Adult General Psychiatry Inpatient Bed Provisionpolitics.leics.gov.uk/documents/s19233/Herrick...

1

Adult General Psychiatry Inpatient Bed Provision

Consultation Document

2

Contents

page

1. Introduction 3

2. What are adult general psychiatry inpatient services? 4

3. The proposal in more detail 5

4. The reasons for the proposed reduction in adult general psychiatry inpatient beds 4.1 Investment in community mental health services 4.2 Reduction in demand for inpatient care 4.3 Comparison with national recommendations 4.4 Financial impact

5 5 7 8 8

5. How this proposal might affect a) service users, their families and carers b) other LPT services and partner organisations c) LPT staff

9

6. The expansion of Eating Disorder Services 17

7. Conclusions 18

8. The consultation process 8.1 What has happened so far 8.2 How you can provide your views 8.3 What will happen when the consultation period ends 8.4 How LPT will provide feedback 8.5 Do you need this information in a different format?

19 19 19 20 20 21

Appendix 1: Comparison of LPT’s adult general psychiatry inpatient bed provision with the Royal College of Psychiatrists (RCP) recommended requirements

22

Appendix 2: Explanation of terms used 24

Feedback form 26

3

1. Introduction The purpose of this consultation is to seek your views on the proposal to

permanently reduce the number of adult general psychiatry inpatient beds provided

by Leicestershire Partnership NHS Trust, in response to additional investment in

the provision of community services and a reducing demand for inpatient

admissions. The proposal is to reduce the total number of adult general psychiatry

inpatient beds from 202 to 156, a reduction of 46 beds. In addition, this proposal

would make ward facilities available for an agreed expansion of eating disorder

beds.

A 14 week period of consultation on this proposal begins on 4 December 2006 and

ends on 9 March 2007. No decision will be made about the proposal until the end

of the consultation period, when everyone will have had an opportunity to

comment.

This consultation document has been widely circulated to service users, their

families and carers, staff working within LPT, voluntary sector organisations, local

authorities, Primary Care Trusts (PCTs) and other members of the health and

social care community.

The document explains the reasons for the proposed permanent reduction in adult

general psychiatry inpatient beds, how service users will be cared for with a

reduced number of beds and the potential impact of the proposal on people who

use inpatient services and our partner organisations.

You can provide your views on the proposal in a variety of ways (see section 8.2

for details). A feedback form is included which you may find helpful to record and

submit your comments about the proposal.

This document is available on the internet (www.leicspt.nhs.uk) and in paper copy.

It is also available in other formats on request (see section 8.5 for details).

There will be a number of public events held across Leicester, Leicestershire and

Rutland where you can find out more about this proposal and provide us with your

views. For further information about these events see section 8.2.

Leicestershire Partnership NHS Trust (LPT) is the provider of mental health and

learning disability services for people living in Leicester, Leicestershire and

Rutland. LPT is managing this public consultation. Once the period of consultation

has ended, the LPT Trust Board will receive reports that set out the views and

4

comments obtained during the consultation process. The Trust Board will then

make a decision as to the way forward, having considered all of the views,

comments and feedback obtained.

There is an explanation of terms used in this document in Appendix 2.

2. What are adult general psychiatry inpatient services?

Adult general psychiatry inpatient services provide hospital care for people aged 16

to 65 years who require treatment for acute and very severe mental ill health.

Approximately half of these service users are detained in hospital under the Mental

Health Act 1983. People receiving treatment in one of LPT’s adult general

psychiatry inpatient units may be in hospital for periods of time that range from just

a few days to several months.

LPT’s adult general psychiatry inpatient services are provided at the Brandon Unit

(on the Leicester General Hospital site) and at the Bradgate Unit (on the Glenfield

Hospital site). The proposed reduction in inpatient beds would be at the Brandon

Unit.

Specialist inpatient provision for service users with an eating disorder would benefit

from this proposal.

