Mental health patients forced to travel miles for care

 

One patient's long journey for treatment

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A lack of beds is forcing mental health patients in England to seek treatment in other NHS facilities up to hundreds of miles away, BBC research has found.

The number of patients travelling to seek emergency treatment has more than doubled in two years - from 1,301 people in 2011-12 to 3,024 in 2013-14.

Earlier this year one patient was admitted to a deaf unit as no beds were available anywhere in the country.

Health minister Norman Lamb said out-of-area treatment was a "last resort".

The care and support minister added that it was "unacceptable" if patients had to travel "hundreds of miles" for treatment and said he was determined to drive up standards of care in the NHS.

Leading charities have called the situation scandalous and a disgrace.

One mental health trust spent £345,000 last year placing patients in bed-and-breakfast accommodation in order to free up much-needed beds.

Mental health trusts are having to cope with cuts of more than 1,700 beds over the past two years, and the problems in the system have come to light following a joint investigation between BBC News and the online journal Community Care.

Number of patients sent out of area

  • 2011-12 - 1,301
  • 2012-13 - 2,263
  • 2013-14 - 3,024

Data from 30 trusts. Source: FOI/Communitycare.co.uk

Sending patients out of area can be appropriate for specialist treatments.

Figures obtained as part of the investigation, through Freedom of Information requests, show some trusts are managing to maintain, or even reduce, the number of people they send elsewhere.

But the data from 30 of England's 58 mental health trusts shows that overall the number of patients sent out of area has more than doubled between 2011-12 and 2013-14.

The increase comes despite the number of patients being admitted to hospital for mental health problems falling slightly from 167,285 in 2011-12 to 166,654 in 2012-13.

Norman Lamb Minister Norman Lamb said sending people hundreds of miles away was a "ridiculous waste of money".

Kent and Sussex are among the worst-affected areas. In Kent 334 patients were sent out of the county last year at a cost of £5m, compared with just 20 people in 2011-12, at a cost of £141,000.

One patient complained she was made to sleep on a mattress on the floor due to the lack of beds. The trust said there was unprecedented demand for beds last year.

In Sussex, the number of patients sent out of area increased from 28 in 2011-12 to 227 last year.

Lisa Rodrigues, chief executive of the Sussex Partnership NHS Foundation Trust, said rising demand for mental health services and cuts to community services by councils were creating problems.

She said: "Mental health services are a barometer of how the system is operating and if you remove some of the lower levels of support that people rely on to maintain their lives, it's not surprising that they'll present in crisis.

"We are seeing people coming to hospital who are much, much iller when they arrive so we have higher numbers of detained patients but, much more than that, we're seeing people have to stay in hospital for longer."

Difficult to cope

One patient who knows what it's like to be transported far from home is "Alison" (not her real name).

Cost of sending patients out of area

  • 2011-12 - £21.1m
  • 2012-13 - £30.4m
  • 2013-14 - £38.3m

Data from 23 trusts. Source: FOI/Communitycare.co.uk

The 32-year-old from York, who suffers from bipolar disorder, was taken to a hospital in London, 200 miles (320km) away, in the middle of the night when health officials couldn't find a bed for her closer to home.

Though she praises her treatment, she says it was a "shock to the system" and the distance was difficult to cope with.

"With me not being near friends and family I suffered, I had anxiety, I wanted to speak to people and have familiarity around me," she said.

Other patients have had to travel even further, with people being sent from Devon to West Yorkshire (300 miles), and Oxford to Teesside (240 miles).

A London trust - Barnet, Enfield and Haringey - has been reprimanded by the regulator, the Care Quality Commission (CQC), for using seclusion units as bedrooms.

It also started to move patients out of beds and into bed-and-breakfast accommodation. The figures show that 132 people were sent to B&Bs last year.

The trust said the patients were fit to be discharged from hospital but had accommodation problems - however, it admitted it was not ideal for patients.

