To ask the Secretary of State for Health what the average weekly cost is of commissioning treatment for an individual through (a) Tier 5 NHS medium secure services, (b) community forensic services and (c) Tier 4 NHS mental health services; and how many people received treatment in each category in each of the last five years. (223862)

From the 2006-07 reference costs the national average cost, per bed day, for medium secure mental health units is £453. This is for national health service trusts and primary care trusts combined and is sourced from Schedule 4 of the 2006-07 reference costs.

For the number of people who received treatment in Tier 5 NHS medium secure services, I refer the hon. Member to the written answer I gave the hon. Member for Somerton and Frome (Mr. Heath) on 20 March 2008, Official Report, 1315-16w.

The information requested on community forensic services is not available centrally.

Tier 4 services are mainly specialist in-patient services for those people with severe and complex personality disorder but who do not present a risk to other people and who are not detained. For the year 2005-6 these services were treating approximately 100 to 120 people per year on an in-patient basis; and 70 patients per year on a day basis. The cost is approximately £1,500 to £2,000 per week for in-patient services.