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Crisis in Admission Beds

A Four-Year Survey of the Bed State of Greater London's Acute Psychiatric Units

Published online by Cambridge University Press:  02 January 2018

Robin B. Powell ,
Doris Hollander  and
Robert I. Tobiansky
Robin B. Powell*
Affiliation:
Maudsley Hospital
Doris Hollander
Affiliation:
The Whittington Hospital
Robert I. Tobiansky
Affiliation:
The Royal Free Hospital, London
*
Dr Robin Powell, Park Royal Centre for Mental Health, Central Middlesex Hospital, Acton Lane, London NW10 7NS
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Abstract

Background

This study was carried out to measure bed occupancy in Greater London's psychiatric units, in response to the apparent shortage of admission beds.

Method

The bed occupancy of London's 54 National Health Service (NHS) acute psychiatric units within 29 districts was ascertained by telephone on 16 bank holidays covering the period 1990–93.

Results

The mean occupancy level for all London over the 4 years was 97.54% (95% CI = ±0.94%). The number of beds occupied in inner London was significantly greater (99.79 ± 1.11%) than in outer London (95.1 ± 1.49%) (t = 3.85, d.f. = 462, P < 0.001). Bed occupancy for inner London units was ≥ 100% on over 49% of occasions. There has been a steady decline in the number of beds over the four-year period. There was a clear correlation between occupancy levels and the Jarman UPA8 Underprivilege Score (r = 0.504) and between bed provision and the UPA8 (r = 0.67).

Conclusion

Occupancy rates have become unacceptably high and require careful monitoring. Corrective action may be required in order to prevent a breakdown in services.

Type
Papers
Information
The British Journal of Psychiatry , Volume 167 , Issue 6 , December 1995 , pp. 765 - 769
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

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