Delayed hospital discharge and mental health: The policy implications of recent research

Social Policy and Administration

Volumn 38, Issue 7, 2004, Pages 744-757

  Glasby, Jon ^a   Lester, Helen ^a  

^a UNIVERSITY OF BIRMINGHAM   (United Kingdom)

Author keywords

Cross charging; Delayed hospital discharge; Mental health; Reimbursement

Indexed keywords

FEASIBILITY STUDY; HEALTH POLICY; MENTAL HEALTH; SERVICE PROVISION;

EID: 10844275657     PISSN: 01445596     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1467-9515.2004.00416.x     Document Type: Review

References (47)

1. Bartlett, C., Holloway, J., Evans, M. and Harrison, G. (1999), Projection of alternatives to acute psychiatric beds: review of an emerging service assessment method, Journal of Mental Health, 8, 6: 555-68.
2. Beck, A., Croudace, T. J., Singh, S. and Harrison, G. (1997), The Nottingham Acute Bed Study: alternatives to acute psychiatric care, British Journal of Psychiatry, 170: 247-52.
3. Brown, D. (2002), Extent of bed-blocking fines system surprises health and care sectors, Community Care, 8-14 August: 16-17.
4. Clode, D. (2002), Another fine mess, Community Care, 11-17 July: 30-2.
5. Colmorten, E., Clausen, T. and Bengtsson, S. (2004), Providing integrated health and social care for older persons in Denmark. In K. Leichsenring and A. Alaszewski (eds), Providing Integrated Health and Social Care for Older Persons: a European Overview of Issues at Stake Aldershot: Ashgate.
6. Connelly, M. A. and Ritchie, S. (1997), An audit of in-patients aged 18-65 in acute psychiatric wards who are inappropriately placed three months after admission, Health Bulletin, 55, 3: 156-61.
7. Dawson, A. and Tylee, A. (eds) (2001), Depression: Social and Economic Timebomb-Strategies for Quality Care, London: BMJ Books.
8. Department of Health (1998), Modernising Mental Health Services, Safe, Sound and Supportive, London: Department of Health.
9. Department of Health (2002a), Delivering the NHS Plan: Next Steps on Investment, Next Steps on Reform, London: Department of Health.
10. Department of Health (2002b), Consultation on Reimbursing for Delayed Discharges. Accessed 30 July 2002. Available online via: www.doh.gov.uk/jointunit/delayeddis-charge/consult.htm
11. Department of Health (2004), Dramatic Fall in Delayed Discharges. Press release 2004/0196, 17 May.
12. Epstein, J., Kaplan, G., Lavi, B. et al. (2001), A description of inappropriate hospital stays in selected inpatient services: a study of cases receiving social work services, Social Work and Health Care, 32: 43-65.
13. Fulop, N., Koffman, J. and Hudson, M. (1992), Challenging bed behaviours: the use of acute psychiatric beds in an inner-London District Health Authority, Journal of Mental Health, 1: 335-41.
14. Fulop, N. J., Koffman, J., Carson, S., Robinson, A., Pashley, D. and Coleman, K. (1996), Use of psychiatric beds: a point prevalence study in North and South Thames regions, Journal of Public Health Medicine, 18, 2: 207-16.
15. Glasby, J. (2002a), Charging ahead, Nursing Older People, 13, 1:7.
16. Glasby, J. (2002b), The wrong remedy, Community Care, 5-11 December: 36-7.
17. Glasby, J. (2003), Hospital Discharge: Integrating Health and Social Care, Abingdon:Radcliffe Medical Press.
18. Glasby, J., Lester, H., Briscoe, J., Clark, M., Rose, S. and England, L. (2003), Cases for Change in Mental Health, London: Department of Health/National Institute for Mental Health.
19. Glasby, J. and Littlechild, R. (2000), Fighting fires? Emergency hospital admission and the concept of prevention, Journal of Management in Medicine, 14, 2: 109-18.
20. Glasby, J. and Littlechild, R. (2004), The Health and Social Care Divide: the Experiences of Older People, 2nd edn, Bristol: Policy Press.
21. Glendinning, C. (2002), A charge too far, Community Care, 11-17 July: 34-6.
22. Glendinning, C., Hudson, B., Hardy, B. and Young, R. (2002), National Evaluation of Notifications for the Use of the Section 31 Partnership Flexibilities in the Health Act 1999: Final Project Report, Leeds/Manchester: Nuffield Institute for Health/National Primary Care Research and Development Centre.
