Bolton health bosses to discuss mental health bed closure proposals

The Royal Bolton Hospital

The Royal Bolton Hospital

First published in News
Last updated
The Bolton News: Photograph of the Author by , health reporter

HEALTH chiefs are to discuss controversial changes to mental health services in Bolton.

The Bolton Clinical Commissioning Group (CCG) will discuss proposals put forward Greater Manchester West Mental Health NHS Foundation Trust (GMW) — which could see 50 mental health beds close at the Royal Bolton Hospital.

Instead of receiving treatment in hospital, patients can be looked after in their own homes with a new 24-hour service — or they will be taken to Woodlands Hospital in Little Hulton.

The changes will save £2.1 million, but health chiefs have committed to invest £1.15 million in community services, including £307,000 in the home-based treatment team.

Another £5.86 million will be spent rebuilding the Woodlands site.

CCGs in Bolton, Salford and Trafford were in discussions with GMW to move services into the community.

Yet Trafford CCG backed out because of strong opposition from local councillors.

Bolton’s board of commissioners will discuss the latest issues at their next public meeting from 12.30pm on Friday at the Friends Meeting House in Silverwell Street, Bolton.

A consultation on the proposals will run until March.

For more information go to gmw.nhs.uk.

Comments (3)

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10:00am Tue 25 Feb 14

mcfc1955 says...

Oh great more care in the community which isnt working as it is,never has...mental health it would seem will always be the cinderella service in our nhs.
Oh great more care in the community which isnt working as it is,never has...mental health it would seem will always be the cinderella service in our nhs. mcfc1955
  • Score: 5

12:59pm Tue 25 Feb 14

Puffin-Billy says...

Cllr Andy Morgan said: “I support the aspiration for more integrated community bed services". ....................
..........."Integrat
ed community" is just another of those corporate bulls8 phrase for "privatised"........
....................


Mentally ill patients, who..........( previous to plans put forward by Bolton Clinical Commissioning Group (CCG) and Greater Manchester West Mental Health NHS Foundation Trust (GMW) to close 50 beds ) ..............were so ill that they needed to be under the constant and close supervision of clinicians, and for that reason needed a bed at Bolton Hospital,..........a
re now so much miraculously improved, that they can be looked after in their own homes with a 24 hr service ? BULLS8!

This is all part of Jeremy Hunt's Clause 119 (formerly clause 118) which he and the government are attempting to push through. Clause 119 will allow Jeremy Hunt to close any hospital or department in Britain, and will rob the public of any right to protest.

Following the High Court ruling against the secretary of state, Jeremy Hunt’s decision to close the successful and solvent Lewisham Hospital, he is now trying to get the law changed.

Clause 118 (amended to 119) is being rushed through Parliament. .........If it becomes law the secretary of state will have won............. Hospitals will be shut at the whim of Whitehall bureaucrats, without full and proper consultation with patients and the public, and without even any agreement from the new GP commissioning groups (CCGs).

The closure of the 50 beds at Bolton must not be allowed to happen.

The Government's policies which have Cllr Andy Morgan's support mean that:.............

