Skip to main content
×
×
Home

Modelling out-of-area admissions

  • Lewis W. Paton (a1) and Paul A. Tiffin (a2)
Summary

Out-of-area (OOA) placements occur when patients cannot be admitted to local facilities, which can be extremely stressful for patients and families. Thus, the Department of Health aims to eliminate the need for OOA admissions. Using data from a UK mental health trust we developed a ‘virtual mental health ward’ to evaluate the potential impact of referral rates and length of stay (LOS) on OOA rates. The results indicated OOA rates were equally sensitive to LOS and referral rate. This suggests that investment in community services that reduce both LOS and referral rates are required to meaningfully reduce OOA admission rates.

Declaration of interest

P.A.T. holds an honorary consultant contract with the Tees, Esk and Wear Valleys NHS Foundation Trust.

Copyright
Corresponding author
Correspondence: Lewis W. Paton, Department of Health Sciences, Seebohm Rowntree Building, University of York, Heslington, York YO10 5DD, UK. Email: lewis.paton@york.ac.uk
References
Hide All
1Edwards, T, Meier, R, Killaspy, H. Making the Case for a Rehabilitation Facility. Faculty of Rehabilitation and Social Psychiatry of the Royal College of Psychiatrists, 2010.
2Edwards, T, Wolfson, P, Killaspy, H. A Guide to Good Practice in the Use of Out-Of-Area Placements. Royal College of Psychiatrists’ Faculty of Rehabilitation and Social Psychiatry, 2012.
3Department of Health and Social Care. Out of Area Placements in Mental Health Services for Adults in Acute Inpatient Care. Department of Health and Social Care, 2016 (https://www.gov.uk/government/publications/oaps-in-mental-health-services-for-adults-in-acute-inpatient-care/out-of-area-placements-in-mental-health-services-for-adults-in-acute-inpatient-care).
4Blackburn, P. Trusts Must Publish OOA Numbers. BMA, 2017. (https://www.bma.org.uk/news/2017/november/trusts-must-publish-o-o-a-numbers).
5Glover, G, Arts, G, Babu, KS. Crisis resolution/home treatment teams and psychiatric admission rates in England. Br J Psychiatry 2006; 189: 441–5.
6McCrone, P, Singh, SP, Knapp, M, Smith, J, Clark, M, Shiers, D, et al. The economic impact of early intervention in psychosis services for children and adolescents. Early Interv Psychiatry 2013; 7: 368–73.
7Zhu, Z, Hoon Hen, B, Liang Teow, K. Estimating ICU bed capacity using discrete event simulation. Int J Health Care Qual Assur 2012; 25: 134–44.
8Goldman, J, Knappenberger, HA, Eller, J. Evaluating bed allocation policy with computer simulation. Health Serv Res 1968; 3: 119.
9Vassilacopoulos, G. A simulation model for bed allocation to hospital inpatient departments. Simulation 1985; 45: 233–41.
10Forbes, C, Evans, M, Hastings, N, Peacock, B. Statistical Distributions. John Wiley and Sons, 2011.
11Team SimPy. SimPy: Discrete Event Simulation for Python. SimPy, 2017 (https://simpy.readthedocs.io/en/latest/).
12Tiffin, PA, Hudson, S. An early intervention in psychosis service for adolescents. Early Interv Psychiatry 2007; 1: 212–8.
13Health and Social Care Information Centre. Mental Health Bulletin: Annual Report from MHMDS Returns 2013-14. HSCIC, 2014 (http://digital.nhs.uk/catalogue/PUB15990).
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Modelling out-of-area admissions

  • Lewis W. Paton (a1) and Paul A. Tiffin (a2)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *