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To ask the Secretary of State for Work and Pensions, whether she will review the rules on the suspension of Personal Independence Payment (PIP) after 28 days in hospital; and if she will introduce provisions to allow the exercise of discretion where a claimant’s stay is prolonged due to delays...
To ask the Secretary of State for Work and Pensions, whether she will review the rules on the suspension of Personal Independence Payment (PIP) after 28 days in hospital; and if she will introduce provisions to allow the exercise of discretion where a claimant’s stay is prolonged due to delays...
Where an adult age 18 or over is maintained free of charge while undergoing medical or other treatment as an in-patient in a hospital or similar institution funded by the NHS, payment of (but not entitlement to) Personal Independence Payment (PIP) ceases after 28 days.
This is on the basis that the NHS is responsible for not only the person’s medical care but also the entirety of their disability-related extra costs and to pay PIP in addition would be a duplication of public funds intended for the same purpose. Once someone is discharged from hospital, payment of PIP recommences from the date of discharge. These are statutory arrangements, common to the extra costs benefits.
To ask His Majesty's Government how many patients waiting more than four hours in A&E from decision to admit to admission subsequently self-discharged before admission, in each of the last five years.
To ask His Majesty's Government how many patients waiting more than four hours in A&E from decision to admit to admission subsequently self-discharged before admission, in each of the last five years.
Information on the number of patients who waited more than four hours from a decision to admit to admission and subsequently self-discharged before admission is not held centrally.
Summary of NHS demand, performance, backlogs, and capacity of services in England. It covers A&E waiting times, hospital waiting lists, cancer waiting times, ambulance response times, staffing levels including doctors and nurses, vacancies, and more.
Summary of NHS demand, performance, backlogs, and capacity of services in England. It covers A&E waiting times, hospital waiting lists, cancer waiting times, ambulance response times, staffing levels including doctors and nurses, vacancies, and more.
To ask the Secretary of State for Health and Social Care, what assessment he has made of trends in the levels of readmission rates among mental health inpatients aged 0-17.
To ask the Secretary of State for Health and Social Care, what assessment he has made of trends in the levels of readmission rates among mental health inpatients aged 0-17.
The following table shows the number of readmissions and the percentage of all admissions that were readmissions for children and young people’s mental health inpatient services, for 2022/23, 2023/24, 2024/25, and from April to August of 2025/26:
Year | 2022/23 | 2023/24 | 2024/25 | 2025/26 |
Number of readmissions | 197 | 196 | 157 | 83 |
Percentage of admissions that were readmissions | 7.9% | 8.7% | 7.5% | 9.3% |
Source: Mental Health Services Dataset, NHS England.
A readmission is any admission which takes place within 90 days of a previous discharge, for the same patient.
To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce short-term readmissions following mental health inpatient discharge.
To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce short-term readmissions following mental health inpatient discharge.
In 2023, NHS England published guidance on the commissioning and delivery of acute inpatient mental health care for adults and older adults, which is available at the following link:
https://www.england.nhs.uk/long-read/acute-inpatient-mental-health-care-for-adults-and-older-adults/
This encourages integrated care boards and mental health providers to monitor the length of hospital stay, the number of people who are clinically ready for discharge and who have not been discharged, reasons for delayed discharges, and reasons for readmission within six months, in order to monitor the effectiveness of local discharge arrangements and to identify improvements.
NHS England is also delivering a universal culture of care improvement programme, which all National Health Service and major independent providers are participating in. The programme is based on co-produced standards for high quality inpatient care, which include commitments to improve discharge and follow up support.
Improving access to high quality community mental health care is critical to reducing the number of avoidable admissions to hospital and supporting people in community settings following a hospital spell. Since 2019, NHS England has invested significant additional funding to support services to transform and expand services in line with the vision set out in the Community Mental Health Framework. The new approach integrates community mental health services with primary care, whilst also improving partnerships with voluntary, community, and social enterprise organisations, local authorities, and other local organisations to offer people holistic and personalised care for both their clinical and social needs, with both a ‘need-led’ and ‘no wrong door’ approach.
