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Flip side of private provision
- Author:
- HUNTER Mark
- Journal article citation:
- Community Care, 3.08.20, 2006, pp.26-27.
- Publisher:
- Reed Business Information
After years of broken promises and missed deadlines, the final brutal reminders of the Victorian lunatic asylums will have been swept into history. Few will mourn the demise of the monolithic institutions that, for so long, were used to house, care for and often detain people with learning difficulties. However, many will be asking what exactly has happened to the vulnerable and marginalised people who once lived there? The answer may lie in the recent growth of private sector provision for people with learning difficulties; or in the use of campus-style NHS hospitals; or in out-of-area placements which may be community-based, but sited so far from the placed person's friends and family that they become institutional in all but name. According to latest figures there are still 10 NHS long-stay hospitals in operation. Between them they provide 239 beds for people with learning difficulties. This is a decrease from 752 beds in 2003 and reflects the government's ponderous progress towards its 2004 deadline (set in 2001's Valuing People report and later put back to 2006), by which all these long-stay hospitals were to have closed. By contrast, the private sector is booming. The Healthcare Commission estimates there are now at least 40 private providers of accommodation for people with learning difficulties offering more than 1,000 beds.
A trade in people: the inpatient healthcare economy for people with learning disabilities and/or Autism Spectrum Disorder
- Authors:
- BROWN Mark, JAMES Elaine, HATTON Chris
- Publisher:
- Lancaster University. Centre for Disability Research
- Publication year:
- 2017
- Pagination:
- 24
- Place of publication:
- Lancaster
This report looks at the increasing role of independent sector companies in delivering inpatient services and Assessment and treatment units for people with autism and/or learning difficulties. The report has been produced as part of the 7 Days of Action campaign, which aims to get people with autism and learning difficulties out of in-patient settings and back into their communities and in their own homes. The report provides an analyses of data on the different rates of inpatient provision in different Transforming Care Partnerships. It also looks at the experiences of people with learning disabilities who are detained in inpatient provision and the impact on their families. In analysing the data, the report concludes that inpatient rates are influenced by the independent sector locating in areas where house prices are lower. Once placed in care, the length of stay in hospital will be influenced by the care infrastructure that is in place. The findings show that people with learning disabilities and autism are staying in Assessment and treatment units (ATUs) much longer than necessary. The report argues that the current system has a significant effect on people with learning disabilities ability to maintain links with their home communities and their ability to maintain relationships that are important to their long term well-being and their right to an ordinary life. (Edited publisher abstract)
Community care statistics 2001: private nursing homes, hospitals and clinics
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2002
- Pagination:
- 36p.
- Place of publication:
- London
Contains information for the financial years 2000-2001 on independent sector nursing homes, private hospitals and clinics registered under Section 23 of the Registered Homes Act 1984.
Community care statistics 2000: private nursing homes, hospitals and clinics
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2001
- Pagination:
- 36p.,tables.
- Place of publication:
- London
Contains information for the financial years 1999/2000 on independent sector nursing homes, private hospitals and clinics registered under Section 23 of the Registered Homes Act 1984.
Community care statistics 1999: private nursing homes, hospitals and clinics
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2000
- Pagination:
- 32p.
- Place of publication:
- London
Contains information for the financial years 1997/98 and 1998/99 on independent sector nursing homes, private hospitals and clinics registered under Section 23 of the Registered Homes Act 1984.
Making change effective: a report of a visit to Southport and Formby
- Author:
- NATIONAL DEVELOPMENT TEAM
- Publisher:
- National Development Team
- Publication year:
- 1991
- Pagination:
- 71p.,bibliog.
- Place of publication:
- London
Report of a visit to Greaves Hall mental handicap hospital. Looks at the lives of people there, and their carers. Examines strategic and structural issues, including planning, management, the role of the private sector, and change. Section 4 is on challenging behaviour, and section 5 deals with retraction and closure.