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Child Care

Volume 84: debated on Wednesday 30 October 1985

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asked the Secretary of State for Social Services what discussions he has had with local authorities and voluntary organisations about joint funding for the care of children who have left mental hospitals.

[pursuant to his reply, 28 October 1985, c. 381]: Local authorities and voluntary bodies, as well as health authorities, are well aware of the importance we attach to appropriate placements and support for mentally handicapped children, and to the scope for both central funding and joint finance. The policy is regularly emphasised, and specific projects are discussed with voluntary bodies. It is for district health authorities, together with local authorities and voluntary bodies, to discuss local projects and joint finance in the light of local priorities. We emphasise close collaboration in regional reviews. All proposals to use joint finance money must be recommended by the relevant joint consultative committee on which the health and local authorities and voluntary organisations are represented.

asked the Secretary of State for Social Services in what percentage of cases children who are released from mental hospitals return to the parental or family home.

[pursuant to his reply, 28 October 1985, c. 381]: This information is not available centrally. It is impossible to generalise. Children who are released from mental hospitals either return to their parental or family home, or are placed in other domestic settings.

asked the Secretary of State for Social Services what steps he is taking to ensure that full and adequate community care is provided for children who are released from mental hospitals.

[pursuant to his reply, 28 October 1985, c. 381]: We have helped to finance the move to community care by making over £11 million available under our children's initiative to help both health authorities and voluntary organisations fund schemes for moving children out of hospital; by joint finance allocations to health authorities of over £100 million in 1985–86 about a third of which can be expected to be spent on mental handicap services; and by enabling health authorities to transfer funds from their ordinary budgets for as long as necessary to local authorities or voluntary organisations for patients, including children, transferred from long-stay hospitals to be cared for in the community. In addition, the national development team for mentally handicapped people and the Department's own social services inspectorate are available to advise authorities on the provision of services, and the annual ministerial reviews of regional health authorities provide an opportunity for us to look at how effectively health authorities, jointly with local authorities, are planning the shift to community care.

asked the Secretary of State for Social Services under which health authorities the children who leave mental hospitals are reviewed for their health, social service and educational needs.

[pursuant to his reply, 28 October 1985, c. 381]: It is for the health authority making the new arrangements, in co-operation with the relevant local authority, to satisfy itself that a child transferred from hospital is moved into an adequate and appropriate form of community care. All authorities are expected to undertake joint, multi-disciplinary assessments of the needs of mentally handicapped children moving into community care, the aim of which should be the formulation of a programme designed to meet the child's specific health, educational, social and other needs.

asked the Secretary of State for Social Services how many children have been admitted to mental hospitals in each of the last five years; and if he will name the hospitals and their locations.

[pursuant to his reply, 28 October 1985, c. 381]: The available information is given in the two tables. The figures in table 1 include repeated admissions for short-term care or assessment. Both tables include some admissions to small NHS units in the community.

