Mental health rehabilitation inpatient services

Source:
SCIE Social Care Online
Publisher:
Care Quality Commission
Publication date:
01 January 2018

Abstract

This briefing looks at mental health rehabilitation inpatient services, including ward types, bed numbers and use by clinical commissioning groups and NHS trusts, focusing on the extent to which services are dislocated from patients’ home areas. Mental health rehabilitation inpatient services work with individuals with complex psychosis whose needs cannot be met by general adult mental health services. When mental health rehabilitation wards that are situated a long way from the patient’s home, they may become isolated from their friends and families and cut off from the local services that will provide care following discharge. The report finds that people are often receiving care a long way from where they live and from their support networks, which in turn can affect their onward recovery and wellbeing. This is more prevalent in the independent sector than in NHS services – independent sector patients were on average further away from their home address (49km) compared with NHS patients (14km); were much more likely to be on a ward located in a different area to the clinical commissioning group (CCG) that funded the placement; and were more likely to stay in locked rehabilitation or complex care. The report finds that there is very wide variation between CCG areas in the use of rehabilitation beds, and in the use of beds that are out of area. The report recommends that that the Department of Health and Social Care, NHS England and NHS Improvement agree a plan to engage local health and care systems in a programme of work to reduce the number of patients placed in mental health rehabilitation wards that are out of area.