Select Committee on Health Memoranda


5.  ACTIVITY, PERFORMANCE AND EFFICIENCY (continued)

5.7  Mental Health

  5.7.1  How many consultant episodes of patients with mental illness and how many per 1,000 population were there amongst residents of each (a) strategic Health Authority and (b) Primary care Trust area in 2003-04 and 2004-05? (Q82)

  ANSWER

  1.  The information requested is given in Table 82a and Table 82b.

Table 82a

NUMBER OF CONSULTANT PATIENT EPISODES OF PATIENTS WITH MENTAL ILLNESS PER 1,000 POPULATION, BY STRATEGIC HEALTH AUTHORITY IN 2003-04 AND 2004-05


2003-04
2004-05
Code
Strategic Health Authority
Total
Rate per 1,000 population
TotalRate per 1,000 population

England
217,730
4.36
205,8004.11
Q20
Avon, Gloucestershire & Wiltshire
9,630
4.39
7,1403.22
Q02
Bedford & Hertfordshire
6,300
3.90
4,9203.01
Q27
Birmingham & The Black Country
6,370
2.80
8,2003.60
Q15
Cheshire & Merseyside
7,600
3.23
9,9304.22
Q10
County Durham & Tees Valley
6,680
5.82
4,5804.00
Q13
Cumbria & Lancashire
8,290
4.32
8,3104.31
Q03
Essex
6,930
4.25
8,1104.93
Q14
Greater Manchester
6,420
2.54
10,9204.30
Q17
Hampshire & Isle Of Wight
4,990
2.78
9,6405.32
Q18
Kent & Medway
5,530
3.46
4,8502.99
Q25
Leicestershire, Northamptonshire &   Rutland
10,750
6.80
7,2604.54
Q01
Norfolk, Suffolk & Cambridgeshire
8,440
3.80
8,7503.88
Q11
North & East Yorkshire & Northern   Lincolnshire
11,340
6.91
5,2103.16
Q05
North Central London
10,340
8.48
7,2405.85
Q06
North East London
7,490
4.89
8,2105.31
Q04
North West London
9,270
5.11
7,0703.83
Q09
Northumberland, Tyne & Wear
4,490
3.22
6,0604.37
Q26
Shropshire & Staffordshire
10,780
7.20
5,5703.71
Q22
Somerset & Dorset
8,120
6.73
5,8504.78
Q07
South East London
7,740
5.12
8,6205.68
Q08
South West London
7,230
5.51
6,3104.74
Q21
South West Peninsula
6,120
3.82
7,1504.40
Q23
South Yorkshire
6,140
4.83
5,3204.17
Q19
Surrey & Sussex
10,410
4.05
10,1503.91
Q16
Thames Valley
9,380
4.44
6,5403.07
Q24
Trent
6,390
2.39
9,3303.46
Q28
West Midlands South
8,760
5.65
5,5903.57
Q12
West Yorkshire
5,830
2.78
8,9904.26

  Source:  HES.

  Footnotes:

1. Rounded figures may not add up to the total rounded figure as they are rounded separately

Table 82b

NUMBER OF CONSULTANT PATIENT EPISODES OF PATIENTS WITH MENTAL ILLNESS PER 1,000 POPULATION, BY PRIMARY CARE TRUST IN 2003-04 AND 2004-05



2004-05
2003-04
England
Total
Rate per 1,000 Population
Total
Rate per 1,000 Population

PCT
205,800
4.11
217,730
4.36
     
NORTHUMBERLAND, TYNE & WEAR
5D7NEWCASTLE PCT
1,270
4.69
1,310
4.93
5D8NORTH TYNESIDE PCT
720
3.78
690
3.60
5KFGATESHEAD PCT
920
4.79
1,100
5.74
5KGSOUTH TYNESIDE PCT
860
5.68
910
5.99
5KLSUNDERLAND TEACHING PCT
1,060
3.76
1,080
3.81
TACNORTHUMBERLAND CARE TRUST
1,240
3.98
1,340
4.32
     
COUNTY DURHAM & TEES VALLEY
5D9HARTLEPOOL PCT
250
2.80
320
3.58
5E1NORTH TEES PCT
470
2.52
560
3.02
5J8DURHAM DALES PCT
440
5.09
430
4.98
5J9DARLINGTON PCT
610
6.15
570
5.79
5KADERWENTSIDE PCT
460
5.37
460
5.42
5KCDURHAM AND CHESTER-LE-STREET PCT
680
4.69
750
5.25
5KDEASINGTON PCT
310
3.35
370
4.03
5KESEDGEFIELD PCT
460
5.25
460
5.27
5KMMIDDLESBROUGH PCT
580
3.25
720
3.99
5KNLANGBAURGH PCT
320
3.22
350
3.51
     
