Asked by: Jonathan Reynolds (Labour (Co-op) - Stalybridge and Hyde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many patients on assessment and treatment units have been diagnosed with mental health conditions in the last 12 months.
Answered by Alistair Burt
Access to an independent mental health advocacy (IMHA) is a statutory right for people detained under most sections of the Mental Health Act, subject to Guardianship or on a community treatment order. We would expect Assessment and Treatment Units to follow their statutory obligations to ensure patients have access to an IMHA where appropriate.
The Learning Disability Assuring Transformation statistics data shows that of the 2,565 inpatients at the end of April 2016, 600 patients had a main diagnostic category of mental illness on admission.
Data on the numbers of formal complaints made about patient care; the management of assessment and treatment units; access to autism-specialist services and access to occupational and speech and language therapy are not held centrally. However, NHS England, Association of Directors of Adult Social Services and Local Government Association, published in October 2015, a Service Model for commissioners of health and social care services. This model sets out that when people are admitted to inpatient settings services should seek to minimise their length of stay and any admissions should be supported by a clear rationale of planned assessment and treatment with measurable outcomes. We would therefore expect all patients, irrespective of inpatient setting, to have access to the treatment and therapeutic interventions they require.
Asked by: Jonathan Reynolds (Labour (Co-op) - Stalybridge and Hyde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what the average cost is to the NHS of keeping a patient in an Assessment and Treatment Unit.
Answered by Alistair Burt
At the end of April 2016 for inpatients with a learning disability and/or autism, the average length of stay was 1,095 days. The total number of inpatients was 2,565. 415 were diagnosed with autism only and 555 patients had a learning disability and autism (Learning Disability Services Monthly Statistics, April 2016).
The average weekly cost for inpatient care was £3,563 per week in September 2015 (Learning Disability Census: England 2015)
Both the Learning Disability Services Monthly Statistics and the Learning Disability Census provide data on people with learning disabilities and/or autism spectrum disorder receiving inpatient care commissioned in England.
Asked by: Jonathan Reynolds (Labour (Co-op) - Stalybridge and Hyde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many patients currently in Assessment and Treatment Units have been diagnosed with autism.
Answered by Alistair Burt
At the end of April 2016 for inpatients with a learning disability and/or autism, the average length of stay was 1,095 days. The total number of inpatients was 2,565. 415 were diagnosed with autism only and 555 patients had a learning disability and autism (Learning Disability Services Monthly Statistics, April 2016).
The average weekly cost for inpatient care was £3,563 per week in September 2015 (Learning Disability Census: England 2015)
Both the Learning Disability Services Monthly Statistics and the Learning Disability Census provide data on people with learning disabilities and/or autism spectrum disorder receiving inpatient care commissioned in England.
Asked by: Jonathan Reynolds (Labour (Co-op) - Stalybridge and Hyde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many people are currently being treated in Assessment and Treatment Units.
Answered by Alistair Burt
At the end of April 2016 for inpatients with a learning disability and/or autism, the average length of stay was 1,095 days. The total number of inpatients was 2,565. 415 were diagnosed with autism only and 555 patients had a learning disability and autism (Learning Disability Services Monthly Statistics, April 2016).
The average weekly cost for inpatient care was £3,563 per week in September 2015 (Learning Disability Census: England 2015)
Both the Learning Disability Services Monthly Statistics and the Learning Disability Census provide data on people with learning disabilities and/or autism spectrum disorder receiving inpatient care commissioned in England.
Asked by: Jonathan Reynolds (Labour (Co-op) - Stalybridge and Hyde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what the average length of time is that a patient stays in an Assessment and Treatment Unit.
Answered by Alistair Burt
At the end of April 2016 for inpatients with a learning disability and/or autism, the average length of stay was 1,095 days. The total number of inpatients was 2,565. 415 were diagnosed with autism only and 555 patients had a learning disability and autism (Learning Disability Services Monthly Statistics, April 2016).
The average weekly cost for inpatient care was £3,563 per week in September 2015 (Learning Disability Census: England 2015)
Both the Learning Disability Services Monthly Statistics and the Learning Disability Census provide data on people with learning disabilities and/or autism spectrum disorder receiving inpatient care commissioned in England.
Asked by: Jonathan Reynolds (Labour (Co-op) - Stalybridge and Hyde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many patients currently in Assessment and Treatment Units have been detained in that unit under the Mental Health Act 1983.
