The Department recognises the importance of timely access to high-quality specialist mental health rehabilitation services and appropriate supported housing for people with complex psychosis, including those with treatment-resistant schizophrenia and schizoaffective disorder.

We have committed to developing a Modern Service Framework for Severe Mental Illness, which will define an aspirational, long-term outcome goal for high quality and equitable care for people with severe mental illness designed to galvanise the whole system. This overarching goal will be underpinned by a set of specific quality commitments that support progress.

Integrated care boards are responsible for commissioning National Health Services that meet the needs of their local populations, working with NHS providers, local authorities, housing partners, and the voluntary sector to support people to live well in the community wherever possible.

NHS England’s guidance for adult mental health rehabilitation inpatient services states that rehabilitation services should be planned as part of a whole pathway and should meet identified local population need. It also makes clear that people who require inpatient rehabilitation care should be able to access that care locally, when needed, in a way that is flexible and responsive to their needs. The guidance also emphasises that services should promote independence, quality of life and social inclusion, and support people to return to live in the community.

This guidance further supports integrated care boards and local partners to develop place-based, multidisciplinary community rehabilitation provision, aligned with primary care networks and wider community mental health transformation. This includes supporting people with severe mental illness and complex needs to receive personalised, trauma-informed care as close to home as possible, with access to the right clinical, social, housing, and employment support.

NHS England's guidance for adult mental health rehabilitation inpatient services states that integrated care boards should understand the needs of people using mental health rehabilitation services, including those in hospital, in out of area placements, or awaiting appropriate supported accommodation. This understanding should inform local planning of inpatient rehabilitation capacity, community rehabilitation teams, supported housing pathways, and discharge arrangements.

Through the Government's new £39 billion Social and Affordable Homes Programme, 2026/27 to 2035/36, we will deliver new supply of supported housing across a diverse range of cohorts, including adults with mental ill-health, and housing types. This will support more people to build and sustain their independence and reduce care and incidences of long-term hospital admissions or people remaining in institutional settings.

Department ministers and officials regularly discuss a range of issues with colleagues in the National Institute for Health and Care Excellence (NICE), including in relation to the development of guidance on individual products.

Xanomeline-trospium chloride, also known as Cobenfy, has not yet been licensed by the Medicines and Healthcare products Regulatory Agency (MHRA). This means it cannot currently be marketed in the United Kingdom. NICE makes recommendations to the National Health Service on whether newly licensed medicines should be routinely funded, based on the evidence about how well they work and whether they provide value for money. NICE has already scheduled an appraisal of xanomeline tartrate–trospium chloride for treating schizophrenia, in case a UK licence is granted. NICE will aim to publish its guidance as close as possible to the expected licensing date.

The Medicines and Healthcare products Regulatory Agency has not received an application for the Market Authorisation of Cobenfy by the Bristol-Myers Squibb Company.

NHS England has made significant progress in expanding community-based services for people with severe mental illness, including paranoid schizophrenia.

In the last 12 months more than 400,000 adults have received help through new models, which aim to give people with serious mental illness better care.

NHS England is also piloting new models of care in the community for those with the most serious illnesses. New mental health centres open in six neighbourhood areas from this spring and will provide people and their families with 24/7 support if they are in crisis without needing to book an appointment, as well as providing housing or employment advice to support them to stay well.

Furthermore, the Mental Health Bill, currently making its way through Parliament, will deliver the Government’s commitment to modernise the Mental Health Act 1983.

Finally, in response to the Care Quality Commission’s review of the care and treatment provided to Valdo Calocane and of services provided by the Nottinghamshire Healthcare NHS Foundation Trust, NHS England set out clear, evidence-based national guidance, so providers are clear on the standards of care expected for patients who may be at risk of disengaging from services.

Statistics on Personal Independence Payment (PIP) claim outcomes (clearances) at disability level are not readily available and have not previously been published as Official Statistics. We are producing the statistics requested and issuing them in an Official Statistics release on 11^th December 2018 in accordance with the Code of Practice for Official Statistics.

Statistics on the number of individuals in receipt of PIP payments broken down by disability are already available on Stat Xplore:

https://stat-xplore.dwp.gov.uk

Guidance for users is available at:

https://sw.stat-xplore.dwp.gov.uk/webapi/online-help/Getting-Started.html.

No such discussions have taken place.

The National Institute for Health and Care Excellence (NICE) has not issued any guidance on this precise type of treatment. In the absence of guidance from NICE, commissioners should make decisions on the availability of individual treatments based on the evidence available to them. Existing NICE guidance on ‘Psychosis and schizophrenia in adults: prevention and management’ will be reviewed in 2018.

The information requested falls within the responsibility of the UK Statistics Authority. I have asked the Authority to reply.

