NEW: Ministers announce plan to publish draft legislation to reform the Mental Health Act in #QueensSpeech
The purpose of the draft bill is to
➡️ Limit detentions of people with a learning disability and autistic people in hospital
➡️ Help tackle disparities & reduce number of people from minority ethnic backgrounds detained
➡️ Reduce the use of community treatment orders
Its changes will also include rebalancing threshold for detention - determining risk to public & therapeutic benefits, plus a strengthening of rights to express treatment preference / care plan
Officials said the Bill would take forward the majority of recommendations made by @WesselyS 2018 review of how Mental Health Act is used in practice
PM @BorisJohnson described current mental health laws as “antiquated” & said every person deserves to be treated with dignity
CEO of @Rethink_ @charitablemark says while milestone "cause for celebration" some details are still to be finalised - including funding
Main elements of draft bill below. Some key figures: In 2020/21, there were around 53k detentions under the Act in England (up 4.5 per cent on 2019/20). Black people were 4x more likely than white people to be detained & 10x more likely to receive a community treatment order
On the 28-day prison transfer point, see @HSJnews investigation by @HayleyLEK & I from December: hsj.co.uk/mental-health/…

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More from @emilyltownsend

Mar 31
NHS staff survey - some concerning deteriorations in @HSJnews analysis of mental health trusts. Among those with biggest falls (table below) is @TaviAndPort - we reported on cultural concerns there in January hsj.co.uk/mental-health/…
Some stark differences between top & bottom five in England - among those with poorest scores @NSFTtweets and @SHSCFT while @BHFT @NHFTNHS well supported by staff. Full analysis via @HSJnews hsj.co.uk/workforce/the-…
Meanwhile, not a great set of scores to say the least in the West Mids acute trusts - @sathNHS @uhbtrust and @WalsallHcareNHS among lowest percentages nationally - @RWT_NHS @WyeValleyNHS faring much better hsj.co.uk/workforce/reve…
Read 4 tweets
Mar 30
🚨BREAKING: Repeated care and governance failures were routinely ignored by a hospital trust where poor maternity care resulted in 295 avoidable baby deaths or brain damage cases, final @DOckendenLtd report into maternity at Shrewsbury and Telford Hospital Trust finds
Nine mothers also died as a result of avoidable poor care and there were concerns for an additional three mothers’ but #ockendenreview found outcome would have been the same
Review of 1,600 clinical incidents identifies repeated care and governance failures over decades. @DOckendenLtd says both @sathNHS and multiple external bodies failed to listen to families’ concerns and effectively monitor poor care including “false assurances” by regs inc. CQC
Read 30 tweets
Mar 30
NEW: Child and adolescent mental health wards - a core service @HPFT_NHS - have been rated ‘inadequate’, but the #Hertfordshire trust retains its overall ‘outstanding’ rating hsj.co.uk/mental-health/…
CQC says inspection at Forest House, an inpatient unit in Radlett, wasn't "wide ranging enough" to affect trust's overall ratings. Teenagers told inspectors they "didn't feel safe", and leadership within the service was found to have "significantly deteriorated"
Staff morale was low and access to clinical psychologists limited, with reduced ability to provide therapeutic interventions, CQC said. Young people's acuity of illness had increased significantly throughout 2020-21, in part due to covid & "deterioration in MH of cyp nationally"
Read 4 tweets

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