§ Mr. HealdTo ask the Secretary of State for Health how many and what proportion of people, broken down by age, were(a) admitted and (b) discharged from hospital in each of the last five years where the main diagnosis was mental illness, but the patients also suffered other illness; and if he will make a statement as to the physical health of those being treated for mental illness. [40580]
§ Jacqui Smith[holding answer 5 March 2002]: The figures show the number of discharges (table 1) and admissions (table 2) to National Health Service hospitals in England, where the main diagnosis was mental illness and a secondary diagnosis was present which was not a mental illness.
Between 0.0 per cent. and 0.08 per cent. of all discharges and admissions had a main diagnosis of mental illness where a secondary (non mental illness) diagnosis was present.
NB. Mental Illness = ICD-10: F00-F99.
Table 1: Number of discharges from NHS Hospitals in England, where the main diagnosis was mental illness and a secondary diagnosis was present, finished episodes, by age and year 1996–97 to 2000–01 Age 2000–01 1999–2000 1998–99 1997–98 1996–97 All five years 0–16 0 0 0 0 0 0 17–24 0 0 0 0 0 0 25–44 0 0 0 0 0 0 45–64 3 12 30 51 31 82 65–74 85 31 129 319 170 489 75–84 130 56 236 643 333 976 85+ 51 34 128 306 197 503 Total 269 133 523 1,319 731 2,050 618W
Table 2: Number of admissions to NHS Hospitals in England, where the main diagnosis was mental illness and a secondary diagnosis was present, finished episodes, by age and year 1996–97 to 2000–01 Age 2000–01 1999–2000 1998–99 1997–98 1996–97 All five years 0–16 0 0 0 0 0 0 17–24 0 0 0 0 0 0 25–44 0 0 0 0 0 0 45–64 3 14 35 50 26 76
Table 2: Number of admissions to NHS Hospitals in England, where the main diagnosis was mental illness and a secondary diagnosis was present, finished episodes, by age and year 1996–97 to 2000–01 Age 2000–01 1999–2000 1998–99 1997–98 1996–97 All five years 65–74 93 54 154 348 129 477 75–84 165 127 334 813 319 1,132 85+ 88 79 194 433 225 658 Total 349 274 717 1,644 699 2,343 Notes:
Admissions are defined as the first period of in-patient care under one consultant within one healthcare provider. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
Discharge episodes are defined as the last period of in-patient care and ends with death, discharge or transferred to another hospital.
The main diagnosis is the first seven diagnosis fields in the Hospital Episode Statistics (HES) data set, and provides the main reason why the patient was in hospital.
Figures are grossed for both coverage and missing/invalid clinical data, except for 2000–01 which is not yet adjusted for shortfalls.
Source
Hospital Episode Statistics (HES), Department of Health.
The National Service Framework (NSF) for mental health draws attention to the evidence in the national psychiatric morbidity survey of high levels of physical ill health and higher rates of death amongst those with mental health problems compared to the rest of the population. This is confirmed in the more recent Office of National Statistics (ONS) survey of psychiatric morbidity among adults living in private households. Our policy as set out in the NSF is that assessment of people with severe mental illness should include assessment of physical health needs, and the care plan should identify the health and social care required to be provided under the care programme approach.