Asked by: James McMurdock (Independent - South Basildon and East Thurrock)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent discussions he has had with the NHS in South Basildon and East Thurrock constituency on patient safety for people experiencing long waits in Accident and Emergency.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government recognises that urgent and emergency care performance has fallen short in recent years. We are committed to restoring accident and emergency waiting times to the National Health Service constitutional standard.
Our Urgent and Emergency Care Plan for 2025/26 sets out clear actions to deliver improvements and make services better. The plan commits to reducing the number of patients waiting over 12 hours for admission or discharge to less than 10% of the time. This is supported by almost £450 million of capital investment for Same Day Emergency Care, Mental Health Crisis Assessment Centres, and new ambulances, avoiding unnecessary admissions to hospital and supporting the faster diagnosis, treatment, and discharge for patients.
The NHS Medium-Term Planning Framework sets out a further trajectory to improve urgent and emergency care performance year-on-year toward the constitutional standard, reducing long waits and improving patient experience. The plan focuses on practical steps such as expanding urgent treatment centres, improving patient flow, and reducing 12-hour waits, to make emergency departments safer and more efficient.
NHS England provides regional oversight to support local delivery of services and improvement. The Mid and South Essex NHS Foundation Trust’s One Team Improvement Plan has a focus on improving urgent and emergency care outcomes. The programme group looking at quality and patient safety has been focusing on reviewing processes and the fundamentals of care in wards and in the trust’s emergency departments. The trust has also introduced additional consultant cover during the weekends to increase the number of people discharged at the weekend. This helps to keep the emergency department safe as it allows for the movement of people who need to be admitted into the right beds.
Asked by: James McMurdock (Independent - South Basildon and East Thurrock)
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 help improve triaging by Accident and Emergency departments at Basildon Hospital.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government recognises that urgent and emergency care performance has fallen short in recent years. We are committed to restoring accident and emergency waiting times to the National Health Service constitutional standard.
Our Urgent and Emergency Care Plan for 2025/26 sets out clear actions to deliver improvements and make services better. The plan commits to reducing the number of patients waiting over 12 hours for admission or discharge to less than 10% of the time. This is supported by almost £450 million of capital investment for Same Day Emergency Care, Mental Health Crisis Assessment Centres, and new ambulances, avoiding unnecessary admissions to hospital and supporting the faster diagnosis, treatment, and discharge for patients.
The NHS Medium-Term Planning Framework sets out a further trajectory to improve urgent and emergency care performance year-on-year toward the constitutional standard, reducing long waits and improving patient experience. The plan focuses on practical steps such as expanding urgent treatment centres, improving patient flow, and reducing 12-hour waits, to make emergency departments safer and more efficient.
NHS England provides regional oversight to support local delivery of services and improvement. The Mid and South Essex NHS Foundation Trust’s One Team Improvement Plan has a focus on improving urgent and emergency care outcomes. The programme group looking at quality and patient safety has been focusing on reviewing processes and the fundamentals of care in wards and in the trust’s emergency departments. The trust has also introduced additional consultant cover during the weekends to increase the number of people discharged at the weekend. This helps to keep the emergency department safe as it allows for the movement of people who need to be admitted into the right beds.
Asked by: James McMurdock (Independent - South Basildon and East Thurrock)
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 help reduce the number of patients waiting over 12 hours to be admitted to, or discharged from, Basildon Hospital’s Accident and Emergency Department.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government recognises that urgent and emergency care performance has fallen short in recent years. We are committed to restoring accident and emergency waiting times to the National Health Service constitutional standard.
Our Urgent and Emergency Care Plan for 2025/26 sets out clear actions to deliver improvements and make services better. The plan commits to reducing the number of patients waiting over 12 hours for admission or discharge to less than 10% of the time. This is supported by almost £450 million of capital investment for Same Day Emergency Care, Mental Health Crisis Assessment Centres, and new ambulances, avoiding unnecessary admissions to hospital and supporting the faster diagnosis, treatment, and discharge for patients.
The NHS Medium-Term Planning Framework sets out a further trajectory to improve urgent and emergency care performance year-on-year toward the constitutional standard, reducing long waits and improving patient experience. The plan focuses on practical steps such as expanding urgent treatment centres, improving patient flow, and reducing 12-hour waits, to make emergency departments safer and more efficient.
NHS England provides regional oversight to support local delivery of services and improvement. The Mid and South Essex NHS Foundation Trust’s One Team Improvement Plan has a focus on improving urgent and emergency care outcomes. The programme group looking at quality and patient safety has been focusing on reviewing processes and the fundamentals of care in wards and in the trust’s emergency departments. The trust has also introduced additional consultant cover during the weekends to increase the number of people discharged at the weekend. This helps to keep the emergency department safe as it allows for the movement of people who need to be admitted into the right beds.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
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 help ensure that people with learning disabilities do not remain in hospital beds when there is no medical need for them to do so.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Our 10-Year Health Plan sets out to tackle health inequalities and offer people more holistic, on-going support in the community. It is important that people are discharged promptly from hospital with the right support, both for their outcomes, and to free up beds for other patients.
