§ Mr. Ashleyasked the Secretary of State for Social Services what discussions he has had with local authorities and voluntary organisations about joint funding for the care of children who have left mental hospitals.
§ Mr. Whitney[pursuant to his reply, 28 October 1985, c. 381]: Local authorities and voluntary bodies, as well as health authorities, are well aware of the importance we attach to appropriate placements and support for mentally handicapped children, and to the scope for both central funding and joint finance. The policy is regularly emphasised, and specific projects are discussed with voluntary bodies. It is for district health authorities, together with local authorities and voluntary bodies, to discuss local projects and joint finance in the light of local priorities. We emphasise close collaboration in regional reviews. All proposals to use joint finance money must be recommended by the relevant joint consultative committee on which the health and local authorities and voluntary organisations are represented.
§ Mr. Ashleyasked the Secretary of State for Social Services in what percentage of cases children who are released from mental hospitals return to the parental or family home.
§ Mr. Whitney[pursuant to his reply, 28 October 1985, c. 381]: This information is not available centrally. It is impossible to generalise. Children who are released from mental hospitals either return to their parental or family home, or are placed in other domestic settings.
§ Mr. Ashleyasked the Secretary of State for Social Services what steps he is taking to ensure that full and adequate community care is provided for children who are released from mental hospitals.
§ Mr. Whitney[pursuant to his reply, 28 October 1985, c. 381]: We have helped to finance the move to community care by making over £11 million available under our children's initiative to help both health authorities and voluntary organisations fund schemes for moving children out of hospital; by joint finance allocations to health authorities of over £100 million in 1985–86 about a third of which can be expected to be spent on mental handicap services; and by enabling health authorities to transfer funds from their ordinary budgets for as long as necessary to local authorities or voluntary organisations for patients, including children, transferred from long-stay hospitals to be cared for in the community. In addition, the national development team for mentally handicapped people and the Department's own social services inspectorate are available to advise authorities on 582W the provision of services, and the annual ministerial reviews of regional health authorities provide an opportunity for us to look at how effectively health authorities, jointly with local authorities, are planning the shift to community care.
§ Mr. Ashleyasked the Secretary of State for Social Services under which health authorities the children who leave mental hospitals are reviewed for their health, social service and educational needs.
§ Mr. Whitney[pursuant to his reply, 28 October 1985, c. 381]: It is for the health authority making the new arrangements, in co-operation with the relevant local authority, to satisfy itself that a child transferred from hospital is moved into an adequate and appropriate form of community care. All authorities are expected to undertake joint, multi-disciplinary assessments of the needs of mentally handicapped children moving into community care, the aim of which should be the formulation of a programme designed to meet the child's specific health, educational, social and other needs.
§ Mr. Ashleyasked the Secretary of State for Social Services how many children have been admitted to mental hospitals in each of the last five years; and if he will name the hospitals and their locations.
§ Mr. Whitney[pursuant to his reply, 28 October 1985, c. 381]: The available information is given in the two tables. The figures in table 1 include repeated admissions for short-term care or assessment. Both tables include some admissions to small NHS units in the community.