NHS England continues to prioritise improving services for people with mental health problems, including through the development of new guidance on delivering personalised care and support, for instance the Personalised Care Framework: a Modern Care Programme Approach, the piloting and rollout of 24/7 Neighbourhood Mental Health Centres across the country, and the development of a new modern service framework for severe mental illness expected in 2026.
To ask the Secretary of State for Health and Social Care, how many and what proportion of mental health inpatients discharged between 2024 and 2025 were readmitted within (a) 30 and (b) 90 days of discharge, broken down by age group.
To ask the Secretary of State for Health and Social Care, how many and what proportion of mental health inpatients discharged between 2024 and 2025 were readmitted within (a) 30 and (b) 90 days of discharge, broken down by age group.
The following table shows the information requested for inpatients discharged between January 2024 and December 2024 in England:
Age band | Discharges eligible for readmission | Readmissions within 30 days of discharge | Readmissions within 90 days of discharge | Proportion of discharges readmitted within 30 days | Proportion of discharges readmitted within 90 days |
0-17 | 4,134 | 1,468 | 1,925 | 35.5% | 46.6% |
18-24 | 10,912 | 1,868 | 3,068 | 17.1% | 28.1% |
25-34 | 18,806 | 2,414 | 4,156 | 12.8% | 22.1% |
35-44 | 16,742 | 1,785 | 3,270 | 10.7% | 19.5% |
45-54 | 12,615 | 1,177 | 2,210 | 9.3% | 17.5% |
55-64 | 10,286 | 910 | 1,704 | 8.8% | 16.6% |
65+ | 13,273 | 761 | 1,417 | 5.7% | 10.7% |
Missing/Invalid records | 2 | 0 | 0 | 0.0% | 0.0% |
Total | 86,770 | 10,383 | 17,750 | 12.0% | 20.5% |
Source: Mental Health Services Dataset, NHS England
Notes:
- The age band is calculated based on the patient's age at the time of the previous discharge.
- The number of discharges eligible for readmission covers all discharges from hospital in the reporting period that meet the following criteria:
- Method of discharge from hospital was NOT the patient dying, discharging themselves, or being discharged by a relative or advocate.
- Destination of discharge from hospital was NOT a high security of psychiatric hospital or accommodation, a medium secure unit, or an Independent Sector Healthcare Provider run hospital.
- The number or readmissions within 30 or 90 days of discharge covers all next earliest admissions to hospital following a patient's eligible discharge. Number of days is calculated using the start date of the new admission and the discharge date of the previous discharge.
To ask the Secretary of State for Health and Social Care, what the rate of hospital readmissions within 30 days of discharge was for (a) Basingstoke and North Hampshire Hospital, (b) Hampshire and (c) England in each of the last ten years.
To ask the Secretary of State for Health and Social Care, what the rate of hospital readmissions within 30 days of discharge was for (a) Basingstoke and North Hampshire Hospital, (b) Hampshire and (c) England in each of the last ten years.
The following tables show published experimental statistics by NHS England on the percentage of emergency admissions to any hospital in England within 30 days of the most recent discharge from hospital at a trust and national level:
Year | Level description | Indicator value | Banding (comparison to national average – see below for definitions) |
2014/15 | HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST | 11.5 | B1 |
2015/16 | HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST | 11.1 | B1 |
2016/17 | HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST | 12.4 | B1 |
2017/18 | HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST | 13.6 | W |
2018/19 | HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST | 14.4 | W |
2019/20 | HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST | 14.7 | A5 |
2020/21 | HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST | 16.3 | A1 |
2021/22 | HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST | 16.1 | A1 |
2022/23 | HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST | 15.8 | A1 |
2023/24 | HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST | 16.6 | A1 |
Year | Level description | Indicator value |
2014/15 | England | 12.7 |
2015/16 | England | 13.0 |
2016/17 | England | 13.2 |
2017/18 | England | 13.6 |
2018/19 | England | 14.2 |
2019/20 | England | 14.3 |
2020/21 | England | 15.4 |
2021/22 | England | 14.3 |
2022/23 | England | 14.2 |
2023/24 | England | 14.8 |
Source: NHS England
Notes:
- B1 = Significantly lower than the national average at the 99.8% level; B5 = Significantly lower than the national average at the 95% level but not at the 99.8% level; W = National average lies within expected variation (95% confidence interval); A5 = Significantly higher than the national average at the 95% level but not at the 99.8% level; A1 = Significantly higher than the national average at the 99.8% level.