Table 1
Admission of children under 16 years of age to NHS mental handicap hospitals and units in England, 1980–1984
All admissionsFirst admissionsReadmissions
19808,1974667,731
19819,0905238,567
198210,2545699,685
198312,08065911,421
198412,48357411,909
Table 2
NHS mental handicap hospitals and units in England which admitted children under 16 years of age during the years 1980–1984
District Health AuthorityHospital
Northern Regional Health Authority
North TeesNorth Tees
Aysgarth
Fairbrook
West CumbriaDovenby Hall
DarlingtonAycliffe
DurhamEarl's House
NorthumberlandNorthgate
Prudhoe
South TynesideMonkton Hall
Yorkshire Regional Health Authority
HullCherry Burton Hostel
Tilworth Grange
ScunthorpeRawcliffe Hall
YorkClaypenny
HarrogateWhixley
BradfordWestwood
AiredaleCastleberg
CalderdaleStansfield View
HuddersfieldStorthes Hall
The Mansion, Huddersfield
Leeds EasternMeanwood Park
District Health AuthorityHospital
WakefieldFieldhead
Trent Regional Health Authority
North DerbyshireRidgeway
Whittington Hall
Dronfield
Amberley House
Southern DerbyshireBingham House Hostel
Aston Hall
LeicestershireThe Glenfrith Group
North LincolnshireHarmston Hall
Caistor
South LincolnshireNorton Lea
Fleet
BassetlawBassetlaw District General
Central Nottinghamshire
Nottingham City (Sandfield Children's Unit Highbury
DoncasterSt. Catherine's, Doncster
RotherhamRotherham District General
SheffieldGreenacres Hostel
Ryegate Centre
St. Josephs
Hilltop Hostel
Mill Brook Hostel
Lightwood House
Arbourthorne Hostel
Rivermead MH Unit
East Anglian Regional Health Authority
CambridgeIda Darwin
PeterboroughGloucester Centre
West SuffolkRisbridge
East SuffolkSt. Clements, Ipswich
Jane Walker
NorwichLittle Plumstead
Great YarmouthLothingland
West Norfolk & WisbechWindsor Unit (West Norfolk and Wisbech)
North West Thames Regional Health Authority
North BedfordshireBromham
North West HertfordshireCell Barnes
Harperbury
South West HertfordshireLeavesden
BarnetWinifred House
BrentKingsbury
PaddingtonMH Unit, 291 Harrow Road
North East Thames Regional Health Authority
Basildon & ThurrockSouth Ockendon
Mid EssexBridge
North East EssexThe Royal Eastern Counties Group
Barking, Havering and BrentHigh Wood
wood
Little Warley Lodge
City and HackneySt. Leonard's (Penrose House)
Tower HamletsMildmay Mission
EnfieldEnfield (Chase Farm)
Waltham ForestLeytonstone House
South East Thames Regional Health Authority
BrightonForedown
Pouchlands
HastingsHill House
Mount Pleasant
South East KentEversley House
Canterbury and ThanetLanthorne
Highland Court
Eastry
Dartford & GraveshamDarenth Park
MaidstoneLenham
Tunbridge WellsLeybourne Grange
GreenwichGoldie Leigh
BromleyCheyne
District Health AuthorityHospital
Lewisham & NorthGrove Park
Southwark
South West Thames Regional Health Authority
North West SurreyBotleys Park
Brook House
West Surrey & North EastNorthfield
Hants
South West SurreyKing George V
Royal Hostel Elstead
Mid SurreyThe Manor, Epsom
East SurreyRoyal Earlswood
Mid DownsForest
Goddards Green
WorthingSouthlands
CroydonSt. Lawrence's Caterham
Richmond, Twickenahm & RoehamptonQueen Mary's Roehampton
Normansfield
WandsworthGardiner Hill Unit
Merton and SuttonEllen Terry Home
Osborne house
Queen Mary's Hospital for Children
St. Ebba's
Southside Home
The Turret
Daffodil House
Wessex Regional Health Authority
East DorsetThe Oakes, Bournemouth
Castle Hill House
West DorsetColdharbour
Henchard House
PortsmouthColdeast
BursledonTatchbury Mount
WinchesterBereweeke House Hostel
Bishopstoke House
The Old Rectory
BasingstokeDarlington House
Erdersley House
SalisburyHillcote Hostel
SwindonThe Lanterns
Burderop
Pewsey
BathAmberley Unit
Beaumonds
Winsley Centre
Isle of WightSt. Mary's
Castle View
Oxford Regional Health Authority
East BerkshireChurch Hill House
Clarefield Court
West BerkshireWayland House
Borocourt
AylsburyManor House
KetteringRushden
NorthamptonPrincess Marina
OxfordshireBradwell Grove
Hernes House
Holy rood House
South Western Regional Health Authority
Bristol and WestonFarleigh
Yatton Hall
FrenchayStoke Park
SouthmeadHortham
Brentry
CornwallBudock
Loreto House
The Retreat
St. Blazey for Children
West Heath House
Carn Brea House
ExeterRoyal Western Counties, Starcross
Langdon
District Health AuthorityHospital
North DevonKingsley
PlymouthTamar House
TorbaySteepway Hostel
Rosehill Childrens
CheltenhamWindrush
GloucesterCransmoor
Selsley Vicarage
Thirlstaine Court
West Lodge Drive
Holly Brooke House
Standish
Twyver Unit
SomersetSandhill Park
Norah Fry House
Selwood House
West Midlands Regional Health Authority
HerefordDean Hill
1 Ledbury Rd, Hereford
KidderminsterLea
Lea Castle
SalopBeeches, Telford
Mid-StaffordshireWhite Lodge
North StaffordshireStallington
North WarwickshireChelmsley
Coleshall Hall
South WarwickshireWeston
Abbeyfields
South BirminghamMonyhull
CoventryThe Birches
DudleyRidge Hill
SolihullMiddlefield
WalsallSt. Margaret's, Birmingham
CoventryM H Service, Princethorpe
Number of children under 16 years of age resident in mental handicap hospitals and units in England at 31 December
Regional health authority19801981198219831984 Small NHS units in the community*Other NHS MH hospitals and units
Northern180153118901070
Yorkshire18115013398563
Trent2431981621231486
East Anglian9185685632
North-West Thames137115856152
North-East Thames13211490611257
South-East Thames1801531251082788
South-West Thames22819014580266
Wessex23620919018012429
Oxford16412211292766
South Western1881551321167333
West Midlands2131561391222459
Mersey124104593628
North Western1249071513512
Total—England2,4211,9941,6291,274333741
* Separate figures for these units were collected for the first time in 1984. Most residents in these units will have been included in the totals in previous years.