A board meeting of the Birmingham and Solihull trust in January heard a complaint from a patient who was admitted to a deaf ward despite not being deaf, which she says made her feel stressed and unable to communicate with staff and patients.

Woman sat on stairs One charity said mental health services in parts of the country were in crisis

An investigation by the trust found this had happened because there were no female beds available in the country. Procedures have now been changed, the trust says, which should ensure it never happens again.

'Fend for themselves'

Marjorie Wallace of the mental health charity SANE said: "This situation is a result of the longstanding agenda to reduce the number of psychiatric beds, the most expensive element of care. But this is a false economy - leading to misery for many who struggle to access the treatment they need and undermining their chances for recovery."

Start Quote

Under David Cameron, wards are operating beyond safe occupancy levels and patients are turned away”

End Quote Luciana Berger Labour

Paul Farmer, chief executive of mental health charity Mind, said: "It is a disgrace that people with mental health problems are being sent miles away from family and friends or being accommodated in inappropriate settings when they are acutely unwell.

"This is the latest in a long line of clear signals that, at least in some parts of the country, NHS mental health services are in crisis. Continued cuts to funding for mental health services are taking a significant toll on the quality and availability of services."

Mark Winstanley, chief executive of Rethink Mental Illness, added: "It's absolutely scandalous that people with serious mental health problems are being treated in such a terrible way.

"Anyone going through a mental health crisis should expect to get help in a therapeutic environment where they can get better.

"The last thing they need is to be shunted to a hospital hundreds of miles away or, even worse, left to fend for themselves in a bed and breakfast."

Karen Wolton, a member of the Mental Health Lawyers Association, commented: "We've noticed a sharp increase in the last year with inappropriate admissions for out-of-area beds. We've had people admitted from where they live in Margate to Weston-Super-Mare which is a trip of 225 miles.

"We've had people overdosing in order to obtain a bed. They've told us that they deliberately overdosed because that's the only way to get a bed.

"We've also had people who are inappropriately discharged after long spells in psychiatric hospitals; they're being discharged to bed and breakfast accommodation."

'Politically significant'

Mr Lamb admitted there was an "institutional bias against mental health" in regard to waiting-time targets.

"When the 18-week maximum waiting time was established in the last decade it applied only to physical health," he told the BBC.

"That left out mental health and incredibly, politically significant targets of that sort dictate where the money goes."

The situation "has to change," he added.

But Labour's public health spokeswoman Luciana Berger said mental health services were "suffering from repeated government budget cuts".

"Under David Cameron, wards are operating beyond safe occupancy levels and patients are turned away," she said.

"Ministers must ensure that mental health services are accessible. They claim to support parity of esteem between mental and physical health but patients are being badly let down."

 

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  • rate this
    +2

    Comment number 158.

    what happens to these wards that are closed do they sit there and rot my wife works for the nhs as a cpn and she spends most of her time filling in paperwork instead of helping the people with mental health issues.

  • rate this
    +10

    Comment number 157.

    10.allan

    Billions on war
    Billions on the Monarchy
    Billions on tax cuts for the elite
    Pennies on the sick
    It`s the Tory way.
    -----------------------------------

    Don't forget "Billions on a white elephant rail line that nobody wants", too.

  • rate this
    0

    Comment number 156.

    In a bid to save money, no doubt. The problem is ignoring it, sweeping it under the carpet only makes it more expensive!

    No doubt, worst case scenario, people will come to the attention of the legal system. Why should we let it get this far? It will be more costly in the long run. And NOT just financially.

  • rate this
    +13

    Comment number 155.

    It has been demonstrated that the greater the wealth disparity in a country, the greater its social problems (divorce, drug addiction, mental illness etc etc...)

    In the UK the wealth gap has been widening since 1979, and look at the state of our society.

  • rate this
    +13

    Comment number 154.

    This is where we have a huge problem in the way our democracy works. Some other countries put the best qualified people in the right jobs for then so a talented economist may get the treasury job etc etc. Atm we have a pillow cover folder in charge that's never seen hardship in his whole life.

