University of Durham, 15 Old Elvet, Durham DH1 3HL
Health Services Research Department, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
AIMS AND METHOD
To examine what current routine statistics could show about the extent to which patients are admitted to hospital beds out of area, a quality indicator proposed in the National Service Framework.
RESULTS
Available data record that, on average, at least 6.9% of acute general psychiatry admissions in the English NHS happen outside the normal catchment area arrangement of a patient's health authority. However, deficiencies in the calculation arising from lack of data, mainly about private sector admissions and the absence of a central registry of NHS trust catchment areas suggest this is a substantial underestimate.
CLINICAL IMPLICATIONS
The most useful way for this issue to be examined is from year to year for individual trusts.
This article has been cited by other articles:
![]() |
I. Mitra and R. Alexander Out-of-area placements: implications of psychiatric services in learning disability The Psychiatrist, October 1, 2003; 27(10): 382 - 385. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. Glover Use of routinely collected data on psychiatric in-patient care Adv. Psychiatr. Treat., July 1, 2003; 9(4): 300 - 307. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. FORSYTH and P. WINTERBOTTOM Beds, budgets and burdens: learning disability expenditure v. workload across English health authorities: Comparative review The British Journal of Psychiatry, September 1, 2002; 181(3): 200 - 207. [Abstract] [Full Text] [PDF] |
||||