More than£100m will be available for these services, including local contributions from health authorities.
Mr Dorrell said:
'I announced in November that additional funding will be provided to health authorities to provide new services to avoid delayed discharge of elderly patients from hospital, increase care for mentally ill people and provide more adult intensive and high dependency care beds. An extra£25m for these services was provided in 1996/97 and I am now making allocations for 1997/98.
'I am aware that staff are working hard to deliver the improved services to which they and the government are committed. There are local problems which need to be tackled and these new allocations reflect the government's commitment to provide tangible support.'
The extra money will be used as follows:
Adult intensive and high dependency care
£5m plus£15m from health authorities' growth money in 1997/98 to support 57 intensive care unit beds and 104 high dependency unit beds, including a number of beds opened in December in response to winter pressure. These will be in place by 1 April 1997
Almost£20m across the following areas:
-- rehabilitation and recovery services
-- specialist equipment to facilitate discharge
-- domiciliary care packages
-- hospital discharge co-ordination
-- residential and nursing home placements
-- out of hours support schemes
-- occupational therapy services
-- social work services
These amounts will by matched by health authorities and/or local authorities to make a total of£60m extra for these services, which will be in place from 1 April 1997.
Mental health services
£10.6m plus£12.9m from health authorities, making a total of£23.5m. New facilities will include:
-- 105 new in-patient and 24 hour nurse staffed beds
-- 13 new crisis intervention services
-- 19 new Community Mental Health Teams
-- 17 new assertive outreach and home support teams
-- 7 new services addressing dual diagnosis of mental illness and substance misuse
-- 8 new services working specifically on primary mental health care
-- 11 new specialised mental health services
These services will be in place by the end of March 1998. In addition,£15m is being provided to help those health authorities where demand for secure psychiatric services is greatest.
Nearly£12m will go to London health authorities. New provision will include both hospital and community supported services for mentally disordered offenders.
A table setting out the allocations per health authority is available on request from LGCNet. Tel 0171 833 7324/5 and will shall fax you a copy.