Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to improve provision of mental health services to acute mental health patients leaving in-patient facilities.

The statutory guidance on discharge from mental health inpatient settings makes clear that National Health Service mental health trusts should have a clear plan in place for the ongoing care and support that a patient requires after discharge from a mental health inpatient setting. This should cover their pharmacological, physical health, psychological, social, cultural, education, housing and finances, and any other individual needs or wishes.

Individual trusts providing mental health inpatient services are expected to closely monitor hospital discharge performance data to ensure discharge arrangements are operating effectively and safely across the system and are also subject to monitoring, inspection and regulation by the Care Quality Commission (CQC).

In response to the CQC’s review of the care and treatment provided to Valdo Calocane and of services provided by Nottinghamshire Healthcare NHS Foundation Trust, NHS England asked every provider of mental health services to review the care received by people with serious mental illness who require intensive community treatment and follow-up but where engagement is a challenge.

Alongside this, NHS England is also developing new core standards of care for community mental health services to support the continued improvement of care.

As part of our mission to build an NHS that is fit for the future and shift care from hospitals into the community by improving community and crisis services, NHS England is piloting new models of care in the community for those with the most serious mental illnesses. New mental health centres open in six neighbourhood areas from this spring and will provide people and their families with support 24 hours a day, seven days a week, if they are in crisis without needing to book an appointment, as well as provide housing or employment advice to support them to stay well. A key feature of the model is continuity of care whereby the same team will support people with serious mental illnesses throughout all stages of their interaction with services, including transitions between hospital and the community.

The Mental Health Bill, currently before Parliament, also aims to strengthen discharge arrangements for people detained in hospital under the Mental Health Act.