Mentally Ill and Maladjusted Children

Oral Answers to Questions — Hospitals – in the House of Commons am 12:00 am ar 24 Chwefror 1964.

Danfonwch hysbysiad imi am ddadleuon fel hyn

Photo of Mr Alan Brown Mr Alan Brown , Tottenham 12:00, 24 Chwefror 1964

asked the Minister of Health what progress has been made in the provision of residential accommodation for mentally disturbed children under 17 years of age, and in the provision of psychiatric wards for children requiring treatment for temporary emotional instability; and if he will make a statement.

Photo of Mr Eric Lubbock Mr Eric Lubbock , Orpington

asked the Minister of Health if he will list the hospitals administered under the National Health Service which provide in-patient psychiatric treatment for young people, giving the number of beds available at each.

Photo of Bernard Braine Bernard Braine , Essex South East

Twenty-five in-patient units with 527 beds have been provided for mentally ill and seriously maladjusted children and adolescents. My right hon. Friend has recently advised Hospital Boards to increase this provision as soon as possible. I will circulate the details in the OFFICIAL REPORT.

Photo of Mr Alan Brown Mr Alan Brown , Tottenham

Can my hon. Friend state what the advice to the boards will cover?

Photo of Bernard Braine Bernard Braine , Essex South East

It will cover short and long stay units for children and adolescents who are mentally ill or seriously maladjusted. It takes the form of setting out interim targets for the provision of in-patient accommodation based on current knowledge of needs. As I said, my right hon. Friend has advised hospital boards to increase this provision as soon as possible.

Photo of Mr Eric Lubbock Mr Eric Lubbock , Orpington

Did I hear correctly that there are only 527 beds in the whole country available for the in-patient treatment of young psychiatric patients? Is this not horrifying? Would the hon. Gentleman confirm that many young people are not being given the in-patient treatment which they require and are either being treated in departments which are meant for adults or having to remain at home although their behaviour may be gravely anti-social and even violent?

Photo of Bernard Braine Bernard Braine , Essex South East

This is one field where gross exaggeration of the kind that the hon. Gentleman has just indulged in does not help in the slightest. In the present state of our knowledge, it is difficult to assess with accuracy the extent and character of the total needs. Ways of measuring this are being considered, but this consideration has not delayed the interim guidance to boards about minimum requirements. I will repeat for the benefit of the hon. Gentleman that my right hon. Friend has recently advised hospital boards to increase this provision as soon as possible.

Photo of Mr Kenneth Robinson Mr Kenneth Robinson , St Pancras North

The hon. Gentleman need not get so steamed up about this. Is lie not aware that one of the most seriously under-provided needs in the National Health Service is that of psychotic adolescents? Can be break down his original figures and say how many units and how many beds are devoted to adolescent psychotics?

Photo of Bernard Braine Bernard Braine , Essex South East

Without notice, I could not break the figures down. I entirely agree with what the hon. Gentleman has just said, that there is a need here, as my right hon. Friend has recognised. The hon. Gentleman will know that the regional hospital boards are allocated funds and have responsibility for arranging the planning programmes in detail, and these programmes should be flexible enough to allow for the rearrangement of priorities where urgent new needs are brought to light.

Photo of Mr Eric Lubbock Mr Eric Lubbock , Orpington

Is the hon. Gentleman aware that a constituent of mine complained to me that his son was not being granted treatment in an in-patient department and that when I went to the Orpington Mental Health Association I was told that it was not an isolated case but was universal throughout the country because of shortage of places?

IN-PATIENT UNITS FOR MENTALLY ILL AND SERIOUSLY MALADJUSTED CHILDREN AND ADOLESCENTS
Hospital RegionUnitNumber of Beds
NewcastleSt. Luke's Hospital, Middlesbrough12
LeedsFairfield Hospital, York12
SheffieldMapperley Hospital, Nottingham20
Rauceby Hospital, Sleaford12
North West MetropolitanHigh Wick, St. Albans18
North East MetropolitanWhipps Cross Hospital, London, E.1124
South East MetropolitanSt. Augustine's Hospital, Canterbury16
The Bethlem Royal Hospital, Beckenham35
Evelina Children's Hospital, Guy's Hospital, London, S.E.17
The Lady Chichester Hospital, Hove (2 units)16
The Maudsley Hospital, London, S.E.526
South West MetropolitanBelmont Hospital, Sutton12
Long Grove Hospital, Epsom40
Queen Mary's Hospital, Carshalton20
OxfordThe Park Hospital, Oxford28
Pewsey Hospital, Pewsey36
Smith Hospital, Henley-on-Thames46
South WesternTone Vale Hospital, Taunton30
WelshGwynfa, Colwyn Bay24
BirminghamSouth Warwickshire Children's Hospital, Stratford-upon-Avon6
ManchesterBooth Hall Hospital, Manchester, 99
LiverpoolMoston Hospital, Chester18
WessexLeigh House, Chandler's Ford30
St. James' Hospital, Portsmouth30

NOTES:

1. In addition mentally ill children may be treated in other units for children, and mentally ill adolescents may be treated in units for adults.

2. Hospital returns do not readily show the number of beds for subnormal and severely subnormal young persons separately from beds for other age groups. At 31st December, 1961, about 9,000 subnormal and severely subnormal children were resident in hospital.