Questions asked by the BwD LINk


Question Asked to Blackburn with Darwen NHS Teaching Care Trust Plus

What are the bed occupancy rates for Adult Mental Care within Lancashire Care NHS Trust over the last 3 years?





Question Asked to Blackburn with Darwen NHS Teaching Care Trust Plus

What is the number of adult patients waiting for a bed at Lancashire Care NHS Trust during the most recent year?  It would also be helpful to have this for last 3 years if possible.




Lancashire Care does not operate a waiting system for beds and therefore doesn’t hold this information. Patients requiring inpatient care are admitted to available beds via local crisis teams. They are responsible for offering home support and treatment or arranging inpatient admissions when required. During recent years there has been significant investment in community services. The PCTs of Lancashire currently spend £23 million per year on community services and the development of new teams including Early Intervention Services and Crisis & Home Treatment Teams has resulted in approximately 90% of people who come into contact with the Trust’s services being successfully treated in community settings. This alternative provision to inpatient admission has resulted in a reduction in bed occupancy and average length of stay across the county, which means that beds are readily available within the Trust’s county wide network of inpatient services for those people who are assessed as requiring an inpatient admission. 

 Question Asked to Blackburn with Darwen NHS Teaching Care Trust Plus

What are the number of patients/year from  BwD being sent to  private mental health beds- if any- in the last 3 years?




The Trust provides a network of community and inpatient care across the county. This means that as far as possible people requiring inpatient services are admitted to a facility as close to home as possible but there is flexibility within the service to accommodate people from a range of locations if this is necessary to meet their clinical needs. Therefore  instances of the use of private beds are very rare. In exceptional circumstances, if a person required highly specialist care, such as an inpatient admission for an eating disorder, they would be referred to an NHS commissioned specialist unit. This would be in response to their clinical requirements as opposed to bed availability.  

 Question Asked to Blackburn with Darwen NHS Teaching Care Trust Plus 


What are the average costs of private mental health bed/night compared to Lancashire Care?


The average cost per bed day for Lancashire Care NHS Foundation Trust is £274.63. This is for an acute mental health bed for an adult and does not include nursing costs. (There are a range of costs associated with inpatient beds depending on the nature of the care that is being provided – PICU, Secure and CAMHs beds all have different costs associated with them.)

The Trust is unable to provide the cost of private providers, they would have to be contacted directly for this information.

Question Asked to Blackburn with Darwen NHS Teaching Care Trust Plus

How often is information on the online directory updated?

When is the information checked for accuracy?




Firstly, thank you for using the directory and sending your feedback. The first local directory was developed in 2008 by my predecessor, and the 2011 version was produced in March 2011.

The development of the directory was co-ordinated by Public Health and both hard and electronic copies were distributed earlier in the year.  During the development stage of the directory, all listed entries are contacted to update their details and sent a reminder. 

I’m conscious that there have been a lot of changes over the last 6 months due to decommissioning of services and reorganisations; however I was keen to update the 2008 directory, and understood this might be out of date as soon as printed in some cases.  The plan is to update the directory every 12 months, resources permitting.

We are collating any updates from services that recognise details that are out of date for the next edition, but of course these will be checked at the review stage.  Feedback from users of the resource has found the hard copies useful which are obviously more difficult to keep up to date.

I’d welcome any suggestions or resource for managing the updating of the directory, or any service updates you have identified for the future edition. 

 Question Asked to the BwD PCT


At a previous Task Group meeting you mentioned how the Mental Health Strategy was looking at developing new community support. The Task Group feel it would be very helpful to know in more detail what is being done locally within Blackburn with Darwen in terms of initiatives around the new mental health reconfiguration outside inpatient services.

Is there any information on this that you might feel able to provide please?



Debbie would very much welcome the opportunity for her and/or Lynette Harwood (Mental Health Commissioning Manager for NHS Blackburn with Darwen) to attend the next BwD LINk Task Group meeting and meet with members to discuss any issues around the current work in progress, if the group would be happy with this. If this would be helpful, I should be most grateful if you could please let me know the date of your next Task Group meeting so I may check availability and confirm in their diaries.

Question Asked to East Lancashire Hospital NHS Trust: 

You will remember that in 2009  the LINk asked a question on  deaf awareness training to which you responded. You gave a figure of 93 staff that had received Trust Equality and Diversity training.

During their subsequent  Enter and Views the LINk has noticed that many staff appear to lack knowledge of availability of hearing loops and  interpreter services and would like to ask: 

1) How many staff throughout the Hospital have now received training  that includes  these issues 

2) Is refresher training available and how may staff have received this.    


I have made the enquiries via the Diversity and Equality Manager for the information you requested in relation to Diversity and Equality training. In 2010 the following Diversity and Equality learning and development activity was recorded. 

  • 526 staff across the Trust attended Face to Face Diversity and Equality training.
  • 997 completed the Key skills framework - Level 2 competency Diversity and Equality workbook.
  • 57 staff attended specific Deaf awareness training.
 With regard to refresher training this is incorporated in the data included above.




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