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To ask Her Majesty’s Government what steps are being taken to ensure that Do Not Resuscitate orders are not assigned in the future to patients solely because they have Down’s syndrome or any other learning disability.
To ask Her Majesty’s Government what steps are being taken to ensure that Do Not Resuscitate orders are not assigned in the future to patients solely because they have Down’s syndrome or any other learning disability.
The Department expects National Health Service trusts and foundation trusts to have in place local policies on resuscitation that are based on expert professional guidance. We have commended, as a basis for local policies, professional guidance, Decisions relating to cardiopulmonary resuscitation (2014), published jointly by the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing. The guidance is clear that any resuscitation decision must be free from any discrimination, tailored to the individual circumstances of the patient and fully documented. The use of a Do Not Attempt Cardiopulmonary Resuscitation decision solely on the basis that a patient has Down’s Syndrome is totally unacceptable.
A copy of the guidance is attached.
To ask Her Majesty’s Government what steps they are taking to encourage the full-time employment of adults with special learning needs, and what assessment they have made of how successful those measures have been in 2015.
To ask Her Majesty’s Government what steps they are taking to encourage the full-time employment of adults with special learning needs, and what assessment they have made of how successful those measures have been in 2015.
Increasing disability employment is a key part of the government’s aim to achieve full employment. That is why this Government has an ambition to halve the disability employment gap by creating the opportunity for a million more disabled people to work.
The Government has a variety of initiatives and programmes in place to support and encourage people with special learning needs to find and retain work. Performance statistics are published for a number of these.
For example:
- Access to Work provides on-going personalised in-work support for disabled people who are in work or about to start work on a full or part-time basis. Access to Work has had a Hidden Impairments Specialist Advisory team since September. We are also considering whether the Mental Health Support Service model of support could benefit those with hidden impairments other than mental health conditions. Last year Access to Work supported record numbers of people with a Learning Disability or Dyslexia recorded as their Primary Health Condition (6,580 people supported – 520 more people than in 2013/14).
- The most recent Access to Work statistics are attached at Annex A.
- Work Choice is a specialist disability employment programme which provides tailored support for disabled people who face the most complex employment barriers to find and stay in work. DWP has improved the referral process for Work Choice to ensure that information about candidates’ hidden impairments is shared with Work Choice providers. In 2014/15, 5,670 people with a Mild or Moderate to Severe Learning Disability recorded as their Primary Disability were referred to Work Choice. Since 2010, 19,410 people with a Mild or Moderate to Severe Learning Disability recorded as their Primary Disability have started Work Choice, of whom 8,600 have started work – giving a job outcome rate of around 44% for this group.
- The most recent Work Choice statistics are attached at Annex B.
- The Government’s Disability Confident campaign works with employers at a national and local level to help them to understand the benefits of employing disabled people, and promote good practice in recruitment and employment of disabled people, including people with special learning needs.
- DWP also works in close partnership with the Hidden Impairment National Group (HING), a national network of disabled people, medical professionals/ academics and disability specific organisations. This collaboration has produced an ‘Uncovering Hidden Impairments’ toolkit, which supports organisations in both the private and public sectors to confidently recruit and retain talented individuals with hidden impairment conditions, such as special learning needs.
- Jobcentre Plus continues to offer a range of support, including a free helpline for claimants who have difficulty making claims for benefit online because of dyslexia or similar conditions. DWP is working in partnership with Autism Alliance UK to build an autism network across Jobcentre Plus by training nominated autism leads, including Work Coaches and DEAs.
- We have worked with Community Service Volunteers to introduce the Job-Shadowing Work Placement Initiative for young disabled people, including those with special learning needs. The first tranche had a 65% participation rate for young people having autistic spectrum conditions
To ask Her Majesty’s Government what steps will be taken to ensure that individuals with learning disabilities have access to good quality healthcare, in the light of reports by Mencap that there are 1,200 avoidable deaths of people with a learning disability in the NHS annually.
To ask Her Majesty’s Government what steps will be taken to ensure that individuals with learning disabilities have access to good quality healthcare, in the light of reports by Mencap that there are 1,200 avoidable deaths of people with a learning disability in the NHS annually.
The Government’s response to the recommendations in the report of the Mid Staffordshire NHS Foundation Trust Public Inquiry included a wide range of measures aimed at improving safety and quality as well as ensuring compassionate care for everyone who uses National Health Service services, including people with disabilities.
NHS organisations should comply with existing legislation, frameworks and guidance aimed at ensuring they identify and meet the needs of people with learning disabilities in commissioning and delivering safe, high quality care to all individuals, groups and communities of their populations.
From June 2016, the Department will publish independently assured, ratings of the quality of healthcare offered to people with learning disabilities in all clinical commissioning group areas, to highlight variations and to allow rapid action to be taken when improvement is needed.
