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To ask the Secretary of State for Health, whether it is his policy that local authorities should be required to provide appropriate support where it is identified through an official safeguarding inquiry that further support is needed to protect a person from the risk of abuse or neglect.
To ask the Secretary of State for Health, whether it is his policy that local authorities should be required to provide appropriate support where it is identified through an official safeguarding inquiry that further support is needed to protect a person from the risk of abuse or neglect.
The Care Act 2014 clarifies and strengthens the processes to support adults who are at risk from abuse or neglect in the following ways:
- Where local authorities have reasonable cause to expect a person is at risk of abuse or neglect they must carry out a safeguarding enquiry, consider what if any actions are needed, and who should carry these out. This makes clear that there is no eligibility threshold and allows authorities flexibility to respond to a safeguarding issue appropriately, which may be through the authority or one of its partners such as the police.
- The statutory Care Act guidance clarifies that where a local authority has started a safeguarding enquiry but identifies a potential need for a care and support service, it should continue the needs assessment for care and support in parallel, and determine whether the person has eligible needs which it must meet. The eligibility criteria is based upon whether the person’s needs have a significant impact on their wellbeing, which includes abuse and neglect. While the authority is likely to have already identified any safeguarding issues earlier and made an enquiry, it would still consider these at the eligibility determination as it would clearly impact on the person’s wellbeing.
- The care and support system should support the above by having a comprehensive preventative strategy that promotes wellbeing and independence, and one that does not wait to respond when people reach a crisis point.
Will the right hon. Gentleman take this opportunity to thank those civil servants—mainly trade unionists—who have had to implement Government policies, particularly in the Department for Work and Pensions, such as referring people to food banks? Perhaps against their own judgment, they have had to implement austerity, which has done great damage to the people of this country.
Will the right hon. Gentleman take this opportunity to thank those civil servants—mainly trade unionists—who have had to implement Government policies, particularly in the Department for Work and Pensions, such as referring people to food banks? Perhaps against their own judgment, they have had to implement austerity, which has done great damage to the people of this country.
I point out to the right hon. Gentleman, for whom I have great respect, that the need for austerity was caused by the huge budget deficit that we inherited from the Government of which he was a part. We would rather have not had to do that, but I give credit to civil servants across the country who have done a huge amount. The civil service is smaller than at any time since the second world war, but it is doing more than it was before and productivity has improved dramatically.
Given the powers that the Scottish Government already have, has the Secretary of State ever received an apology from them for their failure to spend £34 million on disabled children and their families and instead using it for the gimmick of keeping council tax static?
Given the powers that the Scottish Government already have, has the Secretary of State ever received an apology from them for their failure to spend £34 million on disabled children and their families and instead using it for the gimmick of keeping council tax static?
There are many, many things for which the Scottish Government should apologise and I suspect that in the event that these apologies ever start coming, the right hon. Gentleman and I will not be at the top of the list to receive them. He is right, though, to point out that the freeze on council tax has caused real difficulties for many local authorities in Scotland, which will be outraged to see the size of the Scottish Government’s underspend this year.
To ask the Secretary of State for Work and Pensions, what proportion of claimants of personal independence payments waited more than 16 weeks for a face-to-face assessment by each provider since the introduction of that payment.
To ask the Secretary of State for Work and Pensions, what proportion of claimants of personal independence payments waited more than 16 weeks for a face-to-face assessment by each provider since the introduction of that payment.
I refer the Rt. Hon. Member to the answer I gave on the 12 January 2015 to Question UIN 220004.
To ask the Secretary of State for Health, with reference to the Supreme Court decision on the Abortion Act 1967 in relation to staff of NHS Greater Glasgow and North Clyde in December 2014, if he will take steps to protect individual rights of conscience for administrative personnel in the...
To ask the Secretary of State for Health, with reference to the Supreme Court decision on the Abortion Act 1967 in relation to staff of NHS Greater Glasgow and North Clyde in December 2014, if he will take steps to protect individual rights of conscience for administrative personnel in the...
The recent Supreme Court decision upholds the long standing interpretation of Section 4 of the Abortion Act that the right to object to participate in abortion treatment is limited to those staff who actually take part in treatment administered in a hospital or other approved place.
With reference to his Department's publication, Transforming care: a national response to Winterbourne View Hospital, published in December 2012, if he will take steps to ensure that the statutory guidance implementing the adult autism strategy uses clear language and is mandatory.
With reference to his Department's publication, Transforming care: a national response to Winterbourne View Hospital, published in December 2012, if he will take steps to ensure that the statutory guidance implementing the adult autism strategy uses clear language and is mandatory.