The Department is working to ensure that patients, including people with a learning disability, can leave hospital promptly by strengthening access to appropriate community-based services. Local systems, supported through the £9 billion Better Care Fund, are required to plan jointly for integrated health and social care that supports individuals to live independently. This includes commissioning supported living arrangements, residential care where needed, and tailored packages of domiciliary care.
For 2025/26, National Health Service trusts have been asked to focus on eliminating discharge delays of more than 48 hours caused by issues within acute hospitals, and to work with local authorities on eliminate the longest delays, starting with those of over 21 days.
NHS Operational Planning Guidance also sets an objective to deliver a minimum 10% reduction in the use of mental health inpatient care for people with a learning disability and autistic people in 2025/26. The NHS Medium-Term Planning Framework maintains this focus, with an ambition for a 10% year-on-year reduction up to 2028/29.
Asked by: Jim McMahon (Labour (Co-op) - Oldham West, Chadderton and Royton)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of current inpatient capacity and waiting times for secure mental health placements for individuals detained under the Mental Health Act in (a) England (b) Greater Manchester (c) Oldham.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Nationally, NHS England collates information from annual contracts to understand the commissioned and available capacity across all adult forensic services, including high, medium, and low secure. A change notification process is managed nationally to capture in-year changes to this capacity and to monitor provider-reported activity via the Mental Health Services Dataset. NHS England does not hold information about waiting times for all individuals detained under the Mental Health Act who require admission to an adult forensic service except where the individual is transferred from prison to hospital.
NHS England and the Greater Manchester Adult Secure Provider Collaborative continue to work closely with National Health Service trusts and independent sector organisations to monitor capacity and demand for secure mental health beds for the population of Greater Manchester.
Whilst work is in progress to achieve more timely transfers into secure mental health facilities for prisoners, and work with providers around reducing overall secure length of stay, based on current demand there are sufficient adult secure beds across Greater Manchester and the wider North West region, including Oldham, to meet demand against the national adult secure specification.
Waiting list numbers are stable and consistent which indicates that commissioned provision is sufficient to meet need. As waiting lists are managed on a clinical priority basis and due to the low volumes of people requiring secure mental health services, it is difficult to provide a meaningful statistic about waiting times for admission.
Asked by: James McMurdock (Independent - South Basildon and East Thurrock)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans he has to improve post-discharge support for mental health patients.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The first statutory guidance on discharge from mental health hospitals, published in 2024 under the NHS Act 2006, emphasised the importance of communication and collaboration between responsible agencies to ensure the patient’s safe and timely discharge and continued care and support after hospital.
This is underpinned by the Community Mental Health Framework, which sets out a vision for new models of integrated primary and community mental health services to address longstanding challenges in mental health services, including maximising continuity of care. Neighbourhood mental health centres build on this model, bringing together a range of community mental health services under one roof, including crisis services and short-stay beds, ensuring people’s holistic needs can be met. To ensure that people are provided with the right support to live successfully and safely in the community after discharge, section 117 of the Mental Health Act places a duty on the National Health Service and local social services authorities to provide after-care to eligible patients who have been detained in hospital for treatment, under certain sections of the act.
We know there are sometimes disagreements between local authorities over who should be paying for a persons’ after-care and what services should be provided. The Mental Health Bill seeks to address these issues and bring clarity, mitigating delays to the provision of aftercare services.
There is also the NHS Continuing Healthcare, which is a package of NHS-funded ongoing care for adults with the highest levels of complex, intense, or unpredictable needs, who have been assessed as having a primary health need, to meet needs that have arisen as a result of disability, accident, or illness.
Asked by: Blake Stephenson (Conservative - Mid Bedfordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the potential merits of providing ongoing access to therapy for people with complex mental health needs.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
We recognise the importance of providing ongoing access to therapy for people with complex mental health needs. The 10-Year Health Plan sets out our vision for a Neighbourhood Health Service and the three big shifts needed in the system – analogue to digital, sickness to prevention and hospital to community.
As part of this, we are piloting neighbourhood mental health centres. These pilots aim to provide open access holistic care for anyone with a severe mental illness or complex mental health needs 24 hours a day, seven days a week, bringing together a range of community mental health services and other forms of relevant support under one roof, including crisis services and short-stay beds.
NHS England is also developing a Modern Service Framework which will focus on services for people with severe and enduring mental illness and services for people with complex emotional needs.
Asked by: Fred Thomas (Labour - Plymouth Moor View)
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 improve the availability of beds at psychiatric inpatient units.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
As part of our mission to build a National Health Service that is fit for the future, we need to focus treatment away from hospital and inpatient care and improve community and crisis services. Through our 10-Year Health Plan we will make sure more mental health care is delivered in the community, close to people’s homes, through new models of care and support, so that fewer people need to go into hospital.