CUMBRIA & LANCASHIRE
5CCBLACKBURN WITH DARWEN PCT
780
5.56
670
4.81
5D4CARLISLE AND DISTRICT PCT
480
4.10
520
4.53
5D5EDEN VALLEY PCT
190
2.69
200
2.89
5D6WEST CUMBRIA PCT
550
4.11
660
5.04
5DDMORECAMBE BAY PCT
1,550
5.00
1,780
5.77
5F2CHORLEY AND SOUTH RIBBLE PCT
720
3.47
540
2.60
5F3WEST LANCASHIRE PCT
420
3.86
490
4.48
5G7HYNDBURN AND RIBBLE VALLEY PCT
540
4.24
470
3.71
5G8BURNLEY, PENDLE AND ROSSENDALE PCT
1,160
4.78
1,220
5.02
5HDPRESTON PCT
740
5.19
600
4.26
5HEFYLDE PCT
250
3.32
260
3.45
5HFWYRE PCT
320
2.88
340
3.14
5HPBLACKPOOL PCT
620
4.32
680
4.75
     
GREATER MANCHESTER
5AASOUTH MANCHESTER PCT
680
4.80
630
4.40
5CLCENTRAL MANCHESTER PCT
900
5.62
780
4.99
5CRNORTH MANCHESTER PCT
640
4.72
630
4.74
5CXTRAFFORD SOUTH PCT
350
2.84
350
2.91
5F4HEYWOOD AND MIDDLETON PCT
250
3.42
320
4.29
5F5SALFORD PCT
1,090
5.06
1,040
4.80
5F6TRAFFORD NORTH PCT
330
3.63
320
3.49
5F7STOCKPORT PCT
1,390
4.91
1,490
5.26
5HGASHTON, LEIGH AND WIGAN PCT
1,120
3.67
1,200
3.96
5HQBOLTON PCT
1,420
5.36
1,790
6.80
5J5OLDHAM PCT
780
3.57
680
3.11
5JXBURY PCT
580
3.19
690
3.80
5JYROCHDALE PCT
520
3.91
570
4.30
5LHTAMESIDE AND GLOSSOP PCT
1,030
4.18
980
3.98
     
CHESHIRE & MERSEYSIDE
5F8BEBINGTON AND WEST WIRRAL PCT
300
2.49
310
2.56
5F9SOUTHPORT AND FORMBY PCT
560
4.80
420
3.62
5G9NORTH LIVERPOOL PCT
630
6.15
600
5.79
5H2BIRKENHEAD AND WALLASEY PCT
850
4.45
880
4.57
5H3CHESHIRE WEST PCT
450
2.93
520
3.40
5H4CENTRAL CHESHIRE PCT
360
1.40
700
2.72
5H5EASTERN CHESHIRE PCT
740
3.95
930
4.97
5H6ELLESMERE PORT AND NESTON PCT
240
2.94
270
3.35
5HACENTRAL LIVERPOOL PCT
1,440
5.98
1,310
5.53
5HCSOUTH LIVERPOOL PCT
440
4.33
360
3.57
5J1HALTON PCT
560
4.73
610
5.18
5J2WARRINGTON PCT
940
4.87
930
4.80
5J3ST HELENS PCT
790
4.48
800
4.54
5J4KNOWSLEY PCT
790
5.25
870
5.80
5M5SOUTH SEFTON PCT
830
5.01
820
4.97
     
NORTH & EAST YORKSHIRE & NORTHERN LINCOLNSHIRE
5ANNORTH EAST LINCOLNSHIRE PCT
570
3.57
440
2.75
5E2SELBY AND YORK PCT
1,180
4.27
1,180
4.29
5E3EAST YORKSHIRE PCT
350
2.00
350
2.02
5E4YORKSHIRE WOLDS AND COAST PCT
250
1.63
260
1.75
5E5EASTERN HULL PCT
240
2.01
240
2.02
5E6WEST HULL PCT
430
3.32
440
3.41
5EFNORTH LINCOLNSHIRE PCT
550
3.60
510
3.36
5KHHAMBLETON AND RICHMONDSHIRE PCT
330
2.71
320
2.67
5KJCRAVEN, HARROGATE AND RURAL DISTRICT PCT
930
4.45
1,280
6.19
5KKSCARBOROUGH, WHITBY AND RYEDALE PCT
390
2.47
520
3.27
     
WEST YORKSHIRE
5AWAIREDALE PCT
590
4.71
770
6.27
5CFBRADFORD CITY PCT
710
5.60
450
3.56
5CGBRADFORD SOUTH AND WEST PCT
450
3.20
300
2.13
5CHNORTH BRADFORD PCT
280
3.15
230
2.55
5E7EASTERN WAKEFIELD PCT
760
4.36
960
5.55
5E8WAKEFIELD WEST PCT
730
5.05
920
6.33
5HHLEEDS WEST PCT
610
5.49
710
6.42
5HJLEEDS NORTH EAST PCT
550
4.98
710
6.47
5HKEAST LEEDS PCT
770
4.82
980
6.12
5HLSOUTH LEEDS PCT
890
5.91
1,120
7.44
5HMLEEDS NORTH WEST PCT
1,050
5.58
1,270
6.91
5J6CALDERDALE PCT
510
2.60
730
3.78
5J7NORTH KIRKLEES PCT
340
1.97
550
3.16
5LJHUDDERSFIELD CENTRAL PCT
480
3.53
790
5.84
5LKSOUTH HUDDERSFIELD PCT
270
3.23
270
3.20
     
