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Written Question
Rare Diseases: Carers and Families
Tuesday 2nd April 2024

Asked by: Lord Hay of Ballyore (Democratic Unionist Party - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what provisions are in place to support the families and caregivers of individuals with rare diseases.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

Each year since 2021, we have published an England Rare Diseases Action Plan. On 29 February 2024, we published the third England Rare Diseases Action Plan. In this plan we recognised that significant challenges exist with access to mental health and psychological support for people living with rare conditions, as well as their families and carers. During this year we have taken steps to further understand the challenges faced through a workshop, and have begun to address these needs by developing resources to better equip the workforce to provide support.

The enormous contribution of unpaid carers, including those caring for individuals with rare diseases, is reflected throughout the Next Steps to Put People at the Heart of Care, published in April 2023. Furthermore, the Better Care Fund in 2023/24 includes £327 million for carers support, including short breaks and respite services for carers. This also funds advice and support to carers, and a small number of additional local authority duties. The Accelerating Reform Fund also provides support for unpaid carers. The Government is developing a new survey of unpaid carers which will capture the wide range of experiences, circumstances, and needs of unpaid carers across England. Through the National Institute for Health and Care Research, an evaluation of the support provided to unpaid carers funded through the Better Care Fund has been commissioned, which will improve the understanding of what support works best for unpaid carers.


Written Question
Mental Health Services: Veterans
Tuesday 26th March 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

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 14 March 2024 to Question 17496 on Mental Health Services: Veterans, for what reason NHS England does not hold data on the number of veterans who have used Op Courage services more than once.

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

Prior to April 2023, Op COURAGE was formed from the three separate services of the Transition, Intervention and Liaison service, the Complex Treatment Service, and the High Intensity Service. Performance data for these services did not collect uniquely identifiable information on individual veterans, so it would not be possible to identify instances where a veteran had attended Op COURAGE for more than one course of treatment.

No data is held on the numbers of veterans with gambling addictions that have used Op COURAGE. Data analysed includes the primary mental health reason for referral to Op COURAGE. From April 2023, there have been no referrals to Op COURAGE with a primary mental health reason of gambling addiction. Since April 2023, less than 1.5% of referrals to Op COURAGE have been with a primary mental health reason of either obsessive-compulsive disorder or drug or alcohol difficulties.

Between August 2021 and September 2024, £339,000 has been allocated across the three social prescribing pilot projects which are in Cornwall, Durham, and Dorset. The National Health Service provides wellbeing support to all full-time carers. Veterans who identify as a carer are offered a Carer’s Assessment, which is undertaken by local authorities. The outcome of the Carer’s Assessment will inform a care and support plan, which is bespoke to the needs of the carer.

The Better Care Fund in 2023/24 includes £327 million for carers support, including short breaks and respite services for carers. It also funds advice and support to carers and a small number of additional local authority duties. There is no data on how much of that funding may have been used for veterans.


Written Question
Mental Health Services: Veterans
Tuesday 26th March 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

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 14 March 2024 to Question 17496 on Mental Health Services: Veterans, for what reason NHS England does not hold data on the number of veterans with gambling addictions who have used Op Courage services.

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

Prior to April 2023, Op COURAGE was formed from the three separate services of the Transition, Intervention and Liaison service, the Complex Treatment Service, and the High Intensity Service. Performance data for these services did not collect uniquely identifiable information on individual veterans, so it would not be possible to identify instances where a veteran had attended Op COURAGE for more than one course of treatment.

No data is held on the numbers of veterans with gambling addictions that have used Op COURAGE. Data analysed includes the primary mental health reason for referral to Op COURAGE. From April 2023, there have been no referrals to Op COURAGE with a primary mental health reason of gambling addiction. Since April 2023, less than 1.5% of referrals to Op COURAGE have been with a primary mental health reason of either obsessive-compulsive disorder or drug or alcohol difficulties.

Between August 2021 and September 2024, £339,000 has been allocated across the three social prescribing pilot projects which are in Cornwall, Durham, and Dorset. The National Health Service provides wellbeing support to all full-time carers. Veterans who identify as a carer are offered a Carer’s Assessment, which is undertaken by local authorities. The outcome of the Carer’s Assessment will inform a care and support plan, which is bespoke to the needs of the carer.

The Better Care Fund in 2023/24 includes £327 million for carers support, including short breaks and respite services for carers. It also funds advice and support to carers and a small number of additional local authority duties. There is no data on how much of that funding may have been used for veterans.


Written Question
Mental Health Services: Veterans
Tuesday 26th March 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

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 14 March 2024 to Question 17495 on Mental Health Services: Veterans, how much funding has been allocated to the three social prescribing pilot sites.

