To ask the Scottish Executive what the planning assumptions are for bed numbers at the new mental health in-patient facility at Gartnavel Hospital for (a) Greater Glasgow and (b) Clyde patients.
The relevant planning assumptions as set out in NHS Greater Glasgow and Clyde''s
Vision for the Vale document assumed a total of 60 acute adult mental health beds at Gartnavel Hospital: 48 beds for the Greater Glasgow area, and 12 beds for the Clyde area (although the board''s proposals for adult mental health in the
Vision for the Vale have not yet received Ministerial approval).
As confirmed in the answer to question S3W-23876 on 21 May 2009, NHS Greater Glasgow''s 1999 mental health strategy proposed that there should be a total of 60 acute adult mental health beds at Gartnavel Hospital. As I would expect, the board has revised its planning assumptions in line with national policy and operating experience since 1999. The development of appropriate crisis and assertive outreach services throughout the country over the last 10 years has seen a significant shift in the balance of care from management of adult acute mental health problems in inpatient settings to the management of a proportion of such problems through community-based crisis teams. This has seen comparable bed levels in England reduce by 10-20% over that period. NHS Greater Glasgow and Clyde has confirmed that the average relevant bed use throughout 2008 at Gartnavel Hospital was 49 beds. As such, Gartnavel Hospital is already operating close to the revised 48-bed plan and can be expected to appropriately reduce its bed use level as community-based services are further consolidated.
In terms of the planning assumptions for the remaining categories of mental health beds at Gartnavel Hospital, the board have confirmed that the number of Intensive Psychiatric Care Unit beds are to remain at 12: 10 for the Greater Glasgow area and two for the Clyde area. As with adult acute mental health services, the board''s assumptions are based on historically low occupancy levels, meaning the Clyde area activity can be absorbed without constraining current levels of Greater Glasgow activity.
There are no changes in the assumptions around the older people''s contingent of 45 beds at Gartnavel as the Vision for the Vale proposes that the relevant patients from the Clyde area should be treated at the Vale of Leven Hospital.
All answers to written parliamentary questions are available on the Parliament''s website, the search facility for which can be found at http://www.scottish.parliament.uk/Apps2/Business/PQA/Default.aspx.