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The Carers' Strategy, Carers at the Heart of 21st Century Families and Communities, published in June 2008 (a copy of which has already been placed in the Library), makes it clear that carers of all ages should not have to ignore personal health concerns and needs because their caring role does not allow the time to address them. The services and support available to carers should be such to enable them to stay as mentally and physically well as possible throughout their caring role, from young carers through to older carers.
The strategy therefore makes the commitment to pilot annual health checks for carers in a number of primary care trust (PCT) areas. It was envisaged in the strategy that they will focus on carers in the highest intensity roles. Health checks should give both carers and health professionals an opportunity to detect and deal with, at an early stage, any problems the carer may have.
Phil Hope: The data collected record the numbers of mental health and learning disability secure unit beds in national health service units only, and the data include high, medium and some low secure units. These figures only show NHS beds and not those commissioned by the NHS and provided by independent sector providers.
|Average daily number of mental health and learning disability secure unit beds in NHS units2007-08|
The definitions of Mental Health and Learning Disability Secure Unit Beds, for the purposes of the KH03 annual beds collection, are:
Mental IllnessOther ages, Secure unit an AGE GROUP INTENDED of National Code 8 Any age, a BROAD PATIENT GROUP CODE of National Code 5 Patients with mental illness and a CLINICAL CARE INTENSITY of National Code 51 for intensive care: specially designated ward for patients needing containment and more intensive management. This is not to be confused with intensive nursing where a patient may require one to one nursing while on a standard ward.
Learning disabilitiesOther ages, Secure unit an AGE GROUP INTENDED of National Code 8 Any age, a BROAD PATIENT GROUP CODE of National Code 6 Patients with learning difficulties and a CLINICAL CARE INTENSITY of National Code 61 designated or interim secure unit.
Department of Health Dataset KH03
Dr. Kumar: To ask the Secretary of State for Health what assessment he has made of the findings of the Healthcare Commission's report on the 2006 national census of inpatients in mental health and learning disability services, Count Me In, with respect to the diagnosis, medication and accommodation of patients from ethnic minorities. 
We welcomed the report and concur with its principal conclusions. Mental health services still need to do more to meet the needs of diverse communities and tackle inequalities in mental health. Our Delivering Race Equality action plan, supported by over 400 new community development workers across the country, has already helped to deliver progress and remains the blueprint for services to follow.
Dr. Kumar: To ask the Secretary of State for Health what steps his Department is taking to improve mental health provision in the Asian community; and what assessment he has made of the effectiveness of those steps. 
Phil Hope: In 2005 the Department launched 'Delivering Race Equality in Mental Health Care' (DRE). DRE is a five year action plan designed to improve black and minority ethnic (BME) communities' experience of mental health services, including that of Asian communities.
There has been significant progress. The DRE programme has helped to develop replicable good practice around tailored pathways of care for BME service usersfor example, the collaboration between the Sheffield mental health crisis resolution and home treatment service and the local Pakistani Muslim Centre. New training in race equality for mental health staff has been tested successfully and made available nationally. The pilot project in Newham, East London, of the programme improving access to psychological therapies has demonstrated that Asian and other BME communities can have equal access to, and equal outcomes from, the new services. Primary care trusts have so far recruited over 400 new community development workers, whose role is to build links between local BME communities and mental health services and to help communities play a part in planning and providing those services.
We do, though, believe that the national health service still must do more to meet the needs of increasingly diverse local populations, particularly by delivering early and equitable access to effective community-based interventions. These issues will stay a priority for services for the duration of the DRE programme and beyond.
Phil Hope: The Department's National Institute for Health Research is not currently funding research of this kind. The 2002 survey of Ethnic Minority Psychiatric Illness Rates in the Community (EMPIRIC) provided estimates of the prevalence of common mental disorders and psychosis, information on social support and information on access to services. Estimates are provided for Indian, Pakistani and Bangladeshi women. A copy of the report has been placed in the Library and is on the Department's website at:
The Department's Delivering Race Equality in Mental Health Care programme (DRE) is helping to raise awareness among black and minority ethnic communities of mental health issues and to develop services more sensitive to communities' particular needs. It is also collaborating with Shift, the Department's five-year campaign addressing stigma and mental health.
In November 2008 Shift launched the award-winning short film Open Secrets, about the stigma surrounding mental illness in the Asian community. The film has been dubbed into Gujarati and Hindi. Open Secrets is intended to be used by DRE's network of community development workers and as a tool to influence Asian media, health and social care organisations and policymakers. Shift and DRE will promote the film at regional and local screenings in community and health and social care contexts to raise awareness and promote discussion. The film will be available on the internet from 1 April 2009.
Shift has also commissioned the consultancy Ethnic Communications to carry out a qualitative research project looking at how mental health stories are portrayed in the South Asian media. This work will be published at the DRE national conference in March 2009.
Investment in health services provided to prisons increased from £118 million in 2002-03 to nearly £200 million in 2007-08. By 2005-06, nearly £20 million was being invested recurrently in mental health in-reach services. There are now 102 mental health in-reach teams and all prisons now have access to them.
John Bercow: To ask the Secretary of State for Health what progress has been made towards achieving the target of a waiting time of 14 days for the transfer of prisoners with severe mental illness to hospital; and if he will make a statement. 
Phil Hope: The Department is currently exploring ways to make progress towards the 14 day standard waiting time for transfer through the provision of guidance and support for the national health service and Criminal Justice System to work in closer partnership together, and reduce delays for this very vulnerable group.
Jo Swinson: To ask the Secretary of State for Health what assessment he has made of the recommendations relevant to his Departments policy responsibilities made in the Foresight report on Mental Capacity and Well-Being, with particular reference to the costs to the NHS of managing mental ill health; and if he will make a statement. 
Phil Hope: The Government welcome the findings of the Foresight research report into mental capital and well-being, in particular, its emphasis on enabling people to realise increased mental well-being. We recognise the significant cost of mental ill health to the economy as a whole. Since 2001-02, our investment in adult mental health services has increased by 44 per cent. or £1.7 billion, to £5.53 billion.
We are already taking forward action in a number of ways consistent with the reports conclusions. For example, we are investing significantly in the Improving Access to Psychological Therapies programme, with annual funding rising to £173 million in the third year (2010-11), to train 3,600 extra therapists and treat 900,000 more people in those three years.
Mr. Lansley: To ask the Secretary of State for Health how many hospital admissions on mental health grounds resulting from the use of cannabis there were in each year since 1997, broken down by strategic health authority area. 
|National health services hospital and community health services: live births per full-time equivalent midwives in England by strategic health authority (SHA) as at 30 September in each specified year|
1. Birth registrations 2001 to 2007 as at 31 December in each specified year. Figures are rounded to the nearest whole number.
2. SHA totals 2001 to 2005 have been calculated using previous health authority (HA) and SHA configurations. HAs were reconfigured to become 28 SHAs in 2002 and were subsequently reconfigured into 10 SHAs in 2006. Due to overlaps in the HA/SHA reconfigurations, parts of West Pennine HA and North Derbyshire HA were split over Trent SHA and Greater Manchester SHA. These figures were included in the Trent SHA total to give the figure for the new East Midlands SHA.
The Information Centre for Health and Social Care Non-medical Workforce Census.
Office for National Statistics Birth Registrations 2001-07.
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