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Although community services have expanded, acute psychiatric inpatient
care remains an essential part of mental health care. High levels of
bed occupancy have been reported before and are confirmed by Ford et al
(p 1279) in their report of a national survey of 119 acute units in
England and Wales undertaken by the Mental Health Act Commission. To
add to the difficulties of bed occupancies of 99%, nearly a third
of nursing staff, rising to half in London, may be employed on a casual
basis. The physical environment for female patients may not always be
safe
only a third had the use of women-only areas.