Select Committee on Health Memoranda


MEMORANDUM

Memorandum by the Department of Health

Table 2.4.8

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

(numbers)

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

Total Available Beds/Places
86,790
87,400
89,810
92,8601
104,230
104,720
(excluding unstaffed) (1)
Average daily number of
available beds in NHS facilities
67,130
43,530
41,830
39,480
38,780
37,880
For children
  short stay
700
530
500
470
430
400
  long stay
230
80
60
110
110
120
For elderly
  short stay
5,170
6,240
6,390
6,390
7,370
7,380
  long stay
21,350
12,110
10,760
9,330
8,230
7,410
For other ages
  secure units
900
1,030
1,080
1,370
1,580
1,920
  short stay
17,390
14,680
15,210
15,080
14,500
14,460
  long stay
21,390
8,870
7,830
6,730
5,410
4,910
Residential facilities (2)
1,160
1,280
Beds in private nursing homes, hospitals and clinics (3)(4)
4,510
21,080
24,190
27,450
28,510
28,280
  Children
40
130
50
90
60
100
  Elderly
2,340
16,330
19,330
22,140
21,450
19,130
  Other ages
2,120
4,620
4,810
5,210
6,990
9,050
Places in staffed residential homes for adults (1),(3),(5)
15,160
21,650
22,180
24,0401
34,250
35,980
  Local authority
5,670
5,080
4,740
4,700
4,920
4,530
  Voluntary
2,590
5,010
5,190
5,570
7,270
7,080
  Private (1)
6,900
11,560
12,250
13,7701
22,060
24,370
Places in small registered residential homes (<4 places) (6)
1,130
1,610
1,910
2,690
2,580
  Voluntary
170
190
220
  Private
960
1,420
1,700
Places in local authority unstaffed (group) homes (3)
1,900
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.

  4.  The method of data collection was changed in 1997-98 so the figures for 1997-98 are not strictly comparable with those for earlier years.

  5.  Excludes nursing care places in dual registered homes.

  6.  Breakdown into Voluntary and Private sectors not available.

NUMBER OF PEOPLE SECTIONED

  6.  It is not possible to produce legitimate figures on the numbers of people sectiond 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 hospital under the Mental Health Act 1983 and other legislation: NHS trusts, high security hospitals and private facilities: 1997-98". 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 collected 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 SECTIONED IN PROPORTION TO ADMISSIONS

  7.  In England, in 1997-98, there were 24,100 formal admissions to hospital (including high security hospitals and private hospitals) under the Act and a further 18,800 changes from informal status to detention where patients were already in hospital. A patient subject to more than one period of dention under the Act during the year will be counted in these figures each time they are admitted to hospital under dention or have a change from informal status while in hospital so it is not possible to determine the number of people sectioned. Around 10 per cent of all admissions under psychiatric specialities in NHS hospitals in 1997-98 were formal admissions.

Table 2.4.9

ADMISSIONS TO NHS FACILITIES UNDER THE MHA 1983 AND CHANGES FROM INFORMAL TO DETAINED STATUS WHILE IN HOSPITAL: 1997-98, ENGLAND (1)


Numbers
Admitted toSubject to
hospitalSection after
under Section admission (2)

