Table 2.4.8
HOSPITAL BEDS AND PLACES IN RESIDENTIAL AND
NURSING CARE HOMES FOR PEOPLE WITH MENTAL ILLNESS 1986 AND 1992-93
TO 1996-97: ENGLAND
(numbers)
| 1986 | 1992-93
| 1993-94 | 1994-95
| 1995-96 | 1996-97
|
TOTAL BEDS/PLACES1
(excluding unstaffed)
| 87,560 | 85,380 | 87,400
| 89,810 | 92,860 | 104,230
|
Average daily number of available beds
in NHS facilities
| 72,400 | 47,310 | 43,530
| 41,830 | 39,480 | 38,780
|
| | |
| | |
|
| For children | short stay
| — | 580
| 530 | 500
| 470 | 430 |
| long stay | —
| 60 | 80 |
60 | 110 |
110 |
| For elderly | short stay
| — | 5,770
| 6,240 | 6,390
| 6,390 | 7,370 |
| long stay | —
| 13,660 | 12,110
| 10,760 | 9,330
| 8,230 |
| For other ages | secure units
| — | 930
| 1,030 | 1,080
| 1,370 | 1,580 |
| short stay | —
| 15,300 | 14,680
| 15,210 | 15,080
| 14,500 |
| long stay | —
| 11,000 | 8,870
| 7,830 | 6,730
| 5,410 |
| |
| | |
| |
|
| Residential Facilities2—
| — | —
| — | —
| 1,160 |
Beds in private nursing homes, hospitals
and clinics3
| 3,170 | 16,950
| 21,080 | 24,190
| 27,450 | 28,510
|
| Children | 40
| 10 | 130
| 50 | 90 |
60 |
| Elderly | 1,280
| 12,400 | 16,330
| 19,330 | 22,140
| 21,450 |
| Other ages | 1,840
| 4,540 | 4,620
| 4,810 | 5,210
| 6,990 |
Places in staffed residential homes
for adults (1), (3) (4)
| 12,000 | 21,130
| 21,650 | 22,180
| 24,030 | 34,250
|
| Local authority | 5,560
| 5,350 | 5,080
| 4,750 | 4,690
| 4,910 |
| Voluntary | 2,330
| 4,940 | 5,000
| 5,190 | 5,570
| 7,280 |
| Private | 4,100
| 10,840 | 11,570
| 12,250 | 13,770
| 22,060 |
Places in small registered residential
homes (places) (5)
| — | —
| 1,130 | 1,610
| 1,910 | 2,690
|
| Voluntary | —
| — | 170
| 190 | 220
| — |
| Private | —
| — | 960
| 1,420 | 1,700
| — |
Places in local authority unstaffed
(group) homes (3)
| 1,960 | 1,840
| 1,700 | 1,680
| 1,660 | 1,840
|
Footnotes:
(1) Discontinuity in data due to reclassification of some Elderly homes as homes for Elderly Mentally Ill patients.
(2) NHS residential facilities were recorded for the first time in 1996-97. Some of these beds may previously have been recorded under other headings.
(3) Data relate to 31 March except 1986 which refers to 31 December.
(4) Excludes nursing care places in dual registered homes.
(5) Breakdown into Voluntary and Private sectors no longer available.
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2.4b Would the Department provide a table showing:
(i) number of people sectioned, by HA;
(ii) number of people sectioned in proportion to HA population;
(iii) number of people sectioned in proportion to number
of admissions;
(iv) proportion of people who appeal against being sectioned
and the outcome of the appeals.
NUMBER OF
PEOPLE SECTIONED
1. It is not possible to produce legitimate figures on
the numbers of people sectioned by HA. Data on uses of the Mental
Health Act 1983 are collected from NHS trusts providing care for
patients who are "sectioned". The data are provided
on the aggregate return for each trust and cannot be disaggregated
by site or unit. The catchment area of trusts with headquarters
within a particular Health Authority (HA) does not necessarily
equate to the HA boundaries; trusts with geographically dispersed
sites, those serving metropolitan areas or those providing secure
facilities may serve a different or wider population than the
HA within which they have their headquarters. To aggregate the
trust data to HA level would not provide meaningful data. Detailed
data are published at Trust level in the publication "Inpatients
formally detained in hospitals under the Mental Health Act 1983
and other legislation: NHS trusts, high security hospitals and
private facilities: 1996-97". The attached Table 2.4.9 presents
information on the number of admissions to NHS facilities (trusts
and high security hospitals) where the patient was detained under
the Mental Health Act 1983 at admission and the number of occasions
a patient already in hospital as an informal patient was placed
under detention. Table 2.4.10 shows similar information for private
mental nursing homes in each HA area (these data are collated
by HAs for return to the Department). There may be double counting
of patients where a patient has been detained more than once in
the year.
NUMBER OF
PEOPLE IN
PROPORTION TO
ADMISSIONS
2. In England, in 1996-97, there were 24,200 formal admissions
to hospital (including high security hospitals and private hospitals)
under the Act and a further 17,400 changes from informal status
to detention where patients were already in hospital. A patient
subject to more than one period of detention under the Act during
the year will be counted in these figures each time they are admitted
to hospital under detention or have a change from informal status
while in hospital so it is not possible to determine the number
of people sectioned. About 9 per cent of all admissions under
psychiatric specialties in NHS hospitals in 1996-97 were formal
admissions.
APPEALS
3. Patients detained under the Mental Health Act have
a right to have their case reviewed by a Mental Health Review
Tribunal. In England in the calendar year ending 31 December 1997,
14,942 applications/referrals for Mental Health Review Tribunals
were received; subsequently many of these applications will have
been withdrawn, the patient discharged by the responsible medical
officer prior to the hearing or the hearings will have been adjourned.
During 1997, 7,473 tribunals were held. While each patient record
holds details of the outcome of their tribunal hearing, these
data are not collected centrally and a manual search over four
sites to identify the 15,000 applications last year would take
up to six months to complete. However, in April this year the
Department of Health introduced a new information technology system
into the Mental Health Review Tribunal Secretariat offices and
it is expected that this will yield some relevant information
relating to calendar year 1999 which could be made available for
the Committee's Inquiry in 2000.
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