Many thanks to Professor Chris Hatton for compiling some facts and figures about Assessment & Treatment Units.
It makes for very chilling reading:
Some statistics on people in specialist learning disability inpatient services in England
The 2015 Learning Disability Census
From the Learning Disability Census 2015 (weblink here http://www.hscic.gov.uk/article/2021/Website-Search?productid=20487&q=learning+disability+census+2015&sort=Relevance&size=10&page=1&area=both#top ). This is run by the Health and Social Care Information Centre
On 30th September 2015, all providers of learning disability inpatient services in England are supposed to complete the census survey on everyone who is in their services on that date. So it’s only a snapshot – because (some) people are going in and out of these services, it doesn’t say how many people have used these services over the course of a year, for example (and there doesn’t seem to be any information on that, which would clearly be a bigger and even more horrifying figure). It’s also worth mentioning that this is the point of view of the service providers rather than the people in these places.
Anyway, as of 30th September 2015 there were exactly 3,000 people in specialist learning disability inpatient services. Some stats…
The following numbers and percentages of people in inpatient services experienced the following types of ‘incident’ at least once in the three months before the census date (they obviously might have experienced these multiple times, and experienced more than one type of ‘incident’, but we don’t know that information):
- Self-harm: 735 people (24%)
- Accidents: 530 people (18%)
- Physical assault on the person: 665 people (22%)
- Hands on restraint: 1,030 people (34%)
- Seclusion: 380 people (13%)
In total, 2,155 people (72%) were given antipsychotic medication in the 28 days before the census date. 2,020 of these 2,155 people were on a regular prescription of an antipsychotic.
In total, 320 people (11%) were given rapid tranquilisation medication at least once in the 28 days before the census date.
According to their care plan, 950 people (32%) do not need inpatient care.
At the time of the 2015 census…
- 1,190 people (40%) had been in their current service for up to a year (so far…)
- 1,300 people (43%) had been in their current service between 1 and 5 years (so far…)
- 510 people (17%) had been in their current service for 5 years or more
At the time of the 2015 census…
- 975 people (33%) had been continuously in learning disability inpatient services (so including transfers between inpatient services) for up to a year (so far…)
- 1,130 people (38%) had been continuously in these services between 1 and 5 years (so far…)
- 895 people (30%) had been continuously in these services for 5 years or more
In total, 1,225 people (43%) were in an inpatient service more than 50km from their home.
The total cost of placing someone in an ATU is £556million per year for 3000 people.
The average weekly cost per person of an ATU placement is £3563
Assuring Transformation data
This is also collected by/creditable to the HSCIC (see weblink here http://www.hscic.gov.uk/catalogue/PUB20239 ). It collects monthly information from commissioners rather than service providers on the number of people in learning disability specialist inpatient services. The latest available information is for February 2016 (the stats below are for this month). Nearly all commissioners provide information now, which is an improvement, but a lot of them provide information late, so the current total number of people recorded in this dataset for February 2016 (2,570 people) will increase as people are ‘found’ by commissioners later on.
165 people (6%) are under 18 years old.
75% of the in-patient population are male; 25% are female.
255 people (10%) are in services that are not CQC compliant.
710 people (28%) have not had a review in their service in the past year.
1,085 people (42%) have never had a Care and Treatment Review.
1,800 people (70%) have no planned transfer date.
For 255 people out of the 765 with a planned transfer date (33%), the local authority is not aware of the transfer.
The average length of stay in the person’s current service (so far…) is 1,093 days (pretty much bang on 3 years).
The average length of continuous stay in learning disability inpatient services (so far…) is 1,950 days (well over 5 years).