Number of NHS mental health beds down by 25% since 2010, analysis shows [Gruniad]

r00fie1

Well-known member
This isnt news to patients and workers in Mental Health Services.
The knock-on effects to other services has been crippling for over a decade.
Truth is - the biggest cuts began under the Blair Government who handed the baton on to the Tory`s.
Mental Health Patients are regularly sent hundreds of miles away - far from family, friends and support services.
Many "Crisis" Teams are "Gate-keepers" - designed to keep patients out of Secondary Care.
Mental Health Patients are left to cope without the necessary treatment and support.
If Cancer patients were [mis]treated in the same way - there would be a national uproar.


Denis Campbell Health policy editor
Mon 5 Jul 2021 06.00 BST


Number of NHS mental health beds down by 25% since 2010, analysis shows​

Exclusive: Labour says ‘shocking’ cuts are lengthening waiting times for most serious illnesses even as level of demand increases

A doctor and nurse pulling a hospital trolley bed

The number of consultant-led mental health beds fell from 23,447 in 2010-11 to 17,610 in 2020-21. Photograph: Alamy

Denis Campbell Health policy editor
Mon 5 Jul 2021 06.00 BST

The number of beds in NHS mental health hospitals has fallen by a quarter since 2010, forcing more patients who are seriously ill to be taken far away from home in order to receive treatment, Labour has revealed.

Its analysis of official figures shows that the NHS in England now has almost 6,000 fewer beds for people with conditions such as schizophrenia or eating and personality disorders. There were 23,447 consultant-led mental health beds in 2010-11 and 17,610 in 2020-21, a reduction of 5,837 (25%).


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The supply of beds for vulnerable patients needing urgent treatment has been cut despite a big rise in recent years in the number of people seeking help from the NHS for mental illness.

The Covid pandemic is widely expected to lead to a surge in need for psychological and psychiatric help, with some experts anticipating a potential tripling of demand.

Dr Rosena Allin-Khan, the shadow minister for mental health, said the “shocking” loss of beds meant patients were having to wait longer to start potentially life-saving care.

“These figures are staggering. With bed availability at dangerous levels owing to cuts, and numbers of patients increasing, there is a perfect storm,” said Allin-Khan, who undertook the analysis.

“The cuts to mental health beds have exacerbated waiting times for treatment for some of the most serious mental illnesses. Without beds, people requiring urgent treatment for eating disorders, schizophrenia and personality disorders are likely to face even longer waits.”

Bed numbers have fallen even though the number of people in touch with NHS mental health services has risen from 117,000 in January 2016 to 141,000 in March this year – a 21% increase. The number of specialist mental health beds decreased by about 1,500 during that time, NHS England data shows.


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The number of people in contact with mental health services who were subject to the Mental Health Act, many of whom were sectioned into residential care for their own or others’ safety, also rose over almost the same period, from 13,437 in March 2016 to 20,494 in March this year, up 53%.

The loss of beds has led to a doubling in the number of patients sent on an “out-of-area placement” more than 300km (186 miles) from their home – so that they have a bed and can start being treated – from 38 in 2017 to 75 last year.

“Conservative governments have said they’d prioritise mental health – but this evidence shows things are getting worse,” said Allin-Khan.

Experts warned that the loss of beds risks damaging patients’ already fragile mental health. Dr Trudi Seneviratne, the registrar of the Royal College of Psychiatrists, said: “Sending mental health patients far from home, sometimes hundreds of miles away, because there isn’t the right bed available locally, is completely unacceptable. It can have a devastating impact on patients and their loved ones.

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"Treating patients close to home speeds up recovery, reduces the risk of suicide and shortens hospital stays.”

She said it was “extremely disappointing” that the NHS’s progress towards realising its ambition of eliminating out-of-area placements had stalled. “We need urgent action to ensure that local mental health beds are readily available for all patients that need them.”

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Members of the committee of the Mental Health Nurses Association, which is part of the trade union Unite, said Allin-Khan’s findings tallied with their own struggles to find beds for acutely unwell patients.

One told how patients turning up with mental health problems at A&E units in Manchester had to be sent 145 miles away to Newcastle because there were no beds available in the city.

Others said some patients experiencing a flare-up of their mental illness had been taken to prison facilities, again because there was no specialist bed available nearby. Another said the more limited services being offered by community mental health teams because of Covid restrictions, notably fewer face-to-face appointments, were contributing to people becoming very unwell.

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David Munday, Unite’s lead officer for mental health, who is a mental health nurse, said: “A number of issues have combined to create multiple problems that are of the Conservative governments’ own making. These include historic and continuing reductions in mental health beds that have gone too far, a failure to adequately plan [mental health] staffing, an overreliance on expensive out-of-area private beds, repeated NHS pay cuts and repeated years of austerity.”


A Department of Health and Social Care spokesperson said: “It is completely unacceptable for patients to be sent away from their loved ones for treatment and we have committed to end inappropriate out-of-area placements.


“We have published our mental health recovery action plan, backed by £500m, to ensure that we have the right support in place this year for those who need it. This is in addition to our commitment to expand and transform mental health services with an additional £2.3bn a year by 2023-24 and introducing new models of care to give 370,000 adults with serious mental illness greater choice and control over their care, supporting them to live well in their communities.”
 
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You can only assume roofie, that demand on mental health during a pandemic has increased massively.

We are in a really bad place right now and it will take a decade to recover and then only of there is a will and appetite to recover.

1% payrise suggests that will and appetite is unlikely to come from the current cabinet.

