Asked by: Luciana Berger (Liberal Democrat - Liverpool, Wavertree)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he plans to take to tackle the shortage of psychiatric beds in hospitals.
Answered by Jackie Doyle-Price
We are clear that acute beds must always be available for people who need them, but providers also have a responsibility to offer care in the community as well as in hospitals. The Five Year Forward View for Mental Health set out how the National Health Service will provide more safe, evidence-based alternatives to inpatient beds in the form of intensive community treatment teams, which reduce the number of admissions, and, most importantly, enable patients to be treated closer to home.
There are many different types of mental health bed – from high secure beds in special hospitals to psychiatric intensive care, open rehabilitation beds and recovery houses. The right mix of these beds, and of services that can be delivered in out-patient and non-residential community settings or in people’s homes, will vary by area according to local need.
In February 2016, the Commission on Acute Adult Psychiatric Care published a final report, ‘Old Problems, New Solutions: Improving acute inpatient psychiatric care for adults in England’, which highlighted that the ‘admission crisis’ is not simply due to a reduction of beds, but rather relates to hospital discharge issues and the lack of community care and alternatives to admission. The report is available via the following link:
Asked by: Vicky Foxcroft (Labour - Lewisham, Deptford)
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 achieve the 95 per cent four hour A&E waiting time target in (a) Lewisham borough and (b) London.
Answered by Stephen Hammond
NHS Improvement is working closely with Lewisham and Greenwich NHS Trust to achieve delivery of the 95% four hour accident and emergency (A&E) standard. Several steps are in place to support the Trust, including monthly oversight meetings between NHS Improvement’s senior leadership team and the Trust’s chief executive team to review performance; provision of NHS Improvement staff for on-site support to review long-stay patients and discharge those who are medically fit to be discharged; and work with mental health providers and the London Ambulance Service to support appropriate placement of mental health patients as well as improve patient handover performance. The Trust also received £500,000 of capital to develop and open a crisis café at the University Hospital Lewisham site, to help prevent avoidable mental health attendances at A&E.
There are multiple actions underway to support reductions in waiting times for patients in London Emergency Departments. The London Urgent and Emergency Care programme and the Emergency Care Intensive Support Team provide dedicated expertise and support to several trusts1. In addition, circa £26 million of extra capital investment was allocated to trusts across London to increase beds, emergency department capacity, same day emergency care and acute mental health services ahead of winter.
1Lewisham and Greenwich, Kings’ College Hospital, Hillingdon, London North West, Imperial, Barking Havering and Redbridge, Barts, Whittingdon, North Middlesex and University College London Hospital.
Asked by: Mike Gapes (The Independent Group for Change - Ilford South)
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 amount of capital funding which will be allocated to each NHS trust in London in each year between 2019 and 2022.
Answered by Stephen Hammond
The Department provides some specific central support in the form of capital loans and public dividend capital. The details of all financial assistance provided by the Department to individual National Health Service trusts and foundation trusts, including capital loans and public dividend capital, under section 40 of the National Health Service Act 2006 are published annually alongside the Department’s Annual Report and Accounts.
The largest centrally allocated capital programme over the period to 2022 is the sustainability and transformation partnerships (STP) capital programme. The following table shows the announced value of capital investment in STP schemes for London NHS trusts. The breakdown of funding in individual years will be determined - once they complete the standard full business case process.
Lead organisation | STP Scheme | Capital from STP Funding to 2022/23 (£000) |
Barnet, Enfield and Haringey Mental Health Trust | Children and Adolesent Mental Health Service (CAMHS) Tier 4. 3 new beds | 300 |
Camden and Islington NHS Foundation Trust | St Pancras - transformation of mental health and substance misuse services | 86,0001 |
Central and North West London Foundation Trust | CAMHS Tier 4. Kingswood Hospital. Five additional beds for people with learning difficulties/autistic spectrum disorders | 2,090 |
Central and North West London Foundation Trust | CAMHS Tier 4. 12 additional beds | 2,100 |
Central and North West London NHS Foundation Trust | Northwick Park Mental Health Wards - Single Bedrooms Reconfiguration | 520 |
Central and North West London NHS Foundation Trust | Oak Tree Ward - Woodlands Mental Health Wards Reconfiguration, Hillingdon | 502 |
Central and North West London NHS Foundation Trust | Pond Ward - Park Royal Mental Health Wards Reconfiguration | 2,350 |
Croydon Health Services NHS Trust | South West London Acute Providers consolidation of the three procurement functions into a single shared service, purchase to pay system, inventory management, and IT and telephony equipment | 2,149 |
Guy’s and St Thomas’ NHS Foundation Trust | Patient Centric Supply Chain | 10,500 |
Imperial College NHS Trust | The Development of an Endovascular Hybrid Theatre | 1,865 |
Kingston NHS Foundation Trust | Patient Flow Transformation Programme | 3,444 |
London North West University Healthcare NHS Trust | Re-provision of eight compliant theatres | 27,030 |
Moorfields Eye Hospital NHS Foundation Trust | Project Oriel - a new eye care, research and education facility | 18,2481 |
South London and Maudsley Foundation Trust | CAMHS Tier 4. Eight additional beds for people with learning difficulties/autistic spectrum disorders. Beds would open December 2018 | 2,700 |
South West London and St George’s NHS Mental Health Trust | EMP Enabler - New Care Home | 7,100 |
South West London and St George's NHS Mental Health Trust | Barnes Medical Centre development of a healthcare facility to provide mental health outpatient services, an extended range of general practice services, and a range of other community services | 11,100 |
London Ambulance Service | Addition of 25 Double Crewed Ambulance vehicles is expected to receive all their £3,849,000 funding in 2018-19. | 3,8492 |
Notes:
1Further funding is beyond the period to 2022-23 and contributions will also be from other funding sources. Part of the Camden and Islington funding is in the form of a bridging loan in advance of land disposal receipts.