Table 1 Admission of children under 16 years of age to NHS mental handicap hospitals and units in England, 1980–1984 All admissions First admissions Readmissions 1980 8,197 466 7,731 1981 9,090 523 8,567 1982 10,254 569 9,685 1983 12,080 659 11,421 1984 12,483 574 11,909 583W
Table 2 NHS mental handicap hospitals and units in England which admitted children under 16 years of age during the years 1980–1984 District Health Authority Hospital Northern Regional Health Authority North Tees North Tees Aysgarth Fairbrook West Cumbria Dovenby Hall Darlington Aycliffe Durham Earl's House Northumberland Northgate Prudhoe South Tyneside Monkton Hall Yorkshire Regional Health Authority Hull Cherry Burton Hostel Tilworth Grange Scunthorpe Rawcliffe Hall York Claypenny Harrogate Whixley Bradford Westwood Airedale Castleberg Calderdale Stansfield View Huddersfield Storthes Hall The Mansion, Huddersfield Leeds Eastern Meanwood Park 584W
District Health Authority Hospital Wakefield Fieldhead Trent Regional Health Authority North Derbyshire Ridgeway Whittington Hall Dronfield Amberley House Southern Derbyshire Bingham House Hostel Aston Hall Leicestershire The Glenfrith Group North Lincolnshire Harmston Hall Caistor South Lincolnshire Norton Lea Fleet Bassetlaw Bassetlaw District General Central Nottinghamshire Nottingham City (Sandfield Children's Unit Highbury Doncaster St. Catherine's, Doncster Rotherham Rotherham District General Sheffield Greenacres Hostel Ryegate Centre St. Josephs Hilltop Hostel Mill Brook Hostel Lightwood House Arbourthorne Hostel Rivermead MH Unit East Anglian Regional Health Authority Cambridge Ida Darwin Peterborough Gloucester Centre West Suffolk Risbridge East Suffolk St. Clements, Ipswich Jane Walker Norwich Little Plumstead Great Yarmouth Lothingland West Norfolk & Wisbech Windsor Unit (West Norfolk and Wisbech) North West Thames Regional Health Authority North Bedfordshire Bromham North West Hertfordshire Cell Barnes Harperbury South West Hertfordshire Leavesden Barnet Winifred House Brent Kingsbury Paddington MH Unit, 291 Harrow Road North East Thames Regional Health Authority Basildon & Thurrock South Ockendon Mid Essex Bridge North East Essex The Royal Eastern Counties Group Barking, Havering and Brent High Wood wood Little Warley Lodge City and Hackney St. Leonard's (Penrose House) Tower Hamlets Mildmay Mission Enfield Enfield (Chase Farm) Waltham Forest Leytonstone House South East Thames Regional Health Authority Brighton Foredown Pouchlands Hastings Hill House Mount Pleasant South East Kent Eversley House Canterbury and Thanet Lanthorne Highland Court Eastry Dartford & Gravesham Darenth Park Maidstone Lenham Tunbridge Wells Leybourne Grange Greenwich Goldie Leigh Bromley Cheyne 585W
District Health Authority Hospital Lewisham & North Grove Park Southwark South West Thames Regional Health Authority North West Surrey Botleys Park Brook House West Surrey & North East Northfield Hants South West Surrey King George V Royal Hostel Elstead Mid Surrey The Manor, Epsom East Surrey Royal Earlswood Mid Downs Forest Goddards Green Worthing Southlands Croydon St. Lawrence's Caterham Richmond, Twickenahm & Roehampton Queen Mary's Roehampton Normansfield Wandsworth Gardiner Hill Unit Merton and Sutton Ellen Terry Home Osborne house Queen Mary's Hospital for Children St. Ebba's Southside Home The Turret Daffodil House Wessex Regional Health Authority East Dorset The Oakes, Bournemouth Castle Hill House West Dorset Coldharbour Henchard House Portsmouth Coldeast Bursledon Tatchbury Mount Winchester Bereweeke House Hostel Bishopstoke House The Old Rectory Basingstoke Darlington House Erdersley House Salisbury Hillcote Hostel Swindon The Lanterns Burderop Pewsey Bath Amberley Unit Beaumonds Winsley Centre Isle of Wight St. Mary's Castle View Oxford Regional Health Authority East Berkshire Church Hill House Clarefield Court West Berkshire Wayland House Borocourt Aylsbury Manor House Kettering Rushden Northampton Princess Marina Oxfordshire Bradwell Grove Hernes House Holy rood House South Western Regional Health Authority Bristol and Weston Farleigh Yatton Hall Frenchay Stoke Park Southmead Hortham Brentry Cornwall Budock Loreto House The Retreat St. Blazey for Children West Heath House Carn Brea House Exeter Royal Western Counties, Starcross Langdon
District Health Authority Hospital North Devon Kingsley Plymouth Tamar House Torbay Steepway Hostel Rosehill Childrens Cheltenham Windrush Gloucester Cransmoor Selsley Vicarage Thirlstaine Court West Lodge Drive Holly Brooke House Standish Twyver Unit Somerset Sandhill Park Norah Fry House Selwood House West Midlands Regional Health Authority Hereford Dean Hill 1 Ledbury Rd, Hereford Kidderminster Lea Lea Castle Salop Beeches, Telford Mid-Staffordshire White Lodge North Staffordshire Stallington North Warwickshire Chelmsley Coleshall Hall South Warwickshire Weston Abbeyfields South Birmingham Monyhull Coventry The Birches Dudley Ridge Hill Solihull Middlefield Walsall St. Margaret's, Birmingham Coventry M H Service, Princethorpe
Number of children under 16 years of age resident in mental handicap hospitals and units in England at 31 December Regional health authority 1980 1981 1982 1983 1984 Small NHS units in the community* Other NHS MH hospitals and units Northern 180 153 118 90 10 70 Yorkshire 181 150 133 98 5 63 Trent 243 198 162 123 14 86 East Anglian 91 85 68 56 — 32 North-West Thames 137 115 85 61 — 52 North-East Thames 132 114 90 61 12 57 South-East Thames 180 153 125 108 27 88 South-West Thames 228 190 145 80 2 66 Wessex 236 209 190 180 124 29 Oxford 164 122 112 92 7 66 South Western 188 155 132 116 73 33 West Midlands 213 156 139 122 24 59 Mersey 124 104 59 36 — 28 North Western 124 90 71 51 35 12 Total—England 2,421 1,994 1,629 1,274 333 741 * Separate figures for these units were collected for the first time in 1984. Most residents in these units will have been included in the totals in previous years.