The Department welcomes the 2012 National Audit of Schizophrenia and the report from the Schizophrenia Commission. Improving mental health services (including services for people with severe mental illness) is a key priority for this Government, and we have made it clear, through the Secretary of State for Health's mandate to the NHS Commissioning Board, that we expect mental and physical conditions to be treated in a co-ordinated way, and with equal priority. The mandate sets the NHS Commissioning Board the objective of putting mental health on a par with physical health and closing the health gap between people with mental health problems and the population as a whole.

Both reports include a focus on the physical health of people with schizophrenia. Improving the physical health of people with mental health problems, including severe mental illness, is one of the six objectives of the Government's mental health strategy. The strategy's implementation framework (published in July 2012) sets out specific actions which a wide range of local organisations can take to improve the physical health of people with mental health problems.

The NHS outcomes framework for 2013-14 sets out how the national health service will be held to account for the outcomes it delivers. The framework includes an indicator (indicator 1.5) of the excess under-75 mortality rate in adults with serious mental illness.

Improvements to this indicator will only be possible by improving the care which people with severe mental illness receive to improve their physical health, and to treat physical health problems.

On 18 December 2012, following the reports from the Schizophrenia Commission and the National Audit, I convened a roundtable meeting with a number of leading stakeholders from health, social care and third sectors to establish how to improve care for people with schizophrenia. At that meeting a number of areas for improvement were identified and the group will be reconvening again later this year in order to update on progress.

The Department welcomes the 2012 National Audit of Schizophrenia and the report from the Schizophrenia Commission. Improving mental health services (including services for people with severe mental illness) is a key priority for this Government, and we have made it clear, through the Secretary of State for Health's mandate to the NHS Commissioning Board, that we expect mental and physical conditions to be treated in a co-ordinated way, and with equal priority. The mandate sets the NHS Commissioning Board the objective of putting mental health on a par with physical health and closing the health gap between people with mental health problems and the population as a whole.

Both reports include a focus on the physical health of people with schizophrenia. Improving the physical health of people with mental health problems, including severe mental illness, is one of the six objectives of the Government's mental health strategy. The strategy's implementation framework (published in July 2012) sets out specific actions which a wide range of local organisations can take to improve the physical health of people with mental health problems.

The NHS outcomes framework for 2013-14 sets out how the national health service will be held to account for the outcomes it delivers. The framework includes an indicator (indicator 1.5) of the excess under-75 mortality rate in adults with serious mental illness.

Improvements to this indicator will only be possible by improving the care which people with severe mental illness receive to improve their physical health, and to treat physical health problems.

On 18 December 2012, following the reports from the Schizophrenia Commission and the National Audit, I convened a roundtable meeting with a number of leading stakeholders from health, social care and third sectors to establish how to improve care for people with schizophrenia. At that meeting a number of areas for improvement were identified and the group will be reconvening again later this year in order to update on progress.

The NHS Outcomes Framework sets out how the NHS will be held to account for the outcomes it delivers. The framework includes an indicator (indicator 1.5) of the excess under-75 mortality rate in adults with serious mental illness.

Improvements to this indicator will only be possible by improving the care which people with severe mental illness receive to improve their physical health, and to treat physical health problems.

This indicator is also included in the Public Health Outcomes Framework.

The Government has also made clear, through the Secretary of State's Mandate to the NHS Commissioning Board, that we expect mental and physical conditions to be treated in a co-ordinated way, and with equal priority. The mandate sets the NHS Commissioning Board the objective of putting mental health on a par with physical health and closing the health gap between people with mental health problems and the population as a whole.

Improving the physical health of people with mental health problems, including severe mental illness, is one of the six objectives of the Government's mental health strategy. The strategy's Implementation Framework (published in July 2012) sets out specific actions which a wide range of local organisations can take to improve the physical health of people with mental health problems.

Further to this, on 18 December, following reports from the Schizophrenia Commission and the National Audit of Schizophrenia, I convened a roundtable meeting with a number of leading stakeholders from health, social care and third sectors to establish how to improve care for people with schizophrenia, including the issue of how to improve their physical health. The group will be reconvening again later this year in order to update on progress.

We know more needs to be done for people with severe mental illness.

The Mandate to the NHS Commissioning Board identifies support for people with long-term mental health conditions as a priority area. The board is tasked with ensuring people have access to the right treatment when they need it; ensuring that people with mental health problems are offered a personalised care plan that reflects their preferences and agreed decisions; and putting mental health on a par with physical health, and close the health gap between people with mental health problems and the population as a whole. By March 2015, we expect the board and the national health service to demonstrate measurable progress towards achieving true parity of esteem, where everyone who needs it has timely access to evidence-based services.

There are four indicators in the latest NHS Outcomes Framework 2013-14 which relate specifically to mental health (premature mortality in people with serious mental illness, employment of people with mental illness, psychological therapies and patient experience of community mental health services).

Improving outcomes for mental health patients will also be a crucial element of success for many of the indicators which relate to all patients.