The revised autism statutory guidance will be written in clear and accessible language. It will include existing obligations from the 2010 strategy and recent legislation such as the Care Act 2014. Local authorities and NHS bodies are required to take the guidance into account, or provide a good reason for not doing so.
The Minister will be aware that, under the Mental Health Act 1983, people with autism can be compulsorily detained for assessment and treatment although there is no evidence of mental illness. Will he join the National Autistic Society and others in endorsing the Justice for LB Bill campaign and seeking to end that wholly unacceptable practice?
The Minister will be aware that, under the Mental Health Act 1983, people with autism can be compulsorily detained for assessment and treatment although there is no evidence of mental illness. Will he join the National Autistic Society and others in endorsing the Justice for LB Bill campaign and seeking to end that wholly unacceptable practice?
The right hon. Gentleman has raised an incredibly important point. I, too, pay tribute to the campaigning of Justice for LB. We are strengthening the guidance relating to the code of practice under the Mental Health Act, and that strengthened guidance will be published shortly. We are considering whether amendments to the Act are needed, and we are also drafting a Green Paper. I should be happy to discuss the issue further with the right hon. Gentleman, and to have further meetings with campaigners.
To ask the Secretary of State for Health, how many NHS Foundation Trusts have self-certified to Monitor in their quarterly return for January to March 2014 that they are not compliant with the criteria in the Monitor risk assessment framework, relating to meeting health needs of people with a learning...
To ask the Secretary of State for Health, how many NHS Foundation Trusts have self-certified to Monitor in their quarterly return for January to March 2014 that they are not compliant with the criteria in the Monitor risk assessment framework, relating to meeting health needs of people with a learning...
No NHS foundation trusts self-certified to Monitor in their quarterly return for January to March 2014 that they were not compliant with the criteria in the Monitor risk assessment framework, relating to meeting health needs of people with a learning disability.
Does the right hon. Gentleman agree that an outstanding example of civil service dispersal is the Department for International Development in East Kilbride. As long as Scotland remains in the UK, which I believe it will for a very long time, can such an example be emulated?
Does the right hon. Gentleman agree that an outstanding example of civil service dispersal is the Department for International Development in East Kilbride. As long as Scotland remains in the UK, which I believe it will for a very long time, can such an example be emulated?
I completely share the right hon. Gentleman’s hope about the United Kingdom, and wish to add my thanks and congratulations to the civil servants at DFID who do such a fantastic job in Scotland. There is scope for civil servants to work in many places other than central London and we will continue to pursue that.
To ask the Secretary of State for Health, what medical research charities he has met to discuss the Off-patent Drugs Bill.
To ask the Secretary of State for Health, what medical research charities he has met to discuss the Off-patent Drugs Bill.
We will be discussing a number of issues the Bill raises at a roundtable stakeholder event in the new year and which will include a number of representatives from medical research charities.
To ask the Secretary of State for Health, with reference to the contribution by the Parliamentary Under-Secretary of State for Health of 7 November 2014, Official Report, column 1118, what the evidential basis is for the statement that the Off-patent Drugs Bill will impede the uptake of innovative medicines by...
To ask the Secretary of State for Health, with reference to the contribution by the Parliamentary Under-Secretary of State for Health of 7 November 2014, Official Report, column 1118, what the evidential basis is for the statement that the Off-patent Drugs Bill will impede the uptake of innovative medicines by...
Under current arrangements clinicians can prescribe for their patients the medicine which best meets their clinical needs, including medicines outside their licensed indications. The Bill proposes changes to these arrangements by introducing, for the first time, a duty to apply for a licence when a new indication for an off-patent drug becomes apparent. We are concerned this will carry a message that off-label prescribing is not allowed without a licence and thus end the current flexibility that allows clinicians to make their patients’ needs their first concern.
The Nigerian military have made considerable territorial gains in recent weeks. How can we build on that situation to ensure that there are free and proper elections next year?
The Nigerian military have made considerable territorial gains in recent weeks. How can we build on that situation to ensure that there are free and proper elections next year?
We have a deepening democracy fund through which we are providing support for those elections next year. With respect to the advance of Government forces, we are providing intelligence and direct tactical training to the Nigerian army. The elections themselves must be a matter for the Nigerians, but we are providing the funding and the technical support.
To ask the Secretary of State for Health, what steps he plans to take to ensure the routine availability of raloxifene to reduce the risk of breast cancer developing in high-risk women.
To ask the Secretary of State for Health, what steps he plans to take to ensure the routine availability of raloxifene to reduce the risk of breast cancer developing in high-risk women.
I refer the hon. Member to the Answer I gave the hon. Member for Bolton South East (Yasmin Qureshi) on 19 November 2014 to Question 213936.
To ask the Secretary of State for Health, what steps his Department plans to take to use the Care Act 2014 to promote the provision of low-level support to people with autism.