§ Mr. Ashleyasked the Secretary of State for Social Services what are the numbers of children in each of the last five years who have ceased to be included in statistics as children in mental hospitals because they reached the age of 16 years.
§ Mr. Whitney[pursuant to his reply, 28 October 1985, c. 381]: This information is not available centrally. Young
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District Health Authority Hospital Mersey Regional Health Authority Crewe Barony Cranage Hall Halton Crow Wood Macclesfield Mary Dendy Warrington Newchurch Liverpool Rathbone Olive Mount Children's Southport & Formby Greaves Hall Wirral Ashton House North Western Regional Health Authority Lancaster Royal Albert Blackburn, Hyndburn & Brockhall Ribble Valley Eshton Terrace Burnley Pendle & Calderstones Rossendale West Lancashire Ormskirk Children's Bolton Childrens MH Unit. Bolton Rochdale Scott House Salford Swinton Stockport Cherry Tree Offerton House Tameside & Glossop The Willows, Droylesden
§ Mr. Ashleyasked the Secretary of State for Social Services if he will list the record for each regional health authority, in each of the past five years, of releasing children from mental hospitals.
§ Mr. Whitney[pursuant to his reply, 28 October 1985, c. 381]: The table shows, for each region, the changes in the number of children resident in mental handicap hospitals and units at 31 December in the years 1980–1984. The figures include children admitted for short-term care or assessment.
people aged 16 and over are also being moved out of hospital, either as part of the children's initiative or as part of the wider shift to community care.
§ Mr. Ashleyasked the Secretary of State for Social Services what has been the change over the last five years in the number of children under the age of 16 years who are in mental hospitals.
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§ Mr. Whitney[pursuant to his reply, 28 October 1985, c. 381]: The available informatio00000n for England is given in the table. The figures include children in hospital for short-term care or assessment.
Number of children under 16 years of age resident in NHS mental handicap hospitals and units in England at 31 December Small NHS units providing community provision for mentally handicapped* Other NHS mental handicap hospitals and units Total 1980 † † 2,421 1981 † † 1,994 1982 † † 1,629 1983 † † 1,274 1984‡ 333 741 1,074 * Separate figures for these units were collected for the first time in 1984. Most residents in these units will have been included in the totals in previous years. † Not available. ‡ Provisional figures.
§ Mr. Ashleyasked the Secretary of State for Social Services on what date he estimates that all children will be removed from long-stay mental handicap hospitals.
