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Mental Health Services

Volume 485: debated on Wednesday 17 December 2008

To ask the Secretary of State for Health how many (a) crisis resolution, (b) assertive outreach and (c) early intervention teams in the field of mental health there were at the end of March 2008. (240359)

At the end of March 2008, in England there were 344 crisis resolution, 249 assertive outreach and 150 early intervention teams.

To ask the Secretary of State for Health whether he plans to bring forward proposals to amend the Mental Health Act 2007 to include mental capacity as a condition of compulsory treatment in light of the NHS constitution. (240530)

The Government have no plans to amend the Mental Health Act 2007 (or the Mental Health Act 1983) to make compulsory treatment under that legislation conditional on a person either having, or lacking, capacity to consent.

To ask the Secretary of State for Health how many local psychological therapy services there are in England; and if he will make a statement. (240720)

This information is not held centrally. However, the Government are committed to delivering a significant expansion of appropriately trained and accredited psychological therapists to build on these existing services and provide access to people across the country who experience the debilitating conditions of depression and/or anxiety disorders.

Training this new work force will take time, so Improving Access to Psychological Therapies (IAPT) services will be implemented carefully over the next few years. This process started with the first 37 primary care trust areas implementing their new services in November this year and the Department expects that by 2011 half of England will have access to these services.

We are investing significantly in the IAPT programme, with annual funding rising to £173 million in the third year, to train 3,600 extra therapists and treat up to 900,000 more people in those three years.

To ask the Secretary of State for Health what recent progress has been made in training therapists under the Improving Access to Psychological Therapies programme; and if he will make a statement. (240721)

There are currently more than 800 trainees on courses against a target of 700 set out by my right hon. Friend the Secretary of State (Alan Johnson) last year.

This figure is likely to rise to 1,100 when the second cohort starts in the spring next year.

To ask the Secretary of State for Health what recent steps his Department has taken to improve progress towards standard 6 of the National Service Framework for Mental Health. (240722)

Our vision is that all carers will be respected as expert care partners and will have access to the integrated and personalised services they need to support them in their caring role.

The Carers' Strategy, ‘Carers at the Heart of 21st Century Families and Communities’, published in June 2008 (a copy of which has already been placed in the Library), makes it clear that carers of all ages should not have to ignore personal health concerns and needs because their caring role does not allow the time to address them. The services and support available to carers should be such to enable them to stay as mentally and physically well as possible throughout their caring role, from young carers through to older carers.

The strategy therefore makes the commitment to pilot annual health checks for carers in a number of primary care trust (PCT) areas. It was envisaged in the strategy that they will focus on carers in the highest intensity roles. Health checks should give both carers and health professionals an opportunity to detect and deal with, at an early stage, any problems the carer may have.

By December 2006 there were 796 mental health carer support workers in place to increase the breaks available for carers and to strengthen carer support networks.

To ask the Secretary of State for Health how many patients are being treated in medium secure mental health services. (243152)

The data collected record the numbers of mental health and learning disability secure unit beds in national health service units only, and the data include high, medium and some low secure units. These figures only show NHS beds and not those commissioned by the NHS and provided by independent sector providers.

The following table shows the average availability and daily occupancy of NHS secure unit beds, and learning disability secure unit beds in NHS units in England in 2007-08.

Average daily number of mental health and learning disability secure unit beds in NHS units—2007-08

Number

Available Mental Illness

3,159

Occupancy Mental Illness

2,885

Available Learning Disability

554

Occupancy Learning Disability

508

Note:

The definitions of Mental Health and Learning Disability Secure Unit Beds, for the purposes of the KH03 annual beds collection, are:

Mental Illness—Other ages, Secure unit an AGE GROUP INTENDED of National Code 8 ‘Any age’, a BROAD PATIENT GROUP CODE of National Code 5 ‘Patients with mental illness’ and a CLINICAL CARE INTENSITY of National Code 51 ‘for intensive care: specially designated ward for patients needing containment and more intensive management’. This is not to be confused with intensive nursing where a patient may require one to one nursing while on a standard ward.

Learning disabilities—Other ages, Secure unit an AGE GROUP INTENDED of National Code 8 ‘Any age’, a BROAD PATIENT GROUP CODE of National Code 6 ‘Patients with learning difficulties’ and a CLINICAL CARE INTENSITY of National Code 61 ‘designated or interim secure unit’.

Source:

Department of Health Dataset KH03