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Patients' experiences of the First-Tier Tribunal (Mental Health): report of a joint pilot project of the Administrative Justice and Tribunals Council and the Care Quality Commission
- Authors:
- ADMINISTRATIVE JUSTICE AND TRIBUNALS COUNCIL, CARE QUALITY COMMISSION
- Publisher:
- Administrative Justice and Tribunals Council; Care Quality Commission
- Publication year:
- 2011
- Pagination:
- 35p.
- Place of publication:
- London
Each year, there are more than 45,000 detentions of men and women in hospital for assessment and treatment for mental disorder under the Mental Health Act 1983. At any point in time, around 16,000 people are being detained by NHS and independent hospitals and a further 4,000 people are on community treatment orders (CTOs) or are subject to guardianship powers. The First-tier Tribunal (Mental Health) is the primary mechanism in England for appeal against the use of the Act's powers of detention, guardianship or supervised community treatment. It is an independent judicial body administered by the Tribunals Service and provides one of the key safeguards under the Act. This report details the experiences of a joint pilot project of the Administrative Justice and Tribunals Council and the Care Quality Commission to obtain information from people who use mental health services and patients detained under the Mental Health Act about their experiences of coming before the First-tier Tribunal (Mental Health). Patients had wide-ranging experiences of the tribunal, ranging from positive to strongly negative. When examined as a whole, one trend emerged: the patients who received the outcome they wanted gave far more positive answers about the tribunal process in general, while disappointed patients made more negative comments.
Are we listening? Review of children and young people's mental health services. Phase two supporting documentation: engagement report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 12
- Place of publication:
- Newcastle upon Tyne
This report pulls together findings from engagement activities that took place as part of phase two of the children and young people’s mental health thematic review, carried out by the Care Quality Commission (CQC). Through the engagement activities, the CQC spoke to young people aged 12 to 25 who had accessed a range of mental health services. The report identifies common and emerging themes across the following areas: the referral process; waiting times; staff involved in young people’s care; stereotypes and stigma; communication; person-centred services; transition to adult services; and safety. The report is intended to inform the overall phase two report for the review and can be considered alongside the engagement report for phase one of the review. These engagement activities are additional to the engagement work included in the fieldwork for the review. (Edited publisher abstract)
Are we listening? Review of children and young people's mental health services. Phase two supporting documentation: qualitative analysis
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 41
- Place of publication:
- Newcastle upon Tyne
Outlines the findings from qualitative thematic analysis of area evidence summaries from fieldwork undertaken in 10 health and wellbeing board areas to support phase two of the thematic review on children and young people’s mental health, carried out by the Care Quality Commission (CQC). The analysis pulls out themes from across the areas visited and provides some examples of both good and less good practice, as well as the views of children and young people and their families. The findings cover the areas of: governance, leadership and strategic oversight; workforce capacity; local mental health systems; access to care and information; and quality of care. (Edited publisher abstract)
Monitoring the Mental Health Act in 2012/13: summary
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 12
- Place of publication:
- Newcastle upon Tyne
This summary of the main report for 2012-13 outlines findings on the extent to which mental health services are responsive to people’s needs; ways in which people are subject to restrictions; issues around consent to treatment; access to care during a mental health crisis; and deaths of patients subject to the Act. It presents facts and figures, and notes areas of improvement and where the Care Quality Commission (CQC) expects to see change. (Original abstract)
Monitoring the Mental Health Act in 2012/13; presented to Parliament by the Secretary of State for Health pursuant to section 120D(3) of the Mental Health Act 1983
- Authors:
- CARE QUALITY COMMISSION, GREAT BRITAIN. Department of Health
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 94
- Place of publication:
- Newcastle upon Tyne
This is the fourth annual report by the Care Quality Commission (CQC) on its monitoring of the use of the Mental Health Act 1983. It collates findings of CQC’s specialist MHA visits, the concerns of people who use services and of professional stakeholders, and policy issues relevant to psychiatric detention in England. In 2012/13 people were detained or treated under the MHA more than 50,000 times; and community treatment orders were imposed more than 4,600 times. The total number of people who are subject to the MHA has risen by 12% in the last five years, with 17,000 people detained at the end of 2012/13. The report considers the extent to which mental health services are responsive to people’s needs; ways in which people are subject to restrictions; issues around consent to treatment; access to care during mental health crisis; and deaths of patients subject to the Act. While there is welcome for improvements in access to independent advocacy services, in helping people to draw up advance statements of preferences for care and treatment, the report notes that 27% of care plans showed no evidence of patient involvement. CQC expects there to be change in respect of promoting dignity and autonomy; promoting cultures that support therapeutic practices and reduce restraint and seclusion to a minimum; and being proactive in embedding learning from the deaths of people subject to the Act. (Edited publisher abstract)
Monitoring the Mental Health Act in 2011/12: presented to Parliament ... pursuant to section 120D(3) of the Mental Health Act 1983: summary
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 12p.
