§ Mr. Goodladasked the Secretary of State for Wales (1) how much was spent by his Department in each of the last five years on the care and treatment of patients suffering from schizophrenia: and what percentage each figure was of total expenditure on (a) mental and (b) all health services;
342W(2) what is the current annual cost overall per patient to his Department's health and social security budget of the care and treatment of patients with a main diagnosis of schizophrenic psychosis.
§ Mr. Goodladasked the Secretary of State for Wales (1) how many current occupants of National Health Service hospital and unit beds in Wales have a main diagnosis of schizophrenic psychosis; and what those figures are as a percentage of (a) mental and (b) all hospital beds in Wales; and how those figures compare with each of the past five years;
(2) how many people discharged from hospital following a main diagnosis of schizophrenic psychosis and subsequently taken by the police under section to hospital have been refused admission by hospitals in Wales in each of the last five years;
(3) if he will list for each of the last five years in Wales how many people discharged from mental illness hospitals, after a main diagnosis of schizophrenic psychosis, having been proved vulnerable boarders, subsequently became voluntary boarders.
§ Mr. Goodladasked the Secretary of State for Wales how many people with a main diagnosis of schizophrenic pychosis were discharged from mental illness hospital in Wales in each of the last five years; and how many of them were taken into local authority residential care in the same year.
§ Mr. GristInformation on the number of people discharged from, mental illness hospitals with a main diagnosis of schizophrenic psychosis is not collected centrally. The following table provides a breakdown of the total number of discharges, giving the numbers of discharges directly to local authority residential care (including those discharges to local authority homes for the mentally disordered), the number of deaths, and the numbers of those discharged elsewhere. These figures relate only to the number of discharges and will therefore include a number of patients who were subsequently readmitted and re-discharged within the same year.
Schizophrenic psychosis: Discharges from mental illness hospitals and units in Wales: 1982–1986 1982 1983 1984 1985 1986 Discharges directly to Local Authority residential care 26 14 19 21 18 Other discharges 1,627 1,701 1,682 1,812 1,750 Deaths 31 21 20 22 26 All deaths and discharges 1,684 1,736 1,721 1,855 1,794
§ Mr. Goodladasked the Secretary of State for Wales what funds have been specifically earmarked for the care of the mentally ill following the closure of mental hospitals in Wales in the last year; and if he will make a statement.
§ Mr. GristThere have been no closures of mental illness hospitals in Wales in the last year. However, over £1.7 million of central funding has been allocated during 343W 1987–88 under the joint finance and mental health development schemes to new projects designed to cater for mentally ill people in the community.
§ Mr. Goodladasked the Secretary of State for Wales how many community psychiatric nurses there have been in Wales in each of the last five years.
§ Mr. GristThe required information, measured on the basis of whole-time equivalents as at 30 September, is as follows:
Mental Illness Community Psychiatric Nurses Whole-time equivalents 1983 143.5 1984 143.5
Schizophrenic psychosis, admissions by diagnosis and order of admission Mental illness hospitals and units in Wales Numbers Percentage change in numbers Rates per 100,000 population 1984 1985 1986 1984–86 1984 1985 1986 All Admissions All types 1,731 1,888 1,836 +6.1 62 67 65 Simple type 31 55 37 +19.4 1 2 1 Hebephrenic type 23 18 26 +13.0 1 1 1 Catatonic type 12 20 11 -8.3 — 1 — Paranoid type 232 265 247 +6.5 8 9 9 Acute schizophrenic episode 25 32 59 +136.0 1 1 2 Latent schizophrenia 4 — 3 -25.0 — — — Residual schizophrenia 303 286 284 -6.3 11 10 10 Schizoaffective type 129 167 145 +12.4 5 6 5 Other 15 13 13 -13.3 1 — — Unspecified 957 1,032 1,011 +5.6 34 37 36 First Admissions All types 209 222 193 -7.7 8 8 7 Simple type 4 12 5 +25.0 — — — Hebephrenic type 3 2 1 -66.7 — — — Catatonic type 1 6 2 +100.0 — — — Paranoid type 51 32 36 -29.4 2 1 1 Acute schizophrenic episode 10 6 16 +60.0 — — 1 Latent schizophrenia 1 — — — — — 1 Residual schizophrenia 11 3 10 -9.1 — — — Schizoaffective type 12 19 15 +25.0 — 1 1 Other 7 5 3 -57.1 — — — Unspecified 109 137 105 -3.7 4 5 4 Source: Mental Health Inquiry
§ Mr. Goodladasked the Secretary of State for Wales if he will list the discharges and deaths by length of stay, including percentage change in numbers and percentage distribution, of patients suffering from schizophrenic psychosis in Wales for the years 1984–86 inclusive.
344W
Schizophrenic psychoses, discharges and deaths by length of stay Mental illness hospital and units in Wales Numbers Percentage change Percentage distribution 1984 1985 1986 1984–86 1984 1985 1986 Discharges and Deaths All lengths 1,721 1,855 1,794 +4.2 100.0 100.0 100.0
Whole-time equivalents 1985 138.0 1986 142.5 1987 150.1
§ Mr. Goodladasked the Secretary of State for Wales if he will list the admissions by diagnosis and order of admissions, including percentage change in numbers and rates per 100,000 population, of patients suffering from schizophrenic psychosis in Wales for the years 1984–86 inclusive.
§ Mr. GristThe information requested is given in the following table:
345W
Numbers Percentage change Percentage distribution 1984 1985 1986 1984–86 1984 1985 1986 Under one month 977 1,109 1,088 +11.4 56.8 59.8 60.6 One month 478 504 462 -3.3 27.8 27.2 25.8 Three months 212 186 190 -10.4 12.3 100. 10.6 One year 54 54 51 -5.6 3.1 2.9 2.8 Five years — 2 3 — — 0.1 0.2 Discharges All lengths 1,701 1,833 1,768 +3.9 100.0 100.0 100.0 Under one month 972 1,107 1,085 +11.6 57.1 60.4 61.4 One month 474 503 459 -3.2 27.9 27.4 26.0 Three months 209 182 181 -13.4 12.3 9.9 10.2 One year 46 40 40 -13.0 2.7 2.2 2.3 Five years and over — 1 3 — — 0.1 0.2 Deaths All lengths 20 22 26 +30.0 100.0 100.0 100.0 Under one month 5 2 3 -40.0 25.0 9.1 11.5 One month 4 1 3 -25.0 20.0 4.5 11.5 Three months 3 4 9 +200.0 15.0 18.2 14.6 One year 8 14 11 +37.5 40.0 63.6 34.6 Five years and over — 1 — — — 4.5 —
§ Mr. Goodladasked the Secretary of State for Wales (1) what representations he has received on the provision of community care for patients suffering from schizophrenic psychosis discharged from mental illness hospitals; and if he will make a statement;
(2) what guidance his Department gives to mental illness hospitals on the retention of patients whose condition is unlikely to improve; and what is the current policy of each hospital in Wales.
§ Mr. GristRepresentations are received from time to time from patients, their families, carers, voluntary organisations and others. Our policy is for the development by district health authorities, in collaboration with other authorities, of a locally based pattern of services for those suffering from mental illness, including schizophrenia. To this end authorities are developing services to prevent avoidable hospital admissions and long-term institutional care.