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Psychiatric Bulletin (2000) 24: 54-56. doi: 10.1192/pb.24.2.54
© 2000 The Royal College of Psychiatrists
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Psychiatric Bulletin (2000) 24: 54-56
© 2000 The Royal College of Psychiatrists

Pressure on adult acute psychiatric beds. Results of a national questionnaire survey

Peter Greengross, Senior Registrar in Public Health Medicine

Department of Public Health & Health Policy, Brent & Harrow Health Authority

Doris Hollander, Honorary Senior Lecturer

Institute of Psychiatry, PO Box LB1473, London W1A 9LB

Richard Stanton, Consultant Psychiatrist

Bath Mental Healthcare NHS Trust

AIMS AND METHOD

To quantify perceived problems with psychiatric bed availability nationally using a questionnaire survey of all 210 UK mental health trusts.

RESULTS

One hundred and seventy-three (82%) trusts replied. Thirty (17%) are often over-occupied, 21 (15%) often have problems with bed availability. Ten (7%) often use extra-contractual referrals (ECRs). Frequent over-occupancy is associated with deprivation. Frequent use of ECRs is associated with relatively few beds.

CLINICAL IMPLICATIONS

Problems with bed availability are found nationwide, but outside southern England are relatively infrequent. Such problems are less pronounced than in Greater London.




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