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Written Question
Health Services: Learning Disability
Wednesday 19th December 2018

Asked by: Melanie Onn (Labour - Great Grimsby)

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 10 December 2018 to Question 199449, what steps his Department is taking to assess whether NHS Trusts have adopted the guidance published by NHS Improvement, Learning Disability Improvement Standards for NHS trusts in England.

Answered by Caroline Dinenage

The Department is committed to ensuring that all disabled people, including those with a learning disability, have the same opportunities to access high quality healthcare as everyone else. Where necessary, all healthcare services should make reasonable adjustments to ensure this, in line with the requirements of the Equalities Act 2010 and the NHS Information Standard. We have no plans to introduce a national healthcare strategy for disabled people.

In the new year we will consult on the introduction of mandatory learning disability and autism training for health and care staff. This will provide for greater parity of treatment by ensuring that staff understand the needs of people with learning disability or autism and have the skills to deliver the most effective care and support to them.

Learning disabilities and autism are also one of the four clinical priority areas within the National Health Service long-term plan, which will also help to address the inequalities experienced by people with a learning disability or autism.

As of 30 November 2018, 914 reviews of deaths reported to the Learning Disabilities Mortality Review Programme (LeDeR) have been completed with a further 185 at the approval stage. The next annual report of the LeDeR programme is currently planned to be published before summer 2019 and will include data from 1 January 2018 to 31 December 2018. All local areas have access to findings from reviews taking place within them.

The Department does not assess complaints made to the National Health Service by people with a learning disability. The Local Authority Social Services and National Health Service Complaints (England) Regulations 2009 set out what local organisations must do in respect of complaint handling in the NHS. These regulations are designed to ensure that wherever possible complaints are resolved effectively at local level with lessons learnt to improve services.

As part of the implementation of the Learning Disability Improvement Standards, a data collection is being undertaken by NHS Improvement to better understand the key themes arising for people with learning disabilities accessing NHS care. As part of the data collection, which will close on 31 December, NHS trusts are expected to measure themselves against the Learning Improvement Standards and a number of metrics allied to each Standard. NHS Improvement has shared data from this collection with the Care Quality Commission to help inform their regulatory approach and identify where their support activity is best prioritised.

We have not made a formal assessment of whether the number of avoidable deaths of people with learning disabilities in the NHS has reduced. The aim of the LeDeR programme and the Learning Disability Improvement Standards is to ensure that NHS trusts and commissioners maintain a focus on avoidable mortality so that the deaths of people with learning disabilities thought to be due to problems in care are significantly reduced. The LeDeR programme is taking place within the context of the Government’s Learning from Deaths Programme and all acute, community and mental health trusts are required to review and publish locally the number of deaths thought to be due to problems in care on a quarterly basis, evidence of what they have learned through reviews and the actions taken to prevent such deaths in future on an annual basis.


Written Question
Health Services: Learning Disability
Wednesday 19th December 2018

Asked by: Melanie Onn (Labour - Great Grimsby)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether the Government assesses complaints made to the NHS by people with learning disabilities.

Answered by Caroline Dinenage

The Department is committed to ensuring that all disabled people, including those with a learning disability, have the same opportunities to access high quality healthcare as everyone else. Where necessary, all healthcare services should make reasonable adjustments to ensure this, in line with the requirements of the Equalities Act 2010 and the NHS Information Standard. We have no plans to introduce a national healthcare strategy for disabled people.

In the new year we will consult on the introduction of mandatory learning disability and autism training for health and care staff. This will provide for greater parity of treatment by ensuring that staff understand the needs of people with learning disability or autism and have the skills to deliver the most effective care and support to them.

Learning disabilities and autism are also one of the four clinical priority areas within the National Health Service long-term plan, which will also help to address the inequalities experienced by people with a learning disability or autism.

As of 30 November 2018, 914 reviews of deaths reported to the Learning Disabilities Mortality Review Programme (LeDeR) have been completed with a further 185 at the approval stage. The next annual report of the LeDeR programme is currently planned to be published before summer 2019 and will include data from 1 January 2018 to 31 December 2018. All local areas have access to findings from reviews taking place within them.

