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Mentally Ill: Community Care

Volume 507: debated on Thursday 11 March 2010

To ask the Secretary of State for Health what proportion of patients subject to community treatment orders were referred to a doctor for a second opinion within 28 days of being released from hospital in each quarter since November 2008; how many doctors were available to provide second opinions for community treatment orders; and if he will make a statement. (321343)

The following information has been provided by the Care Quality Commission (CQC), which is responsible for the appointment of second opinion appointed doctors (SOADs) in accordance with the Mental Health Act 1983.

The first table shows, by quarter, the number of requests received by CQC for SOAD opinions in respect of patients on community treatment orders (CTOs) between 3 November 2008 and 8 March 2010 and the proportion of such requests which were received within 28 days of start of the CTO. The table shows that, overall, 60 per cent. of requests were received within the 28 day period. To improve this position and to help ensure that all requests are received and allocated within the first 28 days, CQC has written to mental health providers to ask that requests be submitted within 48 hours of the start of a CTO.

The second table gives information on the number of doctors on CQC's panel of doctors who are available to be appointed to give SOAD opinions in individual cases (the SOADs panel).

Table: Requests for SOAD opinions for CTO patients by quarter, showing number and proportion received within first 28 days of the CTO

Quarter

Total requests received

Number of requests received with first 28 days

Proportion of total)(%)

Q3 2008-20091(3 November 2008 to 31 December 08)

419

313

75

Q4 2008-09 (1 January 2009 to 31 March 2009)

1,234

744

60

Q1 2009-10 (1 April 2009 to 30 June 2009)

1,199

694

58

Q2 2009-10 (1 July 2009 to 30 September 2009)

1,048

589

56

Q3 2009-10 (1 October 2009 to 31 December 2009)

1,049

642

61

Q4 2009-102 (1 January 2010 to 8 March 2010)

793

441

56

Total

5,742

3,423

60

1 Information for the third quarter of 2008-2009 covers only the period from 3 November, when CTOs were first introduced, to 31 December.

2 Information for the current quarter is complete to 8 March 2010.

Source:

Care Quality Commission.

Table: Number of doctors on CQC SOADs panel, by date.

Number of SOADs

1 November 2008

101

1 January 2009

110

1 April 2009

98

1 July 2009

97

1 October 2009

107

1 January 2010

111

8 March 2010

115

Note:

Doctors on the panel may not have been available to give SOAD opinions at all times during each period.

Source:

Care Quality Commission.