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23 Feb 2005 : Column 683W—continued
Illegal Organ Trafficking
Mr. Lansley: To ask the Secretary of State for Health what steps he is taking to reduce illegal organ trafficking; and what discussions he has had with international bodies on such trafficking. [216177]
Ms Rosie Winterton: The Human Tissue Act 2004 states that the trafficking of human organs is an offence and subject to legal penalties.
The Department continues to participate in formal discussions with the Council of Europe and the European Union about the prevention and control of organ trafficking.
Medical Devices Agency
Mr. Burstow: To ask the Secretary of State for Health how many (a) fatal accidents and (b) adverse incident reports to the Medical Devices Agency there were in each year since 1997; and what the most common causes were. [216376]
Ms Rosie Winterton: The information on total numbers of reported medical device related adverse incidents and reported incidents involving a fatality is shown in Table 1.
For summary information and reporting purposes, the Medicines and Healthcare products Regulatory Agency groups the causes of medical device related adverse incidents into four categories:
No established link to device—where (a) the device was found subsequently to work as intended (possibly due to an intermittent fault, tampering, or user error) or (b) it was not available for inspection, or (c) because the report was made on precautionary basis.
The percentage of incidents falling into each of these categories in 2004 is shown in Table 2.
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(6)Figures total more than 100 per cent. as multiple causes have been identified in some reports.
Mental Health
Tim Loughton: To ask the Secretary of State for Health how many people have been sectioned under the Mental Health Acts in each of the last 10 years, broken down by (a) men, (b) women and (c) children. [214787]
Ms Rosie Winterton [holding answer 7 February 2005]: Information is not available in the requested format. Information on the number of detentions under Parts II, III and X the Mental Health Act 1983 of patients, on admission and subsequent to admission in national health service facilities, including high security psychiatric hospitals, and independent hospitals in England in each of the last ten and eight years (respectively) for which data are available is shown in the tables. Information on the gender of patients detained subsequent to admission to hospital is not collected. Nor is any information distinguishing adults from children.
Information on the gender of patients detained subsequent to admission and their age groups will be available via the mental health dataset in the future. This will provide local clinicians and mangers with better quality information for clinical audit, and service planning and management.
Figures exclude previous legislation (fifth schedule) and other acts.
A patient may be detained more than once.
Data on patients detained subsequent to admission were not collected in respect of high security psychiatric hospitals prior to 1996–97.
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Data on patients detained subsequent to admission are not collected by gender.
Detentions subsequent to admission include changes from Section 136 to Sections 2 and 3.
Figures exclude previous legislation (fifth schedule) and other acts.
A patient may be detained more than once.
Data on patients detained subsequent to admission were not collected in respect of Independent hospitals prior to 1996–97.
Data on patients detained subsequent to admission are not collected by gender.
Detentions subsequent to admission include changes from Section 136 to Sections 2 and 3.
Mr. Lansley: To ask the Secretary of State for Health what proportion of applications under section 2 of the Mental Health Act 1983 were (a) solely for the protection of other people, (b) solely in the interests of the health and safety of the patient and (c) for a combination of the two, in each year since 1997. [216157]
Ms Rosie Winterton: The information is not centrally available.
Mr. Lansley: To ask the Secretary of State for Health how many (a) low, (b) medium and (c) high security beds there have been in the NHS in England in each year since 1997. [216162]
Ms Rosie Winterton: Information is not available in the requested format. Information on the total number of mental illness beds in wards open overnight and in secure units in national health service hospitals in each year since 1997 is shown in the following table.
Source:
Department of Health Form KH03.
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Mr. Lansley: To ask the Secretary of State for Health what steps he is taking to support primary care trusts in developing their commissioning capacity in mental health. [216163]
Ms Rosie Winterton: National Standards, Local Action: Health and Social Care Standards and Planning Framework 2005/06–2007/08" (2004) sets out the framework for all national health service organisations and social service authorities to use over the next three financial years to take forward the NHS improvement plan.