The Department does not assess complaints made to the National Health Service by people with a learning disability. The Local Authority Social Services and National Health Service Complaints (England) Regulations 2009 set out what local organisations must do in respect of complaint handling in the NHS. These regulations are designed to ensure that wherever possible complaints are resolved effectively at local level with lessons learnt to improve services.

As part of the implementation of the Learning Disability Improvement Standards, a data collection is being undertaken by NHS Improvement to better understand the key themes arising for people with learning disabilities accessing NHS care. As part of the data collection, which will close on 31 December, NHS trusts are expected to measure themselves against the Learning Improvement Standards and a number of metrics allied to each Standard. NHS Improvement has shared data from this collection with the Care Quality Commission to help inform their regulatory approach and identify where their support activity is best prioritised.

We have not made a formal assessment of whether the number of avoidable deaths of people with learning disabilities in the NHS has reduced. The aim of the LeDeR programme and the Learning Disability Improvement Standards is to ensure that NHS trusts and commissioners maintain a focus on avoidable mortality so that the deaths of people with learning disabilities thought to be due to problems in care are significantly reduced. The LeDeR programme is taking place within the context of the Government’s Learning from Deaths Programme and all acute, community and mental health trusts are required to review and publish locally the number of deaths thought to be due to problems in care on a quarterly basis, evidence of what they have learned through reviews and the actions taken to prevent such deaths in future on an annual basis.


Written Question
Health Services: Learning Disability
Wednesday 19th December 2018

Asked by: Melanie Onn (Labour - Great Grimsby)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what progress has been made on publishing data on case reviews of the death of people with learning disabilities in NHS care, as announced in May 2018.

Answered by Caroline Dinenage

The Department is committed to ensuring that all disabled people, including those with a learning disability, have the same opportunities to access high quality healthcare as everyone else. Where necessary, all healthcare services should make reasonable adjustments to ensure this, in line with the requirements of the Equalities Act 2010 and the NHS Information Standard. We have no plans to introduce a national healthcare strategy for disabled people.

In the new year we will consult on the introduction of mandatory learning disability and autism training for health and care staff. This will provide for greater parity of treatment by ensuring that staff understand the needs of people with learning disability or autism and have the skills to deliver the most effective care and support to them.

Learning disabilities and autism are also one of the four clinical priority areas within the National Health Service long-term plan, which will also help to address the inequalities experienced by people with a learning disability or autism.

As of 30 November 2018, 914 reviews of deaths reported to the Learning Disabilities Mortality Review Programme (LeDeR) have been completed with a further 185 at the approval stage. The next annual report of the LeDeR programme is currently planned to be published before summer 2019 and will include data from 1 January 2018 to 31 December 2018. All local areas have access to findings from reviews taking place within them.

The Department does not assess complaints made to the National Health Service by people with a learning disability. The Local Authority Social Services and National Health Service Complaints (England) Regulations 2009 set out what local organisations must do in respect of complaint handling in the NHS. These regulations are designed to ensure that wherever possible complaints are resolved effectively at local level with lessons learnt to improve services.

As part of the implementation of the Learning Disability Improvement Standards, a data collection is being undertaken by NHS Improvement to better understand the key themes arising for people with learning disabilities accessing NHS care. As part of the data collection, which will close on 31 December, NHS trusts are expected to measure themselves against the Learning Improvement Standards and a number of metrics allied to each Standard. NHS Improvement has shared data from this collection with the Care Quality Commission to help inform their regulatory approach and identify where their support activity is best prioritised.

We have not made a formal assessment of whether the number of avoidable deaths of people with learning disabilities in the NHS has reduced. The aim of the LeDeR programme and the Learning Disability Improvement Standards is to ensure that NHS trusts and commissioners maintain a focus on avoidable mortality so that the deaths of people with learning disabilities thought to be due to problems in care are significantly reduced. The LeDeR programme is taking place within the context of the Government’s Learning from Deaths Programme and all acute, community and mental health trusts are required to review and publish locally the number of deaths thought to be due to problems in care on a quarterly basis, evidence of what they have learned through reviews and the actions taken to prevent such deaths in future on an annual basis.


