Intended for healthcare professionals


MPs call for far reaching reforms to mental health services

BMJ 2000; 321 doi: (Published 29 July 2000) Cite this as: BMJ 2000;321:262
  1. Linda Beecham
  1. BMJ

    MPs have called for far reaching reforms in the provision of mental health services in the NHS in England, including the closure of the three special hospitals.

    In their report, which runs to nearly 60 conclusions and recommendations, the members of the health select committee propose replacing Rampton, Ashworth, and Broadmoor with eight smaller, regional based units, which should be fully integrated with existing secure and mental health services.

    MPs see this as a long term project and suggest a scheme similar to that adopted in Italy, where there was a moratorium on admissions to old facilities while the new units were being built up. They believe that smaller, purpose built units would offer better security for the public, patients, and staff.

    The MPs do not support either of the government's options for dealing with people with severe personality disorders—strengthening powers to detain them or creating a new specialist service to house them …

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