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Mr. Ivan Lewis: Information is not available in the requested format. Data is available for the average daily total number of beds in all secure units for each year between 1996-97 and 2005-06, except for 2001-02 and 2002-03 when this data was not collected, and this is shown in the table. Separate data on bed numbers for each security level is not collected.
|Average daily total secure unit bed numbers in the National Health Service in England: combined male and female|
Department of Health Hospital Activity Statistics Form KH03
Sandra Gidley: To ask the Secretary of State for Health how many attacks there were on (a) staff and (b) patients (i) on mental health wards and (ii) in specialist mental health units in each of the last 10 years, broken down by sex. 
Mr. Ivan Lewis: This information is not available in the requested format. The NHS Security Management Service (SMS) collects data on reported physical assaults against national health service staff in England by trusts providing mental health services. Data is available from 2004-05 to 2005-06 and is shown in the following table, but data is not available prior to this nor is it collected by gender.
|Total assaults||Total staff||Assaults per 1,000 staff|
NHS Security Management Service.
Information about attacks on patients is collected by the National Patient Safety Agency through its national reporting and learning system. Between November 2003 to September 2005, 10,467 patient safety incidents involving disruptive or aggressive behaviour in all in-patient settings were recorded, out of a total of 44,656 patient safety incidents related to mental health. Of these 10,467 incidents, 558 were categorised as patient abuse by a third party. This included both physical and verbal incidents. Data is not available outside of this reporting period nor on a gender basis.
Mr. Ivan Lewis: The Department allocates funding directly to primary care trusts (PCTs). It is the responsibility of PCTs to ensure that the services they commission meet the needs of the communities that they serve.
|Planned investment in mental health (£ million)|
Mr. Walker: To ask the Secretary of State for Health what steps he is taking to ensure that the Hertfordshire Partnership Mental Health Trust is not making a disproportionate financial contribution towards meeting Hertfordshires NHS deficits. 
Mr. Ivan Lewis: The East of England Strategic Health Authority (SHA) has advised that none of the Mental Health Trusts in the East of England were top sliced. The SHA is the headquarters for the national health service locally and has a statutory responsibility to ensure that the health economy achieves financial balance year on year.
Mr. Ivan Lewis:
In line with standard 5 of the National Service Framework for Mental Health, we continue to seek ways of promoting improvements to mental health wards that enhance the safety of patients and staff and the quality of care provided. Specific steps taken recently include the investment of an extra £130 million capital in 2006-07 to update the mental health estate and to ensure that each mental health trust has access to an appropriate place of safety. Out of this sum, £100 million is being allocated to psychiatric intensive care units and places of safety between 2006-07 and 2007-08.
Last November, we announced that the remaining £30 million should focus on capital schemes in 2007-08, promoting safety in acute wards, particularly for women service users.
The Healthcare Commission (HC) and the National Institute of Mental Health in England (NIMHE), with support from the Royal College of Psychiatrists and the Mental Health Act Commission, have developed the assessment framework which underpins the HCs 2006-07 national acute in-patient service review. The review was launched in June and will assess whether admissions to acute in-patient mental health services are appropriate, purposeful, therapeutic and safe. The results will be published in the autumn.
The National Institute for Health and Clinical Excellence (NICE) published guidelines on the management of violence in health care settings in 2004 and NIMHE is now finalising specific guidance for mental health service providers in the light of NICEs recommendations.
NIMHE are currently developing joint positive practice guidance with the Association of Chief Police Officers on health and police liaison. This will include key areas around absence without leave, places of safety, patient safety and ward violence and drugs, public safety and learning the lessons from homicides. This is due for publication at the end of the year.
Tim Loughton: To ask the Secretary of State for Health what percentage of Child and Adolescent Mental Health Services cases underwent treatment which lasted under (a) under one month, (b) under three months, (c) under six months and (d) over a year in each of the last three years. 
However, the latest information coming from the Department's public service agreement standard of a comprehensive CAMHS in every area shows that every primary care trust, bar two, has met the assessment of this standard. Achievement of the standard has been assessed against three proxy measures, one of which is the provision of a 24/7 emergency service.
Mr. Ivan Lewis: In December 2005, the Department announced that £88.2 million would be allocated to local authorities in 2007-08 via the child and adolescent mental health services (CAMHS) grant. This grant is to be used by local authorities to improve CAMHS, in accordance with local needs and priorities, as set out in local CAMHS development strategies. In 2007-08, £50 million has been made available to strategic health authorities for CAMHS as part of a larger bundle of revenue funding for the national health service. In 2007-08, we have also made available to the NHS £31 million of capital funds for investment by providers of CAMHS. Bids for these funds have been invited and priority will be given to projects which will help to eliminate the inappropriate use of adult psychiatric wards for children and young people.
Tim Loughton: To ask the Secretary of State for Health how many (a) health professionals and (b) administrators were employed by the child and adolescent mental health services in each of the last three years. 
Mr. Ivan Lewis: Data from the 2006 child and adolescent mental health services (CAMHS) mapping shows that the CAMHS teams had a total of 9,796 staff. This includes child psychotherapists, doctors, nurses and other therapists and staff in both the national health service and local authority sector dedicated to caring for children and young people who have mental health problems. The following table gives the total number of staff for both health professionals and administrative staff for each year since 2003.
|Overall CAMHS mapping work force figures 2003 to 2006|
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