To ask the Secretary of State for Health, what steps his Department plans to take to use the Care Act 2014 to promote the provision of low-level support to people with autism.
The Care Act will be implemented from April 2015.
A period of consultation is underway until 19 December on revised statutory guidance for local authorities and the NHS to implement Think Autism, the 2014 update to the 2010 Adult Autism Strategy. This includes coverage of preventing, delaying or reducing the care needs of adults with autism or their carers by providing low level preventative support and enabling people with autism to be connected with peers and with local community groups in line with the duties of the Care Act. The statutory guidance when it is issued in February 2015 will complement the existing Care Act guidance on prevention.
To ask the Secretary of State for Health, how many deaths of people with a learning disability there have been in (a) assessment and treatment units and (b) other inpatient units in the last five years.
To ask the Secretary of State for Health, how many deaths of people with a learning disability there have been in (a) assessment and treatment units and (b) other inpatient units in the last five years.
Information about deaths of people with a learning disability in assessment and treatment units is not collected centrally by the Department, NHS England or the Care Quality Commission.
The Health and Social Care Information Centre collects hospital episode statistics data. These data identify the number of hospital episodes where a patient had a primary or secondary diagnosis of a learning disability where the patient died.
From 2008-09 to 2012-2013 there were a total of 817 deaths for admitted patients at all hospitals in England. This number includes all deaths from all causes while a hospital patient.
The breakdown for each of the last five years is in the following table.
Year | Number of deaths |
2008-09 | 123 |
2009-10 | 168 |
2010-11 | 162 |
2011-12 | 172 |
2012-13 | 192 |
Total | 817 |
Source: Hospital Episode Statistics, Health and Social Care Information Centre
These data are not available by individual departments or units within hospitals. They also do not represent the deaths of people with learning disabilities where learning disability is not recorded as a primary or secondary diagnosis.
NHS England is setting up a National Learning Disability Mortality Review to better understand what causes people who have a learning disability to die, on average, at a younger age than other people; and to learn from what has happened to ensure that NHS services improve the way they care for people with a learning disability.
Will the Minister assure the House that the Department for International Development will continue to focus on supporting excellent advocacy groups such as the one I met in Angola, where people are suffering from the effects of land mines? That is a very useful thing to do.
Will the Minister assure the House that the Department for International Development will continue to focus on supporting excellent advocacy groups such as the one I met in Angola, where people are suffering from the effects of land mines? That is a very useful thing to do.
I hope that I will be able to give the right hon. Gentleman that assurance. Perhaps he would like to meet me to discuss the work of that non-governmental organisation.
To ask the Secretary of State for Work and Pensions, whether disability employment advisers will remain part of the support offered to claimants under universal credit.
To ask the Secretary of State for Work and Pensions, whether disability employment advisers will remain part of the support offered to claimants under universal credit.
The Disability and Health Employment Strategy published in December 2013 sets out our expectation that the work carried out by DEAs in Jobcentres will continue.
To ask the Secretary of State for Work and Pensions, what his policy is on retaining disability employment advisors as part of the support offered to clients by jobcentre plus.
To ask the Secretary of State for Work and Pensions, what his policy is on retaining disability employment advisors as part of the support offered to clients by jobcentre plus.
The Disability and Health Employment Strategy published in December 2013 sets out our expectation that the work carried out by DEAs in Jobcentres will continue.
I congratulate the Minister on his well deserved appointment. Does he consider that the timetable set for agreement between the five permanent members of the Security Council plus Germany and Iran on the enrichment of nuclear materials is sufficient?
I congratulate the Minister on his well deserved appointment. Does he consider that the timetable set for agreement between the five permanent members of the Security Council plus Germany and Iran on the enrichment of nuclear materials is sufficient?
I am grateful for that welcome. The right hon. Gentleman and I have spent much time in this place discussing some of the very issues that we are talking about now. He is right to raise concerns about
the deal. Rather than making a bad deal, we believe it is important to delay it to make sure that we have an appropriate deal. Talks have been productive. Both sides have worked hard on a draft text but more time is needed to bridge the differences that remain, in particular on enrichment, and to agree the details of how the agreement will be implemented.
What recent assessment he has made of progress in the P5+1 negotiations with Iran on that country's nuclear programme.
What recent assessment he has made of progress in the P5+1 negotiations with Iran on that country's nuclear programme.
Negotiations with Iran on a comprehensive agreement have been tough but productive. It was not possible to reach a deal by 20 July, but both sides are committed to building on the progress that has been made. We have therefore agreed with Iran to extend the Geneva interim agreement until 24 November to give us the time to bridge the differences, in particular on the core issue of enrichment.