SOUTH YORKSHIRE
5CKDONCASTER CENTRAL PCT
410
5.91
580
8.27
5EENORTH SHEFFIELD PCT
480
4.03
500
4.37
5EKDONCASTER EAST PCT
350
3.07
560
4.94
5ELDONCASTER WEST PCT
300
2.87
430
4.10
5ENSHEFFIELD WEST PCT
570
4.51
530
4.83
5EPSHEFFIELD SOUTH WEST PCT
360
3.35
560
4.42
5EQSOUTH EAST SHEFFIELD PCT
570
3.45
640
3.91
5H8ROTHERHAM PCT
1,070
4.22
980
3.89
5JEBARNSLEY PCT
1,210
5.49
1,380
6.25
     
TRENT
5ALCENTRAL DERBY PCT
320
4.90
460
7.21
5AMMANSFIELD DISTRICT PCT
500
5.07
550
5.62
5APNEWARK AND SHERWOOD PCT
320
2.94
450
4.11
5D2WEST LINCOLNSHIRE PCT
790
3.44
810
3.59
5D3LINCOLNSHIRE SOUTH WEST TEACHING PCT
350
2.04
410
2.40
5EACHESTERFIELD PCT
430
4.32
460
4.63
5ECGEDLING PCT
280
2.49
300
2.70
5EDAMBER VALLEY PCT
390
3.27
440
3.71
5EGNORTH EASTERN DERBYSHIRE PCT
580
3.38
700
4.11
5EMNOTTINGHAM CITY PCT
1,400
5.10
1,440
5.27
5EREREWASH PCT
250
2.25
390
3.57
5ETBASSETLAW PCT
410
3.74
380
3.48
5EVBROXTOWE AND HUCKNALL PCT
320
2.29
360
2.60
5EXGREATER DERBY PCT
620
3.68
700
4.15
5FAASHFIELD PCT
410
4.89
510
6.14
5FCRUSHCLIFFE PCT
330
3.09
330
3.10
5H7DERBYSHIRE DALES AND SOUTH DERBYSHIRE PCT
300
2.66
340
3.00
5H9EAST LINCOLNSHIRE PCT
790
2.89
780
2.88
5HNHIGH PEAK AND DALES PCT
380
3.78
470
4.66
     
LEICESTERSHIRE, NORTHAMPTONSHIRE & RUTLAND
5ACDAVENTRY AND SOUTH NORTHAMPTONSHIRE PCT
320
3.01
320
3.04
5EHMELTON, RUTLAND AND HARBOROUGH PCT
480
3.31
660
4.61
5EJLEICESTER CITY WEST PCT
870
7.71
1,100
9.86
5EYEASTERN LEICESTER PCT
1,080
6.27
1,430
8.30
5JAHINCKLEY AND BOSWORTH PCT
470
4.00
660
5.64
5JCCHARNWOOD AND NORTH WEST LEICESTERSHIRE PCT
1,060
4.48
1,470
6.29
5JDSOUTH LEICESTERSHIRE PCT
690
4.28
940
5.85
5LVNORTHAMPTONSHIRE HEARTLANDS PCT
970
3.48
1,320
4.81
5LWNORTHAMPTON PCT
1,200
5.70
1,330
6.31
     
SHROPSHIRE & STAFFORDSHIRE
5DQBURNTWOOD, LICHFIELD AND TAMWORTH PCT
400
2.65
480
3.16
5HRSTAFFORDSHIRE MOORLANDS PCT
340
3.18
470
4.38
5HWNEWCASTLE-UNDER-LYME PCT
540
5.20
530
5.14
5M2SHROPSHIRE COUNTY PCT
1,070
3.70
1,180
4.12
5MENORTH STOKE PCT
820
6.70
980
8.01
5MFSOUTH STOKE PCT
690
5.64
760
6.20
5MKTELFORD AND WREKIN PCT
630
3.91
740
4.63
5MLEAST STAFFORDSHIRE PCT
340
2.96
460
3.98
5MMCANNOCK CHASE PCT
310
2.40
290
2.24
5MNSOUTH WESTERN STAFFORDSHIRE PCT
430
2.14
500
2.52
      
BIRMINGHAM & THE BLACK COUNTRY
5D1SOLIHULL PCT
520
2.61
640
3.17
5HTDUDLEY SOUTH PCT
620
3.21
650
3.38
5HVDUDLEY BEACON AND CASTLE PCT
510
4.50
530
4.68
5M1SOUTH BIRMINGHAM PCT
2,270
6.19
2,390
6.52
5M3WALSALL PCT
740
2.92
780
3.09
5MGOLDBURY AND SMETHWICK PCT
340
3.90
370
4.21
5MHROWLEY REGIS AND TIPTON PCT
300
3.18
300
3.21
5MJWEDNESBURY AND WEST BROMWICH PCT
300
2.89
350
3.37
5MVWOLVERHAMPTON CITY PCT
650
2.70
710
2.96
5MWNORTH BIRMINGHAM PCT
310
1.86
290
1.79
5MXHEART OF BIRMINGHAM TEACHING PCT
1,000
3.95
1,030
4.09
5MYEASTERN BIRMINGHAM PCT
650
3.11
730
3.48
     
