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Written Question
Mental Health Services: Death
Tuesday 5th March 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether her Department collates data on patients that die while under the care of a mental health provider.

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

The Department doesn't collect data on deaths in this group directly, but relies on data from several other sources. Under the Care Quality Commission (Registration) Regulations 2009: Regulation 17, providers have a legal duty to notify the Care Quality Commission (CQC) of the deaths of people detained, or liable to be detained, under the Mental Health Act. This data is routinely published in the CQC’s Monitoring the Mental Health Act annual report.

However, this only covers people liable to be detained under the Mental Health Act, not voluntary inpatients, and not those under other secondary mental health services. There is no national notification system for the Department, for deaths within this group.

All deaths must be registered, and deaths that appear to be sudden or violent, or deaths that occur in state custody, for instance where someone is detained under the Mental Health Act, must be referred to a coroner for an inquest to determine the cause of death. In a case where the coroner concludes that action can be taken to prevent future deaths, they can choose to issue a Section 28 report addressed to the individual or organisation they believe can take that action. All deaths of patients under Tier 4 care of the Child and Adolescent Mental Health Services, are reported to ministers.

The National Confidential Inquiry into Suicide and Safety in Mental Health uses death registrations and engagement with clinicians to identify deaths by suicide, by people in contact with mental health services, including both inpatients and people being cared for in the community.


Deposited Papers
Department of Health and Social Care

Apr. 12 2024

Source Page: I. Letter dated 10/04/2024 from Victoria Atkins MP to Steve Brine MP regarding the Lampard Inquiry terms of reference. 2p. II. Terms of reference for the Lampard Inquiry. Incl. explanatory note in relation to scope. 4p.
Document: Final_TOR_for_Lampard_Inquiry_-_April_2024.docx (webpage)

Found: occurred; how and the extent to which patients were engaged with and involved in decisions in relation


Written Statements
Lampard Inquiry - Mon 15 Apr 2024
Department of Health and Social Care

Mentions:
1: Victoria Atkins (Con - Louth and Horncastle) deepest sympathies continue to go to all the families who have been affected by the tragic deaths of mental - Speech Link


Departmental Publication (News and Communications)
Department of Health and Social Care

Apr. 16 2024

Source Page: Government review to create a more open healthcare system
Document: Government review to create a more open healthcare system (webpage)

Found: It means that patients and families have a right to receive explanations for what happened as soon as


Deposited Papers

Nov. 12 2010

Source Page: Expanding the list of "never events": policy proposals for engagement. 25 p.
Document: DEP2010-1986.pdf (PDF)

Found: Escape from within the secure perimeter of medium or high secure mental health services by patients who


Written Question
Miscarriage: Bereavement Counselling
Friday 22nd December 2023

Asked by: Navendu Mishra (Labour - Stockport)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether her Department is taking steps to improve the provision of (a) mental health support and (b) other care for patients who have experienced early pregnancy loss.

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

The Department’s response to the Pregnancy Loss Review sets out what actions the Government intends to take to improve the care and support women and families receive when experiencing a pre-24-week gestation baby loss. We are committed to expanding and transforming mental health services in England so that people, including those affected by the loss of a baby or traumatic birth, can get the help and support that they need, when they need it.

As of February 2023, there were 35 Maternal Mental Health Services, which combine maternity, reproductive health and psychological therapy for women experiencing mental health difficulties related to their maternity experience. Services in each integrated care system area are due to be operational by March 2024.

The Government funded the Stillbirths and Neonatal Death charity to work with other baby loss charities and Royal Colleges to produce and support the roll-out of a National Bereavement Care Pathway. The pathway covers a range of circumstances of a baby loss including miscarriage, stillbirth, termination of pregnancy for medical reasons, neonatal death and sudden infant death syndrome.

As of 1 January 2023, 108 National Health Service trusts or 84% in England have committed to adopting the nine National Bereavement Care Pathway standards. 21 trusts and NHS England continue to push for their inclusion.


Deposited Papers

Jun. 16 2009

Source Page: National Reporting and Learning System (NRLS) quarterly data summary. Issue 12, May 2009. Incl. appendices. 42 p.
Document: DEP2009-1711.pdf (PDF)

Found: 21 Acute/general hospitals 24 Mental health and learning disabilities services 26 Community services


Westminster Hall
Eating Disorders Awareness Week - Thu 29 Feb 2024
Department of Health and Social Care

Mentions:
1: Wera Hobhouse (LD - Bath) parliamentary health and service ombudsman published a damning report into the failings that led to the death - Speech Link
2: Wera Hobhouse (LD - Bath) They are often worried to death when they see a child or a young adolescent in such a condition and they - Speech Link
3: Patricia Gibson (SNP - North Ayrshire and Arran) might call a picky eater and a child with ARFID is that a picky eater will not starve themselves to death - Speech Link


Select Committee
Dr Nim, and Douglas Cave
TCS0057 - The Coroner Service: follow-up

Written Evidence Feb. 07 2024

Inquiry: The Coroner Service: follow-up
Inquiry Status: Closed
Committee: Justice Committee (Department: Ministry of Justice)

Found: She was in the care of an NHS funded in-patient mental health service, 125 miles away from her home


Deposited Papers

Feb. 26 2009

Source Page: Religion or belief : a practical guide for the NHS. 66 p.
Document: DEP2009-0548.pdf (PDF)

Found: ill people, means of determining the moment of death, brain death, organ donations and care for