England 24,108 18,836
  
Northern and Yorkshire2,888 2,548
  
   Airedale62 96
   Bradford Community Health 280268
   Calderdale Healthcare 7648
   Dewsbury Health Care 4980
   East Yorkshire Community Health Care 6933
   Gateshead Healthcare 4375
   Harrogate Health Care 4064
   Hartlepool & East Durham 5655
   Huddersfield Healthcare Services 15072
   Hull and Holderness Community Health 18796
   Leeds Community & Mental Health Services 353313
   Newcastle City Health 229246
   North Durham Community Health Care 9294
   North Lakeland Healthcare 16169
   North Tees Health83 52
   North Tyneside Health Care 1331
   Northallerton Health Services 3141
   Northgate and Prudhoe 383
   Northumberland Mental Health 8871
   Royal Victoria Infirmary & Associated Hospitals 53
   Scarborough & North East Yorkshire Healthcare 2957
   South Durham138 86
   South Tees Community & Mental Health 14979
   South Tyneside Health Care 5260
   United Leeds Teaching Hospitals 2215
   Wakefield & Pontefract Health 107132
   Wearside Priority Health Care 126104
   West Cumbria Health Care 6454
   York Health Services 96151
Trent1,8971,739
   Barnsley Community & Priority Services 5384
   Bassetlaw Hospital & Community Health Services 3026
   Central Nottinghamshire Healthcare 9580
   Central Sheffield University Hospitals 1
   Chesterfield & North Derbyshire Royal Hospital 8976
   Doncaster Healthcare 113137
   Fosse Health, Leicestershire Community 61
   Grimsby Health38 33
   Leicestershire Mental Health Service 428363
   Lincoln District Healthcare 7997
   Mulberry1
   North Derbyshire Community Health Care Service 3020
   Nottingham Healthcare 309201
   Queens Medical Centre, Nottingham University Hospital 91
   Rotherham Priority Health Service 107127
   Scunthorpe Community Health 5473
   Sheffield Community Health 180151
   South Lincolnshire Community and Mental Health Services 7374
   Southern Derbyshire Mental Health 203190
   West Lindsey4
Anglia and Oxford2,260 1,604
   Addenbrookes185 109
   Allington8 10
   Aylesbury Vale Community Health Care 5634
   Bedford & Shires Health Care 9166
   East Berkshire7
   East Suffolk Health91 109
   Heatherwood & Wexham Park Hospitals 16665
   Hinchingbrooke Healthcare 3020
   James Paget Hospital 1
   Kings Lynn & Wisbech Hospitals 5234
   Lifespan Healthcare Cambridge 165
   Mid Anglia Community Health 8142
   Milton Keynes Community Health 6650
   Norfolk and Norwich Health Care 13
   Norfolk Mental Health Care Unit 250225
   North West Anglia Healthcare 7075
   Northampton Community Healthcare 9391
   Norwich Community Health Partnership 311
   Oxfordshire Learning Disabilities 61
   Oxfordshire Mental Healthcare 328252
   Rockingham Forest75 41
   South Bedfordshire Community Healthcare 237183
   South Buckinghamshire 8481
   Stoke Mandeville Hospital 12
   West Berkshire Priority Care Services 26484
North Thames5,248 3,256
   Barking, Havering & Brentwood Community Health 102119
   Barnet Community Healthcare 217140
   Camden & Islington Community Health Service 770219
   City & Hackney Community Services 278254
   East Hertfordshire Health 3934
   Enfield Community Care 13890
   Essex & Herts Community 13156
   Forest Healthcare189 100
   Haringey Health Care 210184
   Harrow and Hillingdon Healthcare 12765
   Hillingdon Hospital141 101
   Horizon13 21
   Hounslow & Spelthorne Community & Mental Health 11669
   Mid Essex Community and Mental Health 81103
   New Possibilities10 8
   Newham Community Health Services 136110
   North East Essex Mental Health 14280
   North Hertfordshire35 76
   North West London Mental Health 347209
   Parkside Health93 82
   Redbridge Health Care 238134
   Riverside Mental Health 402254
   Royal Free150 77
   Royal Hospitals4 20
   Southend Community Care 199151
   St Albans and Hemel Hempstead 2
   Thameside Community Health Care 8038
   Tower Hamlets Healthcare 179193
   University College London Hospitals 1619
   West Hertfordshire Community 20474
   West London Healthcare 459176
South Thames3,806 2,908
   Bethlem & Maudsley 344401
   Bexley Community Health 281257
   Bournewood Community & Mental Health Services 8390
   Canterbury & Thanet Community Healthcare 161159
