The data are not available as requested.

We have pledged to improve health outcomes for children and young people, and there is a wide range of activity to improve the responsiveness of the National Health Service. NHS England advises this includes the establishment of a United Kingdom based proton beam therapy service, improvements in access to psychological therapies for children and young people and a redesign of genetic testing services that will build upon the 100,000 genome project and enable faster access to test results.

We have invested £3 million in MindEd, which provides clear guidance on children and young people's mental health, so that people working with children can recognise when a child needs help and make sure they get it at an early stage.

We have also given £2 million for the development by the Royal College of Paediatrics and Child Health of Paediatric Care online, a resource for the clinical workforce across the full range of children’s health issues, which promises to have a far-reaching impact on ensuring the effectiveness and consistency of paediatric care. This will be launched later in 2015.

Following an in-depth look at mental health and wellbeing support for children and young people, the Government has set out a blue-print for improving care over the next five years. The Government report of the Children and Young People’s Mental Health and Well-Being Taskforce’s findings, Future in mind, published on 17 March 2015, sets out a clear national ambition in the form of key aspirations that the Government would wish to see by 2020.

As part of the Autumn Statement 2014, it was announced the Government will invest £150 million over the next five years in England to improve services for children and young people with mental health problems. We will place particular emphasis on eating disorders. We will make sure that children and young people with an eating disorder get specialist help when they need it and in the community.

The Deputy Prime Minister announced on 14 March that £1.25 billion additional funding would be available over the next five years to fund improved access for children and young people with mental health problems - at least 100,000 more children and young people will receive treatment by 2020 and the funding will pay for the introduction of new access and waiting time standards.

The data is not available in the format requested. Since data for local area teams is not available prior to 2010-11 we have only provided a four year time series for this data.

We have provided a count of finished consultant episodes (FCE) with a primary or secondary operative procedure of 'cochlear implant' for children (0-17) and adults (18+) by NHS England local area team from 2010-11 to 2013-14. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. This information has been attached.

Data concerning the number of NHS patients who have had a hearing test in an audiology clinic, an ear, nose and throat clinic of an audiology department at a local hospital in each of the last five years is not collected. The vast majority of this activity is provided as outpatient care where the recording of procedure and intervention data is not mandated.

In the following table we have provided information concerning the number of FCEs with a main or secondary procedure of the fitting of a bone anchored hearing aid for children aged 0-17 and adults aged 18 and over, 2009-10 to 2013-144.

Source:

Hospital Episodes Statistics (HES) Health and Social Care Information Centre

Notes:

1. ‘–‘ in the table represents no available data.

2. An FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end.

3. HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. HES figures includes activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.

The data is not available in the format requested. Since data for local area teams is not available prior to 2010-11 we have only provided a four year time series for this data.

We have provided a count of finished consultant episodes (FCE) with a primary or secondary operative procedure of 'cochlear implant' for children (0-17) and adults (18+) by NHS England local area team from 2010-11 to 2013-14. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. This information has been attached.

Data concerning the number of NHS patients who have had a hearing test in an audiology clinic, an ear, nose and throat clinic of an audiology department at a local hospital in each of the last five years is not collected. The vast majority of this activity is provided as outpatient care where the recording of procedure and intervention data is not mandated.

In the following table we have provided information concerning the number of FCEs with a main or secondary procedure of the fitting of a bone anchored hearing aid for children aged 0-17 and adults aged 18 and over, 2009-10 to 2013-144.

Source:

Hospital Episodes Statistics (HES) Health and Social Care Information Centre

Notes:

1. ‘–‘ in the table represents no available data.

2. An FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end.

3. HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. HES figures includes activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.

The data is not available in the format requested. Since data for local area teams is not available prior to 2010-11 we have only provided a four year time series for this data.

We have provided a count of finished consultant episodes (FCE) with a primary or secondary operative procedure of 'cochlear implant' for children (0-17) and adults (18+) by NHS England local area team from 2010-11 to 2013-14. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. This information has been attached.

Data concerning the number of NHS patients who have had a hearing test in an audiology clinic, an ear, nose and throat clinic of an audiology department at a local hospital in each of the last five years is not collected. The vast majority of this activity is provided as outpatient care where the recording of procedure and intervention data is not mandated.