However, this proposal would not affect the provision of other specialist inpatient

services for:

• liaison psychiatry

• forensic services

• perinatal services

• drug and alcohol services

• assertive outreach services

5

3. The proposal in more detail There are two parts to the proposal, which together would lead to a permanent

reduction in adult general psychiatry inpatient beds from 202 to 156.

a. The permanent closure of Herrick Ward at the Brandon Unit. This ward has been closed on a temporary basis since December 2005, but it previously provided 30 beds.

b. The change in use of Stanford Ward at the Brandon Unit, with the loss of 16 adult general psychiatry inpatient beds, on an incremental basis.

Stanford Ward would instead provide an extra 8 inpatient beds for patients with an

eating disorder, making a total of 14 beds for this service. The number of beds for

the eating disorder service has currently been increased to 10 on a temporary

basis; this has reduced the number of adult general psychiatry beds by 9, leaving a

total of 15 such beds on Stanford Ward. (See section 6 for further details on the

expansion of eating disorder services.)

If the proposal is approved, it would be fully implemented as soon as possible after

1 April 2007.

4. The reasons for the proposed reduction in adult general psychiatry inpatient beds

4.1 Investment in community mental health services

In recent years there has been a national and local emphasis on providing more

community-based mental health services because research shows that people

prefer to be treated in the community rather than having to be admitted to hospital.

Within Leicester, Leicestershire and Rutland there has been additional investment

in developing new community mental health services such as Crisis Resolution

Teams, Assertive Outreach Teams, Early Intervention Teams and the Common

Mental Health Problems Service. There are now teams serving both Leicester City

and the Counties areas and the Common Mental Health Problems Service has

expanded so that it is now available from all General Practitioner surgeries.

This additional investment allows more patients to be seen and supported in a

community setting and the consequence has been a reduced demand for inpatient

care.

6

Table 1 shows the extra money that has gone into the development and expansion

of community mental health services since 2004. This has been through additional

investment by Primary Care Trusts and investment by LPT through the redesign of

services, so that services continue to meet the changing needs and preferences of

service users. The requirement for enhanced provision of community services is

set out in the National Service Framework for Mental Health (Department of

Health, 1999) and in the White Paper ‘Our Health, Our Care, Our Say’ (Department

of Health, 2006).

Table 1: Funding for community mental health service developments 2003-04 to 2006-07

Service Funding Source*

2004-05 2005-06 2006-07

£000 £000 £000

PCT 1866 2898 3408 Crisis Resolution

LPT - 398 109

Total investment in Crisis Resolution Services

1866 3296 3517

PCT 562 1071 1071 Assertive Outreach

LPT 565 747 1041

Total investment in Assertive Outreach Services

1127 1818 2112

PCT 410 688 688 Psychosis Intervention & Early Recovery (PIER)

LPT - - 92

Total investment in PIER Services

410 688 780

PCT 710 957 957 Common Mental Health Problems Service (CMHPS)

LPT 705 566 759

Total investment in CMHPS 1415 1523 1716

* Primary Care Trust (PCT) funding provided through additional investment; LPT contribution

provided through funding released through service redesign.

7

4.2 Reduction in demand for inpatient care

As more people are treated by these new community services, the demand for

inpatient admissions has reduced by approximately 34% since 2003. By

December 2005, when Herrick Ward closed on a temporary basis, the level of bed

occupancy on general psychiatry wards had fallen to 79% (excluding leave), which

is well within the maximum occupancy level of 95% recommended in the National

Service Framework for Mental Health. During the time that Herrick Ward has been

closed temporarily, the level of bed occupancy has been between 83-90%. The

effect of a further reduction in adult general psychiatry beds following the proposed

reconfiguration of Stanford Ward could potentially increase bed occupancy,

although the number of beds available would still be within the Royal College of

Psychiatrists recommendations (see section 4.3). Table 2 and Figure 1 show the

impact of these changes on LPT’s services.

Table 2: Number of inpatient admissions during period 2003-2006

2003-04 2004-05 2005-06

Total inpatient admissions 2298 2009 1516

% reduction in admissions between 2003-2006

34%

Figure 1: Adult inpatient bed occupancy rates

Note: Figures include general psychiatry and assertive outreach beds.

