Asked by: Lord Bradley (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, further to the Written Answer by Lord Markham on 12 March (HL3021), what is the distribution of each category of commissioned mental health service bed into each integrated care board area.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England does not hold this data at an integrated care board level.
Asked by: Cat Smith (Labour - Lancaster and Fleetwood)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the average (a) daily cost is per adult elderly care hospital bed and (b) length of stay was in those beds in the latest period for which data is available in each acute trust within the Lancashire and South Cumbria integrated care system boundary.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:
The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:
The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.
Asked by: Cat Smith (Labour - Lancaster and Fleetwood)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the average (a) daily cost is for an adult intensive care unit hospital bed and (b) length of stay was in those beds in the latest period for which data is available in each acute trust within the Lancashire and South Cumbria integrated care system boundary.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:
The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:
The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.
Asked by: Lord Bradley (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government how many (1) high secure, (2) medium secure, and (3) low secure, mental health service beds are in each integrated care board area of England.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The following table shows the amount of mental health service beds available, broken down by security level, as well as when the data was last validated:
Specialised Mental Health Inpatient Services | Commissioned Beds | Last Validated |
Adult High Secure | 715 | October 2022 |
Adult Medium Secure | 2965 | March 2021 |
Adult Low Secure | 3003 | March 2021 |
Total | 6683 | N/A |
Source: NHS England.
Asked by: John Whittingdale (Conservative - Maldon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many patients received stroke rehabilitation inpatient care in St Peter's Hospital Maldon in each year since 2000.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Over the years, St Peter’s Hospital has provided valuable capacity for patients across Mid and South Essex to receive inpatient stroke rehabilitation in community beds. The volume of beds, and therefore patients treated on site, has changed over the years due to shifting demand and, in recent years, the impact of the pandemic.
In 2022/23, 118 patients received inpatient stroke rehabilitation care at St Peter’s Hospital. However, there are currently no inpatient stroke rehabilitation beds at St Peter’s hospital in Maldon, as the 16 stroke rehabilitation beds that were on site were moved to Brentwood Community Hospital in October 2023, to ensure the safe provision of care through this winter.
The current consultation being undertaken by Mid and South Essex Integrated Care Board has set out options to increase community inpatient stroke rehabilitation capacity from 24 to 27, which would total 50 beds across the system. This increase is based on data that shows around 2,000 people in Mid and South Essex have a stroke each year, of which around 500 need a stay in a community hospital for specialist rehabilitation support.
Asked by: Christopher Chope (Conservative - Christchurch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many beds were occupied by patients ready to be discharged in NHS hospitals in Dorset; and how many of these patients had been awaiting discharge for more than (a) three days, (b) seven days and (c) a month on the most recent date for which data is available.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
On 31 January 2024, there were 308 patients with No Criteria To Reside (NCTR) in acute hospitals in Dorset, 77 patients in Dorset County Hospital Foundation Trust and 231 patients in University Hospitals Dorset NHS Foundation Trust.
NHS England publishes data on the proportion of patients discharged on their discharge-ready date and the lengths of delay for those discharged after this date, up to a delay of 21 days or more. The latest published figures are for December 2023.
For Dorset County Hospitals NHS Foundation Trust, 91% of patients were discharged on their discharge-ready date. Of the 9% of patients who were discharged after this date, 47.6% were delayed four or more days, 32% were delayed seven or more days, and 10.7% were delayed 21 or more days.
For University Hospitals Dorset Foundation Trust, 84.2% of patients were discharged on their discharge-ready date. Of the 15.8% of patients discharged after this date, 50.4% were delayed four or more days, 33.5% were delayed seven or more days, and 9% were delayed 21 or more days.
Asked by: Wes Streeting (Labour - Ilford North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate he has made of the potential impact of changes in assumed bed occupancy levels on the (a) number of hospital beds and (b) cost of the New Hospitals Programme.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The New Hospital Programme (NHP) is currently working towards a 92% bed occupancy assumption for schemes that use our standardised approach to building new hospitals, Hospital 2.0.
The NHP is working jointly with all National Health Service trusts in the programme to develop and design the right sized hospitals based on robust assumptions appropriate for local population’s health needs and clinical strategies, including the number of beds.
In May 2023, it was announced that the NHP is expected to be backed by over £20 billion of investment, enabling the programme to provide indicative funding allocations for schemes.
Asked by: Tanmanjeet Singh Dhesi (Labour - Slough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has plans to (a) allocate additional funding and (b) increase staff recruitment for NHS England in winter 2023-24.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
There are no current plans to do so. We have invested an additional £1 billion to support capacity in urgent and emergency services this year, alongside a £250 million capital investment in hospital trusts, and £200 million for ambulances services.
This funding has been used to boost capacity in the health service this winter and beyond and aims to add 5,000 more staffed beds permanent bed base this winter, as well as increase the number of deployed ambulance hours on the road.
Asked by: Claudia Webbe (Independent - Leicester East)
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 help reduce the number of delayed discharges from hospitals in Leicester.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
Leicester City Council has been allocated £2.5 million in 2023/24 as part of the £600 million Discharge Fund for local authorities and integrated care boards.
The Department has been working closely with the National Health Service and local authorities to improve data on delayed discharge and ensure every acute hospital has access to a multi-disciplinary care transfer hub. In Leicester, the care transfer hub operates seven days a week and brings together a range of health and social care professionals to support the timely discharge of patients.
In September, NHS England published an intermediate care framework for rehabilitation, reablement and recovery following hospital discharge.
In Leicester, Leicestershire, and Rutland a new ward has been developed for patients who would previously have been discharged to a residential home. This has brought a reduction in waiting times in the acute hospital by providing intermediate care through onsite therapy support. Two additional dedicated wards will open in January 2024.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to identify suitable long-term placements for people who are detained under the Mental Health Act 1983 who could live in the community with additional support.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Statutory guidance will be published for those being discharged from mental health inpatient settings soon. This will set out how National Health Service bodies and local authorities can work together to support the discharge process from hospital and ensure the right support in the community.
In July 2022, we published the Building the Right Support (BtRS) Action Plan, which sets out cross-government actions to strengthen community support and reduce reliance on mental health inpatient care for autistic people and people with a learning disability. The BtRS Delivery Board is overseeing implementation of the Action Plan and includes representatives from across Government and public services who are working together to drive faster progress, identifying new actions and mitigations as appropriate.
This year, we are investing an additional £121 million to improve community support as part of the NHS Long Term Plan, including funding for children and young people’s keyworkers.
The draft Mental Health Bill, published in June 2022, proposes the introduction of a new power, Supervised Discharge, which aims is to stop criminal justice patients detained under the Mental Health Act with specialised support needs from being in hospital unnecessarily. This will provide a route for these individuals to continue their care in a more appropriate and therapeutic setting, while appropriately managing the risks they may pose.
Meanwhile HM Prison & Probation Service, acting on behalf of my rt. hon. Friend, the Secretary of State for Justice, takes decisions on applications for section 17 leave for criminal justice patients following a robust risk-based assessment. This ensures affected patients do not need to remain in hospital beds and can continue their rehabilitation in a community-based setting which balances the need to protect the public, whilst recognising the rights of patients to receive treatment under the Mental Health Act.