23. Goffman, E. (1968), Asylums, Harmondsworth: Penguin.
24. Henwood, M. (2004), Reimbursement and Delayed Discharges: Discussion Paper for the Integrated Care Network, Leeds: Integrated Care Network.
25. Hollingsworth, E. J. (1994), Falling through the cracks: care of the chronic mental ill in the United States. In J. R Hollingsworth and E. J. Hollingsworth (eds), Care of the Chronically and Severely Ill: Comparative Social Policies, New York: Aldine de Gruyter.
26. House of Commons Health Committee (2002), Delayed Discharges, London: Stationery Office.
27. Koffman, J., Fulop, N., Pashley, D. and Coleman, K. (1996), No way out: the delayed discharge of elderly mentally ill acute and assessment patients in North and South Thames regions, Age and Ageing, 25, 4: 268-72.
28. Leichsenring, K. and Alaszewski, A. (eds) (2004), Providing Integrated Health and Social Care for Older Persons: a European Overview of Issues at Stake, Aldershot: Ashgate.
29. Lelliott, P. and Wing, J. (1994), A national audit of new long-stay psychiatric patients II: impact on services, British Journal of Psychiatry, 165: 170-8.
30. Lewis, J. (2001), Older people and the health-social care boundary in the UK: half a century of hidden policy conflict, Social Policy & Administration, 35, 4: 343-59.
31. Liberal Democrats (2002a), 88,000 operations a year unable to take place due to 1,400 years of bed blocking, London: Liberal Democrats press release, 15 January.
32. Liberal Democrats (2002b), Delayed discharge costs NHS £23 million London: Liberal Democrats press release, 21 January.
33. Liberal Democrats (2002c), Bed blocking problems get worse as 2 in 5 patients are stuck in hospital for a month or more, London: Liberal Democrats press release, 27 January.
34. McDonagh, M. S., Smith, D. H. and Goddard, M. (2000), Measuring appropriate use of acute beds: a systematic review of methods and results, Health Policy, 53, 3: 157-84.
35. Mays, N., Roberts, E. and Popay, J. (2001), Synthesising research evidence. In N. Fulop, P. Allen, A. Clarke and N. Black (eds), Studying the Organization and Delivery of Health Services, London: Routledge.
36. Means, R. and Smith, R. (1998), From Poor Law to Community Care: the Development of Welfare Services for Elderly People, 1939-1971, 2nd edn, Bristol: Policy Press.
37. Mind (2000), Mind: the Mental Health Charity. Accessed 4 July 2002. Available online via: www.mind.org.uk
38. Minghella, E. and Ford, R. (1997), Focal points? Health Service Journal, 107, 5583: 36-7.
39. Moore, C. and Wolf, J. (1999), Open and shut case, Health Service Journal, 109, 5660: 20-2.
40. Moore, W. (1995), Emergeng Admissions: the Management Challenge, Birmingham: NAHAT.
41. NHS Confederation (1997), Tackling Emergency Admissions: Policy into Practice, Birmingham: NHS Confederation.
42. Paton, J. M., Fahy, M. A. and Livingston, G. A. (2004), Delayed discharge-a solvable problem? The place of intermediate care in mental health care of older people, Aging and Mental Health, 8, 1: 34-9.
43. Sainsbury Centre for Mental Health (1998), Acute Problems: a Survey of the Quality of Care in Acute Psychiatric Wards, London: Sainsbury Centre.
44. Sainsbury Centre for Mental Health (2003), The Economic and Social Costs of Mental Illness (Policy Paper 3), London: Sainsbury Centre.
45. Shepherd, G., Beardsmoore, A., Moore, C., Hardy, P. and Muijen, M. (1997), Relation between bed use, social deprivation, and overall bed availability in acute adult psychiatric units, and alternative residential options: a cross sectional survey, one day census data, and staff interviews, British Medical Journal, 314: 262-6.
46. Stephenson, P. (2002), Bedding down the system, Health Services Journal, 9 May: 10-11.
47. Styrborn, K. and Thorslund, M. (1993), Bedblockers: delayed discharge of hospital patients in a nationwide perspective in Sweden, Health Policy, 26: 155-70.