WEST MIDLANDS SOUTH
5CNHEREFORDSHIRE PCT
640
3.60
720
4.06
5DRWYRE FOREST PCT
440
4.30
600
5.86
5M9RUGBY PCT
240
2.65
160
1.79
5MDCOVENTRY PCT
1,280
4.21
1,420
4.64
5MPNORTH WARWICKSHIRE PCT
380
2.09
210
1.14
5MQSOUTH WARWICKSHIRE PCT
910
3.58
880
3.55
5MRREDDITCH AND BROMSGROVE PCT
710
4.27
740
4.47
5MTSOUTH WORCESTERSHIRE PCT
990
3.50
1,110
3.95
     
NORFOLK, SUFFOLK & CAMBRIDGESHIRE
5A2NORWICH PCT
680
5.44
720
5.86
5AFNORTH PETERBOROUGH PCT
610
6.32
510
5.22
5AGSOUTH PETERBOROUGH PCT
360
3.31
330
3.08
5CYWEST NORFOLK PCT
560
3.46
770
4.78
5G1SOUTHERN NORFOLK PCT
510
2.40
580
2.75
5GFHUNTINGDONSHIRE PCT
540
3.66
2,390
16.41
5GTGREAT YARMOUTH TEACHING PCT
310
3.30
390
4.20
5JHCAMBRIDGE CITY PCT
1,110
9.33
540
4.66
5JJSOUTH CAMBRIDGESHIRE PCT
650
4.83
380
2.85
5JKEAST CAMBRIDGESHIRE AND FENLAND PCT
710
4.86
490
3.37
5JLBROADLAND PCT
330
2.71
370
3.09
5JMNORTH NORFOLK PCT
290
2.89
310
3.16
5JQIPSWICH PCT
770
5.35
560
3.94
5JRSUFFOLK COASTAL PCT
300
2.95
250
2.47
5JTCENTRAL SUFFOLK PCT
190
1.90
200
2.02
5JVWAVENEY PCT
400
3.19
430
3.53
5JWSUFFOLK WEST PCT
500
2.24
460
2.10
     
BEDFORD & HERTFORDSHIRE
5CPHERTSMERE PCT
160
1.68
210
2.22
5GCLUTON PCT
750
4.08
890
4.82
5GDBEDFORD PCT
670
4.41
640
4.24
5GEBEDFORDSHIRE HEARTLANDS PCT
640
2.65
690
2.87
5GGWELWYN HATFIELD PCT
270
2.73
410
4.19
5GHNORTH HERTFORDSHIRE AND STEVENAGE PCT
710
3.92
1,220
6.74
5GJSOUTH EAST HERTFORDSHIRE PCT
500
3.08
630
3.84
5GKROYSTON, BUNTINGFORD AND BISHOP'S STORTFORD PCT
150
2.08
160
2.25
5GVWATFORD AND THREE RIVERS PCT
430
2.65
490
2.98
5GWDACORUM PCT
400
2.88
480
3.46
5GXST ALBANS AND HARPENDEN PCT
250
1.88
490
3.72
     
ESSEX
5AHTENDRING PCT
640
4.58
550
3.93
5AJEPPING FOREST PCT
390
3.18
340
2.82
5AKSOUTHEND ON SEA PCT
1,550
9.69
1,010
6.32
5DCHARLOW PCT
430
5.57
400
5.15
5GLMALDON AND SOUTH CHELMSFORD PCT
300
3.37
270
3.11
5GMCOLCHESTER PCT
710
4.34
650
4.03
5GNUTTLESFORD PCT
260
3.60
180
2.44
5GPBILLERICAY, BRENTWOOD AND WICKFORD PCT
710
5.22
580
4.30
5GQTHURROCK PCT
580
4.00
480
3.30
5GRBASILDON PCT
620
6.09
460
4.53
5JNCHELMSFORD PCT
620
4.89
510
4.07
5JPCASTLE POINT AND ROCHFORD PCT
800
4.83
510
3.06
TAGWITHAM, BRAINTREE & HALSTEAD CARE TRUST
520
3.73
430
3.15
     
NORTH WEST LONDON
5ATHILLINGDON PCT
740
2.96
960
3.88
5H1HAMMERSMITH AND FULHAM PCT
850
4.79
1,140
6.52
5HXEALING PCT
1,400
4.62
1,700
5.59
5HYHOUNSLOW PCT
1,030
4.85
1,130
5.31
5K5BRENT PCT
1,060
3.95
900
3.35
5K6HARROW PCT
120
0.56
90
0.41
5LAKENSINGTON AND CHELSEA PCT
710
3.85
590
3.39
5LCWESTMINSTER PCT
1,170
5.10
1,100
4.94
     
