Asked by: Richard Quigley (Labour - Isle of Wight West)
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 (a) reduce the backlog of ADHD assessments for children and (b) ensure continuity of care for people affected by service pauses in (i) NHS Hampshire and Isle of Wight Integrated Care Board and (ii) other places.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government has recognised that, nationally in England, demand for assessments for attention deficit hyperactivity disorder (ADHD) has grown significantly in recent years and that people are experiencing severe delays accessing such assessments. The Government’s 10-Year Health Plan for England will make the National Health Service fit for the future, recognising the need for early intervention and support.
It is the responsibility of the integrated care boards in England to make appropriate provision to meet the health and care needs of their local population, including providing access to ADHD assessment and treatment, in line with relevant National Institute for Health and Care Excellence guidelines.
NHS England established an ADHD taskforce which brought together those with lived experience with experts from the NHS, education, charity, and justice sectors to get a better understanding of the challenges affecting those with ADHD, including in accessing services and support. An interim report was published on 20 June, with the final report expected later this year, and we will carefully consider its recommendations.
Asked by: Richard Quigley (Labour - Isle of Wight West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many children died while receiving inpatient mental health care in each year since 2010; and what steps his Department is taking to help ensure that (a) these deaths are properly (i) recorded and (ii) investigated and (b) future deaths are prevented.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Since 2013, there has been a total of 40 deaths of young people aged under 18 years old in contact with Tier 4 inpatient children and young people’s mental health services, including those on home leave, or who had absconded. We are unable to provide the information broken down by year as requested, as the annual data held by NHS England includes a small patient count of fewer than five cases which could lead to the identification of individuals. Data is not available prior to 2013.
All deaths of children and young people under the care of Tier 4 services are routinely reported to the Department via NHS England. Such deaths are also notified to the Care Quality Commission and the National Confidential Inquiry into Suicide and Safety in Mental Health.
With regards to investigating inpatient deaths, the NHS Patient Safety Incident Response Framework (PSIRF), introduced in August 2022, promotes four core principles to inform learning from safety events: compassionate engagement; systems-based learning; proportionate responses; and supportive oversight. While PSIRF represents a significant improvement to the way that the National Health Service responds to patient safety incidents, it does not alter the requirements set out in the National Learning from Deaths policy framework. These require a patient safety incident investigation to be undertaken into any event where problems in care are thought more likely than not to have led to the death of a patient.
To help ensure that future deaths are prevented, NHS England has radically redesigned the children and young people’s inpatient model of care, working in partnership with hundreds of children, young people, and their families. One of the key recommendations from working with families through the Quality Transformation Programme was to change the service model to enable families to stay overnight at inpatient services to maintain the connection with their loved one and, critically, to ensure that the delivery of care at a point during a crisis is seen as being delivered to the young person, as well as their family and support network. These recommendations have been built into the new service model. NHS England is in the process of testing the new service model through the use of a development service specification.
Asked by: Richard Quigley (Labour - Isle of Wight West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department is taking steps to help prevent international dentists entering the UK on NHS-sponsored Health and Care Visas leaving the NHS for private practice.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The immigration system will allow those who meet the visa requirements, such as having a job offer from an approved sponsor and being paid the appropriate salary, to come to the United Kingdom to be dentists. It does not differentiate between those who wish to provide National Health Service dentistry from those who may wish to work in private practice.