§ Mr. HealdTo ask the Secretary of State for Health what recent assessment he has made of the risk of abuse of elderly people with mental health problems in different care environments. [41710]
§ Jacqui SmithOlder people with mental health problems are as potentially susceptible to abuse as any other group of vulnerable adults. The Department takes the protection of vulnerable adults extremely seriously and is determined to stamp out abuse wherever it occurs. We are actively seeking to tackle the problem through a variety of initiatives. These include the launch of guidance titled 'No Secrets' and the planned implementation of the Protection of Vulnerable Adults list.
§ Mr. HealdTo ask the Secretary of State for Health how much funding has been allocated to the treatment of(a) psychosis and (b) other mental health problems in adults in financial year 2001–02. [45942]
§ Jacqui SmithThe majority of funding for the treatment of psychosis and other mental health problems is allocated as part of health authority allocations and
Estimated mental health expenditure 2001–02 HCHS1 PSS2 Total £ million Per cent. £ million Per cent. £ million Per cent. CAMHS 289 8 269 20 558 11 Adult MH 3,171 87 678 51 3,849 77 Elderly 194 5 376 28 570 12 Total 3,654 100 1,323 100 4,977 100 1Hospital and community health services (HCHS) costs exclude the costs of primary care and drugs. 2Personal social services (PSS) costs include children's social services (CSS) costs where appropriate.
§ Mr. HealdTo ask the Secretary of State for Health how much was spent on mental health in each health authority as a percentage of total expenditure in each year since 1997. [41707]
§ Jacqui SmithFigures showing how much was spent on mental health in each health authority as a percentage of total expenditure in each year since 1997–98 are shown in the table.
772Wseparate figures on allocations for psychosis or other mental health problems are not available.
§ Mr. HealdTo ask the Secretary of State for Health what the(a) amount and (b) proportion of mental health expenditure has been on child and adolescent services in financial year 2001–02; and if he will make a statement on his assessment of the adequacy of the (i) amount and (ii) proportion of expenditure devoted to child and adolescent services. [45941]
§ Jacqui SmithThis information requested is not readily available. However our estimate for likely mental health expenditure in 2001–02 and the proportion spent on child and adolescent services is shown in the table, with the personal social services (PSS) expenditure particularly difficult to estimate.
We recognise that much still needs to be done to improve child and adolescent mental health. The work currently ongoing on the child and adolescent mental health module of the Children's National Service Framework will do much to inform our future expenditure.
The figures in the answer are not comparable to those provided previously on a national basis, which cannot be analysed by health authority. The total expenditure used in this answer includes all the expenditure accounted for by the health authority whereas previous answers have provided spend on mental health as a proportion of total Health and Community Health Service expenditure. This excluded expenditure on primary care and authority administration.
773W
774W 775W
Expenditure on mental illness by health authorities and primary care trusts as a percentage of total expenditure in each health authority area Health authority area 1997–98 1998–99 1999–2000 2000–01 England 9.24 8.99 9.10 9.63 QD8 Avon 8.86 7.99 8.62 7.99 QAP Barking and Havering 9.93 10.30 9.20 10.55 QAQ Barnet 8.65 9.99 10.89 8.26 QCG Barnsley 8.14 8.22 7.12 7.02 QA6 Bedfordshire 8.16 7.73 7.87 7.66 QA7 Berkshire 7.94 8.53 8.61 9.32 QAA Bexley and Greenwich 5.76 10.14 10.73 11.36 QD9 Birmingham 9.11 8.37 9.51 10.59 QDD Bradford 8.55 8.19 7.69 8.41 QAR Brent and Harrow 12.11 11.96 10.25 9.22 QAC Bromley 9.99 8.30 7.76 8.92 QA8 Buckinghamshire 8.36 8.14 4.25 9.52 QCT Bury and Rochdale 6.24 6.28 6.66 7.34 QDT Calderdale and Kirklees 8.19 7.62 11.08 12.23 QA9 Cambridge and Huntingdon 10.37 9.86 n/a n/a QER Cambridgeshire n/a n/a 8.41 9.57 QAT Camden and Islington 16.20 15.01 15.21 14.49 QDV Cornwall and Isles Of Scilly 8.48 8.87 7.11 8.65 QDE County Durham 9.30 8.46 8.37 9.30 QEA Coventry 9.34 8.19 7.98 9.39 QAD Croydon 9.28 10.20 9.52 9.55 QCK Doncaster 7.65 6.54 7.58 8.94 QDW Dorset 7.53 7.14 8.00 7.67 QEC Dudley 8.50 8.15 7.79 8.18 QAV Ealing, Hammersmith and Hounslow 13.68 12.54 12.37 