asked the Secretary of State for Social Services what are the numbers of children in each of the last five years who have ceased to be included in statistics as children in mental hospitals because they reached the age of 16 years.

[pursuant to his reply, 28 October 1985, c. 381]: This information is not available centrally. Young

District Health Authority

Hospital

Mersey Regional Health Authority

CreweBarony
Cranage Hall
HaltonCrow Wood
MacclesfieldMary Dendy
WarringtonNewchurch
LiverpoolRathbone
Olive Mount Children's
Southport & FormbyGreaves Hall
WirralAshton House

North Western Regional Health Authority

LancasterRoyal Albert
Blackburn, Hyndburn &Brockhall
Ribble ValleyEshton Terrace
Burnley Pendle &Calderstones
Rossendale
West LancashireOrmskirk Children's
BoltonChildrens MH Unit. Bolton
RochdaleScott House
SalfordSwinton
StockportCherry Tree
Offerton House
Tameside & GlossopThe Willows, Droylesden

asked the Secretary of State for Social Services if he will list the record for each regional health authority, in each of the past five years, of releasing children from mental hospitals.

[pursuant to his reply, 28 October 1985, c. 381]: The table shows, for each region, the changes in the number of children resident in mental handicap hospitals and units at 31 December in the years 1980–1984. The figures include children admitted for short-term care or assessment.people aged 16 and over are also being moved out of hospital, either as part of the children's initiative or as part of the wider shift to community care.

asked the Secretary of State for Social Services what has been the change over the last five years in the number of children under the age of 16 years who are in mental hospitals.

[pursuant to his reply, 28 October 1985, c. 381]: The available informatio00000n for England is given in the table. The figures include children in hospital for short-term care or assessment.

Number of children under 16 years of age resident in NHS mental handicap hospitals and units in England at 31 December
Small NHS units providing community provision for mentally handicapped*Other NHS mental handicap hospitals and unitsTotal
19802,421
19811,994
19821,629
19831,274
19843337411,074
* Separate figures for these units were collected for the first time in 1984. Most residents in these units will have been included in the totals in previous years.
Not available.
Provisional figures.

asked the Secretary of State for Social Services on what date he estimates that all children will be removed from long-stay mental handicap hospitals.