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

94% 89% 80% 78% 78% 85% 84% 83% 84% 80% 80% 80% 80% 82% 79% 90% 86% 90% 89% 85% 83% 88% 83% 90%

Oct-

04

Nov-

04

Dec-

04

Jan-

05

Feb-

05

Mar-

05

Apr-

05

May-

05

Jun-

05

Jly

05

Aug-

05

Sep-

05

Oct-

05

Nov-

05

Dec-

05

Jan-

06

Feb-

06

Mar-

06

Apr-

06

May-

06

Jun-

06

Jly

06

Aug-

06

Sep-

06

8

4.3 Comparison with national recommendations

LPT has compared the number of adult general psychiatry inpatient beds that it

provides with the recommended requirements set down by the Royal College of

Psychiatrists (RCP). This comparison is done on the basis of the number of

inpatient beds needed per 100,000 population. The population is ‘weighted’, or

adjusted, to reflect the particular level of need for mental health services within the

population of Leicester, Leicestershire and Rutland. ‘Weighting’ also allows for a

reliable comparison to be made with the RCP data.

The loss of 46 beds through the permanent closure of Herrick Ward and the

reconfiguration of Stanford Ward would mean that the number of beds provided by

LPT would be 29.6 per 100,000 population. This is at the middle of the RCP

recommended range of 25-33 beds per 100,000 population and would reflect the

efficient use of LPT’s resources.

Appendix 1 provides more detailed information on this comparison of Trust

inpatient provision

4.4 Financial impact

LPT, like all other NHS Trusts, is required to manage and operate its services as

efficiently as possible. Each year it is expected to achieve up to 2.5% efficiency

savings (equivalent to about £2.5 million) on a recurrent basis and to ‘break even’

at the end of the financial year. In recent years, although efficiency savings have

been achieved within each year they have not all been achieved recurrently. This

has resulted in LPT accumulating a funding gap of £7.3 million in 2006-07 that has

to be met through recurrent cost efficiency savings.

In this financial climate, LPT cannot afford to continue staffing and running

inpatient beds that are no longer required to meet the needs of the local

population. The proposed permanent closure of Herrick Ward and the

reconfiguration of Stanford Ward are put forward as the most appropriate way of

meeting LPT’s financial pressures whilst also addressing changes in demands for

services.

In a full year the savings from the permanent closure of Herrick Ward and the

reconfiguration of Stanford Ward would be around £1.2 million. If these savings

are not achieved through the proposal put forward in this consultation document, it

would be necessary to achieve equivalent savings through changes in some other

part of the Trust’s services.

9

5. How this proposal might affect a) service users, their families and carers b) other LPT services and partner organisations c) LPT staff

Herrick Ward was closed on a temporary basis in mid December 2005 and has

remained closed since that time. In May 2005 the findings of a formal review of the

impact of this change were presented to the Trust Board and since that time LPT

has continued to monitor the situation and keep it under close review. LPT

therefore has detailed knowledge of the impact of the closure of Herrick Ward and

is in a good position to assess what further impact the reconfiguration of Stanford

Ward might have on adult general psychiatry inpatient services. The criteria used

to review the impact of the temporary closure of Herrick Ward were agreed by LPT

clinicians and Local Authority representatives. These same criteria are used for

the assessments in Tables 3 to 5.

Tables 3 to 5 set out an assessment of the potential effects of the proposals, what

the Trust has experienced in practice since Herrick Ward was temporarily closed,

and the measures that LPT has in place to reduce any potential negative

consequences or risks that could result from the proposal.

10

Table 3: How this proposal might affect service users, their families and carers

Potential effect What we are experiencing in

practice

LPT actions to reduce any potential

negative consequences or risks

1. A reduction in the number of adult

general psychiatry inpatient beds as

a result of the permanent closure of

Herrick Ward and the

reconfiguration of Stanford Ward

could increase the occupancy

levels on the remaining 7 wards

providing this type of inpatient care.

During January – September 2006

when Herrick Ward has been closed

temporarily, the bed occupancy levels

across all adult inpatient services have

been between 83-90%, which is within

the maximum occupancy level of 95%

recommended in the National Service

Framework for Mental Health.