NORTH CENTRAL LONDON
5A9BARNET PCT
810
2.48
880
2.72
5C1ENFIELD PCT
1,490
5.31
1,590
5.67
5C9HARINGEY TEACHING PCT
1,200
5.36
1,260
5.59
5K7CAMDEN PCT
2,040
9.39
1,560
7.41
5K8ISLINGTON PCT
1,700
9.46
1,390
7.71
     
NORTH EAST LONDON
5A4HAVERING PCT
830
3.67
830
3.71
5C2BARKING AND DAGENHAM PCT
700
4.27
740
4.47
5C3CITY AND HACKNEY PCT
1,670
7.72
1,390
6.42
5C4TOWER HAMLETS PCT
1,060
5.06
1,060
5.12
5C5NEWHAM PCT
1,390
5.61
1,360
5.42
5NAREDBRIDGE PCT
1,040
4.21
1,270
5.17
5NCWALTHAM FOREST PCT
1,530
6.91
1,640
7.42
5A7BROMLEY PCT
1,140
3.81
1,280
4.29
5A8GREENWICH PCT
1,470
6.50
1,600
7.14
5LDLAMBETH PCT
2,210
8.24
1,830
6.82
5LESOUTHWARK PCT
1,590
6.24
1,580
6.21
5LFLEWISHAM PCT
1,380
5.59
730
2.95
TAKBEXLEY CARE TRUST
840
3.81
1,100
5.01
5A5KINGSTON PCT
830
5.48
880
5.82
5K9CROYDON PCT
1,370
4.03
1,330
3.94
5LGWANDSWORTH PCT
1,610
5.82
1,800
6.58
5M6RICHMOND AND TWICKENHAM PCT
910
4.95
990
5.54
5M7SUTTON AND MERTON PCT
1,590
4.29
1,930
5.21
     
THAMES VALLEY
5CQMILTON KEYNES PCT
530
2.41
610
2.78
5DKNEWBURY AND COMMUNITY PCT
210
2.17
310
3.34
5DLREADING PCT
580
2.99
750
3.83
5DMSLOUGH PCT
420
3.54
460
3.90
5DNWOKINGHAM PCT
210
1.38
330
2.17
5DPVALE OF AYLESBURY PCT
940
4.72
1,060
5.33
5DTNORTH EAST OXFORDSHIRE PCT
160
2.25
140
1.92
5DVCHERWELL VALE PCT
340
2.76
400
3.25
5DWOXFORD CITY PCT
840
5.07
920
5.66
5DXSOUTH EAST OXFORDSHIRE PCT
180
2.44
200
2.71
5DYSOUTH WEST OXFORDSHIRE PCT
530
2.70
550
2.79
5G2BRACKNELL FOREST PCT
310
2.77
380
3.42
5G3WINDSOR, ASCOT AND MAIDENHEAD PCT
470
3.14
550
3.75
5G4CHILTERN AND SOUTH BUCKS PCT
480
2.95
500
3.08
5G5WYCOMBE PCT
470
3.47
470
3.46
     
HAMPSHIRE & ISLE OF WIGHT
5A1NEW FOREST PCT
930
5.43
950
5.54
5DFNORTH HAMPSHIRE PCT
840
3.98
830
3.95
5DGISLE OF WIGHT PCT
790
5.68
820
6.03
5E9MID-HAMPSHIRE PCT
770
4.34
910
5.21
5FDEAST HAMPSHIRE PCT
1,180
6.91
850
4.97
5FEPORTSMOUTH CITY PCT
1,510
8.02
970
5.11
5G6BLACKWATER VALLEY AND HART PCT
470
2.67
460
2.63
5L1SOUTHAMPTON CITY PCT
1,380
6.24
1,910
8.66
5LXFAREHAM AND GOSPORT PCT
1,190
6.42
910
4.87
5LYEASTLEIGH AND TEST VALLEY SOUTH PCT
590
3.62
660
4.05
     
KENT & MEDWAY
5CMDARTFORD, GRAVESHAM AND SWANLEY PCT
760
3.38
460
2.08
5FFSOUTH WEST KENT PCT
190
1.03
150
0.84
5L2MAIDSTONE WEALD PCT
970
4.05
780
3.29
5L3MEDWAY PCT
900
3.43
630
2.40
5L4SWALE PCT
420
4.32
340
3.55
5LLASHFORD PCT
230
2.14
340
3.20
5LMCANTERBURY AND COASTAL PCT
410
2.43
510
3.08
5LNEAST KENT COASTAL PCT
740
3.15
900
3.84
5LPSHEPWAY PCT
240
2.48
370
3.84
     