The health tragedy in the uk is set to go on for a long time.
 
You can only assume roofie, that demand on mental health during a pandemic has increased massively.

We are in a really bad place right now and it will take a decade to recover and then only of there is a will and appetite to recover.

1% payrise suggests that will and appetite is unlikely to come from the current cabinet.

The health tragedy in the uk is set to go on for a long time.
Morning Laughing.

Its well documented that demand on Primary and Secondary Mental Health Services has increased year on year since 2010 and has risen sharply since the start of the pandemic.

Mental Health provision is a costly add-on for the Crypto-Privatised Care Commissioning Groups and GP Surgeries. Many arent equipped with the expertise or staff, able to understand the complex needs associated with Mental Health. MH patients are palmed off with a tube of Diazepam or similar and quickly passed on or "signposted" to other services - like a hot potato.

This pandemic has already highlighted the effects of years of cuts and privatisation in our NHS - it is doing more than "creaking": millions awaiting surgery and treatment are on the longest waiting - lists since the NHS creation.

The NHS is becoming an "Emergencies Only" service, whilst Private profoteers like SERCO are awarded lucrative contracts by our Government. [Thats Public Money being transferred out of the service into private pockets].

Mental Health Services are still the "Cinderella" Service - private profiteers cant easily rip off locked wards or patients with long-term conditions. Private Psychiatric Intensive Care Units have been set up where demand cannot be met [by local NHS services] for the most ill MH patients.

I suspect the Government will spin - out the narrative of blaming covid for major structural problems in the NHS. The issue is that decades of privatisation and under-investment in essential NHS Services has exhausted staff and resources - leaving many with no alternative, but to suffer pain and agony - and in some cases, death. We mustnt drop our guard and let the voices of the mass of our population - who rely on our NHS - go unheard.
 
Not just mental health though is it?

the CBT I was offered was woefully inadequate and didn’t help me. I’m forgotten about again.

I’ve been physically unwell for the past two months. Was hospitalised at one point. Stuck in an A&E without so much as a drink and something to eat for 10 hours, all for a couple of scans that came back clear. Yet when I ring the GP because my condition isn’t getting better I can never get past the phone triage. Complete refusal to see anyone. How can this be right?

I’ve paid for both a private GP appointment and I’m paying to see a consultant later this week.

Hearing the NHS was awarded the George Cross absolutely boiled my **** yesterday. It’s completely failed me.
 
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Not just mental health though is it?

the CBT I was offered was woefully inadequate and didn’t help me. I’m forgotten about again.

I’ve been physically unwell for the past two months. Was hospitalised at one point. Stuck in an A&E without so much as a drink and something to eat for 10 hours, all for a couple of scans that came back clear. Yet when I ring the GP because my condition isn’t getting better I can never get past the phone triage. Complete refusal to see anyone. How can this be right?

I’ve paid for both a private GP appointment and I’m paying to see a consultant later this week.

Hearing the NHS was awarded the George Cross absolutely boiled my **** yesterday. It’s completely failed me.
That's a shame aet. Do you not have private health care with work?

I have been putting off getting my blood pressure seen to. Its quite high and I probably need to go on medication. I haven't phoned the doctor yet as it GP its a vaccine center so I suspect appointments are scarce.
 
That's a shame aet. Do you not have private health care with work?

I have been putting off getting my blood pressure seen to. Its quite high and I probably need to go on medication. I haven't phoned the doctor yet as it GP its a vaccine center so I suspect appointments are scarce.
How many employers private insurance schemes, I've only ever had it when working in USA, where it was a necessity?

We're in an awful situation as a country but that's the cost of transferring si much wealth to the minority who are already rich.
 
Lol. I work for a charity. No fking chance.

it’s enough of struggle to get paid a fair salary in line with market rates
I am very fortunate that I have private health, I know lots aren't so lucky.

My wife has some issues at the minute and wants to stick to the GP, she doesn't like queue jumping. They are trying with her but it's not been a great service but I guess they are doing the best they can.
 
Not just mental health though is it?

the CBT I was offered was woefully inadequate and didn’t help me. I’m forgotten about again.

I’ve been physically unwell for the past two months. Was hospitalised at one point. Stuck in an A&E without so much as a drink and something to eat for 10 hours, all for a couple of scans that came back clear. Yet when I ring the GP because my condition isn’t getting better I can never get past the phone triage. Complete refusal to see anyone. How can this be right?

I’ve paid for both a private GP appointment and I’m paying to see a consultant later this week.

Hearing the NHS was awarded the George Cross absolutely boiled my **** yesterday. It’s completely failed me.

The government practically have them on their knees, even more so after the last two years. Can’t really expect things to be any different until we see a big change in leadership
 
I am very fortunate that I have private health, I know lots aren't so lucky.

My wife has some issues at the minute and wants to stick to the GP, she doesn't like queue jumping. They are trying with her but it's not been a great service but I guess they are doing the best they can.
Hope your not accusing me of queue jumping. I simply can’t get seen and I’m stressed and anxious dealing with my doctors surgery

Having felt crap since the beginning of May all I want is to know what is wrong with me. If I need a procedure then it is likely I will have to go back to the NHS.
 
Hope your not accusing me of queue jumping. I simply can’t get seen and I’m stressed and anxious dealing with my doctors surgery

Having felt crap since the beginning of May all I want is to know what is wrong with me. If I need a procedure then it is likely I will have to go back to the NHS.
Nope, I have used my private health care for a frozen shoulder that was making me miserable.
 
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