’s public consultation on healthcare education funding reforms in 2016, an economic impact assessment and equality analysis was undertaken by the Department. The Government response published on 21 July 2016 also included a revised economic impact assessment and equality impact assessment.
Copies of the equality impact assessment Equality Analysis (Response to consultation), Reforming healthcare education funding: creating a sustainable future workforce, and the economic impact assessment Reforms to funding and financial support for nursing, midwifery and AHP Bursary students (SR 2015), are attached.
Asked by: Baroness Smith of Basildon (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government when the Green Paper on mental health will be published; and on what areas of mental health policy it will focus.
Answered by Lord O'Shaughnessy
We plan to publish the Green Paper on children’s and young people’s mental health later this year.
The Green Paper will focus on plans for transforming children’s and young people’s mental health across various settings including schools, universities and local communities.
Asked by: Baroness Smith of Basildon (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what assessment they have made of the recommendations from the expert group on drug-related deaths<i>, </i>published in September 2016.
Answered by Lord O'Shaughnessy
The Government welcomes the report and its recommendations, which are echoed by those of the Government’s Advisory Council on Drug Misuse. We are committed to preventing avoidable deaths and provide funding to local areas for a range of public health activity.
Recommendations from the expert group on drug-related deaths, published in September 2016, included actions for local and national stakeholders, such as improved treatment provision and provision of naloxone, which has been shown to reduce rates of death due to overdose, and encouraging continued research and investigation into the causes of drug-related deaths.
Public Health England (PHE) is supporting local areas to implement the local recommendations. It has accepted the recommendations for PHE and has a programme of work to deliver them.
PHE is also leading discussions with relevant organisations on the implementation of the remaining recommendations.
Asked by: Baroness Smith of Basildon (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government how much has been spent on transporting patients between medical facilities in England in order to receive care, for each year since 2010.
Answered by Lord O'Shaughnessy
This information is not held centrally.
Asked by: Baroness Smith of Basildon (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government whether they have carried out a workforce future planning assessment of the number of nurses needed to sustain the demand in services; and if so, what were the results.
Answered by Lord Prior of Brampton
Health Education England (HEE) is responsible for ensuring that there is sufficient future supply of staff to meet the workforce requirements of the English health system, taking into account issues such as demographic changes.
In delivering its annual workforce plan for England, HEE undertakes extensive discussions with National Health Service organisations, arms-length bodies and Royal Colleges to understand future workforce requirements. HEE takes into account future demand for services in arriving at the final numbers it will commission.
NHS organisations are responsible for undertaking local recruitment and retention schemes to ensure they have access to the workforce they need to deliver care to patients.
Asked by: Baroness Smith of Basildon (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what analysis and assessments they have undertaken on the reasons for nurses leaving the nursing profession.
Answered by Lord Prior of Brampton
Individual National Health Service trusts supported by NHS England have responsibility for the shape and structure of their workforce. NHS Digital publishes information on reasons for staff leaving. A table showing reasons for nurses leaving NHS trusts and clinical commissioning groups between April 2015 and April 2016 is attached.