Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what plans his Department has to work with NHS England to ensure that psychosocial assessments are undertaken for everyone who discloses self-harm (a) to their GP and (b) in any other clinical setting.

The National Institute for Health and Care Excellence’s clinical guideline ‘Self-harm in over 8s: long-term management (CG133)’ covers the initial management of self-harm and the provision of longer-term support for children and young people aged eight years and older and adults. It includes guidance on referring patients in primary and community care and in other specialist mental health settings for an assessment if presenting with a history of self-harm and a risk of repetition.

In the NHS Long Term Plan, we committed to establishing new models of integrated primary and community mental health care for adults and older adults with severe mental illnesses, with a new community-based offer explicitly including – among other elements – improved self-harm support. New models are currently being tested in 12 early implementer sites, and all areas are developing plans to expand and transform services from 2021/22.