SURREY & SUSSEX
5FHBEXHILL AND ROTHER PCT
290
3.33
350
4.02
5FJHASTINGS AND ST LEONARDS PCT
550
6.52
590
6.88
5FKMID-SUSSEX PCT
600
4.55
440
3.35
5KPEAST ELMBRIDGE AND MID SURREY PCT
970
3.62
1,110
4.18
5KQEAST SURREY PCT
520
3.27
600
3.78
5L5GUILDFORD AND WAVERLEY PCT
820
3.66
910
4.07
5L6NORTH SURREY PCT
560
2.80
360
1.82
5L7SURREY HEATH AND WOKING PCT
660
3.21
560
2.69
5L8ADUR, ARUN AND WORTHING PCT
870
4.01
1,030
4.77
5L9WESTERN SUSSEX PCT
970
4.55
1,050
5.01
5LQBRIGHTON AND HOVE CITY PCT
1,250
4.97
1,640
6.54
5LREASTBOURNE DOWNS PCT
1,020
6.08
990
5.87
5LTSUSSEX DOWNS AND WEALD PCT
430
2.76
510
3.30
5MACRAWLEY PCT
300
2.99
280
2.77
5MCHORSHAM AND CHANCTONBURY PCT
330
3.17
330
3.23
     
AVON, GLOUCESTERSHIRE & WILTSHIRE
5A3SOUTH GLOUCESTERSHIRE PCT
520
2.08
540
2.18
5DHWEST WILTSHIRE PCT
300
2.39
350
2.90
5DJSOUTH WILTSHIRE PCT
490
4.12
550
4.65
5FLBATH AND NORTH EAST SOMERSET PCT
550
3.18
580
3.39
5JFBRISTOL NORTH PCT
960
4.47
1,170
5.47
5JGBRISTOL SOUTH AND WEST PCT
710
3.97
850
4.77
5K3SWINDON PCT
440
2.34
340
1.81
5K4KENNET AND NORTH WILTSHIRE PCT
510
2.50
550
2.75
5KWCHELTENHAM AND TEWKESBURY PCT
720
4.53
710
4.47
5KXWEST GLOUCESTERSHIRE PCT
800
3.60
880
3.99
5KYCOTSWOLD AND VALE PCT
570
2.96
580
3.06
5M8NORTH SOMERSET PCT
600
3.11
650
3.40
     
SOUTH WEST PENINSULA
5CVSOUTH HAMS AND WEST DEVON PCT
450
3.96
520
4.66
5CWTORBAY Care Trust
0
0.00
0
0.00
5F1PLYMOUTH PCT
1,090
4.47
1,170
4.83
5FMWEST OF CORNWALL PCT
680
4.21
620
3.84
5FQNORTH DEVON PCT
640
4.19
690
4.63
5FREXETER PCT
670
4.96
610
4.62
5FTEAST DEVON PCT
690
5.67
720
5.99
5FVMID DEVON PCT
450
4.65
430
4.56
5FYTEIGNBRIDGE PCT
460
4.26
400
3.75
5KRNORTH AND EAST CORNWALL PCT
670
4.08
720
4.43
5KTCENTRAL CORNWALL PCT
680
3.55
700
3.67
     
SOMERSET & DORSET
5CDNORTH DORSET PCT
330
3.63
360
3.96
5CEBOURNEMOUTH PCT
870
5.95
1,050
7.16
5FNSOUTH AND EAST DORSET PCT
530
3.53
640
4.27
5FPSOUTH WEST DORSET PCT
560
4.11
590
4.38
5FWSOMERSET COAST PCT
650
4.46
640
4.42
5FXMENDIP PCT
540
4.91
420
3.89
5K1SOUTH SOMERSET PCT
820
5.39
700
4.63
5K2TAUNTON DEANE PCT
730
6.87
740
7.00
5KVPOOLE PCT
830
4.67
990
5.59

  Source:  HES.

  Footnotes:

1. PCTs grouped in Government Office Regions (GOR).

2. Population figures used:

      2004 = 50,093,130

      2003 = 49,885,740.

3. No data available for Torbay Primary Care Trust.

  5.7.2  Could the Department update the information given in Tables 3.4.1, on patients under the care of a learning disability or mental illness consultant, including (a) numbers of patients (b) discharges by length of stay, age and destination and (c) beds and residential places available? How many repeat admissions of such patients were there? (Q83)

  ANSWER

  1.  The available information is given in Table 83a to Table 83g.

  CARE OF PATIENTS UNDER LEARNING DISABILITY AND MENTAL ILLNESS SPECIALITIES

  2.  The estimated number of in-patients under the care of the learning disability specialty, at the end of each year, fell to 3,139 in 2004-05 from 12,522 in 1994-95—Table 83a. This is mainly due to the fall in the number of very long stay patients, from 8,002 to 1,590 over the period. This is matched by a decrease in the number of in-patients under the care of the mental illness specialty, at the end of the year, to 25,752 in 2004-05 from 37,143 in 1994-95—Table 83b. This reflects a reduction in dependence on long stay hospital beds and growth in provision of alternative forms of supported residential and home based services and community teams.

  3.  There has been an increase in the proportion of patients with learning disability discharged from hospital after a short stay. Table 83c shows that 76% of patients in 2004-05 had been in hosptial for less than a week. This compares with 73% of those in 1993-94.