- Figures are indirectly standardised to adjust for variation in age, sex, method of admission and diagnosis/procedure between hospitals and over time.
Further statistics around discharge are available at the following link:
To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the (a) number of people experiencing homelessness discharged from hospital to the street and (b) the readmission rates of people discharged from hospital to the street.
To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the (a) number of people experiencing homelessness discharged from hospital to the street and (b) the readmission rates of people discharged from hospital to the street.
There is currently no available data to identify the number of patients experiencing homelessness who are discharged to the street or equivalent, or to accurately measure readmission rates. We can make an assessment of the number of admissions where a patient has been recorded as being homeless at the point of admission through the Hospital Episode Statistics (HES). The following table shows the count of Finished Admission Episodes (FAEs) where the patient was recorded as being homeless at the point of admission, for the period of 2019/20 to 2023/24, in English National Health Service Hospitals and in English NHS commissioned activity in the independent sector:
Year | FAEs |
2019/20 | 28,027 |
2020/21 | 19,963 |
2021/22 | 17,797 |
2022/23 | 21,652 |
2023/24 | 29,204 |
Notes:
- an FAE is the first period of admitted patient care under one consultant within one healthcare provider, and is counted against the year or month in which the admission episode finishes, however they do not represent the number of patients, as a person may have more than one admission within the period;
- homeless can be defined in HES when RESGOR_ONS are 'U', where U means no fixed abode, or DIAG_4_CONCAT like 'Z590;
- regarding the number of episodes in which the patient had a relevant primary or secondary diagnosis code that was recorded in any of the 20, or 14 from 2002/03 to 2006/07, and seven prior to 2002/03, primary and secondary diagnosis fields in a HES record, note that each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record;
- for ICD-10 coding, Z590 means homelessness, a non-billable, non-specific code for problems related to housing and economic circumstances;
- the regional geography of the Government Office Region’s (GOR) area of residence of the patient, derived in HES from the patient's postcode, and despite GOR having closed on 31 March 2011, is maintained for statistical purposes, and following its closure is referred to simply as regions;
- Z590 means homelessness, a non-billable, non-specific code for problems related to housing and economic circumstances;
- a diagnosis of homelessness is at the discretion of the clinician responsible for care of the patient, based on whether or not they deem it to be relevant to the primary diagnosis for which the patient is being admitted, and some patients may prefer not to disclose that they are homeless when presenting at the hospital, and the information may not therefore be captured, and therefore the data presented here may undercount the total number of occasions when homeless people were admitted to hospital;
- we have counted records where the patient was recorded as homeless at the point of admission, rather than at the point of discharge, because, while there is a Discharge Destination field in HES used to identify where patients go after leaving hospital, this does not include any value that identifies those patients who are discharged to the street, hence it is not possible to answer the first part of the question exactly as it is worded;
- changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage, improvements in coverage of independent sector activity and changes in NHS practice, for instance 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, and apparent increases in activity may be due to improved recording of diagnosis or procedure information; and
- HES includes activity ending in the year in question and run from April to March, for instance 2012/13 includes activity ending between 1 April 2012 and 31 March 2013.
To ask the Secretary of State for Health and Social Care, how many people discharged from hospital into the community returned to Accident and Emergency within (a) 24 hours, (b) 48 hours and (c) 72 hours in each of the last twelve months.
To ask the Secretary of State for Health and Social Care, how many people discharged from hospital into the community returned to Accident and Emergency within (a) 24 hours, (b) 48 hours and (c) 72 hours in each of the last twelve months.
The information requested is not held centrally.
To ask the Secretary of State for Health and Social Care, how many patients were readmitted to an inpatient setting from a step down bed procured through the £750 million allocated by his Department for freeing up hospital beds in winter 2022-23.