The LPT ‘Use of Bed Policy’ has been

reviewed and changes made to clarify

roles and responsibilities for bed

management.

A Bed Management Group meets

weekly to monitor and review

arrangements in relation to clinical,

social and financial impact.

There is a weekly review of available

beds by the Modern Matron.

2. A potential increase in the number

of serious adverse events due to a

higher concentration of severely ill

people on hospital wards and

people with higher risks being

treated in the community rather

than in hospital.

There has been no increase in the

number of serious adverse events.





11


practice



3. A potential increase in the number

of incidents requiring the

Emergency Response Team to

intervene.

There is no evidence of an increase in

demand for the Emergency Response

Team.





4. The likelihood of service users

being transferred from one ward or

unit to another could increase and

affect their continuity of care.

In the first 3 months following the

temporary closure of Herrick Ward

there was an increase in the number of

transfers between units and wards.

This has now reduced between units

but remains higher than previously

between wards in individual units.

Some service users may be concerned

about leave arrangements because of

the periodic pressure on beds.




management; this includes LPT’s

transfer of patients policy.





The locality focus of each ward within

the Brandon Unit would be realigned to

minimise the transfer of service users

between wards and to ensure equity of

service for each locality served.

12


practice



5. The disruption to services and staff

could potentially affect the

continuity of care and rate of

recovery of service users.

Initial levels of disruption have reduced,

but not gone away entirely.

The length of stay for service users has

remained the same following the

temporary closure of Herrick Ward.







6. A reduced number of adult general

psychiatry inpatient beds could

potentially mean that if no bed were

available a service user might need

to be treated out of area.

This situation has not occurred since

Herrick Ward closed temporarily in

December 2005.




management; this policy includes

LPT’s procedure for out of area

transfers.







13

Table 4: How this proposal might affect other LPT services and partner organisations


practice



1. Increased pressure on community

services as fewer people would be

treated in hospital, with the potential

for deterioration in a service user’s

mental health due to reduced

contact and monitoring

There is no evidence of any negative

impact on service user’s mental health

as a result of being treated in the

community.

The Crisis Resolution Teams have

been a major factor in achieving good

treatment outcomes for community

service users.

The caseloads for community mental

health team staff are monitored

regularly.

2. Crisis Resolution Team Services

may not be able to maintain or

improve the reduction in demand

for inpatient admission and

continued provision of home

treatment.

There is no evidence to suggest that

Crisis Resolution Teams are struggling.

In fact, they have been a major factor

in achieving good treatment outcomes

for community service users.

Work has taken place with the Crisis

Resolution Teams to increase their

focus on supporting early discharge

from hospital and further developing

their gate-keeping role for admissions,

which includes home treatment

interventions. This reflects the recent

Department of Health guidance on

Crisis Resolution Team roles in gate-

keeping and early discharge (October

2006).

14


practice



3. Increased pressure on LPT day

services could affect the ability of

day service staff to provide service

users with appropriate

interventions.

There is no evidence that this has

happened since Herrick Ward was

temporarily closed.

4. Tighter management of referrals for

inpatient care could potentially

adversely affect working

relationships between secondary

and primary care.

No concerns have been raised by

primary care colleagues following the

temporary closure of Herrick Ward.





5. Increased pressure on Care Co-

ordinators and Social Workers to

arrange domiciliary packages of

care for service users being

discharged from hospital.

There is no evidence that this has been

experienced since Herrick Ward was

temporarily closed.

Consultants carry out regular reviews

of service users who might be ready to

go on leave or be discharged from

hospital.

6. Increased pressure on social care

staff to identify accommodation or

residential care placements and the

associated funding for service users

being discharged from hospital.

There is no evidence that this has been

experienced since Herrick Ward was

temporarily closed.




hospital.

15

Table 5: How this proposal might affect LPT staff


practice



1. An increase in the levels of stress

experienced by health and social

care staff on wards and in the

community due to a change in

working practices, which could

result in increased levels of staff

sickness and absence from work.