  • rate this
    +5

    Comment number 153.

    ....and if the NHS was a struggling bank, what would this government do to help it out of a mess?

  • rate this
    +1

    Comment number 152.

    The money available in the NHS should be spent for the 'greatest good of the greatest many' and that to me doesn't mean NHS providing sex changes for prisoners with all the attendant pyschological treatment, nor IVF when there are kids crying out for adoption, nor for never ending expensive drugs in terminal cancer patients where there is no hope of a cure and it only. prolongs the process

  • rate this
    +56

    Comment number 151.

    Never in all my years on this planet have i known a government so intent on destroying everything this county holds dear. I never thought a government could do so much damage in so short a time. I despair at what this country has become and how we allowed it to happen without a fight.

  • rate this
    -1

    Comment number 150.

    Why are people blaming the UK government for this? According to UKIP (and supported by many HYSers) Westminster has no power as it has all been handed over to the EU. Hence the EU must be totally to blame for this state of affairs and must be held to account.

    That is if you believe what UKIP keep telling us all!

  • rate this
    -22

    Comment number 149.

    All the NHS money is being wasted developing equipment to catapult idle dolies off their back and into a job.

  • rate this
    +13

    Comment number 148.

    "Care in the Community" another term for dumping people with mental health illnessrs on the streets

  • rate this
    +25

    Comment number 147.

    unfortunately the NHS is increasingly administered by managers with no clinical experience whatsoever.My wife is a top notch community matron having spent 30 years in the NHS and her administrative 'manager' is a draughstman from the car industry.This ludicrous situation is widespread across the service.

  • Comment number 146.

    This comment was removed because the moderators found it broke the house rules. Explain.

  • rate this
    +15

    Comment number 145.

    Tory cuts hurting the most vunreable to pay for the lifestyles and mistakes of the rich and infamous. Its not even surprising anymore. They simply don't care about anyone on anything less than a 6-digit salary.
    Its utterly indefensible and the worst part is they are proud of these cuts. Our society is crumbling all around us and they couldn't care less.

  • rate this
    +4

    Comment number 144.

    What did people think was going to happen when they elected the nasty party? The support for people with mental health problems is appalling, it's even worse for young people as there is a reluctance to diagnose.

  • rate this
    +5

    Comment number 143.

    The TORY Govt has no interest in the vast majority of the population or healthcare. They just cut funding in every department to help give more millions to their pals in the city. The mental Health service is just another part of the safety net that is being eroded. That they sold it to UK public to pay off billionaires bankers gambling debts was a surprise. Flag waving seems to save them again

  • rate this
    0

    Comment number 142.

    I'm no expert but if you 're mentally ill and need emergency medical care on a regular basis maybe you need to be cared for locally 24/7?

    Trouble is, both labour and con/dems now have the same attitude to the NHS, just a big black hole.

  • rate this
    +5

    Comment number 141.

    "Citizen X
    But my friend who is a student nurse gets her petrol costs for getting to and from work paid for by the NHS at a rate of 45p a mile"

    Then that's a taxable benefit (if true). Employees are responsible for their own costs in getting to their primary place of work. I suspect this is for travelling to other locations apart from the primary as part of the job responsibilities.

  • rate this
    +6

    Comment number 140.

    I think there will be dozens of these kinds of stories over the next 12 months leading up to the general election...Yes, just 12 months to go & nothing but bad news all the way for the Tories & all the foundations were laid by themselves over the past four years, but they will undoubtedly try to blame others for it as they usually do!..They are a shameful disgrace to humanity!!!

  • rate this
    +4

    Comment number 139.

    @120 col
    I understand the logic and essential need of showing lenders that we are actively paying down debt.
    What I don't understand is why we so many people blame Labour for a problem which was practically worldwide.
    Mental health is a problem which can affect others. Badly. Why can't we ask people with more than they need to help those with less than they need, and keep us all safe?

 

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