In the following table we have provided information concerning the number of FCEs with a main or secondary procedure of the fitting of a bone anchored hearing aid for children aged 0-17 and adults aged 18 and over, 2009-10 to 2013-144.

Source:

Hospital Episodes Statistics (HES) Health and Social Care Information Centre

Notes:

1. ‘–‘ in the table represents no available data.

2. An FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end.

3. HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. HES figures includes activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.

My Rt. hon. Friend the Secretary of State has not made any assessment of the liabilities faced by the National Health Service from unprocessed care home claims.

However, on 15 March 2012, the Department announced deadlines for any new cases to the system which require assessment for NHS Continuing Healthcare (NHS CHC) funding, for previously unassessed periods of care, where there is evidence that the individual may have been eligible for NHS CHC. As a result of this, approximately 59,000 enquiries were received by the NHS. NHS England has made an assessment of the liability of these cases.

We have no plans to commission further research into video game addiction.

Children who spend more time on computers, watching television and playing video games tend to experience higher levels of emotional distress, anxiety and depression. This relationship is particularly negative among those who engage in high levels of screen use (more than four hours a day).

Following an in-depth look at mental health and wellbeing support for children and young people, the Government has set out a blueprint for improving care over the next five years. The Government report of the Children and Young People’s Mental Health and Well-Being Taskforce’s findings, Future in mind, published on 17 March 2015, sets out a clear national ambition in the form of key aspirations that the Government would wish to see by 2020.

The information is not available in the format requested. Data is only held in relation to falls which lead to a hospital admission. We have provided a count of finished admission episodes where an external cause of fall was recorded.

Count of finished admission episodes (FAEs)¹ where an external cause² of fall was recorded, for Pendle parliamentary constituency3, 2010-11 to 2013-14⁴

The following table provides a count of finished consultant episodes (FCEs) where the primary diagnosis was Parkinson's disease, for the years 2009-10 to 2013-14.

These figures do not represent the number of different patients as the same person may have had more than one episode of care within any given time period.

Notes:

1. A finished consultant episode (FCE) is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.

2. The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was admitted to hospital.

3. HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. HES figures includes activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.

Source: Hospital Episodes Statistics (HES) Health and Social Care Information Centre.

The following table provides a count of finished admission episodes where there was a primary or secondary diagnosis of fractures attributable to osteoporosis amongst men, women and genders not specified for the age groups requested for the period 2013-14.

Notes:

1. A finished consultant episode (FCE) is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.

2. The number of episodes where this diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record.

Source: Hospital Episodes Statistics (HES) Health and Social Care Information Centre.

The first three months after discharge remain a time of particularly high suicide risk – this is especially true in the first 1-2 weeks. Between 2002 and 2012 there were 3,225 suicides in the United Kingdom by mental health patients in the post-discharge period, 18% of all patient suicides.

Post-discharge suicides were most frequent in the first week after leaving hospital when 380 deaths occurred, an average of 35 per year.

The number and proportion who died in the first week after discharge has not changed over the report period.

380 of the 3,225 people counted as post-discharge suicides between 2002-12 died in the first week after leaving hospital. 292 people died in the second week.

The total number of people who died within three months of in-patient discharge is, as follows:

2010: 202

2011: 220

2012: 177 (estimate)

We have reviewed the serious incident framework (due to be launched for April 2015) to support better recognition, reporting and investigation of serious incidents (which would include suicide/ self-inflicted death, but also other serious incidents affecting people with mental health needs). We are also exploring changes to the Serious Incident reporting system (STEIS) database to enable incidents, risks, trends and opportunities for learning to be more easily identified.

This Government is seeking to change the culture that suicide is inevitable for some people. In January this year the Deputy Prime Minister announced our ambition for ‘zero suicides’. This set out an aspiration for every part of the NHS to commit to a ‘zero suicide’ ambition. This ambition has already been adopted in some local areas and we are certain that this kind of approach can work to dramatically reduce suicides.