NHS England continues to work to improve access to good quality healthcare for people with learning disabilities, including:
‒ improving identification of people with learning disabilities in health care records to ensure that reasonable adjustments can be made, communication needs addressed and crisis plans developed;
‒ encouraging the use of health passports when people access services so that professionals and staff are aware of their needs;
‒ improving identification on cancer screening information systems;
‒ ensuring that people with learning disabilities are identified as a priority group to receive flu vaccinations;
‒ improving access to NHS 111, Accident and Emergency and other services; and
‒ increasing the number of people who are eligible getting an annual learning disability health check from their general practitioner.
NHS England has also commissioned a learning disabilities Premature Mortality Review programme led by the University of Bristol from June 2015 to review and learn from deaths of people with a learning disability with the aim of improving services, care and support nationally.
These initiatives will help to raise awareness and to tackle the inequalities experienced by those with learning disability, including where associated with Down’s syndrome.
In addition, the Care Certificate, which was introduced in April 2015, is helping NHS service providers to ensure that their new healthcare assistants have the right fundamental skills and knowledge, including in communication and awareness of learning disability.
Health Education England will work with healthcare providers to ensure that the continuing personal and professional development of staff continues beyond the end of formal training to enable staff to deliver safe and high quality healthcare and public health services both now and in the future.
To ask Her Majesty’s Government whether any disciplinary action is being taken against the doctors at the Queen Elizabeth The Queen Mother Hospital in Margate who listed Down’s syndrome and learning difficulties among the reasons for issuing a Do Not Resuscitate order.
To ask Her Majesty’s Government whether any disciplinary action is being taken against the doctors at the Queen Elizabeth The Queen Mother Hospital in Margate who listed Down’s syndrome and learning difficulties among the reasons for issuing a Do Not Resuscitate order.
The Department expects National Health Service trusts and NHS foundation trusts to have in place local policies on resuscitation that are based on expert professional guidance. We have commended, as a basis for local policies, professional guidance, Decisions Relating to Cardiopulmonary Resuscitation (2014), published jointly by the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing. The guidance is clear that any resuscitation decision must be tailored to the individual circumstances of the patient and must not be made on the basis of blanket assumptions. A copy of the guidance is attached.
Where a person lacks capacity to make decisions about their care or treatment, the Mental Capacity Act makes clear that doctors must act in the best interests of patients. Doctors must take account as far as possible of the known wishes of the person and consult with relatives and colleagues as appropriate to help inform their decision.
Departmental officials have recently contacted the Trust about recent media coverage concerning an incident when Down’s syndrome was listed as a reason to issue a Do Not Resuscitate order. The Trust confirms it accepts that it failed to consult with the family and has apologised unreservedly for this isolated incident by a junior doctor.
In regards to any disciplinary action taken against the doctor this would be an operational issue for the Foundation Trust. We have written to Ms Nikki Cole, Chair of East Kent Hospitals University NHS Foundation Trust informing her of the Noble Lord’s enquiry. She will reply shortly and a copy of the letter will be placed in the Library.
Letter dated 13/01/2016 from Nikki Cole, Chair, East Kent Hospitals University NHS Foundation Trust, to Lord Alton regarding Do Not Resuscitate (DNR) orders. 2p.
Letter dated 13/01/2016 from Nikki Cole, Chair, East Kent Hospitals University NHS Foundation Trust, to Lord Alton regarding Do Not Resuscitate (DNR) orders. 2p.
My Rt. hon. Friend the Secretary of State for Health (Jeremy Hunt) has made the following written ministerial statement.
Today the Government has laid before Parliament the mandate to NHS England for 2016-17. This mandate has been produced following public consultation, and will take effect from 1 April 2016.
The mandate sets...
My Rt. hon. Friend the Secretary of State for Health (Jeremy Hunt) has made the following written ministerial statement.
Today the Government has laid before Parliament the mandate to NHS England for 2016-17. This mandate has been produced following public consultation, and will take effect from 1 April 2016.
The mandate sets...
My Rt. hon. Friend the Secretary of State for Health (Jeremy Hunt) has made the following written ministerial statement.
NHS England will today publish the Mazars report on Southern Health NHS Foundation Trust. It will be available on the NHS England website later today at https://www.england.nhs.uk/south/our-work/ind-invest-reports/. I want to...
My Rt. hon. Friend the Secretary of State for Health (Jeremy Hunt) has made the following written ministerial statement.
NHS England will today publish the Mazars report on Southern Health NHS Foundation Trust. It will be available on the NHS England website later today at https://www.england.nhs.uk/south/our-work/ind-invest-reports/. I want to...
Today the Government has laid before Parliament the mandate to NHS England for 2016-17. This mandate has been produced following public consultation, and will take effect from 1 April 2016.