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

Prior to April 2023, Op COURAGE was formed from the three separate services of the Transition, Intervention and Liaison service, the Complex Treatment Service, and the High Intensity Service. Performance data for these services did not collect uniquely identifiable information on individual veterans, so it would not be possible to identify instances where a veteran had attended Op COURAGE for more than one course of treatment.

No data is held on the numbers of veterans with gambling addictions that have used Op COURAGE. Data analysed includes the primary mental health reason for referral to Op COURAGE. From April 2023, there have been no referrals to Op COURAGE with a primary mental health reason of gambling addiction. Since April 2023, less than 1.5% of referrals to Op COURAGE have been with a primary mental health reason of either obsessive-compulsive disorder or drug or alcohol difficulties.

Between August 2021 and September 2024, £339,000 has been allocated across the three social prescribing pilot projects which are in Cornwall, Durham, and Dorset. The National Health Service provides wellbeing support to all full-time carers. Veterans who identify as a carer are offered a Carer’s Assessment, which is undertaken by local authorities. The outcome of the Carer’s Assessment will inform a care and support plan, which is bespoke to the needs of the carer.

The Better Care Fund in 2023/24 includes £327 million for carers support, including short breaks and respite services for carers. It also funds advice and support to carers and a small number of additional local authority duties. There is no data on how much of that funding may have been used for veterans.


Written Question
Mental Health Services: Veterans
Tuesday 26th March 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

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 14 March 2024 to Question 17495 on Mental Health Services: Veterans, where the three social prescribing pilot sites are located.

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

Prior to April 2023, Op COURAGE was formed from the three separate services of the Transition, Intervention and Liaison service, the Complex Treatment Service, and the High Intensity Service. Performance data for these services did not collect uniquely identifiable information on individual veterans, so it would not be possible to identify instances where a veteran had attended Op COURAGE for more than one course of treatment.

No data is held on the numbers of veterans with gambling addictions that have used Op COURAGE. Data analysed includes the primary mental health reason for referral to Op COURAGE. From April 2023, there have been no referrals to Op COURAGE with a primary mental health reason of gambling addiction. Since April 2023, less than 1.5% of referrals to Op COURAGE have been with a primary mental health reason of either obsessive-compulsive disorder or drug or alcohol difficulties.

Between August 2021 and September 2024, £339,000 has been allocated across the three social prescribing pilot projects which are in Cornwall, Durham, and Dorset. The National Health Service provides wellbeing support to all full-time carers. Veterans who identify as a carer are offered a Carer’s Assessment, which is undertaken by local authorities. The outcome of the Carer’s Assessment will inform a care and support plan, which is bespoke to the needs of the carer.

The Better Care Fund in 2023/24 includes £327 million for carers support, including short breaks and respite services for carers. It also funds advice and support to carers and a small number of additional local authority duties. There is no data on how much of that funding may have been used for veterans.


Written Question
Mental Health Services: Veterans
Monday 25th March 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many veterans with drug and alcohol addictions have used Op COURAGE since its inception.

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

Prior to April 2023, Op COURAGE was formed from the three separate services of the Transition, Intervention and Liaison service, the Complex Treatment Service, and the High Intensity Service. Performance data for these services did not collect uniquely identifiable information on individual veterans, so it would not be possible to identify instances where a veteran had attended Op COURAGE for more than one course of treatment.

No data is held on the numbers of veterans with gambling additions that have used Op COURAGE. Data analysed includes the primary mental health reason for referral to Op COURAGE. From April 2023, there have been no referrals to Op COURAGE with a primary mental health reason of gambling addiction. Since April 2023, less than 1.5% of referrals to Op COURAGE have been with a primary mental health reason of either obsessive-compulsive disorder or drug or alcohol difficulties.

Between August 2021 and September 2024, £339,000 has been allocated across the three social prescribing pilot projects which are in Cornwall, Durham, and Dorset. The National Health Service provides wellbeing support to all full-time carers. Veterans who identify as a carer are offered a Carer’s Assessment, which is undertaken by local authorities. The outcome of the Carer’s Assessment will inform a care and support plan, which is bespoke to the needs of the carer.

The Better Care Fund in 2023/24 includes £327 million for carers support, including short breaks and respite services for carers. It also funds advice and support to carers and a small number of additional local authority duties. There is no data on how much of that funding may have been used for veterans.


Written Question
Mental Health Services: Veterans
Monday 25th March 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether bespoke wellbeing support is provided by the NHS to veterans who are full-time carers.