§ Mr. Whitney[pursuant to his reply, 28 October 1985, c. 381]: It is not at this stage possible to make such an estimate. Health authorities are well aware of the need to
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Children under 16 years of age resident in mental handicap hospitals and hospital units with 25 or more beds at 31 December 1984 Regional Health Authority District Health Authority Hospitals & Hospital units with 25 or more beds Number of resident children under 16 years of age Northern North Tees Aysgarth inc Fairbrook 11 West Cumbria Dovenby Hall 8 Darlington Aycliffe 8 Durham Earl's House 26 Northumberland Prudhoe 13 Northgate and District 4 Yorkshire Hull Brandesburton 10 Tilworth Grange 6 Scunthorpe Rawcliffe Hall 4 York Claypenny 11 Bradford Westwood 6 Airedale Castleberg 1 Calderdale Stansfield View 4 Leeds Eastern Meanwood Park 9 Wakefield Fieldhead 12 Trent Leicestershire Glenfrith 14 Nth Lincolnshire Harmston Hall 10 Caistor 4 Sth Lincolnshire St Peters 1 Norton Lea 1 Central Notts. Balderton 7 Nottingham Nottingham City 13 Doncaster St Catherines 2 Rotherham Rotherham Dist. General 9 Sheffield Rivermead Unit 1 East Anglian Cambridge Ida Darwin 11 Peterborough Gloucester Centre 3 East Suffolk Banbury House 8 Norwich Little Plumstead 6 Gt Yarmouth & Waveney Lothingland 4 N W Thames Nth Bedfordshire Bromham 5 N W Hertfordshire Harperbury 5 keep under review all the remaining long-stay mentally handicapped children in hospital wards and to make plans for their placement in small locally based units run by the health or local authority, or the voluntary sector, or in their own homes with appropriate support. It would not be helpful to set universally applicable dates for the closure of children's wards. It is important to get children out of long-stay hospital placements, but it is more important to ensure that they are going into more appropriate and better provision, and centrally imposed deadlines may well prove more hindrance than help in achieving this.
§ Mr. Ashleyasked the Secretary of State for Social Services how many children under the age of 16 years are in mental hospitals with 25 or more beds; if he will name the hospitals and their locations; and if he will make a statement.
§ Mr. Whitney[pursuant to his reply, 28 October 1985, c. 381]: There were 656 children under 16 years of age resident in NHS mental handicap hospitals and hospital units in England with 25 or more available beds at 31 December 1984. The hospitals and hospital units are listed in the table. The figures include children in hospital for short-term care or assessment. It is encouraging to note the success of the Government's children's initiative in reducing the number of mentally handicapped children in hospital and we will continue to do all we can to ensure that progress continues.
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Regional Health Authority District Health Authority Hospitals & Hospital units with 25 or more beds Number of resident children under 16 years of age Cell Barnes 23 S W Hertfordshire Leavesden 5 Barnet Winifred House 5 N E Thames Basildon & Thurrock South Ockendon inc Duvals Hostel 10 Mid Essex Bridge 7 N E Essex Royal Eastern Counties 17 Barking, Havering and Brentwood Highwood 9 Enfield Chase Farm 11 Waltham Forest Leytonstone House 3 S E Thames Brighton Foredown 5 Hastings Mount Pleasant 4 South East Kent Eversley House 15 Canterbury & Thanet Lanthorne 4 Eastry 1 Dartford & Gravesham Darenth Park 16 Tunbridge Wells Leybourne Grange 5 Greenwich Goldie Leigh 15 Bromley Cheyne 23 S W Thames N W Surrey Botleys Park 2 Mid Surrey The Manor, Epsom 3 E Surrey Royal Earlswood and Earlswood Home 10 Mid Downs Forest 13 Croydon St Lawrences 4 Richmond Queen Mary's 18 Twickenham & Roehampton Normansfield 1 Wessex Portsmouth Cold East 5 Sandy Point 5 Southampton & S W Hampshire Whitehouse 1 Oxford East Berkshire Church Hill House 6 Clarefield Court 5 West Berkshire Borocourt 15 Wayland 2 Aylesbury Manor House 7 Northampton Princess Marina 24 S Western Bristol & Weston Farleigh and Yatton 8 Frenchay Stoke Park 15 South Mead Hortham 2 W Midlands Kidderminster & District Lea Castle 13 Lea 2 Nth Staffordshire Stallington 3 Nth Warwickshire Chelmsley 2 Sth Warwickshire Weston 9 Dudley Ridgehill 8 Walsall St Margarets 18 Mersey Crewe Crange Hall 6 Halton Crow Wood 4 Warrington Newchurch 2 Liverpool Eastern Olive Mount Children's 14 Southport & Formby Greaveshall 2 N Western Lancaster Royal Albert 6 Ribble Valley Blackburn, Hyndburn & Ribble Valley Brochall 1 Burnley, Pendle & Rossendale Calderstones 2 Salford Swinton 3