§ Ms CoffeyTo ask the Secretary of State for Health, pursuant to his answer of 13 January,Official Report, 493W column 175, relating to funds returned to the general allocation for 1997–98, if he will provide the information separately in respect of patients with mental illness and patients with learning disabilities. [11638]
§ Ms CoffeyTo ask the Secretary of State for Health (1) what extra allocation has been given to health authorities for 1997–98 in respect of(a) mental illness and (b) learning disability; and if he will list the authorities receiving such extra funding; [11637]
(2) if he will list by health authority and other appropriate bodies the reductions in 1997–98 in the special allocation which funds (a) the care of patients with mental illness admitted before June 1970 and (b) patients with learning disabilities admitted before June 1970 in (i) hospital-based and (ii) community-based accommodation. [11639]
§ Mr. HoramAll health authorities have received increases in their general allocations for 1997–98. It is for individual health authorities to decide the level of resources to allocate to mental illness and learning disability.
In addition, £25 million has been set aside centrally to support the further development of mental health services, comprising a new challenge fund of £10 million, and £15 million for further facilities for mentally disordered offenders. Details of the health authorities that will benefit from this extra funding will be announced shortly.
Changes for 1997–98 in the level of funding to health authorities for the old long stay—OLS—special allocation, which funds the care of patients with a mental illness admitted before 1 January 1971 and patients with a learning disability admitted before 1 January 1970, are shown in the table.
Some 0.1 per cent. of the growth in health authority general allocations is in place of the net reduction in the OLS special allocation to ensure that spending on mental health and people with learning difficulties can be maintained. These increases are shown in the table.
494W
£000s Health authorities A 0.1 per cent growth in general allocations B Increases in OLS special allocation C Reduction OLS special allocation Avon 400 — 2,095 Barking and Havering 179 70 — Barnet 147 — — Barnsley 102 — 271 Bedfordshire 208 — 387 Berkshire 286 896 — Bexley and Greenwich 211' — 599 Birmingham 475 — 643 Bradford 213 35 — Brent and Harrow 226 99 — Bromley 127 — 36 Buckinghamshire 245 — 14 Bury and Rochdale 172 — 108 495W
£000s Health authorities A 0.1 per cent growth in general allocations B Increases in OLS special allocation C Reduction OLS special allocation Calderdale and Kirklees 254 — 197 Cambridge and Huntingdon 158 — 200 Camden and Islington 238 — 287 Cornwall and Isles of Scilly 212 — 217 County Durham 277 — 124 Coventry 133 — — Croydon 143 — 627 Doncaster 129 — 241 Dorset 308 — 54 Dudley 126 — 396 Ealing, Hammersmith and Hounslow 340 — 1,296 East and North Hertfordshire 192 231 — East Kent 269 222 — East Lancashire 236 — 93 East London and the City 340 — — East Norfolk 253 — 176 East Riding 244 — 252 East Surrey 173 — 2,680 East Sussex, Brighton and Hove 348 — 729 Enfield and Haringey 233 — 772 Gateshead and South Tyneside 176 — 71 Gloucestershire 229 46 — Herefordshire 68 — 95 Hillingdon 110 — 296 Isle of Wight 64 — 15 Kensington, Chelsea and Westminster 196 — 1,148 Kingston and Richmond 148 — 184 Lambeth, Southwark and Lewisham 413 — 8 Leeds 316 — Leicestershire 352 — 1,470 Lincolnshire 262 — 240 Liverpool 239 — 52 Manchester 236 — 420 Merton, Sutton and Wandsworth 305 — 184— Morecambe Bay 143 — — Newcastle and North Tyneside 232 — — North and East Devon 209 — 363 North and Mid Hampshire 206 — 1,333 North Cheshire 143 — — North Cumbria 135 — 106 North Derbyshire 158 — — North Essex 344 — 221 North Nottinghamshire 162 — 278 North Staffordshire 207 — 318 North West Anglia 167 80 — North West Lancashire 218 — 235
£000s Health authorities A 0.1 per cent growth in general allocations B Increases in OLS special allocation C Reduction OLS special allocation North Yorkshire 298 — 156 Northamptonshire 236 — 101 Northumberland 132 — 74 Nottingham 266 — 169 Oxfordshire 217 — 69 Portsmouth and South East Hampshire 226 1,087 — Redbridge and Waltham Forest 218 — — Rotherham 112 71 — Salford and Trafford 209 — 27 Sandwell 137 — 156 Sefton 135 — 54 Sheffield 254 41 — Shropshire 166 — 77 Solihull 79 — 232 Somerset 197 83 — South and West Devon 263 259 — South Cheshire 274 — 38 South Derbyshire 230 — 19 South Essex 281 — 682 South Humber 137 — 63 South Lancashire 131 — — South Staffordshire 226 — 43 Southampton and South West Hampshire 218 171 — St. Helen's and Knowsley 150 — 26 Stockport 117 — — Suffolk 264 — 274 Sunderland 138 262 — Tees 250 46 — Wakefield 143 134 — Walsall 112 — 3 Warwickshire 207 — 159 West Hertfordshire 221 — 826 West Kent 381 55 — West Pennine 210 — — West Surrey 260 55 — West Sussex 318 — 553 Wigan and Bolton 252 — 360 Wiltshire 238 — 35 Wirral 152 — Wolverhampton 110 — — Worcestershire 211 — 14 Total 21,412 3,942 23,742 1. All figures are at 1997–98 prices.
2. Figures may not sum exactly due to roundings.
3. Columns B and C show changes between the 1996–98 OLS special allocation.
§ Ms CoffeyTo ask the Secretary of State for Health if he will review the decisions of mental health review tribunals that are contrary to the advice of the responsible medical officer. [11494]
§ Mr. BurnsMental health review tribunals are independent judicial bodies and there is no provision in the Mental Health Act 1983 for review of tribunal decisions by my right hon. Friend the Secretary of State.
496W
§ Ms CoffeyTo ask the Secretary of State for Health if mental health review tribunals are advised whether the patient has a history of violence. [11495]
§ Mr. BurnsInformation on whether a patient has a history of violence is provided for mental health review tribunals in the context of the statements by the responsible authority and my right hon. Friend the Secretary of State required under the Mental Health Review Tribunal Rules 1983.
§ Ms CoffeyTo ask the Secretary of State for Health what plans he has to require mental health review tribunals to obtain the opinion of a doctor approved under section 12 of the Mental Health Act 1983 in addition to that of the responsible medical officer. [11496]
§ Ms CoffeyTo ask the Secretary of State for Health if mental health review tribunals are required to ensure that proper provision and support, in accordance with the care programme approach, has been made before deciding to discharge a patient. [11497]
§ Mr. BurnsLegislation under the Mental Health Act 1983 provides for mental health review tribunals to receive up-to-date reports on the patient's medical condition and social circumstances. Such reports will include recommendations for continuing care. The tribunal must take account of this information in deciding whether a patient should be discharged, and may direct a patient's discharge on a future date to allow time for aftercare arrangements to be put in place.
§ Ms CoffeyTo ask the Secretary of State for Health what activities he has initiated in preparation for a review of the Mental Health Act 1983. [11498]
§ Mr. BurnsOfficials will, from time to time, as with any other major policy area, meet individuals with a key interest to discuss issues relating to the operation of the Act.