§ Mr. GoodladTo ask the Secretary of State for Health (1) what information his Department collects on the movement of people after discharge from mental illness hospitals;
(2) what information is collected by his Department about people who have been discharged from mental illness hospitals.
§ Mr. GoodladTo ask the Secretary of State for the Environment what information he has about the mental health history of the boarders in each local authority area in England and Wales; and if he will make a statement.
§ Mr. FreemanI have been asked to reply.
Since 1 April 1987, annual figures are collected about the intended destination of patients on completion of a
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§ Mr. FreemanThe information is not available in the precise form requested. In particular, data on clustering of cases within a local authority area are not available, since addresses are not noted on the infectious disease notification reports sent by regional health authorities to the OPCS.
The tables show the nearest equivalent readily available data.
duration of stay within National Health Service hospitals and units in a district health authority in England. The destinations recorded are:
- 1. Usual place of residence, other than those institutions noted below (including patients with no fixed abode);
- 2. Temporary place of residence, when usually resident elsewhere (eg hotels, residential educational institutions);
- 3. Penal establishment, court or police station;
- 4. Special hospitals;
- 5. National Health Service hospital outside district—general ward/younger physically disabled;
- 6. National Health Service hospital outside district—maternity/neonates ward;
- 7. National Health Service hospital outside district—mentally ill/handicapped ward;
- 8. Local authority residential accommodation (including foster care);
- 9. Deaths;
747 - 10. Other, including non-National Health Service hospital or nursing home.
The annual figures are not linked to individual patients and will include data on the same patient when admitted more than once during the year.
Certain statistics are collected about those for whom residential provision is made in the community. Those mentally ill people whose accommodation costs are met in whole or in part by local authority social services departments are counted at 31 March each year by sex, broad age band, and by whether they are in local authority homes, registered care homes or other accommodation. These statistics do not distinguish those who have at any time been resident patients in mental illness hospitals.
In March 1987 and March 1988, all local authority staffed homes and registered care homes catering for mentally ill people were asked to provide details of individual residents admitted during the previous year, including whether their most recent previous accommodation had been in a hospital or other NHS establishment.
The adequacy of current statistics about mentally ill people will be reviewed during the coming year as part of the Department's information systems strategy.
Statistics about local authority and other provision in Wales are the responsibility of my right hon. Friend the Secretary of State for Wales.
§ Mr. GoodladTo ask the Secretary of State for Health how many people with a main diagnosis of schizophrenia psychosis were discharged from mental illness hospitals in each of the last three years; and how many of them were taken into local authority residential care in the same year.
§ Mr. FreemanThe table shows the number of discharges, excluding deaths and transfers, with a primary diagnosis of schizophrenia from National Health Service mental illness hospitals and units in England for the latest three years for which information is available. The figures are for discharges, and not individual patients, since the same patient may be discharged more than once during the year.
Discharges1 from mental illness hospitals and units, with a diagnosis of schizophrenia2, England 1984–86 Year Numbers 1984 23,879 1985 24,091 1986 23,975 1Excludes deaths and transfers to other hospitals. 29th Revision, International Classification of Diseases, 295.0–295.9. Information is not collected by diagnosis on the numbers of people entering into care, or taking up accommodation, provided by the local authorities.
§ Mr. GoodladTo ask the Secretary of State for Health how many people discharged from hospital following a main diagnosis of schizophrenia psychosis and subsequently taken by the police under section to hospital have been refused admission in each health region in each of the last three years.
§ Mr. FreemanThis information is not centrally available.
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§ Mr. GoodladTo ask the Secretary of State for Health what information his Department collects about admission under section and refusals of admissions under section to mental illness hospitals; and if he will make a statement.
§ Mr. FreemanFrom 1987 information has been collected centrally about the number of patients detained, within each district health authority, under each of the following sections of the Mental Health Act, 1983: section 2, 3, 4, 35, 36, 37/41, 37, 37(4), 38, 44, 46, 47/49, 47, 48/49, 48, 135 and 136. This information is available correlated to the mental category and sex of patient. Comparable information is available for earlier years and is contained in the Department's statistical note 1/88, a copy of which is in the Library. No information is centrally available on the refusal of hospitals to admit patients under sections of the Act.
§ Mr. GoodladTo ask the Secretary of State for Health how many people discharged from mental illness hospitals after a main diagnosis of schizophrenia psychosis having been proved vulnerable boarders subsequently became voluntary boarders in each of the last two years in each health region.
§ Mr. FreemanThe information requested is not available centrally.
§ Mr. GoodladTo ask the Secretary of State for Health how many residential places in the community are currently available for those discharged from mental hospitals in each health region; what is the current rate of occupancy; and what are the projected figures for the next two years.
§ Mr. FreemanInformation on residential places specifically for people discharged from mental hospitals is not available. The estimated numbers of places in local authority, voluntary and private homes and hostels for mentally ill people in each health region in England, in the latest year for which figures are available, are given in the table. Neither occupancy rates nor projected figures for subsequent years are available centrally.
Numbers of places in local authority, voluntary and private homes in health regions in England—Places available at 31 March 1987 Health region Number Northern 482 Yorkshire 778 Trent 821 East Anglian 382 North West Thames 770 North East Thames 678 South East Thames 1,160 South West Thames 627 Wessex 473 Oxford 394 South Western 495 West Midlands 982 Mersey 464 North Western 662
§ Mr. GoodladTo ask the Secretary of State for Health how many mental illness beds there were in each health region in each of the last five years; what was the rate of occupancy; and what is the planned number of beds in each health region in the current year.
§ Mr. FreemanThe table shows the number of staffed beds in mental illness hospitals and units, and their 749W occupancy rate, for 1982–1986. Since 1987–88, the first year of Korner data, information has been collected on "daily available beds", and is available in the booklet "Summary of KHO3 pt 2 Wards open overnight". A copy has been placed in the Library. The figures for occupied bed days
1982 1983 1984 1985 1986 Region Beds Percentage occupied Beds Percentage occupied Beds Percentage occupied Beds Percentage occupied Beds Percentage occupied Northern 5,879 87 5,739 88 5,652 87 5,606 88 5,375 87 Yorkshire 7,001 83 6,561 84 6,455 81 6,070 82 5,660 84 Trent 7,263 88 7,104 86 6,910 86 6,679 86 6,520 84 East Anglian 2,940 83 3,039 81 2,855 78 2,756 79 2,655 81 North West Thames 7,389 87 7,193 86 6,657 88 6,433 88 5,968 89 North East Thames 6,681 86 6,556 87 6,147 90 5,887 90 5,771 89 South East Thames 6,581 81 6,268 83 6,103 82 5,774 83 5,417 81 South West Thames 6,645 89 6,425 90 6,270 89 6,061 89 5,528 91 Wessex 4,034 86 4,005 85 3,850 84 3,626 85 3,411 84 Oxford 2,349 80 2,316 82 2,244 85 2,290 83 2,195 82 South Western 5,283 84 5,058 83 4,586 85 4,454 84 4,226 79 West Midlands 7,962 83 7,664 84 7,352 83 6,964 84 6,764 81 Mersey 6,201 85 5,913 85 5,596 85 5,421 86 5,062 88 North Western 6,781 85 6,734 84 6,594 85 6,359 85 6,199 84 Special H.A. 508 69 457 78 459 81 457 81 464 69 England 83,500 85 81,032 85 77,730 85 74,837 85 71,215 77