although the Royal College of Psychiatrists recommend an 85% occupancy rate, some wards are reaching 138%.
patients are being discharged early to free up beds resulting in one patient being re-admitted 8 times in 12 months.
the NHS is spending millions of pounds sending severely ill patients hundreds of miles to private hospitals.
a mentally ill patient had to undergo a 5 and a 1/2 hour journey to Carlisle.
acutely mentally unwell children are being admitted to adult psychiatric wards.
a mentally ill 12 year old girl shouted out of a window to her mummy who had to travel 130 miles to visit her: ‘mummy don’t leave me’.
1700, ONE THOUSAND SEVEN HUNDRED mental health beds closed in England in the last 2 years.
NHS mental health care is now in crisis, with duty workers across England reporting times when there are no beds available anywhere.
mental illness is increasing due to stress.
the number of elderly people is increasing, while services for them are being cut.
replacement services are not defined.
replacement Services have not been piloted.
replacement services are not evidence based.
there will be a net loss of jobs.
section 188 threat of redundancy notice have been given to the unions representing staff.
Cllr Andy Morgan said: “I support the aspiration for more integrated community bed services". .................... ..........."Integrat ed community" is just another of those corporate bulls8 phrase for "privatised"........ .................... Mentally ill patients, who..........( previous to plans put forward by Bolton Clinical Commissioning Group (CCG) and Greater Manchester West Mental Health NHS Foundation Trust (GMW) to close 50 beds ) ..............were so ill that they needed to be under the constant and close supervision of clinicians, and for that reason needed a bed at Bolton Hospital,..........a re now so much miraculously improved, that they can be looked after in their own homes with a 24 hr service ? BULLS8! This is all part of Jeremy Hunt's Clause 119 (formerly clause 118) which he and the government are attempting to push through. Clause 119 will allow Jeremy Hunt to close any hospital or department in Britain, and will rob the public of any right to protest. Following the High Court ruling against the secretary of state, Jeremy Hunt’s decision to close the successful and solvent Lewisham Hospital, he is now trying to get the law changed. Clause 118 (amended to 119) is being rushed through Parliament. .........If it becomes law the secretary of state will have won............. Hospitals will be shut at the whim of Whitehall bureaucrats, without full and proper consultation with patients and the public, and without even any agreement from the new GP commissioning groups (CCGs). The closure of the 50 beds at Bolton must not be allowed to happen. The Government's policies which have Cllr Andy Morgan's support mean that:............. although the Royal College of Psychiatrists recommend an 85% occupancy rate, some wards are reaching 138%. patients are being discharged early to free up beds resulting in one patient being re-admitted 8 times in 12 months. the NHS is spending millions of pounds sending severely ill patients hundreds of miles to private hospitals. a mentally ill patient had to undergo a 5 and a 1/2 hour journey to Carlisle. acutely mentally unwell children are being admitted to adult psychiatric wards. a mentally ill 12 year old girl shouted out of a window to her mummy who had to travel 130 miles to visit her: ‘mummy don’t leave me’. 1700, ONE THOUSAND SEVEN HUNDRED mental health beds closed in England in the last 2 years. NHS mental health care is now in crisis, with duty workers across England reporting times when there are no beds available anywhere. mental illness is increasing due to stress. the number of elderly people is increasing, while services for them are being cut. replacement services are not defined. replacement Services have not been piloted. replacement services are not evidence based. there will be a net loss of jobs. section 188 threat of redundancy notice have been given to the unions representing staff. Puffin-Billy
  • Score: 2

1:59pm Mon 10 Mar 14

Puffin-Billy says...

Yet more lies from Bolton CCG, the smiling assassins of the NHS.

And the statement by Care Minister Norman Lamb that:

"More people are being treated in the right settings for them, including

fewer people needing to go into hospitals.” ...is a

downright lie;

More people are being treated in increasingly inappropriate settings

(police cells) and fewer beds.

These cuts are part of a NATIONWIDE ideological attack on the NHS.

http://www.bbc.co.uk

/news/uk-england-cam

bridgeshire-26453052



They are an attack on the poor in Britain, who, because they are

increasingly poor, will suffer disproportionately more from

mental and physical ill-health.

And nothing will change unless and until we the people take to the

streets, and get involved in direct action to take our NHS back, and repeal

the Health and Social Care Act.

Mental illness is of no concern to right wing governments because the

person with the illness is not capable of working. They have no value. It's

an ideology that values nothing but the ability to fill the ruling class's

wallets.

A government is needed which values human beings for themselves and

not just for what they can get out of them; until we get one, the numbers

of mentally ill people (adults and children) being detained in prison cells

will keep on climbing.