[pursuant to his reply, 28 October 1985, c. 381]: It is not at this stage possible to make such an estimate. Health authorities are well aware of the need to

Children under 16 years of age resident in mental handicap hospitals and hospital units with 25 or more beds at 31 December 1984
Regional Health AuthorityDistrict Health AuthorityHospitals & Hospital units with 25 or more bedsNumber of resident children under 16 years of age
NorthernNorth TeesAysgarth inc Fairbrook11
West CumbriaDovenby Hall8
DarlingtonAycliffe8
DurhamEarl's House26
NorthumberlandPrudhoe13
Northgate and District4
YorkshireHullBrandesburton10
Tilworth Grange6
ScunthorpeRawcliffe Hall4
YorkClaypenny11
BradfordWestwood6
AiredaleCastleberg1
CalderdaleStansfield View4
Leeds EasternMeanwood Park9
WakefieldFieldhead12
TrentLeicestershireGlenfrith14
Nth LincolnshireHarmston Hall10
Caistor4
Sth LincolnshireSt Peters1
Norton Lea1
Central Notts.Balderton7
NottinghamNottingham City13
DoncasterSt Catherines2
RotherhamRotherham Dist. General9
SheffieldRivermead Unit1
East AnglianCambridgeIda Darwin11
PeterboroughGloucester Centre3
East SuffolkBanbury House8
NorwichLittle Plumstead6
Gt Yarmouth & WaveneyLothingland4
N W ThamesNth BedfordshireBromham5
N W HertfordshireHarperbury5

keep under review all the remaining long-stay mentally handicapped children in hospital wards and to make plans for their placement in small locally based units run by the health or local authority, or the voluntary sector, or in their own homes with appropriate support. It would not be helpful to set universally applicable dates for the closure of children's wards. It is important to get children out of long-stay hospital placements, but it is more important to ensure that they are going into more appropriate and better provision, and centrally imposed deadlines may well prove more hindrance than help in achieving this.

asked the Secretary of State for Social Services how many children under the age of 16 years are in mental hospitals with 25 or more beds; if he will name the hospitals and their locations; and if he will make a statement.

[pursuant to his reply, 28 October 1985, c. 381]: There were 656 children under 16 years of age resident in NHS mental handicap hospitals and hospital units in England with 25 or more available beds at 31 December 1984. The hospitals and hospital units are listed in the table. The figures include children in hospital for short-term care or assessment. It is encouraging to note the success of the Government's children's initiative in reducing the number of mentally handicapped children in hospital and we will continue to do all we can to ensure that progress continues.

Regional Health Authority

District Health Authority

Hospitals & Hospital units with 25 or more beds

Number of resident children under 16 years of age

Cell Barnes23
S W HertfordshireLeavesden5
BarnetWinifred House5
N E ThamesBasildon & ThurrockSouth Ockendon inc Duvals Hostel10
Mid EssexBridge7
N E EssexRoyal Eastern Counties17
Barking, Havering and BrentwoodHighwood9
EnfieldChase Farm11
Waltham ForestLeytonstone House3
S E ThamesBrightonForedown5
HastingsMount Pleasant4
South East KentEversley House15
Canterbury & ThanetLanthorne4
Eastry1
Dartford & GraveshamDarenth Park16
Tunbridge WellsLeybourne Grange5
GreenwichGoldie Leigh15
BromleyCheyne23
S W ThamesN W SurreyBotleys Park2
Mid SurreyThe Manor, Epsom3
E SurreyRoyal Earlswood and Earlswood Home10
Mid DownsForest13
CroydonSt Lawrences4
RichmondQueen Mary's18
Twickenham & RoehamptonNormansfield1
WessexPortsmouthCold East5
Sandy Point5
Southampton & S W HampshireWhitehouse1
OxfordEast BerkshireChurch Hill House6
Clarefield Court5
West BerkshireBorocourt15
Wayland2
AylesburyManor House7
NorthamptonPrincess Marina24
S WesternBristol & WestonFarleigh and Yatton8
FrenchayStoke Park15
South MeadHortham2
W MidlandsKidderminster & DistrictLea Castle13
Lea2
Nth StaffordshireStallington3
Nth WarwickshireChelmsley2
Sth WarwickshireWeston9
DudleyRidgehill8
WalsallSt Margarets18
MerseyCreweCrange Hall6
HaltonCrow Wood4
WarringtonNewchurch2
Liverpool EasternOlive Mount Children's14
Southport & FormbyGreaveshall2
N WesternLancasterRoyal Albert6
Ribble ValleyBlackburn, Hyndburn & Ribble ValleyBrochall1
Burnley, Pendle & RossendaleCalderstones2
SalfordSwinton3