There is no evidence of any significant

increase in levels of staff sickness and

absence. Staff are reporting increased

levels of work-related stress, which

may, or may not, be related to this

proposal.

The temporary redeployment of

Herrick Ward staff was carried out in a

way that prioritised keeping distress to

the staff at an absolute minimum.

The caseloads for community mental

health team staff are monitored

regularly.

2. The reduced number of staff

working in the Brandon Unit could

mean that fewer trained staff are

available to be part of the

Emergency Response Team.

There are fewer trained staff available

to support the Emergency Response

Team, but this has not resulted in an

increase in serious adverse events.





16


practice



3. Staff may need to spend more time

on bed management that could be

spent on direct patient care.

Evidence does show that staff are

having to spend an increased amount

of time on bed management.




management.










hospital.

4. Staff could be made redundant as a

result of the proposed changes.

Following the temporary closure of

Herrick Ward all staff were redeployed

to work in other LPT services.

LPT does not anticipate any staff

redundancies as a result of the

proposed permanent closure of Herrick

Ward or the reconfiguration of Stanford

Ward.

17

6. The expansion of Eating Disorder Services

The clinical eating disorders (anorexia nervosa, bulimia nervosa, binge eating

disorder, atypical eating disorders and other related syndromes) are an important

public health problem especially in younger women. Eating disorders are often

chronic and are associated with substantial morbidity and one of the highest

mortality rates amongst the psychiatric disorders.

LPT’s eating disorders service is a nationally recognised specialist service that

offers assessment and treatment for people over 16 years. It provides a range of

psychotherapeutic treatments through outpatient, day and inpatient services.

The service is currently available to people living in Leicester, Leicestershire and

Rutland, but also takes referrals from neighbouring counties and occasionally from

elsewhere in the country. The expansion in the total number of Eating Disorder

Services beds from 6 to 14 beds would enable LPT to make this specialist

expertise available to patients from a wider geographic area and particularly from

the East Midlands region (Derbyshire, Nottinghamshire, Lincolnshire and

Northamptonshire).

Four of the 14 eating disorder beds would continue to be designated for use by

patients from Leicester, Leicestershire and Rutland.

Proposals for the development of a regional eating disorders service have been the

subject of a separate consultation involving other mental health Trusts and

commissioners in the NHS East Midlands Strategic Health Authority area and the

Eating Disorders Association. As a result, Leicester was jointly identified as the

preferred location for the development of a regional service.

18

7. Conclusions

Leicestershire Partnership NHS Trust is proposing to permanently reduce the

number of adult general psychiatry inpatient beds it provides, in response to

additional investment in the provision of community services and a reducing

demand for inpatient admissions. The proposal is to reduce the total number of

adult general psychiatry inpatient beds from 202 to 156, a reduction of 46 beds.

This would be achieved through:



Stanford Ward would instead provide an extra 8 inpatient beds for patients with an

eating disorder, making a total of 14 beds for this service.

LPT’s review of the impact of the temporary closure of Herrick Ward has shown

that this is a manageable change, especially when supported by the bed

management and policy reviews introduced by LPT. LPT is confident that the

impact on adult general psychiatry inpatient services as a result of the

reconfiguration of Stanford Ward can also be managed successfully under these

processes.

LPT is required to provide a range of community and inpatient services and to do

this in a balanced and efficient a way that:

• continues to meet the needs and aspirations of service users and carers;

• makes efficient use of public money; and

• moves mental health service provision forward in the agreed strategic direction

towards greater community provision.

There is a real change in the way people use mental health services, following the

investment in community services over the last 2-3 years. There is now less

demand for inpatient care and LPT has to take this change in demand into account

in planning services and in redistributing its financial investment in service

provision, so that the services that are available benefit the greatest number of

people.

19

8. The consultation process

This consultation document is produced in accordance with the Cabinet Office

‘Code of Practice on Consultation’.

The 14 week period of consultation begins on

4 December 2006 and ends on 9 March 2007.

8.1 What has happened so far

This consultation document has been widely circulated to service users, their

families and carers, staff working within LPT, voluntary sector organisations, local

authorities, Primary Care Trusts (PCTs) and other members of the health and

social care community. Service user and carer groups, advocacy services,

Members of Parliament and the local media have also been informed.