Budgets for 'crisis resolution teams' fell by 1.7% in real terms compared

to 2011/12. Referrals rose 16%. These are the staff who provide

intensive home treatment in an effort to prevent acutely unwell people

being admitted to hospital.

Budgets for community mental health teams shrank by 0.03% in real

terms since 2011/12 but referrals have risen 13%. These teams give

ongoing support to patients to prevent their health deteriorating to crisis

point.

In 2013/14, there was a reduction of 2.36% in mental health budgets in

real terms, and 10 more trusts are expecting more cuts.

A so-called “concordat”, backed by NHS England, the Association of

Chief Police Officers, and the Royal College of Psychiatrists, says that

health-based places of safety and beds should be available “around the

clock” and that police cells shouldn’t be used because mental health

services are not available. The concordat clearly isn’t working in Greater

Manchester.

If the trust wants more people to receive care in their homes rather than

at hospital, why are they planning extra beds at Woodlands?

Su Long claims that there has been plenty of positive feedback about her

proposals. The following points are the result of current government

policy on mental health, which Su Long , Bolton CCG, and Conservative

Cllr Andy Morgan supports. They are not “positive feedback”:

• Section 188 threat of redundancy notices have been given to the

unions representing mental health staff, whilst at the same time,

recruitment of staff from Ireland and Portugal is being considered.

• Dinesh Bhugra, a psychiatrist who chairs the Mental Health

Foundation, says: “Around the country there is a lot of pressure on

community teams and lots of staff are going off sick. I cannot see any

logical explanation for closing beds.”

• People who could have been admitted voluntarily at an early stage in

their crisis are instead left in the community while their mental health

deteriorates to the point where they may need to be admitted under the

Mental Health Act for a long admission.

• Staff are being told to section people under a section 2 rather than a

3 so that patients stay less time on the ward.

• Manchester Health and Social Care Trust spending £1.75m on

out-of-area private beds in four months.

• Patients waiting in seclusion rooms until beds become available,

• Three-quarters of bed cuts (1,291 closures) are on admission

wards and psychiatric intensive care units for acutely unwell adults and

older people.

• Adult psychiatric wards running occupancy levels of more than

100%, meaning some patients are being sent to private hospitals miles

from home or admitted to NHS hospitals without a bed available.

• The Police Commissioner for Greater Manchester, Tony Lloyd,

having to set aside £200,000 of his budget to buy extra support from

health professionals.

• Hundreds of children being locked in police cells because police

have nowhere to take them.

• 1700, ONE THOUSAND SEVEN HUNDRED mental health beds

closed in England in the last 2 years.

• Although the Royal College of Psychiatrists recommend an 85%

occupancy rate, some wards are reaching 138%.

• Patients are being discharged early to free up beds resulting in one

patient being re-admitted 8 times in 12 months.

• The NHS is spending millions of pounds sending severely ill

patients hundreds of miles to private hospitals.

• A mentally ill patient had to undergo a 5 and a 1/2 hour journey to

Carlisle.

• acutely mentally unwell children are being admitted to adult

psychiatric wards.

• A mentally ill 12 year old girl shouted out of a window to her mummy

who had to travel 130 miles to visit her: ‘mummy don’t leave me’.

• NHS mental health care is now in crisis, with duty workers across

England reporting times when there are no beds available anywhere.

• Mental illness is increasing due to stress.

• The number of elderly people is increasing, while services for them

are being cut.

• Replacement services are not defined.

• Replacement Services have not been piloted.