The mandate sets the Government’s objectives for NHS England, as well as its budget. In doing so, the mandate sets direction...
Today the Government has laid before Parliament the mandate to NHS England for 2016-17. This mandate has been produced following public consultation, and will take effect from 1 April 2016.
The mandate sets the Government’s objectives for NHS England, as well as its budget. In doing so, the mandate sets direction...
It seems incongruous to do this during this debate, but I would like to start by wishing you, Madam Deputy Speaker, and all hon. Members a very happy Christmas. May I also congratulate my hon. Friend the Member for North West Hampshire (Kit Malthouse) and the hon. Member for Stockport...
It seems incongruous to do this during this debate, but I would like to start by wishing you, Madam Deputy Speaker, and all hon. Members a very happy Christmas. May I also congratulate my hon. Friend the Member for North West Hampshire (Kit Malthouse) and the hon. Member for Stockport...
Independent review of deaths of people with a learning disability or mental health problem in contact with Southern Health NHS Foundation Trust April 2011 to March 2015. 254 p.
Independent review of deaths of people with a learning disability or mental health problem in contact with Southern Health NHS Foundation Trust April 2011 to March 2015. 254 p.
Letter dated 17/12/2015 from Lord Prior of Brampton to Lord Campbell-Savours regarding Southern Health NHS Foundation Trust. 2 p.
Letter dated 17/12/2015 from Lord Prior of Brampton to Lord Campbell-Savours regarding Southern Health NHS Foundation Trust. 2 p.
My Lords, I shall now repeat as a Statement the Answer to an Urgent Question given in another place by my right honourable friend the Secretary of State for Health on the report into the investigation into deaths at Southern Health NHS Foundation Trust.
“Mr Speaker, the whole House will be...
My Lords, I shall now repeat as a Statement the Answer to an Urgent Question given in another place by my right honourable friend the Secretary of State for Health on the report into the investigation into deaths at Southern Health NHS Foundation Trust.
“Mr Speaker, the whole House will be...
My Lords, these are truly shocking revelations and reveal deep failures at the trust. I start by echoing his remarks about the families so grievously affected.
As the Minister said, only 195 of the 1,454 unexpected deaths were actually treated by the trust as serious incidents requiring investigation. Perhaps most worryingly,...
My Lords, these are truly shocking revelations and reveal deep failures at the trust. I start by echoing his remarks about the families so grievously affected.
As the Minister said, only 195 of the 1,454 unexpected deaths were actually treated by the trust as serious incidents requiring investigation. Perhaps most worryingly,...
My Lords, our hearts go out to the family of Connor Sparrowhawk and all the other families who have struggled so hard to get investigations of the unexpected deaths of their loved ones. On many occasions they have struggled to find the financial support required to make that investigation. That...
My Lords, our hearts go out to the family of Connor Sparrowhawk and all the other families who have struggled so hard to get investigations of the unexpected deaths of their loved ones. On many occasions they have struggled to find the financial support required to make that investigation. That...
My Lords, the noble Lord, Lord Hunt, gave two very important figures: 1% of these incidents involving people with learning difficulties were investigated and 0.3% involved people with learning difficulties who are older. We have not got it right in this country when it comes to people with learning difficulties....
My Lords, the noble Lord, Lord Hunt, gave two very important figures: 1% of these incidents involving people with learning difficulties were investigated and 0.3% involved people with learning difficulties who are older. We have not got it right in this country when it comes to people with learning difficulties....
Will my noble friend institute an emergency review, through the CQC or wherever, to try to establish that this is an isolated incident and that there are not more horrors waiting to be discovered?
Will my noble friend institute an emergency review, through the CQC or wherever, to try to establish that this is an isolated incident and that there are not more horrors waiting to be discovered?
My Lords, I certainly cannot give a guarantee that this is an isolated incident. Often in the past we have taken these awful events when they happen and tried to say that they are isolated. The fact is that there are many trusts that the CQC has characterised as requiring...
My Lords, I certainly cannot give a guarantee that this is an isolated incident. Often in the past we have taken these awful events when they happen and tried to say that they are isolated. The fact is that there are many trusts that the CQC has characterised as requiring...
My Lords, we have had repeated references to unexpected deaths, but no details. What are the causes of these unexpected deaths?
My Lords, we have had repeated references to unexpected deaths, but no details. What are the causes of these unexpected deaths?
Avoidable deaths are estimated at some 10,000 a year. “Unavoidable deaths” is the phrase that I think I used, which are estimated at some 10,000 a year. That is not out of line with what is
found in other countries, such as America and Germany. However, it should not be...
Avoidable deaths are estimated at some 10,000 a year. “Unavoidable deaths” is the phrase that I think I used, which are estimated at some 10,000 a year. That is not out of line with what is
found in other countries, such as America and Germany. However, it should not be...