Arrangements are being made for this proposal and consultation process to be

considered by the LPT Patient and Public Involvement Forum and also the

Leicestershire, Leicester and Rutland Health Overview and Scrutiny Committee.

The Overview and Scrutiny Committee is a local authority committee with

responsibility for monitoring the activities, particularly in relation to service changes

and consultation, of local health services.

8.2 How you can provide your views

We are seeking your views by:

• Arranging public meetings that anyone may come along to, where we can

discuss these proposals. The dates and venues for these meetings will be

publicised shortly.

• Talking with service user and representative groups to ensure that the views of

patients, their families and carers are actively sought and considered.

• Arranging meetings with LPT staff to discuss the proposals. The meeting dates

and venues will be publicised shortly.

• Attending meetings with health, social services and voluntary sector

organisations at their request.

20

• Offering people the opportunity to provide their views by telephone or fax to

PALS – the Patient Advice and Liaison Service. The service can be contacted

at: telephone 0116 225 6647; mobile/text 0791 720 2647.

• Asking all interested parties to complete the enclosed feedback form and return

it to Leicestershire Partnership NHS Trust by 9 March 2007.

The feedback form should be returned to:

Communications Department

Leicestershire Partnership NHS Trust

George Hine House

Gipsy Lane

Leicester

LE5 0TD

• You can also write to us at the address above or e-mail us at

[email protected].

Additional copies of both this consultation document and feedback form are

available from the address above or from our web site at www.leicspt.nhs.uk.

8.3 What will happen when the consultation period ends

Once the consultation period has ended, the Trust Board of Leicestershire

Partnership NHS Trust will receive a report that brings together the views and

comments received during the process. The report will identify organisations and

groups that have contacted the Trust, but it will not identify individuals.

The Trust Board will then make a decision as to the way forward having considered

all of the views, comments and feedback received. The report will be discussed

and the decision made at the Trust Board meeting on 22 March 2007.

8.4 How LPT will provide feedback

Copies of the consultation report considered by the LPT Trust Board and the

decision reached by the Board will be available on the Leicestershire Partnership

NHS Trust web site (www.leicspt.nhs.uk). Paper copies will also be available on

21

request from LPT from the contact points (telephone, e-mail, address) given in

section 8.2 of this consultation document.

8.5 Do you need this information in a different format?

This information can be provided in Braille, audio tape, disk, large print or in other languages on request.

22

Appendix 1: Comparison of LPT’s adult general psychiatry inpatient bed provision with the

Royal College of Psychiatrists (RCP) recommended requirements

Adult Mental Health - Population Data - Based on Registered Population by Primary Care Trust

16-64 Population MINI Index* Weighted Population

Adult City 232400 1.014 235654

Adult Counties 425000 0.684 290700

Total 657400 526354

* The MINI index is the Mental Illness Needs Index. It facilitates a ‘like for like’ comparison of figures across

different population areas. It is based on population data and levels of deprivation. An ‘average’ MINI index would be 1.0; a figure higher than 1.0 indicates higher levels of deprivation and mental health need and a figure lower than 1.0 signifies lower levels of deprivation and mental health need.

continues over

23

Adult Mental Health - Movement in General Psychiatry Bed Numbers

1 2 3 4 5 6 7

Pre Herrick

Early 2005

Beds per

100k

Weighted

Population

After

Herrick

temporary

Closure

Dec-05

Beds per

100k

Weighted

Population

Increase

in Eating

Disorders

(6 to 14)

Beds per

100k

Weighted

Population

Adult City 68 28.9 68 28.9 68 28.9

Adult Counties 134 46.1 104 35.8 88 30.3

Total general psychiatry 202 38.4 172 32.7 156 29.6

Liaison 4 39.1 4 33.4 4 30.4

Forensic 5 40.1 5 34.4 5 31.3

Mothers with Babies 3 3 3

Drugs and Alcohol 6 6 6

Eating Disorders 6 6 14

Total on AMH Wards 226 196 188

1. Does not include Treatment and Recovery beds

2. RCP recommendations for the number of adult general psychiatry mental health beds is from 25-33 beds per 100,000 weighted population.

