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Who's assessing needs-led assessment?

Dundee Healthcare NHS Trust, Royal Dundee Liff Hospital, Dundee DD2 5NF

David Reid, Lecturer

University Department of Psychiatry, Ninewells Hospital, Dundee

Audrey Simpkins, Charge Nurse and Tessa Durham, Research Occupational Therapist

Royal Dundee Liff Hospital

^* Correspondence

Pre- and post-change audits of the effect of the changes in community care assessments and funding intro-duced in April 1993 were carried out on a psychiatric in-patient rehabilitation unit in Dundee. There was a substantial reduction in throughput in the rehabilitation unit (from 43 to 22) and in placements to funded staffed accommodation (from 11 to three) despite an increase in void community tenancies. By three months, 17 of 22 referrals for needs assessment were still incomplete, and at one year only three patients had had their needs assessed and appropriately met. Recommendations arising from these findings are discussed.