Pioneering work in Liverpool, the South-West and in the East of England means that health workers are already focusing on how they care for people with mental health conditions with a view to preventing suicide. The Deputy Prime Minister called on the health service to look at this work being done by these three pioneering areas.

A greater number of people die, or are admitted to hospital, during the winter than any other time of year. There are, on average, around 25,000 excess winter deaths each year in England; for every one excess winter death it has been estimated that there are approximately eight extra hospital admissions.

The causes of excess winter death and illness are complex and interlinked, and include circulating diseases such as influenza, cold temperatures and wider determinants of health, such as poor housing. It is difficult to precisely attribute the relative impacts of each on overall levels of death and illness and there is a degree of variation year on year.

Cold weather directly increases the risk of heart attacks, strokes, lung disease, flu, falls and injuries and hypothermia. Indirect effects of cold include mental health illnesses such as depression, risk of carbon monoxide poisoning if appliances are poorly maintained or poorly ventilated, and disruption to service provision. Some groups, such as older people, very young children, and people with serious medical conditions are particularly vulnerable to the effects of cold weather.

Public Health England publishes the Cold Weather Plan for England to avoid preventable illness and deaths in winter by setting out a series of actions for organisations, communities and individuals, to take throughout the year.

Information on spend for audiology services and specific procedures for hearing problems are not available in the format requested. The following table provides NHS programme budgeting figures on ‘problems of hearing’ for the five year period 2008-09 to 2012-13, which is the latest available data.

More information about programme budgeting data can be found on the NHS England website at the following link:

http://www.england.nhs.uk/resources/resources-for-ccgs/prog-budgeting/

Information on spend for audiology services and specific procedures for hearing problems are not available in the format requested. The following table provides NHS programme budgeting figures on ‘problems of hearing’ for the five year period 2008-09 to 2012-13, which is the latest available data.

More information about programme budgeting data can be found on the NHS England website at the following link:

http://www.england.nhs.uk/resources/resources-for-ccgs/prog-budgeting/

Information concerning the number of patients who waited more than six weeks for an initial NHS hearing assessment and a follow-up NHS hearing aid assessment in each of the last five years is not available. Audiology is not one of the key referral to treatment functions which are recorded as a data set.

In the following table, we have provided a count of finished consultant episodes (FCEs) with a primary or secondary operative procedure of 'operation on cochlea' by five year age brackets for the years 2013-14, and provisional data for April to November 2014-15.

It should be noted that FCEs are not the number of patients because one patient may have had more than one episode of care within the time period.

Source: Hospital Episodes Statistics (HES) Health and Social Care Information Centre.

Notes:

1. A finished consultant episode (FCE) is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.

2. HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. HES figures includes activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.

3. The data for 2014-15 is provisional and may be incomplete or contain errors for which no adjustments have yet been made. Counts produced from provisional data are likely to be lower than those generated for the same period in the final dataset. This shortfall will be most pronounced in the final month of the latest period, ie November from the (month 9) April to November extract. It is also probable that clinical data are not complete, which may in particular affect the last two months of any given period. There may also be errors due to coding inconsistencies that have not yet been investigated and corrected.

Information concerning the number of patients who waited more than six weeks for an initial NHS hearing assessment and a follow-up NHS hearing aid assessment in each of the last five years is not available. Audiology is not one of the key referral to treatment functions which are recorded as a data set.

In the following table, we have provided a count of finished consultant episodes (FCEs) with a primary or secondary operative procedure of 'operation on cochlea' by five year age brackets for the years 2013-14, and provisional data for April to November 2014-15.

It should be noted that FCEs are not the number of patients because one patient may have had more than one episode of care within the time period.

Source: Hospital Episodes Statistics (HES) Health and Social Care Information Centre.

Notes:

1. A finished consultant episode (FCE) is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.

2. HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. HES figures includes activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.

3. The data for 2014-15 is provisional and may be incomplete or contain errors for which no adjustments have yet been made. Counts produced from provisional data are likely to be lower than those generated for the same period in the final dataset. This shortfall will be most pronounced in the final month of the latest period, ie November from the (month 9) April to November extract. It is also probable that clinical data are not complete, which may in particular affect the last two months of any given period. There may also be errors due to coding inconsistencies that have not yet been investigated and corrected.