These are taken from RCP occasional paper (OP55) published in October 2002.

3. The RCP recommendations are based on the assumption that alternatives to admission exist e.g. intensive home treatment, crisis resolution,

assertive outreach, acute day care.

4. The RCP norms are for adult weighted population 17-64 (LPT weighted population above is for 16-64)

5. RCP occasional paper suggests (by omission) that liaison psychiatry and local forensic beds should be counted as acute beds.

Other specialist beds are individually mentioned

24

Appendix 2: Explanation of terms used

Assertive Outreach Teams

A new intensive care service provided for people living in the community. It is

designed to provide person centred care for a small number of individuals with

serious mental illness, who may find it particularly difficult to engage with traditional

services.

Common Mental Health Problems Service

The service offers patients access to consultation and psychological treatment at

their local doctor’s surgery. The service is provided by Practice Therapists who are

qualified mental health professionals providing talking treatments for people

suffering with a common mental health problem such as mild forms of depression,

stress and anxiety.

Crisis Resolution Teams

A new service providing mental health assessment and treatment for people at

times of crisis. The team assesses the best way of meeting a person’s mental

health needs, which may be a stay in hospital or it may be intensive treatment at

home as an alternative to inpatient care. The team can also support earlier

discharge from hospital by providing intensive support at home.

Drug and alcohol services

Mainly community based services to help people with drug or alcohol abuse

problems. LPT has 6 inpatient beds for patients undertaking alcohol detoxification.

Early Intervention Teams

A service for young people aged 14-35 who are experiencing psychosis for the first

time. The aim is to provide treatment as early as possible to minimise the likelihood

of psychosis happening again.

Forensic services

Community and inpatient mental health services for people who have come into

contact with the criminal justice system.

Leicestershire Partnership NHS Trust (LPT)

Local providers of mental health and learning disability services.

25

Liaison psychiatry

Provides mental health support for people who are in hospital primarily because of

a physical health problem, but who also require mental health care.

Patient Advice and Liaison Services (PALS)

Provides information, advice and support to help patients, families and their carers.

Perinatal services

Service for mothers with young babies who require mental health care, for example

for severe post-natal depression.

Primary Care Trust (PCT)

Organisation responsible for the health of the local community.

26

Adult General Psychiatry Inpatient Bed Provision

FEEDBACK FORM (3 pages)

We are keen to know the views of individuals and groups about the proposals put

forward in this document. Please provide your views by 9 March 2007.

1. Do you support the proposal to reduce the number of adult general

psychiatry inpatient beds from 202 to 156 through



27

2. If you do not support the proposal set out in question 1, what alternative

way would you like to suggest for making efficiency savings to the

equivalent value of £1.2 million?

3. Are there any other comments that you would like to make about the

proposals in this consultation?

28

4. About You

We would find it very useful to know who has responded to this consultation so we

can be sure we have received the views from a wide range of people. Your

comments will still be considered if you do not fill in this section.

(a) Did you fill in this feedback form as an individual or on behalf of a group?

� As an individual � On behalf of a group

If you filled this in as an individual, please tell us which town or village you live

in.

If you filled this in on behalf of a group, please tell us the name of the group and

the area it covers.

(b) Are you a user of mental health services or a carer/family member of someone

who uses mental health services?

� Yes, I am a service user

� Yes, I am a carer/family member

� No

(c) Are you a member of LPT staff?

� Yes, I work for LPT � No, I do not work for LPT

Thank you very much for taking the time to complete this feedback form.

Please return it to:

Communications Department Leicestershire Partnership NHS Trust George Hine House Gipsy Lane Leicester LE5 0TD

Date post:	19-Oct-2020
Category:	Documents
Upload:	others
View:	0 times
Download:	0 times

Adult General Psychiatry Inpatient Bed Provisionpolitics.leics.gov.uk/documents/s19233/Herrick...

Documents