IMPORTANT INFORMATION

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CCG 627 Which mental health trust does the CCG commission inpatient psychiatric services from?

Request - Please see the below request for information under the Freedom of Information Act 2000 for NHS Rotherham CCG 

Background Information

The Royal College of Psychiatrists has established a Commission to review the provision of inpatient psychiatric care for adults in England and Northern Ireland in response to concerns about whether there are sufficient acute inpatient psychiatric beds and alternatives to admission available for patients. 

As part of this work, the Commission is exploring how many rehabilitation psychiatry inpatient beds are commissioned – and from whom – by CCGs both within the geographical catchment area of the mental health provider trust footprint that the CCG commissions services from and ‘out-of-area’ from that trust. As well as the numbers of beds, the Commission is also interested in how many patients in those different beds are classed as ‘delayed transfers of care’ (aka DTOCs). 

Definitions

  • Rehabilitation psychiatry beds are provided for adults with severe and enduring mental health problems who have on-going symptoms and functional impairments and cannot manage independent community living, even with support. Please note that this request concerns rehabilitation psychiatry beds for working age adults only. 
  • The NHS definition of a delayed transfer of care is as follows:

A delayed transfer of care from mental healthcare occurs when a patient is ready to depart from such care and is still occupying a bed.

A patient is ready for transfer when:

(1) A clinical decision has been made that patient is ready for transfer

AND

(2) A multi-disciplinary team decision has been made that patient is ready for transfer

AND

(3) The patient is safe to discharge/transfer. 

  • An Independent sector provider is a ‘for profit’ organisation. 
  • A third sector provider is a ‘not for profit’/charitable organisation. 

QUESTIONS - PART ONE 

Request 1

Which mental health trust does the CCG commission inpatient psychiatric services from?

Response 1

RDaSH

Request 2

If applicable – which other CCGs also commission services from that mental health trust?

Response 2

Doncaster,North Lincs. Manchester

QUESTIONS - PART TWO

As on the 1st September 2015, within that mental health trust's (answer to question1) geographical boundary: 

Request 3

How many adult rehabilitation psychiatry inpatient beds did the CCG commission from NHS providers?

Response 3

18

Request 4

How many patients in these beds (answer to Q3) were classified as Delayed Transfers of Care (DTOC)?

Response 4

None

Request 5

How many adult rehabilitation psychiatry inpatient beds did the CCG commission from independent sector providers?

Response 5

6 Mental Health 2 Learning disability

Request 6

How many patients in these beds (answer to Q5) were classified as Delayed Transfers of Care (DTOC)?

Response 6

None

Request 7

How many adult rehabilitation psychiatry inpatient beds did the CCG commission from third sector providers?

Response 7

None

Request 8

How many patients in these beds (answer to Q7) were classified as Delayed Transfers of Care (DTOC)?

Response 8

N/A

QUESTIONS - PART THREE

As on the 1st September 2015, outside the mental health trust's (answer to question1) geographical boundary: 

Request 9

How many out-of-area adult rehabilitation psychiatry inpatient beds did the CCG commission from NHS providers?

Response 9

None

Request 10

How many patients in these beds (answer to Q9) were classified as Delayed Transfers of Care (DTOC)?

Response 10

N/A

Request 11

How many out-area adult rehabilitation psychiatry inpatient beds did the CCG commission from independent sector providers?

Response 11

As Q.5

Request 12

How many patients in these beds (answer to Q11) were classified as Delayed Transfers of Care (DTOC)?

Response 12

None

Request 13

How many out-of-area adult rehabilitation psychiatry inpatient beds did the CCG commission from third sector providers?

Response 13

None

Request 14

How many patients in these beds (answer to Q13) were classified as Delayed Transfers of Care (DTOC)?

Response 14

N/A