§ Mr. Nicholas Brown
To ask the Secretary of State for Health (1) how many regional medium secure unit beds per head of population, nationally and for each regional authority, there were in each year since 1989; 
(2)how many regional medium secure unit beds per head of population there were in each London district health authority in each year since 1989. 
NHS expenditure on mental illness for England Mental illness expenditure cash prices £ million Mental illness expenditure 1993–94 prices £ million Mental illness as a proportion of total hospital and community health services expenditure Percentage 1978–79 489.8 1,403.1 11.12 1979–80 592.8 1,455.1 11.16 1980–81 774.5 1,606.7 11.31 1981–82 860.0 1,626.8 11.34 1982–83 916.0 1,617.5 11.33 1983–84 965.1 1,628.7 11.27 1984–85 1,028.6 1,652.8 11.35 1985–86 1,077.3 1,641.2 11.31 1986–87 1,149.2 1,699.4 11.24 1987–88 1,302.2 1,828.4 11.65 1988–89 1,556.5 2,048.4 12.50 1989–90 1,661.7 2,044.1 12.34 1990–91 1,785.1 2,033.1 12.07 1991–92 2,185.3 2,341.8 11.58 1992–93 2,350.3 2,422.2 11.56 Provisional 1993–94 2,321.6 2,321.6 10.87
Since 1991–92, changes in material accounting practices—for example, the introduction of capital charges— mean that later figures are not comparable with the earlier ones. On the new basis, the figures since 1991–92 are shown in the table.
- 1. The figures for 1993–94 are provisional and subject to revision. As such, they are not comparable with the earlier, final figures.
- 2. The GDP deflator was used to calculate the 1993–94 prices.
- 3. The mental illness expenditure is made up of the following:
- (a) in-patient and out-patient expenditure; the consultant specialties of mental illness child and adolescent psychiatry, forensic psychiatry, psychotherapy and old age psychiatry;
- (b) day patient expenditure; in the categories, mental illness—alcoholism, drug abuse, psychogeriatrics and general—child and adolescent psychiatry and forensic psychiatry;
- (c) community nursing expenditure.
Information will be placed in the Library showing the number of purpose-built secure places funded from the central capital programme in each region and the ratio to the region's population. Medium secure units are not always used exclusively by patients from the region in which the unit is located. Information is not available for individual districts.
There are also about 450 places nationally in interim secure psychiatric units, many of which are of medium secure standard, and others which are funded by health authorities in independent sector facilities. Information on these places by region and district over the period since 1989 is not available centrally.
There were no purpose-built national health service medium secure places in 1979, despite the fact that the Glancy committee had recommended them in its 1974 report.