House of Commons - Health

Select Committee on Health Memoranda

MEMORANDUM

Memorandum by the Department of Health

Table 2.4.1

PATIENTS UNDER THE CARE OF A LEARNING DISABILITIES CONSULTANT AT 31 MARCH BY DURATION OF STAY: 1986, 1992 TO 1998 ⁽²⁾

England

Estimated numbers and rates per 100,000 population


Duration of stay	1986	1992	1993	1994	1995	1996	1997 ⁽¹⁾	1998

Number of patients
ALL DURATIONS	34,200	19,600	16,000	13,900	11,400	10,500	10,500	8,400
Under 1 year	2,700	2,800	2,500	2,400	2,200	2,000	2,000	1,900
1 to 2 years	1,300	1,100	1,700	1,600	1,200	1,100	1,100	800
2 to 3 years	1,100	800	1,000	1,200	1,000	600	600	650
3 to 5 years	1,700	1,300	1,400	1,300	1,000	900	900	700
5 years and over	27,400	13,600	9,400	7,400	6,100	6,000	6,000	4,400

Rates per 100,000 population
ALL DURATIONS	72	41	33	29	23	21	21	17
Under 1 year	6	6	5	5	5	4	4	4
1 to 2 years	3	2	4	3	2	2	2	2
2 to 3 years	2	2	2	2	2	1	1	1
3 to 5 years	4	3	3	3	2	2	2	1
5 years and over	58	28	28	15	13	12	12	9

Footnotes:

1. Figures for 1997 are not available, previous years estimates have been used instead.

2. Figures for 1992 to 1998 have been estimated from the number of unfinished consultant episodes at 31st March. They are estimates based on data directly obtained from RHA's and Trusts and are not directly comparable with figures for earlier years. Data for 1986 were estimated from a base year of 1971 and updated annually.

Table 2.4.2

ESTIMATED DISCHARGES OF LEARNING DISABILITIES PATIENTS FROM NHS FACILITIES BY DURATION OF STAY: 1986 AND 1991-92 TO 1997-98 ⁽¹⁾

England

Numbers and percentages


Duration of stay	1986	1991-92	1992-93	1993-94	1994-95	1995-96	1996-97 ⁽²⁾	1997-98 ⁽²⁾

ALL DURATIONS	41,240	51,130	54,620	53,400	54,810	53,680	54,200	55,600
Under 1 week	23,890	33,010	37,240	38,730	40,420	39,940	41,200	42,000
1 week—	12,270	12,290	11,230	10,600	10,780	10,190	9,300	10,000
1 month—	1,180	1,320	1,220	1,080	1,110	1,010	1,000	1,200
3 months—	970	910	1,030	860	800	740	800	800
1 year—	310	290	490	370	330	360	300	400
2 years—	430	590	530	380	370	440	400	400
5 years—	460	310	520	230	180	140	200	200
10 years +	1,740	2,410	2,370	1,140	720	820	900	600
Percentages ⁽³⁾
ALL DURATIONS	100	100	100	100	100	100	100	100
Under 1 week	58	65	68	73	74	74	76	76
1 week—	30	24	21	20	20	19	17	18
1 month—	3	3	2	2	2	2	2	2
3 months—	2	2	2	2	1	1	2	1
1 year—	1	1	1	1	1	1	1	1
2 years—	1	1	1	1	1	1	1	1
5 years—	1	1	1	0	0	0	0	0
10 years +	4	5	4	2	1	2	2	1

Footnotes:

1. Data for 1986 relate to the calender year and are taken from the Mental Health Enquiry. The enquiry was replaced in April 1987 by the Hospital Episode Statistics (HES) system. Figures for 1991-92 on wards are derived from HES relate to discharges from the care of individual providers (Trust or Directly Managed Unit); they include transfers to other NHS providers.

2. Estimates for 1996-97 and 1997-98 are provisional.

3. Percentages have been calculated using unrounded figures.

Table 2.4.3

ESTIMATED DISCHARGES OF LEARNING DISABLED PATIENTS FROM NHS FACILITIES BY AGE, LENGTH OF STAY AND DESTINATION 1991-92 AND 1997-98

England

Number and percentages


	1991-92		1997-98 ⁽¹⁾

Intended discharge destination	length of stay less than 1 year	length of stay of one year or more	length of stay less than 1 year	length of stay of one year or more

