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 admissions | First admissions | Readmissions | |
1980 | 8,197 | 466 | 7,731 |
1981 | 9,090 | 523 | 8,567 |
1982 | 10,254 | 569 | 9,685 |
1983 | 12,080 | 659 | 11,421 |
1984 | 12,483 | 574 | 11,909 |
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 Authority | Hospital |
Northern Regional Health Authority | |
North Tees | North Tees |
Aysgarth | |
Fairbrook | |
West Cumbria | Dovenby Hall |
Darlington | Aycliffe |
Durham | Earl's House |
Northumberland | Northgate |
Prudhoe | |
South Tyneside | Monkton Hall |
Yorkshire Regional Health Authority | |
Hull | Cherry Burton Hostel |
Tilworth Grange | |
Scunthorpe | Rawcliffe Hall |
York | Claypenny |
Harrogate | Whixley |
Bradford | Westwood |
Airedale | Castleberg |
Calderdale | Stansfield View |
Huddersfield | Storthes Hall |
The Mansion, Huddersfield | |
Leeds Eastern | Meanwood Park |
District Health Authority | Hospital |
Wakefield | Fieldhead |
Trent Regional Health Authority | |
North Derbyshire | Ridgeway |
Whittington Hall | |
Dronfield | |
Amberley House | |
Southern Derbyshire | Bingham House Hostel |
Aston Hall | |
Leicestershire | The Glenfrith Group |
North Lincolnshire | Harmston Hall |
Caistor | |
South Lincolnshire | Norton Lea |
Fleet | |
Bassetlaw | Bassetlaw District General |
Central Nottinghamshire | |
Nottingham City (Sandfield Children's Unit Highbury | |
Doncaster | St. Catherine's, Doncster |
Rotherham | Rotherham District General |
Sheffield | Greenacres Hostel |
Ryegate Centre | |
St. Josephs | |
Hilltop Hostel | |
Mill Brook Hostel | |
Lightwood House | |
Arbourthorne Hostel | |
Rivermead MH Unit | |
East Anglian Regional Health Authority | |
Cambridge | Ida Darwin |
Peterborough | Gloucester Centre |
West Suffolk | Risbridge |
East Suffolk | St. Clements, Ipswich |
Jane Walker | |
Norwich | Little Plumstead |
Great Yarmouth | Lothingland |
West Norfolk & Wisbech | Windsor Unit (West Norfolk and Wisbech) |
North West Thames Regional Health Authority | |
North Bedfordshire | Bromham |
North West Hertfordshire | Cell Barnes |
Harperbury | |
South West Hertfordshire | Leavesden |
Barnet | Winifred House |
Brent | Kingsbury |
Paddington | MH Unit, 291 Harrow Road |
North East Thames Regional Health Authority | |
Basildon & Thurrock | South Ockendon |
Mid Essex | Bridge |
North East Essex | The Royal Eastern Counties Group |
Barking, Havering and Brent | High Wood |
wood | |
Little Warley Lodge | |
City and Hackney | St. Leonard's (Penrose House) |
Tower Hamlets | Mildmay Mission |
Enfield | Enfield (Chase Farm) |
Waltham Forest | Leytonstone House |
South East Thames Regional Health Authority | |
Brighton | Foredown |
Pouchlands | |
Hastings | Hill House |
Mount Pleasant | |
South East Kent | Eversley House |
Canterbury and Thanet | Lanthorne |
Highland Court | |
Eastry | |
Dartford & Gravesham | Darenth Park |
Maidstone | Lenham |
Tunbridge Wells | Leybourne Grange |
Greenwich | Goldie Leigh |
Bromley | Cheyne |
District Health Authority | Hospital |
Lewisham & North | Grove Park |
Southwark | |
South West Thames Regional Health Authority | |
North West Surrey | Botleys Park |
Brook House | |
West Surrey & North East | Northfield |
Hants | |
South West Surrey | King George V |
Royal Hostel Elstead | |
Mid Surrey | The Manor, Epsom |
East Surrey | Royal Earlswood |
Mid Downs | Forest |
Goddards Green | |
Worthing | Southlands |
Croydon | St. Lawrence's Caterham |
Richmond, Twickenahm & Roehampton | Queen Mary's Roehampton |
Normansfield | |
Wandsworth | Gardiner Hill Unit |
Merton and Sutton | Ellen Terry Home |
