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The below Parliamentary question was asked by Luciana Berger on 2016-02-24.

To ask the Secretary of State for Health, how many people with severe and long-term mental health issues and whose care is coordinated through the Care Programme Approach in each year since 2010 had had a formal meeting to review their care in the previous 12 months.

Alistair Burt

Information on the number of people using National Health Service funded adult secondary mental health services, including those who spent time on the Care Programme Approach (CPA), is shown in the following table.

England	2010/11	2011/12	2012/13	2013/14	2014/15
Total People	1,287,730	1,607,153	1,590,332	1,746,698	1,835,996
People on CPA	263,935	407,370	359,368	357,732	335,727

These figures includes people who have been on CPA for a number of months or years as well as people who had only recently been assigned to CPA. These figures count each individual once, regardless of the number of times they accessed services in the year.

Because of major changes to the Mental Health Minimum Dataset and submission process, figures for these years are not directly comparable. The scope was expanded to include independent sector providers in 2011/12 and learning disability services in 2014/15. Major changes to the submission process between 2010/11 and 2011/12 also contributed to an overall increase in numbers.

A snapshot count of people on CPA at the end of 2014/15 who had been on CPA for at least 12 months and the number and proportion of these who had received a CPA review within the last 12 months is shown in the following table. It has not been possible to provide data for earlier years.

England	March 2015
People on CPA at the end of the month who had been on CPA for 12 months	126,679
People on CPA for 12 months with a review in the previous 12 months	101,592
Percentage of people on CPA for 12 months with a review	80.2%

The process of the CPA recognises that reviews should be held at least every year. However, where an individual’s needs are sufficiently complicated to require more complex care co-ordination, the frequency of review meetings will be increased.

The below Parliamentary question was asked by Luciana Berger on 2016-02-24.

To ask the Secretary of State for Health, how many and what proportion of (a) all children and (b) children with mental health conditions aged five to 16 have conduct disorder.

Alistair Burt

Data on the number and proportion of children aged 5–16 years diagnosed with a conduct disorder is not routinely collected centrally. The most recent survey, Mental health of children and young people in Great Britain, 2004, published by the Office for National Statistics in 2005, showed that 5.8% of children aged five to 16 had conduct disorders. This represents 60.4% of the 9.6% of children with any mental health disorder at that time.

However, the Department is commissioning a new national prevalence survey of children and young people’s mental health – the first since 2004. The survey will estimate the extent of mental ill health in the 2-19 year old population. Final publication of findings is expected in 2018.

The below Parliamentary question was asked by Luciana Berger on 2016-02-24.

To ask the Secretary of State for Health, what assessment he has made of in which type of healthcare there is greatest geographical disparity of treatment (a) availability, (b) choice and (c) outcomes across England.

Jane Ellison

No such assessment has been made. However, the Right Care programme actively uses variation between clinical commissioning groups to help identify those diseases or conditions that have the potential for greatest improvement. Indicators used include prevalence, treatment and outcomes.

The NHS Atlas of Variation, Commissioning for Value Packs and indicators in the National Health Service Outcomes Framework and Public Health Outcomes Framework provide publicly accessible resources to compare geographical areas and highlight health inequalities and other variation across a wide variety of indicators.

The below Parliamentary question was asked by Luciana Berger on 2016-02-24.

To ask the Secretary of State for Health, with reference to paragraph 3 on page 5 of the Five Year Forward View Mental Health Task Force report, published on 15 February 2016, if he will make it his policy to provide equal funding for mental health services.

Alistair Burt

We are committed to achieving parity of esteem between mental health and physical health. The Mental Health Taskforce estimates that the priority recommendations for the National Health Service set out in their report will cost an additional £1 billion annually by the year 2020/21. By the end of this Parliament we will make the Taskforce’s recommendations a reality.

This builds on the £1.4 billion over this Parliament that has been previously announced for transforming children and young people’s mental health and improving support for eating disorders.

All of the Taskforce report recommendations are funded from within the overall envelope agreed in the Spending Review. All of the £1 billion announced with the Taskforce report represents additional investment over and above what was allocated to the NHS in 2015/16.

We are already spending more money on mental health than ever before – an estimated £11.7 billion last year. This shows our commitment to achieving an equal status between mental and physical health services. We have been clear that commissioners must continue to increase investment in mental health services each year at a level which at least matches their overall expenditure increase.

We will monitor this closely to ensure this happens and know that clinical commissioning group spend is on track to increase as expected.