§ Mr. HurstTo ask the Secretary of State for Health how much has been spent on mental health provision in(a) England and (b) Essex in each year since 1990. [124870]
§ Ms Rosie WintertonThe table shows details of expenditure on Mental Health Services from 1992–93 to 2001–02. Data for 1990–92 is not available.
It is not possible to provide figures by English county, so the table shows total expenditure by health authorities and primary care trusts in England and for health authority areas within Essex.
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Mental health services expenditure £000 Essex health authorities area England 1992–93 54,043 2,331,497 1993–94 67,995 2,350,548 1994–95 71,537 2,371,146 1995–96 79,234 2,511,431 1996–97 80,113 2,648,191 1997–98 81,352 2,767,036 1998–99 89,255 2,925,934 1999–2000 111,580 3,408,660 2000–01 122,568 3,951,618
§ Mr. HurstTo ask the Secretary of State for Health how many in-patient beds were available for mental health patients in(a) England and (b) Essex in each year since 1980. [124871]
§ Ms Rosie WintertonInformation on the number of in-patient beds between 1980 and 2001–02 for England is shown in the table. Information by geographical area is not available.
Average daily number of available beds, by sector; NHS Trusts in England Available beds Mental illness 1980 87,396 1981 85,436 1982 83,831 1983 81,786 1984 78,911 1985 75,866 1986 72,402 1987–88 67,122 1988–89 63,012 1989–90 59,288 1990–91 55,239 1991–92 50,278 1992–93 47,308 1993–94 43,532 1994–95 41,827 1995–96 39,477 1996–97 37,640 1997–98 36,601 1998–99 35,692 1999–00 34,173 2000–01 34,214 2001–02 32,783 Source:
SH3/KH03
§ Mr. HurstTo ask the Secretary of State for Health what percentage of the NHS budget has been spent on mental health care in each year since 1980. [124872]
§ Ms Rosie WintertonThe table shows how much was spent on mental health care as a percentage of total hospital and community health service expenditure from 1980 to the present.
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Percentage of total HCHS expenditure 1979–80 11.12 1980–81 11.25 1981–82 11.27 1982–83 11.25 1983–84 11.19 1984–85 11.26 1985–86 11.21 1986–87 11.14 1987–88 11.55 1988–891 12.40 1989–90 12.24 1990–91 11.98 1991–92 11.49 1992–93 11.47 1993–94 10.90 1994–95 10.59 1995–96 10.55 1996–972 12.09 1997–98 12.14 1998–99 11.97 1999–20003 12.34 2000–01 12.71 1 Data analysis method changed to show more detailed community health care expenditure.
2 Data collection method changed to give better analysis of NHS expenditure.
3 Data collection method changed to include secondary healthcare expenditure from primary care groups and trusts.
§ Mr. HurstTo ask the Secretary of State for Health what estimate has been made of the proportion of the population of England which will require mental health treatment during their lives. [124874]
§ Ms Rosie WintertonDecisions about mental health treatment and care are taken on the basis of an individualised assessment of needs by the responsible clinical team in consultation with the patient, in the light of the evidence base, the resources available, and in the context of national guidance.
The Office for National Statistics (ONS) is responsible for compiling, analysing and disseminating information relating to UK economic, social and demographic statistics. Their report, 'Psychiatric morbidity among adults living in private households, 2000', is available on the website at www.statistics.gov.uk. Surveys of children's mental health (1999) and the mental health needs amongst people in prison (1997) have also been undertaken by ONS and further information is available from them.
§ Mr. HurstTo ask the Secretary of State for Health what steps he will take to improve fast track intervention for those suffering from acute mental health problems. [124876]
§ Ms Rosie WintertonThe Department has a public service agreement to reduce the duration of untreated psychosis to a service median of less than three months (individual maximum less than six months) and provide support for the first three years for all young people who develop a first episode of psychosis by 2004. This target is being accomplished by the creation of 50 early intervention teams across the country.
There are currently 24 early intervention teams in England which provide quick diagnosis of the first onset of a psychotic disorder and appropriate treatment including intensive support in the early years for people aged between 14 and 35.
Also, NHS Direct's call handling capacity will more than double to 16 million calls annually by 2006, backed by a funding increase to £182 million. Improved 24-hour access to clinical advice by telephone from home will cut the burden on general practitioners and the emergency services, including for people with mental health problems, who can obtain rapid advice from trained nurses.
As part of the mental health modernisation agenda, steps are being taken to increase capacity in both community and hospital based provision that will help provide quicker and more convenient services. Establishing crisis resolution services and more hospital beds as well as improving access to child and adolescent mental health services by 10 per cent. each year across the service according to agreed local priorities are among these steps.
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§ Mrs. CaltonTo ask the Secretary of State for Health what recent assessment he has made of unmet need with respect to child and adolescent mental health services, broken down by(a) region and (b) strategic health authority; and if he will make a statement. [124921]
§ Dr. LadymanThe information on which to base such an assessment is not collected centrally. Needs assessment is the responsibility of local agencies as part of their service planning activity. Systematic mapping of local child and adolescent mental health services (CAMHS) provision across England was launched last year and it is intended to repeat this annually. This will provide detailed information on service provision, service activity levels and expenditure on CAMHS by provider trust and by local authority and primary care trust commissioners. Data currently available can be found on the dedicated website at www.dur.ac.uk/ service.mapping/CAMH/.
The Government's strategy for the development of CAMHS, initiated in 1999, has made significant progress in improving the overall quality and accessibility of local services for children and young people with mental health problems. Our current central investment programme of £250 million over the coming three years aims to help secure comprehensive CAMHS in all areas by 2006, in line with the objectives contained in "Improvement, Expansion, Reform the Priorities and Planning Framework 2003–06" published by the Department in October 2002.