Written Question
Health Services: Disability
Wednesday 19th December 2018

Asked by: Melanie Onn (Labour - Great Grimsby)

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 10 December 2018 to Question 199449 on Health Services: Learning Disability, what his policy is on introducing a national disabled people’s healthcare strategy to help ensure parity of treatment for disabled people.

Answered by Caroline Dinenage

The Department is committed to ensuring that all disabled people, including those with a learning disability, have the same opportunities to access high quality healthcare as everyone else. Where necessary, all healthcare services should make reasonable adjustments to ensure this, in line with the requirements of the Equalities Act 2010 and the NHS Information Standard. We have no plans to introduce a national healthcare strategy for disabled people.

In the new year we will consult on the introduction of mandatory learning disability and autism training for health and care staff. This will provide for greater parity of treatment by ensuring that staff understand the needs of people with learning disability or autism and have the skills to deliver the most effective care and support to them.

Learning disabilities and autism are also one of the four clinical priority areas within the National Health Service long-term plan, which will also help to address the inequalities experienced by people with a learning disability or autism.

As of 30 November 2018, 914 reviews of deaths reported to the Learning Disabilities Mortality Review Programme (LeDeR) have been completed with a further 185 at the approval stage. The next annual report of the LeDeR programme is currently planned to be published before summer 2019 and will include data from 1 January 2018 to 31 December 2018. All local areas have access to findings from reviews taking place within them.

The Department does not assess complaints made to the National Health Service by people with a learning disability. The Local Authority Social Services and National Health Service Complaints (England) Regulations 2009 set out what local organisations must do in respect of complaint handling in the NHS. These regulations are designed to ensure that wherever possible complaints are resolved effectively at local level with lessons learnt to improve services.

As part of the implementation of the Learning Disability Improvement Standards, a data collection is being undertaken by NHS Improvement to better understand the key themes arising for people with learning disabilities accessing NHS care. As part of the data collection, which will close on 31 December, NHS trusts are expected to measure themselves against the Learning Improvement Standards and a number of metrics allied to each Standard. NHS Improvement has shared data from this collection with the Care Quality Commission to help inform their regulatory approach and identify where their support activity is best prioritised.

We have not made a formal assessment of whether the number of avoidable deaths of people with learning disabilities in the NHS has reduced. The aim of the LeDeR programme and the Learning Disability Improvement Standards is to ensure that NHS trusts and commissioners maintain a focus on avoidable mortality so that the deaths of people with learning disabilities thought to be due to problems in care are significantly reduced. The LeDeR programme is taking place within the context of the Government’s Learning from Deaths Programme and all acute, community and mental health trusts are required to review and publish locally the number of deaths thought to be due to problems in care on a quarterly basis, evidence of what they have learned through reviews and the actions taken to prevent such deaths in future on an annual basis.


Written Question
Public Transport: Disability
Tuesday 11th December 2018

Asked by: Melanie Onn (Labour - Great Grimsby)

Question to the Department for Transport:

To ask the Secretary of State for Transport, what steps he is taking to improve assisted travel for disabled people across public transport.

Answered by Nusrat Ghani - Minister of State (Minister for Europe)

The Government’s Inclusive Transport Strategy, published in July 2018, summarises the various steps the Department is taking to make it easier for disabled people to travel by public transport. Among the commitments in the Strategy are that in 2019, the Department will launch a major campaign in England to raise awareness of disabled passengers’ rights when using the transport system and to promote a supportive travelling experience for disabled people. The Department will also develop and launch an accreditation scheme for transport operators to recognise those which show leadership in improving disabled passengers’ experiences, including through providing appropriate disability awareness training.

The Department will also work closely with the Rail Delivery Group (RDG) to ensure the successful roll-out of a new Passenger Assist application to enable customers to book assistance through a single click. The RDG plan a full roll-out across the rail network from January 2020.