NHS England published planning guidance for 2015/16 for commissioners which made the expectation clear that each clinical commissioning group’s (CCGs) spending on mental health services in 2015/16 should increase in real terms, and grow by at least the same percentage as each CCG’s allocation increase. CCGs will submit their commissioning plans for 2015/16 to NHS England later in the spring.

NHS England will assure CCG commissioning plans for 2015/16 after they have been submitted to ensure that they meet the expectation set out in the planning guidance, at that point NHS England and the Department will make an assessment of overall spending plans.

Data is not available on the proportion of children and young people who were referred for early intervention treatment in psychosis services and started treatment within two weeks of referral. This is because this information is not collected centrally.

The new Child and Adolescent Mental Health Services (CAMHS) Minimum Dataset will provide comparative data for NHS services that will be used to improve clinical quality and service efficiency; and to commission services in a way that improves health and reduces inequalities. Current plans are for data from the CAMHS Minimum Dataset to begin to flow no later than January 2016.

Achieving Better Access to Mental Health Services by 2020, published October 2014, introduces the first waiting time standards for mental health. It includes a standard which will ensure that by 2016 at least 50% of people of all ages referred for early intervention in psychosis services will start treatment within two weeks. This waiting time standard will come into effect from 1 April 2015. This is backed by £33 million investment.

The Deputy Prime Minister announced on 14 March that £250 million additional funding would be available each year, over the next Parliament, starting in April 2015. This will fund improved access for children and young people with mental health problems - at least 100,000 more children and young people will receive treatment by 2020 and the funding will pay for the introduction of new access and waiting time standards.

The Government report of the Children and Young People’s Mental Health and Well-Being Taskforce’s findings, Future in mind, published on 17 March 2015, sets out a clear national ambition in the form of key aspirations that the Government would wish to see by 2020. This includes more access and waiting time standards for services so that children and young people can expect prompt treatment when they need it, just as they can for physical health problems.

This information is not available in the format requested. The table below shows the average daily number of mental health beds open overnight in each of the last 10 years, for all NHS trusts with mental health beds in England.

Source: NHS England KH03 return.

Since 2010-11 the data has been collected in a different format, therefore it cannot be directly compared with the data prior to 2010-11.

The Government has made it clear that beds must always be available for those who need them. We have set out in our Mandate to NHS England that plans must be put in place to ensure no one in mental health crisis will be turned away.

The first ever national Mental Health Crisis Care Concordat is a commitment by agencies to work together to improve care and support for people in mental health crisis. The Crisis Care Concordat makes it clear that local commissioners should commission a range of mental health services that respond rapidly and appropriately to a person in urgent need. We asked local areas to commit to and agree their own ‘Mental Health Crisis Declaration’ before the end of 2014. Every area in England agreed a Declaration by 23 December 2014 and work is now underway across the country to develop action plans detailing how local partners will improve crisis care for people of all ages. Progress with these plans can be seen at:

www.crisiscareconcordat.org.uk/

The Care Quality Commission (CQC) is the independent regulator of health and adult social care providers in England. The CQC is responsible for registering providers and assessing whether providers are meeting the required levels of safety and quality.

The CQC provided the following information:

There is no legal definition of a non-National Health Service provider. The legal terms used to cover NHS trusts, foundation trusts and special health authorities are “NHS bodies” and “NHS providers” as defined in the Health and Social Care Act 2008. The data for this response has been obtained by excluding providers that are classified as NHS providers or NHS bodies from the list of all providers of health and social care registered with CQC.

Source: CQC database as at 2 March 2015

Notes:

¹From 1 April 2014 to 1 March 2015

²The increase in figures is due to the initial transition of these sectors to within the remit of the Health and Social Care Act 2008.

Regulation of non-NHS providers under the Health and Social Care Act began on 1 October 2010 so numbers have been provided from that date.

The numbers given are non-NHS providers that registered and also include non-NHS providers that are now deregistered. A single provider may operate one or more locations.

A provider can change sector classification over time which explains why some primary medical services providers appear to have registered before 2013 when that sector transitioned to within the remit of the Health and Social Care Act.