Osborne house | |
Queen Mary's Hospital for Children | |
St. Ebba's | |
Southside Home | |
The Turret | |
Daffodil House | |
Wessex Regional Health Authority | |
East Dorset | The Oakes, Bournemouth |
Castle Hill House | |
West Dorset | Coldharbour |
Henchard House | |
Portsmouth | Coldeast |
Bursledon | Tatchbury Mount |
Winchester | Bereweeke House Hostel |
Bishopstoke House | |
The Old Rectory | |
Basingstoke | Darlington House |
Erdersley House | |
Salisbury | Hillcote Hostel |
Swindon | The Lanterns |
Burderop | |
Pewsey | |
Bath | Amberley Unit |
Beaumonds | |
Winsley Centre | |
Isle of Wight | St. Mary's |
Castle View | |
Oxford Regional Health Authority | |
East Berkshire | Church Hill House |
Clarefield Court | |
West Berkshire | Wayland House |
Borocourt | |
Aylsbury | Manor House |
Kettering | Rushden |
Northampton | Princess Marina |
Oxfordshire | Bradwell Grove |
Hernes House | |
Holy rood House | |
South Western Regional Health Authority | |
Bristol and Weston | Farleigh |
Yatton Hall | |
Frenchay | Stoke Park |
Southmead | Hortham |
Brentry | |
Cornwall | Budock |
Loreto House | |
The Retreat | |
St. Blazey for Children | |
West Heath House | |
Carn Brea House | |
Exeter | Royal Western Counties, Starcross |
Langdon |
District Health Authority | Hospital |
North Devon | Kingsley |
Plymouth | Tamar House |
Torbay | Steepway Hostel |
Rosehill Childrens | |
Cheltenham | Windrush |
Gloucester | Cransmoor |
Selsley Vicarage | |
Thirlstaine Court | |
West Lodge Drive | |
Holly Brooke House | |
Standish | |
Twyver Unit | |
Somerset | Sandhill Park |
Norah Fry House | |
Selwood House | |
West Midlands Regional Health Authority | |
Hereford | Dean Hill |
1 Ledbury Rd, Hereford | |
Kidderminster | Lea |
Lea Castle | |
Salop | Beeches, Telford |
Mid-Staffordshire | White Lodge |
North Staffordshire | Stallington |
North Warwickshire | Chelmsley |
Coleshall Hall | |
South Warwickshire | Weston |
Abbeyfields | |
South Birmingham | Monyhull |
Coventry | The Birches |
Dudley | Ridge Hill |
Solihull | Middlefield |
Walsall | St. Margaret's, Birmingham |
Coventry | M 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 authority | 1980 | 1981 | 1982 | 1983 | 1984 Small NHS units in the community* | Other NHS MH hospitals and units |
Northern | 180 | 153 | 118 | 90 | 10 | 70 |
Yorkshire | 181 | 150 | 133 | 98 | 5 | 63 |
Trent | 243 | 198 | 162 | 123 | 14 | 86 |
East Anglian | 91 | 85 | 68 | 56 | — | 32 |
North-West Thames | 137 | 115 | 85 | 61 | — | 52 |
North-East Thames | 132 | 114 | 90 | 61 | 12 | 57 |
South-East Thames | 180 | 153 | 125 | 108 | 27 | 88 |
South-West Thames | 228 | 190 | 145 | 80 | 2 | 66 |
Wessex | 236 | 209 | 190 | 180 | 124 | 29 |
Oxford | 164 | 122 | 112 | 92 | 7 | 66 |
South Western | 188 | 155 | 132 | 116 | 73 | 33 |
West Midlands | 213 | 156 | 139 | 122 | 24 | 59 |
Mersey | 124 | 104 | 59 | 36 | — | 28 |
North Western | 124 | 90 | 71 | 51 | 35 | 12 |
Total—England | 2,421 | 1,994 | 1,629 | 1,274 | 333 | 741 |
* 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
| |
Crewe | Barony |
Cranage Hall | |
Halton | Crow Wood |
Macclesfield | Mary Dendy |
Warrington | Newchurch |
Liverpool | Rathbone |
Olive Mount Children's | |
Southport & Formby | Greaves Hall |
Wirral | Ashton House |
North Western Regional Health Authority
| |
Lancaster | Royal Albert |
Blackburn, Hyndburn & | Brockhall |
Ribble Valley | Eshton Terrace |
Burnley Pendle & | Calderstones |
Rossendale | |
West Lancashire | Ormskirk Children's |
Bolton | Childrens MH Unit. Bolton |
Rochdale | Scott House |
Salford | Swinton |
Stockport | Cherry Tree |
