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TROUBLE WITH CTO's ? GET IN TOUCH WITH USERWATCH
WE WANT TO HEAR WHAT YOU THINK ABOUT THIS .
WE WANT TO HEAR WHAT YOU THINK ABOUT THIS .
The expected rate (we are informed by a reliable source) of about 400 requests in the first year for Community Treatment Orders has been exceeded and is well past a 1000 . (See Hansard Sources Below ). If you are affected you might like to take a look at the new Care Quality Commission's website where they declare :
"We regulate health and adult social care services, whether provided by the NHS, local authorities, private companies or voluntary organisations. And, we protect the rights of people detained under the Mental Health Act"
BELOW : FROM HANSARD 1st APRIL
Mental Health Services
"Mr. Jenkins: To ask the Secretary of State for Health what recent steps he has taken to ensure the needs of mental health patients are met by specialist mental health services. [268094]
Phil Hope: Since 2001-02, real terms investment in adult mental health services has increased by 44 per cent. (or £1.7 billion), putting in place the services and staff needed to transform mental health services. Compared to 1997, we now have 64 per cent. more consultant psychiatrists, 71 per cent. more clinical psychologists and 21 per cent. more mental health nurses, providing better care for people with mental health problems (all full-time equivalent). More than 740 mental health teams provide specialist community mental health services, such as home treatment, early intervention, or intensive support for people who might otherwise be admitted to hospital.
General practitioners and consultant psychiatrists decide on the most appropriate treatment for their patients, and they are expected to take National Institute for Health and Clinical Excellence (NICE) guidance fully into account. Doctors can prescribe any medicine or treatment which they consider to be necessary, including NICE-approved psychological therapies for severe mental illness, provided that the local primary care trust (PCT) or national health service trust agrees to supply it on the NHS. However, it is for PCTs to decide spending levels for specific health care treatments and services, including mental health, and to commission these services.
The Department revised Care Programme Approach (CPA) guidelines in 2008. Under CPA, each mental health service user should have an opportunity to be actively involved in agreeing their treatment plans with their care co-ordinator, wherever possible. This is not dependent on diagnosis, but may be affected by the severity of the condition at any particular time.
Mr. Jenkins: To ask the Secretary of State for Health what recent steps he has taken to ensure mental health conditions do not affect people's ability to access NHS services. [268095]
Phil Hope: The Department has implemented several measures to help ensure that people with mental health problems and physical illness can access national health service healthcare.
The NHS “Operating Framework” for 2009-10 includes a specific reference to the importance of physical health checks in primary care settings for people with a severe mental illness.
The draft standard NHS contracts for mental health services in 2010-11 onwards, which the Department published in 2008, give providers responsibility for arranging physical health checks for long term in-patients, call for annual improvement targets to be set locally, and suggest progress in improving physical health care as a subject for local reporting from provider to commissioner.
Guidance notes accompanying the standard contracts stress the importance of individualised needs assessments which address service users’ physical health, and recommends local arrangements with primary care services to ensure health checks and inclusion in screening and health promotion activity for mental health service users.
The care programme approach (CPA) for people with complex mental health needs was revised last year. Under CPA, each mental health service user should have an opportunity to be actively involved in agreeing their treatment plans with their care coordinator, wherever possible. CPA describes a holistic approach covering quality of life, health checks, the physical effects of mental illness and psychiatric treatment and the effect of physical symptoms on mental well-being, smoking and obesity.
Lynne Jones: To ask the Secretary of State for Health how many second opinions for treatment under supervised community treatment have been (a) requested and (b) carried out under the Mental Health Act 1983. [268627]
Phil Hope: The Mental Health Act Commission has received 1,673 requests for second opinions for people on supervised community treatment since 3 November 2008 of which 98 were subsequently withdrawn. As at 31 March, 430 were recorded as having had all action completed. Information on the number of second opinions given but not yet recorded as completed is not available.
Lynne Jones: To ask the Secretary of State for Health how many community treatment orders have been (a) issued and (b) revoked under the Mental Health Act 1993; and how many patients have been (i) recalled to hospital while on a community treatment order and (ii) discharged from a community treatment order. [268628]
Phil Hope: Since 2001-02, real terms investment in adult mental health services has increased by 44 per cent. (or £1.7 billion), putting in place the services and staff needed to transform mental health services. Compared to 1997, we now have 64 per cent. more consultant psychiatrists, 71 per cent. more clinical psychologists and 21 per cent. more mental health nurses, providing better care for people with mental health problems (all full-time equivalent). More than 740 mental health teams provide specialist community mental health services, such as home treatment, early intervention, or intensive support for people who might otherwise be admitted to hospital.
General practitioners and consultant psychiatrists decide on the most appropriate treatment for their patients, and they are expected to take National Institute for Health and Clinical Excellence (NICE) guidance fully into account. Doctors can prescribe any medicine or treatment which they consider to be necessary, including NICE-approved psychological therapies for severe mental illness, provided that the local primary care trust (PCT) or national health service trust agrees to supply it on the NHS. However, it is for PCTs to decide spending levels for specific health care treatments and services, including mental health, and to commission these services.
The Department revised Care Programme Approach (CPA) guidelines in 2008. Under CPA, each mental health service user should have an opportunity to be actively involved in agreeing their treatment plans with their care co-ordinator, wherever possible. This is not dependent on diagnosis, but may be affected by the severity of the condition at any particular time.
Mr. Jenkins: To ask the Secretary of State for Health what recent steps he has taken to ensure mental health conditions do not affect people's ability to access NHS services. [268095]
1 Apr 2009 : Column 1228W
Phil Hope: The Department has implemented several measures to help ensure that people with mental health problems and physical illness can access national health service healthcare.
The NHS “Operating Framework” for 2009-10 includes a specific reference to the importance of physical health checks in primary care settings for people with a severe mental illness.
The draft standard NHS contracts for mental health services in 2010-11 onwards, which the Department published in 2008, give providers responsibility for arranging physical health checks for long term in-patients, call for annual improvement targets to be set locally, and suggest progress in improving physical health care as a subject for local reporting from provider to commissioner.
Guidance notes accompanying the standard contracts stress the importance of individualised needs assessments which address service users’ physical health, and recommends local arrangements with primary care services to ensure health checks and inclusion in screening and health promotion activity for mental health service users.
The care programme approach (CPA) for people with complex mental health needs was revised last year. Under CPA, each mental health service user should have an opportunity to be actively involved in agreeing their treatment plans with their care coordinator, wherever possible. CPA describes a holistic approach covering quality of life, health checks, the physical effects of mental illness and psychiatric treatment and the effect of physical symptoms on mental well-being, smoking and obesity.
Mentally Incapacitated: Community Treatment
Lynne Jones: To ask the Secretary of State for Health how many second opinions for treatment under supervised community treatment have been (a) requested and (b) carried out under the Mental Health Act 1983. [268627]
Phil Hope: The Mental Health Act Commission has received 1,673 requests for second opinions for people on supervised community treatment since 3 November 2008 of which 98 were subsequently withdrawn. As at 31 March, 430 were recorded as having had all action completed. Information on the number of second opinions given but not yet recorded as completed is not available.
Lynne Jones: To ask the Secretary of State for Health how many community treatment orders have been (a) issued and (b) revoked under the Mental Health Act 1993; and how many patients have been (i) recalled to hospital while on a community treatment order and (ii) discharged from a community treatment order. [268628]
Phil Hope: The information requested is not yet available."
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