  4.  Table 83d shows a decrease in the number of in-patient episodes of mental illness care lasting less than one month. There were 99,170 discharges in 2004-05 after short stay episodes—less than one month (59% of all discharges) compared with 133,343 in 1994-95 (65% of all discharges).

  5.  Table 83e shows that most learning disability patients under-65 discharged after a length of stay of less than a year return to their usual place of residence (98% in 2004-05). This compares with an estimated 87% for mental illness patients in the same year, Table 83f.

  6.  In the case of learning disability patients aged 65 or over, 68% returned to their usual place of residence in 2004-05, with a further 24% transferred to other NHS providers. This compares to 65% and 17% respectively for mental illness patients.

  7.  Of the learning disability patients under 65 discharged after a stay of a year or more (an estimated 310 in 2004-05), 3% returned to their usual place of residence, 41% transferred to another NHS provider and 50% to local authority homes or other non-NHS institutions. For discharged mental illness patients under 65 (an estimated 2,870 in 2004-05), 52% returned to their usual place of residence, 19% transferred to another NHS provider and 16% to local authority homes or other non-NHS institutions.

  8.  Only an estimated 90 learning disability patients aged 65 or over were discharged after a stay of a year or more in 2004-05, compared with 960 for mental illness patients; the estimates of destination on discharge are based on small numbers and are unlikely to be reliable.

  9.  Table 83g shows which sets out the maximum number of registered places for each client group with learning disability or mental disorder, broken down by age group (children, adults and the over sixty-fives) and provider category type (NHS, Independent, Voluntary, Local Authority and other).

  10.  It is difficult to aggregate capacity figures for different client groups, because a home may have places that are registered for more than one client group. For example, a home might have a total number of 23 places all registered for mental disorder, but some of the places might also be registered for learning disability. At the end of March 2006, there were over 8,500 registered places in NHS and Local Authority facilities and over 83,200 registered places in Independent and Voluntary facilities. For children with learning disabilities and/or mental disorders there are nearly 5,000 registered places—although there are no places registered for children with mental disorders within NHS facilities.

  11.  Detailed data on private hospitals and clinics is not available in a comparable form, due to service definitional issues. Data on Care Homes are not available at present, as discussions have not been concluded between the Adult Social Services Team in the Health and Social Care Information Centre (HSCIC) and the Commission for Social Care Inspection (CSCI).

  NUMBER OF REPEAT DISCHARGES

  12.  Data on the number of times individual patients are discharged over a period of time after completing their spell in hospital is not yet reliable because coverage of patients in receipt of this care is patchy across the NHS.

  13.  The Departmentment does however have available two indicators, compiled by the Healthcare Commission, reflecting the number of emergency psychiatric re-admissions. One, "psychiatric re-admissions (adults)", for patients aged 17-64 re-admitted as an emergency to the care of psychiatric specialist within 28 days of discharge, relates to Mental Health National Service Framework standard 4. The other, "psychiatric re-admissions (older people)", is for people aged over 65 the "psychiatric re-admissions (adults)" indicator covers patients under a consultant whose speciality is Mental Illness or Old Age Psychiatry and is based on HES data. However, it excludes any patients with a primary diagnosis of substance abuse or eating disorder (ICD 10 codes: F10 to F19, F50, Z50.2 and Z50.3). For these excluded conditions, re-admission is often considered a necessary part of the care. It should also be noted that any planned re-admissions are excluded from the count of re-admissions.

  14.  It is very important to note that the definition and coverage of this indicator differs from that applied to psychiatric discharges in Table 83c and Table 83d.

  15.  The Healthcare Commission has recently released England re-admission rates for the calendar years 2003 and 2004. There have been changes to the definition, so it is not comparable with inormation available for previous years. The changes have made the indicator more relevant by excluding re-admissions that are not related to psychiatric conditions.

  16.  10.32% of adult patients were re-admitted in 2004, compared with 10.70% in 2003. For older people, the 2004 figure was 5.33%, compared with a 2003 figure of 5.65%. Each of these values is estimated to an accuracy of +/-0.25%.

Table 83a

PATIENTS UNDER THE CARE OF A LEARNING DISABILITIES CONSULTANT AT 31 MARCH BY DURATION OF STAY, ENGLAND: 1994-95 AND 2004-05


Numbers of Patients
1994-95
2004-05

All durations
12,522
3,139
under 1 year
1,562
377
1-2 years
1,057
305
2-3 years
811
261
3-5 years
1,090
606
over 5
8,002
1,590
Rates per 100,000 population
All durations
26
6
under 1 year
3
1
1-2 years
2
1
2-3 years
2
1
3-5 years
2
1
over 5
17
3

  Source:  HES.

Table 83b

PATIENTS UNDER THE CARE OF A MENTAL ILLNESS CONSULTANT AT 31 MARCH BY DURATION OF STAY, ENGLAND 1994-95 AND 2004-05


Numbers of Patients
1994-95
2004-05

All durations
37,143
25,752
under 1 year
19,730
13,761
1-2 years
4,310
4,084
2-3 years
2,781
2,537
3-5 years
3,852
3,182
over 5
6,470
2,188
Rates per 100,000 population
      
All Durations
77
51
under 1 year
41
27
1-2 years
9
8
2-3 years
6
5
3-5 years
8
6
over 5
13
4

  Source:  HES.