To ask the Secretary of State for Health and Social Care, how many patients were readmitted to an inpatient setting from a step down bed procured through the £750 million allocated by his Department for freeing up hospital beds in winter 2022-23.
The information requested is not collected centrally.
To ask His Majesty's Government how many of the patients discharged early through the North Tees discharge pilot described in the NHS England board papers for 2 February were readmitted inside 60 days; and what was the equivalent national average for such early discharges and readmissions.
To ask His Majesty's Government how many of the patients discharged early through the North Tees discharge pilot described in the NHS England board papers for 2 February were readmitted inside 60 days; and what was the equivalent national average for such early discharges and readmissions.
NHS England does not hold a dataset that nationally monitors readmissions for this cohort but has plans to collect data in the near future which will allow review of, and feedback on, this metric.
My Lords, from this Statement one might conclude that the NHS is facing challenges but that, overall, things are moving in the right direction. This could not be further from the truth and does not reflect how dire the situation has become. It is clear that the Government have failed...
My Lords, from this Statement one might conclude that the NHS is facing challenges but that, overall, things are moving in the right direction. This could not be further from the truth and does not reflect how dire the situation has become. It is clear that the Government have failed...
My Lords, we welcome the fact that the Government are making a Statement, as it is abundantly clear to everyone that we have a crisis on our hands, and we on these Benches have been calling for this to be recognised as a national major incident. In that context, will...
My Lords, we welcome the fact that the Government are making a Statement, as it is abundantly clear to everyone that we have a crisis on our hands, and we on these Benches have been calling for this to be recognised as a national major incident. In that context, will...
My Lords, I thank noble Lords for their comments. As I mentioned in answering the previous Question, this is a reflection, from our part, of trying to understand the situation. We did some plans in October and looked at demand and supply, and that led us to make the announcements...
My Lords, I thank noble Lords for their comments. As I mentioned in answering the previous Question, this is a reflection, from our part, of trying to understand the situation. We did some plans in October and looked at demand and supply, and that led us to make the announcements...
The Minister may not agree, but the NHS is in crisis. He may say that the situation is “challenging”, but it could not be more challenging. Although infection rates related to Covid, flu and other infections may have exacerbated the situation, the genesis of the crisis is not of today’s...
The Minister may not agree, but the NHS is in crisis. He may say that the situation is “challenging”, but it could not be more challenging. Although infection rates related to Covid, flu and other infections may have exacerbated the situation, the genesis of the crisis is not of today’s...
I absolutely think these measures will improve the situation; I would not be putting them forward if I did not believe that. At the same time, just as we put out plans in October and are amending them now, I will continue to amend our plans. I think that is...
I absolutely think these measures will improve the situation; I would not be putting them forward if I did not believe that. At the same time, just as we put out plans in October and are amending them now, I will continue to amend our plans. I think that is...
My Lords, my noble friend the Minister mentioned pharmacies in his response, which clearly demonstrated a complete lack of understanding of the crisis that is going on in the independent pharmacy sector. They are closing at an
alarming rate, yet they are the front line of the NHS, with record...
My Lords, my noble friend the Minister mentioned pharmacies in his response, which clearly demonstrated a complete lack of understanding of the crisis that is going on in the independent pharmacy sector. They are closing at an
alarming rate, yet they are the front line of the NHS, with record...
I wholeheartedly agree with my noble friend that the pharmacies are the front line. We realise that they have been underutilised in the past. Actually, the plan of using them more for patients will put more funding their way, which I hope will support them, just as allocating Covid vaccinations...
I wholeheartedly agree with my noble friend that the pharmacies are the front line. We realise that they have been underutilised in the past. Actually, the plan of using them more for patients will put more funding their way, which I hope will support them, just as allocating Covid vaccinations...
My Lords, this focus on the number of hospital beds may be at the wrong end. It is much more fruitful to think about why staff are so dissatisfied and unhappy that they wish to leave and do so in droves. We have to do more to improve the morale...
My Lords, this focus on the number of hospital beds may be at the wrong end. It is much more fruitful to think about why staff are so dissatisfied and unhappy that they wish to leave and do so in droves. We have to do more to improve the morale...