12.58 QEP East and North Hertfordshire 8.96 8.86 8.37 8.48 QAE East Kent 7.61 8.98 7.14 7.11 QCX East Lancashire 8.20 8.18 8.00 8.69 QAW East London and The City 12.43 11.20 10.92 12.11 QCA East Norfolk 9.47 8.09 n/a n/a QDF East Riding 6.55 6.35 5.55 7.07 QAK East Surrey 11.91 11.19 10.68 10.45 QAM East Sussex, Brighton and Hove 9.47 8.25 7.83 8.64 QA4 Enfield and Haringey 13.37 10.98 11.63 13.30 QDG Gateshead and South Tyneside 10.74 10.69 10.36 9.93 QDY Gloucestershire 7.39 7.83 8.19 8.77 QED Herefordshire 6.99 6.88 7.14 5.53 QA2 Hillingdon 7.32 6.45 5.65 8.70 QD4 Isle Of Wight 7.89 7.33 7.52 7.97 QA3 Kensington, Chelsea and Westminster 16.60 16.04 14.67 12.49 QAG Kingston and Richmond 10.20 8.82 11.82 11.53 QAH Lambeth, Southwark and Lewisham 17.54 17.09 16.82 18.38 QDH Leeds 8.98 7.72 8.87 9.69 QCL Leicestershire 9.32 9.86 9.89 10.17 QCM Lincolnshire 7.43 5.54 7.52 6.98 QC2 Liverpool 10.37 10.53 9.40 9.42 QC3 Manchester 11.17 10.89 10.04 9.58 QAJ Merton, Sutton and Wandsworth 11.25 11.16 10.27 11.27 QC4 Morecambe Bay 11.25 9.10 7.65 6.63 QDJ Newcastle and North Tyneside 8.55 8.14 7.49 8.41 QET Norfolk n/a n/a 10.09 10.13 QDX North and East Devon 8.01 7.88 8.42 8.32 QD1 North and Mid Hampshire 8.29 8.66 9.25 8.83 QCV North Cheshire 12.02 12.25 10.80 8.87 QDK North Cumbria 8.83 9.54 8.82 9.95 QCH North Derbyshire 7.95 7.79 8.27 5.68 QAX North Essex 8.66 8.64 9.66 8.80 QCN North Nottinghamshire 6.65 6.13 6.47 6.82 QEH North Staffordshire 9.82 7.79 8.27 7.70 QCD North West Anglia 9.02 8.92 n/a n/a QCY North West Lancashire 9.38 9.38 9.87 10.47 QDR North Yorkshire 8.26 8.40 7.50 9.13 QCC Northamptonshire 8.79 9.10 10.09 11.46 QDM Northumberland 9.11 8.43 7.97 9.50 QCP Nottingham 11.26 10.06 9.78 10.42 QCE Oxfordshire 9.24 9.22 9.34 11.35 QD2 Portsmouth and South East Hampshire 11.34 10.07 9.96 10.49 QA5 Redbridge and Waltham Forest 12.08 11.96 11.66 10.51 QCQ Rotherham 7.00 7.10 7.63 7.03 QC6 Salford and Trafford 9.47 8.67 8.76 8.75 QEE Sandwell 6.98 7.14 7.86 7.96
Expenditure on mental illness by health authorities and primary care trusts as a percentage of total expenditure in each health authority area Health authority area 1997–98 1998–99 1999–2000 2000–01 QC7 Sefton 6.59 6.60 7.85 24.13 QCR Sheffield 7.68 7.57 8.01 8.30 QEF Shropshire 8.04 8.02 7.63 7.35 QEG Solihull 5.71 5.09 7.87 7.74 QD5 Somerset 8.40 8.63 8.63 8.40 QD6 South and West Devon 7.30 8.66 9.10 8.91 QCW South Cheshire 9.88 9.63 10.87 9.77 QCJ South Derbyshire 7.82 8.05 9.82 10.54 QAY South Essex 9.95 9.95 10.32 11.37 QDL South Humber 5.21 5.41 6.10 6.39 QC1 South Lancashire 5.56 6.67 7.23 7.22 QEJ South Staffordshire 7.03 6.95 6.94 8.55 QD3 Southampton and South West Hampshire 9.43 9.34 9.68 9.02 QC5 St. Helens and Knowsley 8.29 8.89 8.32 8.52 QC8 Stockport 7.21 7.31 6.71 7.40 QCF Suffolk 10.08 9.74 9.47 10.75 QDN Sunderland 10.64 9.64 9.62 9.12 QDP Tees 8.15 7.93 7.28 11.58 QDQ Wakefield 7.62 7.69 9.26 8.95 QEK Walsall 7.03 6.56 7.09 7.57 QEL Warwickshire 7.43 7.47 7.60 8.17 QEQ West Hertfordshire 8.20 8.08 9.32 9.42 QAF West Kent 7.99 8.31 8.10 8.43 QC9 West Pennine 9.39 9.15 7.77 8.27 QAL West Surrey 9.84 9.26 9.65 10.27 QAN West Sussex 9.54 8.92 9.38 9.70 QDA Wigan and Bolton 8.18 7.83 8.44 8.79 QD7 Wiltshire 8.79 8.30 8.07 7.29 QDC Wirral 5.77 5.85 6.10 6.95 QEM Wolverhampton 6.52 7.10 7.95 8.22 QEN Worcestershire 4.29 5.01 8.85 8.03 Source:
1. Health authority annual accounts 1997–98 and 1998–99.
Health authority audited summarisation forms 1999–2000 and 2000–01.
Primary care trust audited summarisation schedules 2000–01.
2. Cambridge and Huntingdon, East Norfolk and North West Anglia merged on 1 April 1999 to form Cambridgeshire and Norfolk health authorities.
3. 2000–01 is the latest year for which figures are available.
§ Mr. HealdTo ask the Secretary of State for Health how many patients with learning disabilities have been detained under the Mental Health Act 1983 in each year since 1997. [41708]
§ Jacqui SmithThe information is not collected in the form requested.
§ Mr. HealdTo ask the Secretary of State for Health which health authorities have put out to tender the(a) arrangement and (b) provision of mental health services. [41699]
§ Jacqui SmithFollowing 'Shifting the Balance of Power' primary care trusts will secure delivery of the majority of services, including mental health services, to meet their population needs. Their local health improvement plan will indicate the extent of that clinical need and services will be commissioned from a range of appropriate providers accordingly.