Aged under 65
NUMBER	46,980	2,900	53,700	1,200
Percentage
Usual Residence ⁽³⁾	97	34	97	23
Temporary Residence	0	6	0	1
Other NHS provider ⁽⁴⁾	1	34	1	38
LA residential	0	8	0	6
Non NHS institution ⁽⁵⁾	0	14	0	25
Other and not known ⁽⁶⁾	0	4	1	7
Aged 65 or over
NUMBER	550	690	300	300
Percentage ⁽²⁾
Usual Residence ⁽³⁾	75	35	68	15
Temporary Residence	1	3	1	0
Other NHS provider ⁽⁴⁾	19	32	18	36
LA residential	0	6	1	6
Non NHS institution ⁽⁵⁾	2	17	8	35
Other and not known ⁽⁶⁾	3	8	3	8

Footnotes:

1. Estimates for 1997-98 are provisional.

2. Percentages relate to intended discharge of patients as recorded inpatients' notes and are based on unrounded data.

3. Usual residence excludes the other categories listed in this table. It includes private dwellings whether owner occupied or rented and sheltered accommodation but not residential or nursing care. It includes patients with no fixed abode.

4. Other NHS Trust hospitals or NHS run nursing homes.

5. Independent residential or nursing care homes and private hospitals.

6. Prison, special hospital, not known.

Table 2.4.4

HOSPITAL BEDS AND PLACES IN RESIDENTIAL AND NURSING CARE HOMES FOR PEOPLE WITH LEARNING DISABILITIES 1987-88, 1993-94 TO 1997-98


						(Numbers)
	1987-88	1993-94	1994-95	1995-96	1996-97	1997-98

TOTAL AVAILABLE BEDS/PLACES	59,987	59,459	59,213	61,630	65,760	67,620
Average daily number of available beds in NHS facilities	33,388	16,270	13,211	12,676	13,040	12,280
For children short stay	—	246	242	221	290	280
long stay	—	167	164	146	110	100
For other ages secure units	—	291	329	326	420	440
short stay	—	1,316	1,412	1,630	1,350	1,440
long stay	—	14,250	11,064	10,353	7,440	5,940
Residential Facilities ⁽¹⁾	—	—	—	—	3,430	4,080
Beds in private nursing homes, hospitals and clinics ⁽²⁾	1,007	3,104	3,198	3,320	3,360	3,580
Children	129	112	97	70	60	70
Other ages	878	2,992	3,101	3,250	3,300	3,510
Places in staffed residential homes for adults ⁽²⁾⁽³⁾	22,940	35,006	36,292	38,170	40,500	41,610
Local authority	11,863	10,122	9,672	9,335	8,190	8,200
Voluntary	5,121	12,997	13,936	14,648	15,070	16,740
Private	5,956	11,887	12,684	14,187	17,230	16,660
Places in staffed residential homes for children ⁽²⁾⁽⁴⁾	2,652	1,995	1,755	1,767	1,480	1,810
Local authority	2,115	1,490	1,255	1,236	950	1,050
Voluntary	372	362	338	430	310	440
Private	165	143	162	101	220	320
Places in small registered residential homes (<4 places) ⁽²⁾,⁽⁵⁾	—	3,084	4,757	5,697	7,380	8,340
Voluntary	—	701	890	1,209	—	—
Private	—	2,383	3,867	4,488	—	—
Places in local authority unstaffed (group) homes⁽²⁾	2,840	2,563	2,654	2,651	2,990	—

Footnote

1. NHS residential facilities were recorded for the first time in 1996-97. Some of these beds may previously have been recorded under other headings.

2. Data relate to 31 March.

3. Excludes nursing care places in dual registered homes.

4. Registered residential care homes and Local Authority Part III homes.

5. Breakdown into Voluntary and Private sectors not available.

Table 2.4.5

PATIENTS UNDER THE CARE OF A MENTAL ILLNESS CONSULTANT AT 31 MARCH BY DURATION OF STAY: 1986, 1992 TO 19982: ENGLAND

Estimated numbers and rates per 100,000 population)
Duration of stay	1986	1992	1993	1994	1995	1996	1997 ⁽¹⁾	1998

Number of patients
ALL DURATIONS	60,300	45,100	39,500	36,400	34,800	34,600	34,600	31,750
Under 1 year	26,000	25,500	22,200	22,400	20,800	22,500	22,500	23,500
1 to 2 years	6,600	4,200	4,600	4,200	4,300	3,000	3,000	2,700
2 to 3 years	3,600	2,900	2,800	2,100	2,500	2,500	2,500	1,450
3 to 5 years	4,600	4,400	3,500	2,400	2,400	2,400	2,400	1,750
5 years and over	19,700	8,200	6,400	5,400	4,700	4,100	4,100	2,350