NHS England has already begun piloting this innovative model of mental health care for people with serious mental health needs through six neighbourhood adult mental health centres that are open 24 hours a day, seven days a week, and which bring together community, crisis, and inpatient care.
Integrated care boards have published plans to localise inpatient care by 2026/27 under the national commissioning framework for mental health inpatient services, improving both care quality and value for money.
Asked by: Richard Holden (Conservative - Basildon and Billericay)
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 new mothers experiencing (a) anxiety, (b) postnatal depression and (c) other difficulties after birth are routinely referred to local third-sector or community-based support services.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We recognise that supporting women’s mental health is a crucial aspect of care at all stages of pregnancy and post-partum.
General practitioners (GPs) can offer initial support for mild to moderate mental health problems including depression and anxiety. If a pregnant woman needs further support, a range of specialist mental health services have been made available to access during the perinatal period. For women with or at risk of more serious mental health problems, such as severe depression, who are planning a pregnancy, pregnant or have a baby up to two years old, specialist perinatal mental health services provide care in all 42 integrated care system areas of England. As of June 2025, Maternal Mental Health Services are now available across all areas of England. They are available for women experiencing mental health difficulties directly arising from, or related to, their maternity or neonatal experience, such as post-natal depression. Women can be referred to these services, which are often community-based, by any healthcare professional, including midwives, health visitors, GPs, hospital-based teams, mental health services and social workers. Self-referrals are accepted by some services.
Additionally, 165 Mother and Baby Unit beds have now been commissioned, with 153 currently operational. These units provide inpatient care to women who experience severe mental health difficulties during and after pregnancy, including postpartum psychosis. A mother could be admitted to a mother and baby unit for treatment of severe depression or an anxiety disorder.
NHS England guidance sets out that all women who have given birth should be offered a postnatal check-up with their GP after six to eight weeks. This check-up provides an important opportunity for women to be listened to by their GP in a discreet, supportive environment, and for women to be assessed and supported not just in their physical recovery post-birth but also their mental health. In line with the National Health Service guidance, during this appointment, GPs have a duty to ask every woman about her mental health, and to prioritise identifying and addressing serious mental health concerns such as severe depression. This means any woman needing extra mental health support can be referred to primary care mental health support including Talking Therapies or to a specialist perinatal mental health team, if appropriate.
On 17 July 2025, the Prime Minister also announced the launch of Diagnosis Connect, a new service that will better-connect patients to both local and national charities. This will ensure that patients are referred directly to trusted charities and support organisations as soon as they are diagnosed, providing personalised advice, information and guidance to help them manage their condition and feel more in control. This support will include physical and mental wellbeing in the perinatal period.
Asked by: Richard Holden (Conservative - Basildon and Billericay)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will make an assessment of the potential merits of introducing a duty to refer new mothers experiencing mental distress to appropriate local services.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We recognise that supporting women’s mental health is a crucial aspect of care at all stages of pregnancy and post-partum.
General practitioners (GPs) can offer initial support for mild to moderate mental health problems including depression and anxiety. If a pregnant woman needs further support, a range of specialist mental health services have been made available to access during the perinatal period. For women with or at risk of more serious mental health problems, such as severe depression, who are planning a pregnancy, pregnant or have a baby up to two years old, specialist perinatal mental health services provide care in all 42 integrated care system areas of England. As of June 2025, Maternal Mental Health Services are now available across all areas of England. They are available for women experiencing mental health difficulties directly arising from, or related to, their maternity or neonatal experience, such as post-natal depression. Women can be referred to these services, which are often community-based, by any healthcare professional, including midwives, health visitors, GPs, hospital-based teams, mental health services and social workers. Self-referrals are accepted by some services.
Additionally, 165 Mother and Baby Unit beds have now been commissioned, with 153 currently operational. These units provide inpatient care to women who experience severe mental health difficulties during and after pregnancy, including postpartum psychosis. A mother could be admitted to a mother and baby unit for treatment of severe depression or an anxiety disorder.
NHS England guidance sets out that all women who have given birth should be offered a postnatal check-up with their GP after six to eight weeks. This check-up provides an important opportunity for women to be listened to by their GP in a discreet, supportive environment, and for women to be assessed and supported not just in their physical recovery post-birth but also their mental health. In line with the National Health Service guidance, during this appointment, GPs have a duty to ask every woman about her mental health, and to prioritise identifying and addressing serious mental health concerns such as severe depression. This means any woman needing extra mental health support can be referred to primary care mental health support including Talking Therapies or to a specialist perinatal mental health team, if appropriate.
On 17 July 2025, the Prime Minister also announced the launch of Diagnosis Connect, a new service that will better-connect patients to both local and national charities. This will ensure that patients are referred directly to trusted charities and support organisations as soon as they are diagnosed, providing personalised advice, information and guidance to help them manage their condition and feel more in control. This support will include physical and mental wellbeing in the perinatal period.