   Chichester Priority Care Services 140107
   Crawley & Horsham 10121
   East Surrey Learning Disability and Mental Health 11584
   Eastbourne & County Healthcare 13072
   Hastings and Rother127 44
   Heathlands Mental Health 150112
   Invicta Community Care 147108
   Kingston and District Community 14463
   Lewisham and Guys Mental Health 371256
   Lifecare3
   Merton & Sutton Community Healthcare 53
   Mid-Sussex50 34
   North Kent Healthcare 7379
   Pathfinder470 158
   Ravensbourne Priority Health 9
   Richmond, Twickenham & Roehampton Healthcare 74121
   Royal Surrey County & St Lukes Hospital 2
   South Downs Health191 91
   South Kent Community Health Care 78122
   St Helier23 115
   Surrey Heartlands63 78
   Thameslink Healthcare Service 9670
   West Lambeth Community Care 304197
   Worthing Priority Care Services 7166
South and West2,785 2,010
   Avalon, Somerset287 237
   Bath Mental Health Care 17362
   Cornwall & Isles of Scilly Mental Health 62
   Cornwall Health Care 193165
   Dorset Community74 60
   Dorset Healthcare194 157
   East Gloucestershire 7457
   East Wiltshire Health Care 4976
   Exeter Community Services 153131
   Frenchay Healthcare70 34
   Isle of Wight Healthcare 6838
   North Devon Healthcare 3158
   North Hampshire Loddon Community 7766
   Phoenix10 2
   Plymouth Community Services 148119
   Portsmouth Healthcare 244145
   Portsmouth Hospitals 3
   Royal Cornwall Hospitals & West Cornwall Hospital 27
   Royal National Hospital for Rheumatic Disorders 1
   Salisbury Health Care 10278
   Severn114 112
   South Devon Healthcare 14691
   Southampton Community Health Service 17770
   Southmead Health Services 8062
   United Bristol Healthcare 21091
   Weston Area56 32
   Winchester and Eastleigh Healthcare 4358
West Midlands2,272 1,736
   Black Country Mental Health 2622
   Burton Hospitals1
   Coventry Healthcare159 103
   Dudley Priority Health 58102
   Herefordshire Community Health 5551
   Kidderminster Healthcare 4339
   Mental Health Foundation 8861
   North Staffordshire Combined Healthcare 188100
   North Warwickshire97 46
   Northern Birmingham Mental Health 387178
   Premier Health135 86
   Royal Shrewsbury Hospitals 102
   Rugby30 21
   Shropshire's Mental Health 274181
   Solihull Healthcare60 78
   South Birmingham Mental Health 199331
   South Warwickshire Health Care 25
   South Warwickshire Mental Health Services 6845
   Walsall Community Health 12857
   Walsall Hospitals5 4
   Wolverhampton Health Care 12293
   Worcestershire Community Healthcare 138130
North West2,849 3,035
   Aintree Hospitals146 160
   Blackburn, Hyndburn and Ribble Valley Health Care 697
   Blackpool Wyre and Fylde Community Health Services 133110
   Bolton Hospitals142 145
   Burnley Healthcare130 96
   Bury Health Care55 51
   Calderstones Hospital 144
   Central Manchester Healthcare 11656
   Cheshire Community Health Care 2
   Chorley & South Ribble 69112
   East Cheshire112 79
   Guild Community Healthcare 12633
   Halton General Hospital 4
   Lancaster Priority Services 7375
   Mental Health Services of Salford 139117
   Mid Cheshire Hospital 6680
   North Manchester Healthcare 8686
   North Mersey Community 98314
   Oldham55 91
   Rochdale Health Care 11993
   South Cumbria Community & Mental Health 149202
   South Manchester University Hospitals 162117
   Southport & Formby Community Health Service 3653
   Southport and Formby 1
   St Helens & Knowsley Community Health 64
   St Helens & Knowsley Hospital 125106
   Stockport Healthcare 8486
   Tameside and Glossop Community & Priority Services 110165
   Trafford Healthcare85 70
   Warrington Community 8993
   West Lancashire35 44
   Wigan & Leigh Health 8696
   Wirral & West Cheshire Community 191199
High Security Hospitals103
   Ashworth Hospital Authority 28
   Broadmoor Hospital Authority 28
   Rampton Hospital Authority 47


Footnotes:

  1.  The table only includes trusts that had detained patients during the year.

  2.  Includes all changes from informal status to detention under the Act, and detentions where the patient was initially brought to hospital under Section 136 (Place of Safety Order).


 
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Prepared 18 October 1999