2All funding for this scheme expected to be provided in 2018-19.
In addition, future funding has been allocated for some large capital schemes to specific London providers and as follows:
University College London Hospitals NHS Foundation Trust
- there remains around £52.6 million available which was allocated specifically for the introduction of proton beam therapy; and
- there remains around £96.9 million available for the ongoing development of the haematology and short stay surgery, and head and neck services.
Asked by: Luciana Berger (Liberal Democrat - Liverpool, Wavertree)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when his Department plans to publish the progress review on Building the Right Support: A national implementation plan to develop community services and close inpatient facilities.
Answered by Caroline Dinenage
Building the Right Support, published in October 2015, set out the national plan to develop community services for people with learning disability and autism who are mental health inpatients, so they can leave hospital and receive more appropriate care and enjoy better outcomes in the community. This reduces the need for specialist inpatient beds.
140 beds (59% of the original total) at the Merseycare Whalley site, formerly known as Calderstones Hospital, have been closed by National Health Service commissioners over the last five years. The safety of patients remains the over-riding priority for the NHS, so appropriate support needs to be in place for everyone to ensure a smooth transition to any new care package or facility before beds are closed. Discussions about the timescales for formal closure of the site are ongoing.
The attached table shows the reductions in numbers of beds in each of the fast-track Transforming Care Partnerships referred to in the Building the Right Support publication.
During 2016/17, all Transforming Care Partnerships published local transformation plans.
NHS England has commissioned an evaluation of progress made since publication of Building the Right Support. The report is expected to be published in 2019. Latest figures from NHS Digital show around a 19% reduction in people with a learning disability, autism or both in an inpatient setting from March 2015.
Further improvement in outcomes, health and care for people with a learning disabilities and autism is a clinical priority as part of the long-term plan for the NHS, which will be published shortly.
Asked by: Luciana Berger (Liberal Democrat - Liverpool, Wavertree)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many of the 49 new Transforming Care Partnerships had agreed implementation plans for the delivery of co-ordinated services by the April 2016 deadline referred to in the October 2015 document Building the Right Support: A national implementation plan to develop community services and close inpatient facilities.
Answered by Caroline Dinenage
Building the Right Support, published in October 2015, set out the national plan to develop community services for people with learning disability and autism who are mental health inpatients, so they can leave hospital and receive more appropriate care and enjoy better outcomes in the community. This reduces the need for specialist inpatient beds.
140 beds (59% of the original total) at the Merseycare Whalley site, formerly known as Calderstones Hospital, have been closed by National Health Service commissioners over the last five years. The safety of patients remains the over-riding priority for the NHS, so appropriate support needs to be in place for everyone to ensure a smooth transition to any new care package or facility before beds are closed. Discussions about the timescales for formal closure of the site are ongoing.
The attached table shows the reductions in numbers of beds in each of the fast-track Transforming Care Partnerships referred to in the Building the Right Support publication.
During 2016/17, all Transforming Care Partnerships published local transformation plans.
NHS England has commissioned an evaluation of progress made since publication of Building the Right Support. The report is expected to be published in 2019. Latest figures from NHS Digital show around a 19% reduction in people with a learning disability, autism or both in an inpatient setting from March 2015.
Further improvement in outcomes, health and care for people with a learning disabilities and autism is a clinical priority as part of the long-term plan for the NHS, which will be published shortly.
Asked by: Luciana Berger (Liberal Democrat - Liverpool, Wavertree)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many beds for people with learning disabilities and autism have been closed since 2015 in each of the six fast-track areas referred to in the October 2015 document Building the Right Support: A national implementation plan to develop community services and close inpatient facilities.
Answered by Caroline Dinenage
Building the Right Support, published in October 2015, set out the national plan to develop community services for people with learning disability and autism who are mental health inpatients, so they can leave hospital and receive more appropriate care and enjoy better outcomes in the community. This reduces the need for specialist inpatient beds.
140 beds (59% of the original total) at the Merseycare Whalley site, formerly known as Calderstones Hospital, have been closed by National Health Service commissioners over the last five years. The safety of patients remains the over-riding priority for the NHS, so appropriate support needs to be in place for everyone to ensure a smooth transition to any new care package or facility before beds are closed. Discussions about the timescales for formal closure of the site are ongoing.
The attached table shows the reductions in numbers of beds in each of the fast-track Transforming Care Partnerships referred to in the Building the Right Support publication.