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

Prior to April 2023, Op COURAGE was formed from the three separate services of the Transition, Intervention and Liaison service, the Complex Treatment Service, and the High Intensity Service. Performance data for these services did not collect uniquely identifiable information on individual veterans, so it would not be possible to identify instances where a veteran had attended Op COURAGE for more than one course of treatment.

No data is held on the numbers of veterans with gambling additions that have used Op COURAGE. Data analysed includes the primary mental health reason for referral to Op COURAGE. From April 2023, there have been no referrals to Op COURAGE with a primary mental health reason of gambling addiction. Since April 2023, less than 1.5% of referrals to Op COURAGE have been with a primary mental health reason of either obsessive-compulsive disorder or drug or alcohol difficulties.

Between August 2021 and September 2024, £339,000 has been allocated across the three social prescribing pilot projects which are in Cornwall, Durham, and Dorset. The National Health Service provides wellbeing support to all full-time carers. Veterans who identify as a carer are offered a Carer’s Assessment, which is undertaken by local authorities. The outcome of the Carer’s Assessment will inform a care and support plan, which is bespoke to the needs of the carer.

The Better Care Fund in 2023/24 includes £327 million for carers support, including short breaks and respite services for carers. It also funds advice and support to carers and a small number of additional local authority duties. There is no data on how much of that funding may have been used for veterans.


Written Question
Mental Health Services: Veterans
Monday 25th March 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many veterans with OCD have used Op COURAGE since its inception.

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

Prior to April 2023, Op COURAGE was formed from the three separate services of the Transition, Intervention and Liaison service, the Complex Treatment Service, and the High Intensity Service. Performance data for these services did not collect uniquely identifiable information on individual veterans, so it would not be possible to identify instances where a veteran had attended Op COURAGE for more than one course of treatment.

No data is held on the numbers of veterans with gambling additions that have used Op COURAGE. Data analysed includes the primary mental health reason for referral to Op COURAGE. From April 2023, there have been no referrals to Op COURAGE with a primary mental health reason of gambling addiction. Since April 2023, less than 1.5% of referrals to Op COURAGE have been with a primary mental health reason of either obsessive-compulsive disorder or drug or alcohol difficulties.

Between August 2021 and September 2024, £339,000 has been allocated across the three social prescribing pilot projects which are in Cornwall, Durham, and Dorset. The National Health Service provides wellbeing support to all full-time carers. Veterans who identify as a carer are offered a Carer’s Assessment, which is undertaken by local authorities. The outcome of the Carer’s Assessment will inform a care and support plan, which is bespoke to the needs of the carer.

The Better Care Fund in 2023/24 includes £327 million for carers support, including short breaks and respite services for carers. It also funds advice and support to carers and a small number of additional local authority duties. There is no data on how much of that funding may have been used for veterans.


Written Question
Carers
Tuesday 28th November 2023

Asked by: Lord Laming (Crossbench - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the Carers UK report State of Caring 2023 — The impact of caring on: health, published in November; and what steps they intend to take in response.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

We are grateful to Carers UK for having undertaken the research for this report, and we recognise that caring is not always easy or straightforward. There is a wide variety of caring circumstances, experiences and needs among unpaid carers, and the enormous contribution of unpaid carers is reflected throughout Next Steps to Put People at the Heart of Care, published on GOV.UK in April 2023 in an online-only format.

On 24 October 2023, we announced our £42.6 million Accelerating Reform Fund to support innovation and scaling up in adult social care, and to kick-start a change in services provided to support unpaid carers.

We are also investing at least £2.3 billion extra funding a year in expanding and transforming mental health services in England by March 2024. This extra funding will enable an extra two million people, including unpaid carers, to be treated by mental health services within the National Health Service by March 2024.

We know that breaks and respite are important for unpaid carers. This year, £327 million from the Better Care Fund has been earmarked to provide short breaks and respite services and additional advice and support to carers, together with a small number of additional local authority duties.


Written Question
Motor Neurone Disease: Carers
Monday 20th November 2023

Asked by: Damien Moore (Conservative - Southport)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment she has made of the implications for her policies of the report on Understanding the experiences of unpaid carers of people living with Motor Neurone Disease, published by the Motor Neurone Disease Association in November 2022.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

No assessment has been made on the policy implications following the publication of the report.

Under the Care Act 2014, local authorities are required to undertake a Carer’s Assessment for any unpaid carer who appears to have a need for support and to meet their eligible needs on request from the carer.

In 2023/24, £327 million of Better Care funding has been earmarked to provide short breaks and respite services for carers. This also funds additional advice and support to carers and a small number of additional local authority duties.