Rates per 100,000 population

ALL DURATIONS	128	94	82	75	71	71	70	64
Under 1 year	55	53	46	46	43	46	46	48
1 to 2 years	14	9	10	9	9	6	6	5
2 to 3 years	8	6	6	4	5	5	5	3
3 to 5 years	10	9	7	5	5	5	5	4
5 years and over	42	17	4	11	10	8	8	5

Footnotes:

1. Figures for 1997 are not available, previous years estimates have been used instead.

2. Figures for 1992 to 1998 have been estimated from the number of unfinished consultant episodes at 31 March. They are estimates based on data directly obtained from from RHA's and Trusts and are not directly comparable with figures for earlier years. Data for 1986 were estimated from a base year of 1971 and updated annually.

Table 2.4.6 ESTIMATED DISCHARGES OF MENTAL ILLNESS PATIENTS FROM NHS FACILITIES BY DURATION OF STAY: 1986 AND 1991-92 TO 1997-98 ⁽¹⁾

England

<P ALIGN=RIGHT>Numbers and percentages</P>


Duration of stay	1986	1991-92	1992-93	1993-94	1994-95	1995-96	1996-97 ⁽²⁾	1997-98 ⁽²⁾

ALL DURATIONS	188,420	202,260	211,170	212,670	211,800	214,100	213,000	209,000
Under 1 week	33,660	40,120	43,670	46,030	46,520	46,350	47,800	45,900
1 week—	82,210	90,480	95,060	95,700	93,760	93,970	92,200	88,700
1 month—	50,250	50,860	51,990	51,680	52,020	51,820	51,800	52,000
3 months—	16,790	16,050	16,040	16,110	16,580	17,040	18,300	19,400
1 year—	2,260	1,750	1,680	1,430	1,340	1,570	1,600	1,700
2 years—	1,330	1,370	1,170	770	800	960	900	800
5 years—	640	520	540	290	270	290	200	200
10 years +	1,210	1,110	980	480	430	520	300	200

Percentages ⁽³⁾

ALL DURATIONS	100	100	100	100	100	100	100	100
Under 1 week	18	20	21	22	22	22	22	22
1 week—	44	45	45	45	44	44	43	42
1 month—	27	25	25	24	25	24	24	25
3 months—	9	8	8	8	8	8	9	9
1 year—	1	1	1	1	1	1	1	1
2 years—	1	1	1	0	0	0	0	0
5 years—	0	0	0	0	0	0	0	0
10 years +	1	1	1	0	0	0	0	0

Footnotes:

1. Data for 1986 relate to the calendar year and are taken from the Mental Health Enquiry. The enquiry was replaced in April 1987 by the Hospital Episode Statistics (HES) system. Figures for 1991-92 onwards are derived from HES relate to discharges from the care of individual providers (Trust or Directly Managed Unit); they include transfers to other NHS providers.

2. Estimates for 1996-97 and 1997-98 are provisional.

3. Percentages have been calculated using unrounded figures.

Table 2.4.7

ESTIMATED DISCHARGES OF MENTAL ILLNESS PATIENTS FROM NHS FACILITIES BY AGE, LENGTH OF STAY AND DESTINATION, 1991-92 AND 1997-98

England

<P ALIGN=RIGHT>number and percentages</P>


	1991-92		1997-98 ⁽¹⁾

Intended discharge destination	length of stay less than one year	length of stay of one year or more	length of stay less than one year	length of stay of one year or more

Aged under 65
Number	131,300	2,270	142,100	2,100
Percentage
Usual Residence ⁽³⁾	88	43	88	49
Temporary Residence	3	7	3	10
Other NHS provider ⁽⁴⁾	5	26	6	25
LA residential	1	10	0	5
Non NHS institution ⁽⁵⁾	1	12	1	8
Other and not known ⁽⁶⁾	1	2	1	4
Aged 65 or over
Number	66,200	2,480	63,300	800
Percentage ⁽²⁾
Usual Residence ⁽³⁾	78	21	75	30
Temporary Residence	3	4	2	3
Other NHS provider ⁽⁴⁾	7	39	9	37
LA residential	4	11	2	8
Non NHS institution ⁽⁵⁾	7	22	10	17
Other and not known ⁽⁶⁾	1	3	1	5

Footnotes :

1. Estimates for 1997-98 are provisional.

2. Percentages relate to intended discharge of patients as recorded inpatients' notes and are based on unrounded data.

4. Other NHS Trust hospitals or NHS run nursing homes.

5. Independent residential or nursing care homes and private hospitals.

6. Prison, special hospital, not known.



© Parliamentary copyright 1999	Prepared 18 October 1999