• Replacement services are not evidence based.
Yet more lies from Bolton CCG, the smiling assassins of the NHS. And the statement by Care Minister Norman Lamb that: "More people are being treated in the right settings for them, including fewer people needing to go into hospitals.” ...is a downright lie; More people are being treated in increasingly inappropriate settings (police cells) and fewer beds. These cuts are part of a NATIONWIDE ideological attack on the NHS. http://www.bbc.co.uk /news/uk-england-cam bridgeshire-26453052 They are an attack on the poor in Britain, who, because they are increasingly poor, will suffer disproportionately more from mental and physical ill-health. And nothing will change unless and until we the people take to the streets, and get involved in direct action to take our NHS back, and repeal the Health and Social Care Act. Mental illness is of no concern to right wing governments because the person with the illness is not capable of working. They have no value. It's an ideology that values nothing but the ability to fill the ruling class's wallets. A government is needed which values human beings for themselves and not just for what they can get out of them; until we get one, the numbers of mentally ill people (adults and children) being detained in prison cells will keep on climbing. Budgets for 'crisis resolution teams' fell by 1.7% in real terms compared to 2011/12. Referrals rose 16%. These are the staff who provide intensive home treatment in an effort to prevent acutely unwell people being admitted to hospital. Budgets for community mental health teams shrank by 0.03% in real terms since 2011/12 but referrals have risen 13%. These teams give ongoing support to patients to prevent their health deteriorating to crisis point. In 2013/14, there was a reduction of 2.36% in mental health budgets in real terms, and 10 more trusts are expecting more cuts. A so-called “concordat”, backed by NHS England, the Association of Chief Police Officers, and the Royal College of Psychiatrists, says that health-based places of safety and beds should be available “around the clock” and that police cells shouldn’t be used because mental health services are not available. The concordat clearly isn’t working in Greater Manchester. If the trust wants more people to receive care in their homes rather than at hospital, why are they planning extra beds at Woodlands? Su Long claims that there has been plenty of positive feedback about her proposals. The following points are the result of current government policy on mental health, which Su Long , Bolton CCG, and Conservative Cllr Andy Morgan supports. They are not “positive feedback”: • Section 188 threat of redundancy notices have been given to the unions representing mental health staff, whilst at the same time, recruitment of staff from Ireland and Portugal is being considered. • Dinesh Bhugra, a psychiatrist who chairs the Mental Health Foundation, says: “Around the country there is a lot of pressure on community teams and lots of staff are going off sick. I cannot see any logical explanation for closing beds.” • People who could have been admitted voluntarily at an early stage in their crisis are instead left in the community while their mental health deteriorates to the point where they may need to be admitted under the Mental Health Act for a long admission. • Staff are being told to section people under a section 2 rather than a 3 so that patients stay less time on the ward. • Manchester Health and Social Care Trust spending £1.75m on out-of-area private beds in four months. • Patients waiting in seclusion rooms until beds become available, • Three-quarters of bed cuts (1,291 closures) are on admission wards and psychiatric intensive care units for acutely unwell adults and older people. • Adult psychiatric wards running occupancy levels of more than 100%, meaning some patients are being sent to private hospitals miles from home or admitted to NHS hospitals without a bed available. • The Police Commissioner for Greater Manchester, Tony Lloyd, having to set aside £200,000 of his budget to buy extra support from health professionals. • Hundreds of children being locked in police cells because police have nowhere to take them. • 1700, ONE THOUSAND SEVEN HUNDRED mental health beds closed in England in the last 2 years. • Although the Royal College of Psychiatrists recommend an 85% occupancy rate, some wards are reaching 138%. • Patients are being discharged early to free up beds resulting in one patient being re-admitted 8 times in 12 months. • The NHS is spending millions of pounds sending severely ill patients hundreds of miles to private hospitals. • A mentally ill patient had to undergo a 5 and a 1/2 hour journey to Carlisle. • acutely mentally unwell children are being admitted to adult psychiatric wards. • A mentally ill 12 year old girl shouted out of a window to her mummy who had to travel 130 miles to visit her: ‘mummy don’t leave me’. • NHS mental health care is now in crisis, with duty workers across England reporting times when there are no beds available anywhere. • Mental illness is increasing due to stress. • The number of elderly people is increasing, while services for them are being cut. • Replacement services are not defined. • Replacement Services have not been piloted. • Replacement services are not evidence based. Puffin-Billy
  • Score: 0

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