- Place of publication:
- Newcastle upon Tyne
This is the summary of the third annual report by the Care Quality Commission (CQC) on its monitoring of the use of the Mental Health Act 1983. Mental health is a major issue for this country. Nearly a quarter (23%) of the total burden of disease in the UK is attributable to mental disorder, compared to 16% for cancer and 16% for heart disease. Mental disorder has a broad range of impacts across health, education, work and criminal justice as well as links with health risk behaviour and associated premature mortality. The Government’s consultation on the NHS Constitution proposes amending the first guiding principle on the purpose of the NHS to explicitly include mental as well as physical health. The mid-term review, published in January 2013, includes improving the treatment and care of people with mental illness in its four key priorities for health and care. Overall, some hospitals and wards are doing a very good job in treating patients with dignity and respect. CQC found some overall improvement but most of the concerns highlighted in previous reports remain. There is a significant gap between the realities CQC is observing in practice and the ambitions of the national mental health policy. CQC is concerned that cultures may persist where control and containment are prioritised over the treatment and support of individuals.
Monitoring the Mental Health Act in 2011/12: presented to Parliament ... pursuant to section 120D(3) of the Mental Health Act 1983
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 108
- Place of publication:
- Newcastle upon Tyne
This is the third annual report by the Care Quality Commission (CQC) on its monitoring of the use of the Mental Health Act 1983. Mental health is a major issue for this country. Nearly a quarter (23%) of the total burden of disease in the UK is attributable to mental disorder, compared to 16% for cancer and 16% for heart disease. Mental disorder has a broad range of impacts across health, education, work and criminal justice as well as links with health risk behaviour and associated premature mortality. The Government’s consultation on the NHS Constitution proposes amending the first guiding principle on the purpose of the NHS to explicitly include mental as well as physical health. The mid-term review, published in January 2013, includes improving the treatment and care of people with mental illness in its four key priorities for health and care. Overall, some hospitals and wards are doing a very good job in treating patients with dignity and respect. CQC found some overall improvement but most of the concerns highlighted in previous reports remain. There is a significant gap between the realities CQC is observing in practice and the ambitions of the national mental health policy. CQC is concerned that cultures may persist where control and containment are prioritised over the treatment and support of individuals.
Review of compliance: Wolverhampton City PCT Penn Hospital
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2010
- Pagination:
- 37p.
- Place of publication:
- London
Penn Hospital is a community mental health inpatient hospital managed by Wolverhampton City PCT providing treatment to voluntary patients and people detained under the Mental Health Act 1983. This report outlines it compliance to meet essential standards in the assessment or medical treatment of persons detained under the Mental Health Act 1983. The findings of the inspection are listed under each essential standard and outcome reviewed. Areas of non compliance were identified in all 10 of the essential standards of safety and quality reviewed. The overall judgment is that there is a major concern with the hospital’s quality and safety of care.
Are we listening? Review of children and young people's mental health services. Phase Two supporting documentation: quantitative analysis
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 70
- Place of publication:
- Newcastle upon Tyne
A summary of relevant, nationally available data which was collected for the Care Quality Commission’s (CQC) thematic review of mental health care for children and young people in England. It was developed to support the report authors for the phase two report. Sections cover: numbers, circumstances and characteristics of children and young people across England; prevalence of mental health needs; access to mental health care; and experiences of mental health care and outcomes. The report identifies gaps in the available data and data quality issues. (Edited publisher abstract)
Right here, right now: people’s experiences of help, care and support during a mental health crisis
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2015
- Pagination:
- 106
- Place of publication:
- Newcastle upon Tyne
A review of the quality, safety and effectiveness of care provided to those experiencing a mental health crisis. The report is based on feedback from almost 1,800 people with experience of a mental health crisis, along with local area inspections looking at how services work together, surveys of service providers and a review of national data. The review found that the quality of care experienced by a person in crisis can vary greatly depending on where they are and what help they require. Many people also experienced problems getting help when they needed it, and found that healthcare professionals sometimes lack compassion and warmth when caring for people who are having a crisis. Other findings include: many people will go to see their local GP first when they are having a mental health crisis - the majority (60 per cent) of people who visited their GP during a crisis were satisfied with the experience; most people reported that they came into contact with at least three different services when they had a mental health crisis – nearly one in eight said that they had come in to contact with between six and ten services, which indicates a need for them to work more closely together in areas; access to, and the quality of, A&E services after 5pm was not good enough – highlighting the need to for adequate and effective liaison psychiatry services across acute settings that deliver value for money, alongside improving outcomes for people who come into contact with them; the use of police cells as a ‘place of safety’ for people in crisis has fallen significantly, but people under 18 can have problems accessing suitable places of safety - in 2013/14, nearly a third of people under 18 who were detained, were taken into police custody. (Edited publisher abstract)