Written Question
Public Transport: Disability
Tuesday 11th December 2018

Asked by: Melanie Onn (Labour - Great Grimsby)

Question to the Department for Transport:

To ask the Secretary of State for Transport, if he will accompany a person with disabilities on public transport in order to gain first-hand experience of the difficulties disabled people can face when accessing public transport.

Answered by Nusrat Ghani - Minister of State (Minister for Europe)

The Department is committed to ensuring that disabled people have the same access to transport and opportunities to travel as everyone else. Throughout my time as the Parliamentary Under-Secretary of State responsible for this matter, I have regularly met with disability organisations and disabled people to gain a better understanding of the barriers that can make travel by public transport more difficult than it should be. These meetings, and the Department’s engagement with a wide range of disability groups and other stakeholders, helped shape the Government’s Inclusive Transport Strategy, which was published in July 2018.


Written Question
Health Services: Learning Disability
Monday 10th December 2018

Asked by: Melanie Onn (Labour - Great Grimsby)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he has taken to ensure that people with learning difficulties are adequately supported to receive medical treatment through the NHS.

Answered by Caroline Dinenage

It is the responsibility of local providers and commissioners of NHS services to make the reasonable adjustments required by the Equality Act 2010 to ensure that disabled people, including those with learning disabilities, are not placed at a substantial disadvantage compared to non-disabled people.

Additionally, under the NHS Constitution, National Health Service organisations are required to provide high quality comprehensive services, based on clinical need, which do not discriminate between patients on the basis of disability, including a learning disability.

NHS Improvement has published Learning Disability Improvement Standards for NHS trusts in England to help ensure that trusts monitor and review the care they provide to people with a learning disability or autism. Compliance with these standards will ensure that trusts assure themselves that they have the necessary structures, processes, workforce and skills to deliver the outcomes that people with learning disabilities and autism expect. The Care Quality Commission is working with NHS Improvement to consider how they can encourage trusts to adopt and work to the standards.


Written Question
Health Services: Learning Disability
Monday 10th December 2018

Asked by: Melanie Onn (Labour - Great Grimsby)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that people with learning difficulties are not discriminated against when receiving medical care.

Answered by Caroline Dinenage

It is the responsibility of local providers and commissioners of NHS services to make the reasonable adjustments required by the Equality Act 2010 to ensure that disabled people, including those with learning disabilities, are not placed at a substantial disadvantage compared to non-disabled people.

Additionally, under the NHS Constitution, National Health Service organisations are required to provide high quality comprehensive services, based on clinical need, which do not discriminate between patients on the basis of disability, including a learning disability.

NHS Improvement has published Learning Disability Improvement Standards for NHS trusts in England to help ensure that trusts monitor and review the care they provide to people with a learning disability or autism. Compliance with these standards will ensure that trusts assure themselves that they have the necessary structures, processes, workforce and skills to deliver the outcomes that people with learning disabilities and autism expect. The Care Quality Commission is working with NHS Improvement to consider how they can encourage trusts to adopt and work to the standards.


Written Question
Wind Power: Seas and Oceans
Tuesday 20th November 2018

Asked by: Melanie Onn (Labour - Great Grimsby)

Question to the Department for Business, Energy and Industrial Strategy:

What steps he is taking to support the offshore wind sector.

Answered by Claire Perry

Offshore wind is already bringing high value jobs to coastal communities like Grimsby, for example, from the Triton Knoll project.

Hull has seen 1,000 direct jobs created from the £310 million investment in Siemens’ blade factory.

We are moving to advance discussions with the offshore wind sector around a Sector Deal that ensures higher levels of local content, UK jobs and investment in supply chains, like those in the hon Member’s constituency.


Written Question
NHS: Drugs
Thursday 15th November 2018

Asked by: Melanie Onn (Labour - Great Grimsby)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure the (a) supply and (b) availability of the drug Methotrexate after the UK leaves the EU.

Answered by Steve Brine

The United Kingdom’s position on medicines regulation remains clear. We are working to retain a close working partnership with the European Union to ensure that medicines remain available to UK patients in a safe and timely manner. We have been clear that this involves us making sure our regulators continue to work together, as they do with regulators internationally.