Answered by Alistair Burt
The following table shows Patients in Assessment and Treatment units on 30 April 2016 by legal status.
|
| Number of patients | % of patients |
England 1,2,3 |
| April 2016 | April 2016 |
All patients |
| 2,565 | 100% |
Patients not subject to the Mental Health Act 1983 |
| 265 | 10% |
Patients subject to the Mental Health Act 1983 |
| 2,300 | 90% |
Of these patients - subject to the Mental Health Act 1983 | Patients subject to Mental Health Act Part II | 1,275 | 50% |
Mental Health Act Part III with no restrictions | 380 | 15% | |
Mental Health Act Part III with restrictions | 610 | 24% | |
Other | 35 | 1% |
Data source: Health and Social Care Information Centre. Assuring Transformation
Notes:
1 The Assuring Transformation collection covers England, but includes patients whose care is commissioned in England and provided elsewhere in the United Kingdom. These figures represent the number of patients who are receiving inpatient care at the end of each month. Figures have not been revised with more recent information, but show the position at the end of each month as extracted from the system at that time. This is due to it not always being possible to back date key measures. As such figures here will not match those presented in table 1 which have been back-dated.
2 Numbers less than 5 have been replaced by '*' and other values have been rounded to the nearest 5 to minimise disclosure risks associated with small numbers. Please note that rows will therefore not always add up to the total. Percentages have been calculated based on the non-rounded numbers.
3 "Mental Health Act legal status classification code" is a mandatory question in the Assuring Transformation collection. This question does not ask the start or end date of any legal status a patient may be subject to.
Asked by: Jonathan Reynolds (Labour (Co-op) - Stalybridge and Hyde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, whether the consultation on the database created by the Access to Medical Treatments (Innovation) Act 2016 will involve (a) medical research charities, (b) the pharmaceutical sector and (c) the Medicines and Healthcare Products Regulatory Agency.
Answered by George Freeman
The Health and Social Care Information Centre will consult with stakeholders including charities, the relevant Royal Colleges, industry, the Medicines and Healthcare products Regulatory Agency and other relevant bodies in the creation of the Database described in the Act, when the power vested on the Secretary of State is enacted.
Asked by: Jonathan Reynolds (Labour (Co-op) - Stalybridge and Hyde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many specialist epilepsy nurses are employed in the NHS.
Answered by Ben Gummer
The Health and Social Care Information Centre provides information on the number of nursing, midwifery and health visiting staff employed in the National Health Service in England but it does not separately identify specialist epilepsy nurses.
It is for local NHS organisations with their knowledge of the healthcare needs of their local population to invest in training for specialist skills and to deploy specialist nurses.
Asked by: Jonathan Reynolds (Labour (Co-op) - Stalybridge and Hyde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many people in each parliamentary constituency have been diagnosed with epilepsy; and what the average time taken was for someone to receive a diagnosis of epilepsy in the last 12 months.
Answered by Jane Ellison
Information concerning the number of people diagnosed with epilepsy in each parliamentary constituency and waiting times for diagnosis is not collected.
The National Institute for Health and Care Excellence (NICE) best practice guideline The diagnosis and management of the epilepsies in adults and children in primary and secondary care, updated in 2012, estimates that epilepsy affects between 362,000 and 415,000 people in England. The guidance states that people having a first seizure should be seen by a specialist as soon as possible in order to ensure precise and early diagnosis and initiation of treatment. NICE recommends that referrals should be urgent, with patients being seen within two weeks if possible.
Asked by: Jonathan Reynolds (Labour (Co-op) - Stalybridge and Hyde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, who will take on the responsibilities of the national clinical director of adult neurology if that role is not reappointed.
Answered by Jane Ellison
Sir Bruce Keogh, NHS England’s Medical Director, has undertaken a review of the National Clinical Director (NCD) resource designed to focus clinical advisory resources on areas where major programmes of work are currently being taking forward, or areas identified as priorities for improvement. As a result of the review, NHS England has proposed to change the way in which clinical advice is received in speciality areas in the future.
Where there will no longer be a specific NCD role, NHS England will secure expert clinical advice from its clinical networks and through its relationships with professional bodies and by appointing clinical advisors. For neurology it is planned that access to advice will be through clinical leads and members of the NHS England-funded neurology clinical networks, the Neurology Clinical Reference Group and Royal Colleges. It is expected that these new arrangements will be in place from 1 April 2016.