Offerton House | |
Tameside & Glossop | The 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 units | Total | |
1980 | † | † | 2,421 |
1981 | † | † | 1,994 |
1982 | † | † | 1,629 |
1983 | † | † | 1,274 |
1984‡ | 333 | 741 | 1,074 |
* 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 Authority | District Health Authority | Hospitals & Hospital units with 25 or more beds | Number of resident children under 16 years of age |
Northern | North Tees | Aysgarth inc Fairbrook | 11 |
West Cumbria | Dovenby Hall | 8 | |
Darlington | Aycliffe | 8 | |
Durham | Earl's House | 26 | |
Northumberland | Prudhoe | 13 | |
Northgate and District | 4 | ||
Yorkshire | Hull | Brandesburton | 10 |
Tilworth Grange | 6 | ||
Scunthorpe | Rawcliffe Hall | 4 | |
York | Claypenny | 11 | |
Bradford | Westwood | 6 | |
Airedale | Castleberg | 1 | |
Calderdale | Stansfield View | 4 | |
Leeds Eastern | Meanwood Park | 9 | |
Wakefield | Fieldhead | 12 | |
Trent | Leicestershire | Glenfrith | 14 |
Nth Lincolnshire | Harmston Hall | 10 | |
Caistor | 4 | ||
Sth Lincolnshire | St Peters | 1 | |
Norton Lea | 1 | ||
Central Notts. | Balderton | 7 | |
Nottingham | Nottingham City | 13 | |
Doncaster | St Catherines | 2 | |
Rotherham | Rotherham Dist. General | 9 | |
Sheffield | Rivermead Unit | 1 | |
East Anglian | Cambridge | Ida Darwin | 11 |
Peterborough | Gloucester Centre | 3 | |
East Suffolk | Banbury House | 8 | |
Norwich | Little Plumstead | 6 | |
Gt Yarmouth & Waveney | Lothingland | 4 | |
N W Thames | Nth Bedfordshire | Bromham | 5 |
N W Hertfordshire | Harperbury | 5 |
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 Barnes | 23 | ||
S W Hertfordshire | Leavesden | 5 | |
Barnet | Winifred House | 5 | |
N E Thames | Basildon & Thurrock | South Ockendon inc Duvals Hostel | 10 |
Mid Essex | Bridge | 7 | |
N E Essex | Royal Eastern Counties | 17 | |
Barking, Havering and Brentwood | Highwood | 9 | |
Enfield | Chase Farm | 11 | |
Waltham Forest | Leytonstone House | 3 | |
S E Thames | Brighton | Foredown | 5 |
Hastings | Mount Pleasant | 4 | |
South East Kent | Eversley House | 15 | |
Canterbury & Thanet | Lanthorne | 4 | |
Eastry | 1 | ||
Dartford & Gravesham | Darenth Park | 16 | |
Tunbridge Wells | Leybourne Grange | 5 | |
Greenwich | Goldie Leigh | 15 | |
Bromley | Cheyne | 23 | |
S W Thames | N W Surrey | Botleys Park | 2 |
Mid Surrey | The Manor, Epsom | 3 | |
E Surrey | Royal Earlswood and Earlswood Home | 10 | |
Mid Downs | Forest | 13 | |
Croydon | St Lawrences | 4 | |
Richmond | Queen Mary's | 18 | |
Twickenham & Roehampton | Normansfield | 1 | |
Wessex | Portsmouth | Cold East | 5 |
Sandy Point | 5 | ||
Southampton & S W Hampshire | Whitehouse | 1 | |
Oxford | East Berkshire | Church Hill House | 6 |
Clarefield Court | 5 | ||
West Berkshire | Borocourt | 15 | |
Wayland | 2 | ||
Aylesbury | Manor House | 7 | |
Northampton | Princess Marina | 24 | |
S Western | Bristol & Weston | Farleigh and Yatton | 8 |
Frenchay | Stoke Park | 15 | |
South Mead | Hortham | 2 | |
W Midlands | Kidderminster & District | Lea Castle | 13 |
Lea | 2 | ||
Nth Staffordshire | Stallington | 3 | |
Nth Warwickshire | Chelmsley | 2 | |
Sth Warwickshire | Weston | 9 | |
Dudley | Ridgehill | 8 | |
Walsall | St Margarets | 18 | |
Mersey | Crewe | Crange Hall | 6 |
Halton | Crow Wood | 4 | |
Warrington | Newchurch | 2 | |
Liverpool Eastern | Olive Mount Children's | 14 | |
Southport & Formby | Greaveshall | 2 | |
N Western | Lancaster | Royal Albert | 6 |
Ribble Valley | Blackburn, Hyndburn & Ribble Valley | Brochall | 1 |
Burnley, Pendle & Rossendale | Calderstones | 2 | |
Salford | Swinton | 3 |