The national specialised services mental health definition subset provides guidance to commissioners on securing effective collective planning arrangements that take into account the needs of a planning population considerably larger than that of a single primary care trust (PCT). A group led by the national director for mental health is currently reviewing the subset with a view to publish updated guidance later this year.
Local health communities should design the provision of their services for the treatment and management of mental health problems according to the standards set in the national service frameworks for mental health (1999), older people (2001) and children, young people and maternity services (2004) and in light of the clinical guidelines and technology appraisals published by the National Institute for Clinical Excellence.
Further support for PCTs to commission mental health services is provided through the primary care mental health programme led by the London development centre of the National Institute for Mental Health in England. Relevant publications can be obtained from its website at www.nimhe.org.uk.
Mr. Lansley: To ask the Secretary of State for Health what steps he is taking to assist those caring for sufferers of mental illness. [216170]
Ms Rosie Winterton:
The national service framework (NSF) for mental health provides a rationale and evidence base for a national standard for mental health services relating to carers of people with mental health problems. In accordance with the NSF, all individuals who provide regular and substantial care for a person on the care programme approach should have an assessment of their caring, physical and mental health needs repeated on at least an annual basis. People who provide regular and substantial care for a person on the care programme approach are also entitled to have their own written care plan, which is given to them and implemented in discussion with them.
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The Carers and Disabled Children Act 2000 strengthens the rights of all carers to an assessment of their own needs as carers. It involves a right to a carer's assessment. It gives local councils mandatory duties to support carers by providing services to carers directly and in the provision of breaks, as well as, directly supporting carers by providing direct payment for carers' services.
In line with the NHS Plan, mental health provider trusts are recruiting 700 carer support workers to increase the breaks available for carers and to strengthen carer support networks. To consolidate the progress that is being made and to build on good practice and research, the Department published guidance entitled Developing Services for Carers and Families of People with Mental Illness in 2002".
Mr. Lansley: To ask the Secretary of State for Health how many and what percentage of the total number of hospital inpatients detained under the Mental Health Act 1983 have appealed to mental health review tribunals since 1997. [216174]
Ms Rosie Winterton: The information is not available in the format requested. However, information on the number of detentions and applications to mental health review tribunals is shown in the tables.
Notes:
1.Figures exclude previous legislation (fifth schedule) and other acts.
2.A patient may be detained more than once.
3.The data include short-term detentions under section 5 of the Mental Health Act 1983. Patients detained under section 5 cannot make applications to mental health review tribunals.
| Number | |
|---|---|
| 2004 | 21,413 |
| 2003 | 21,634 |
| 2002 | 20,980 |
| 2001 | 20,368 |
| 2000 | 20,421 |
| 1999 | 19,709 |
| 1998 | 18,503 |
| 1997 | 15,687 |
23 Feb 2005 : Column 688W
Mr. Lansley: To ask the Secretary of State for Health how many people in England are estimated to be suffering from (a) mild to moderate and (b) severe mental illness. [216176]
Ms Rosie Winterton: The Office for National Statistics published a report, Psychiatric morbidity among adults living in private households, 2000" in Great Britain. It was found that 164 per 1,000 of the adult population suffered from neurotic disorder, which can be broadly regarded as mild to moderate mental illness. The prevalence rate for probable psychotic disorder was five per 1,000 and for personality disorder 44 per 1,000 of the adult population. These disorders can be regarded as severe mental illness.
Mr. Lansley: To ask the Secretary of State for Health what steps he is taking to improve the quality of information management in mental healthcare. [216178]
Ms Rosie Winterton: A number of important initiatives are leading to major improvements in information management for mental healthcare.
The care programme approach model is an integral part of the national service framework for mental health, which was published in 1999 and has since been implemented across the national health service in England. It requires all providers of adult specialist mental health care to keep an electronic record of key information on all patients cared for together with details of the care they receive. This information should be accessible at any time by care practitioners.
The mental health minimum data set is a database containing a wide range of information on patients, details of the care they are receiving or have received and some of the outcomes of care. All providers of adult specialist mental health care are required to maintain this database and it provides a valuable resource for clinicians and service managers.
Information on mental health care is also included as an integral part of the national programme for information technology, which is currently being implemented.
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