Table 83c

ESTIMATED DISCHARGES OF LEARNING DISABILITIES PATIENTS FROM NHS FACILITIES BY DURATION OF STAY, ENGLAND 1994-95 AND 2004-05


Duration of Stay
1994-95
2004-05

All durations
47,306
25,088
under 1 week
34,617
19,056
1 week-1 month
9,000
4,520
1 month-3 months
887
489
3-months to 1 year
750
466
1 year-2 years
361
121
2 years-5 years
357
197
5 years-10 years
211
100
over 10 years
1,123
139
Duration unknown
0
0
Percentages
under 1 week
73%
76%
1 week-1 month
19%
18%
1 month-3 months
2%
2%
3-months to 1 year
2%
2%
1 year-2 years
1%
0%
2 years-5 years
1%
1%
5 years-10 years
0%
0%
over 10 years
2%
1%
Duration unknown
0%
0%

  Source:  HES.

  Footnotes:

1. Percentages have been calculated using unrounded figures.

2. Data for 1 week to 1 month is for 7 to 29 days and data for 1 month begins on 30 days to ensure there is no double counting.

3. The currency of this table is the total number of discharge episodes.

Table 83d ESTIMATED DISCHARGES OF MENTAL ILLNESS PATIENTS FROM NHS FACILITIES BY DURATION OF STAY, ENGLAND 1994-95 AND 2004-05


Duration of Stay
1994-95
2004-05

All durations
202,701
166,710
under 1 week
43,237
37,069
1 week-1 month
90,106
62,101
1 month-3 months
48,907
42,072
3-months-1 year
16,134
21,177
1 year-2 years
1,760
2,182
2 years-5 years
1,304
1,416
5 years-10 years
588
307
over 10 years
665
143
Duration unknown
0
243
Percentages
under 1 week
21%
22%
1 week-1 month
44%
37%
1 month-3 months
24%
25%
3-months-1 year
8%
13%
1 year-2 years
1%
1%
2 years-5 years
1%
1%
5 years-10 years
0%
0%
over 10 years
0%
0%
Duration unknown
0%
0%

  Source:  HES.

Footnotes:

1. Percentages have been calculated using unrounded figures.

2. Currency of this table is the total number of discharge episodes.

3. Data for 1 week to 1 month is for 7 to 29 days and data for 1 month begins on 30 days to ensure there is no double counting.

Table 83e ESTIMATED DISCHARGES OF LEARNING DISABILITY PATIENTS FROM NHS FACILITIES BY AGE, LENGTH OF STAY AND DESTINATION 1998-99 AND 2004-05


England
Number and Percentages
Intended Discharge Destination
1998-99
2004-05
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 of discharges
35,940 (2)
1,060
24,360
310
Percentage
Usual Residence
98%
21%
98%
3%
Temporary Residence
0%
2%
0%
1%
Other NHS Provider
1%
36%
1%
41%
LA Residential
0%
8%
0%
11%
Non NHS Instituation
0%
21%
0%
39%
Other and not known
0%
13%
0%
5%
Aged 65 and over
Number of discharges
280
100
170
90
Percentage
Usual Residence
73%
16%
68%
13%
Temporary Residence
1%
2%
2%
0%
Other NHS Provider
12%
33%
24%
36%
LA Residential
0%
2%
0%
0%
Non NHS Instituation
4%
19%
1%
51%
Other and not known
9%
28%
5%
0%

  Source:  HES.

Footnotes:

1. The currency of this table is the total number of discharge episodes.

2. The 1998-99 figures are almost 20,000 less than the previous year (not shown).

Table 83f ESTIMATED DISCHARGES OF MENTAL ILLNESS PATIENTS FROM NHS FACILITIES BY AGE, LENGTH OF STAY AND DESTINATION, 1998-99 AND 2004-05


England
Number and Percentages
Intended Discharge Destination
1998-99
2004-05
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 of discharges
134,920
2,340
116,650
2,870
Percentage
Usual Residence
88%
45%
87%
52%
Temporary Residence
3%
6%
4%
9%
Other NHS Provider
6%
29%
7%
19%
LA Residential
0%
3%
0%
3%
Non NHS Instituation
1%
9%
1%
13%
Other and not known
2%
8%
1%
4%
Aged 65 and over
Number of discharges
62,230
1,540
44,320
960
Percentage
Usual Residence
71%
12%
65%
26%
Temporary Residence
2%
2%
2%
4%
Other NHS Provider
10%
23%
17%
37%
LA Residential
2%
2%
2%
4%
Non NHS Instituation
10%
8%
11%
25%
Other and not known
5%
53%
2%
5%

  Source:  HES.

  Footnotes:

1. The 1998-99 figures are over 10,000 less than the previous year (not shown) and the most recent data shows a drop in the number of discharges for length of stay over 1 year.



 
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