During 2016/17, all Transforming Care Partnerships published local transformation plans.
NHS England has commissioned an evaluation of progress made since publication of Building the Right Support. The report is expected to be published in 2019. Latest figures from NHS Digital show around a 19% reduction in people with a learning disability, autism or both in an inpatient setting from March 2015.
Further improvement in outcomes, health and care for people with a learning disabilities and autism is a clinical priority as part of the long-term plan for the NHS, which will be published shortly.
Asked by: Luciana Berger (Liberal Democrat - Liverpool, Wavertree)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the effectiveness of the implementation of each local plan in the fast-track areas referred to in the October 2015 document Building the Right Support: A national implementation plan to develop community services and close inpatient facilities.
Answered by Caroline Dinenage
Building the Right Support, published in October 2015, set out the national plan to develop community services for people with learning disability and autism who are mental health inpatients, so they can leave hospital and receive more appropriate care and enjoy better outcomes in the community. This reduces the need for specialist inpatient beds.
140 beds (59% of the original total) at the Merseycare Whalley site, formerly known as Calderstones Hospital, have been closed by National Health Service commissioners over the last five years. The safety of patients remains the over-riding priority for the NHS, so appropriate support needs to be in place for everyone to ensure a smooth transition to any new care package or facility before beds are closed. Discussions about the timescales for formal closure of the site are ongoing.
The attached table shows the reductions in numbers of beds in each of the fast-track Transforming Care Partnerships referred to in the Building the Right Support publication.
During 2016/17, all Transforming Care Partnerships published local transformation plans.
NHS England has commissioned an evaluation of progress made since publication of Building the Right Support. The report is expected to be published in 2019. Latest figures from NHS Digital show around a 19% reduction in people with a learning disability, autism or both in an inpatient setting from March 2015.
Further improvement in outcomes, health and care for people with a learning disabilities and autism is a clinical priority as part of the long-term plan for the NHS, which will be published shortly.
Asked by: Luciana Berger (Liberal Democrat - Liverpool, Wavertree)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the October 2015 document Building the Right Support: A national implementation plan to develop community services and close inpatient facilities, how many hospital beds at the Calderstones site have been closed.
Answered by Caroline Dinenage
Building the Right Support, published in October 2015, set out the national plan to develop community services for people with learning disability and autism who are mental health inpatients, so they can leave hospital and receive more appropriate care and enjoy better outcomes in the community. This reduces the need for specialist inpatient beds.
140 beds (59% of the original total) at the Merseycare Whalley site, formerly known as Calderstones Hospital, have been closed by National Health Service commissioners over the last five years. The safety of patients remains the over-riding priority for the NHS, so appropriate support needs to be in place for everyone to ensure a smooth transition to any new care package or facility before beds are closed. Discussions about the timescales for formal closure of the site are ongoing.
The attached table shows the reductions in numbers of beds in each of the fast-track Transforming Care Partnerships referred to in the Building the Right Support publication.
During 2016/17, all Transforming Care Partnerships published local transformation plans.
NHS England has commissioned an evaluation of progress made since publication of Building the Right Support. The report is expected to be published in 2019. Latest figures from NHS Digital show around a 19% reduction in people with a learning disability, autism or both in an inpatient setting from March 2015.
Further improvement in outcomes, health and care for people with a learning disabilities and autism is a clinical priority as part of the long-term plan for the NHS, which will be published shortly.
Asked by: Jonathan Ashworth (Labour (Co-op) - Leicester South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many specialist mental health beds are available to patients in England at (a) March 2018 and (b) October 2018.
Answered by Jackie Doyle-Price
The following table shows the number of specialist Mother and Baby Units (MBUs) and consultant led mental health beds in April and October 2018.
| April 2018 | October 2018 |
Mother and Baby Units (MBU) | 15 | 311 |
Consultant led mental health beds2 | 18,082 | 18,394 |
Notes:
1. This number includes the MBU at Chorley which is due to open at the end of October 2018.
2. Figures for consultant led mental health beds are from Q4 2017/18 and Q2 2018/19 from NHS Digital KH03 collection.
Asked by: Luciana Berger (Liberal Democrat - Liverpool, Wavertree)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent estimate he has made of the number of mental health beds per 100,000 people in England; and what information his Department holds on the number of mental health beds per 100,000 people in each country in the EU.
Answered by Jackie Doyle-Price
The NHS England collection KH03 collects the number of available and occupied beds open overnight that are under the care of consultants. In Q1 2018-19, there was an average of 18,394 consultant-led mental health beds available in England. This represents 33.3 of this specific type of bed per 100,000 people in England.
Source: Quarterly KH03 beds return, NHS England https://www.england.nhs.uk/statistics/statistical-work-areas/bed-availability-and-occupancy/bed-data-overnight/
People with mental health conditions are increasingly being cared for by a wider range of health professionals, in multi-disciplinary teams, in different settings. We are investing in new models of care focusing on early intervention and prevention which will ultimately reduce the need for inpatient beds and ensure that people receive treatment in the most appropriate place. There is no data available for the total number of acute mental health beds in the National Health Service in England.
Figures for other European Union countries are not available.