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APPENDIX A
Table A4.1: Time commitment for emergency certificates only
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=8)* | MHO (N=5) | Medic (N=7) | MHO (N=5) | Medic | MHO |
|---|
Medical Practitioner examination | 81.88 | 30.00 | 55.00 | | 21.43 | |
|---|
(20, 360) | (30, 30) | (20, 180) | | (-31.01, 73.86 | |
MP consultation with MHO | 54.69 | 20.00 | 35.71 | 10.00 | 22.50 | |
|---|
(5, 180) | (20, 20) | (0, 120) | (10, 10) | (-29.56, 74.56) | |
Preparation of certificate/notification to hospital management | 59.88 | 25.00 | 14.29 | | 49.29 | |
|---|
(10, 180) | (25, 25) | (5, 60) | | (-4.74, 103.31) | |
Hospital mgnt to notify appropriate others | 10.00 | | 10.00 | | | |
|---|
(10, 10) | | (10, 10) | | | |
Arrangements for removal to hospital | 29.17 | 30.00 | 22.50 | 0.00 | 6.67 | |
|---|
(5, 60) | (30, 30) | (5, 60) | (0, 0) | (-4.67, 18.00) | |
If consent from MHO n/a contact relevant LA | 20.00 | | 0.00 | | | |
|---|
(20, 20) | | (0, 0) | | | |
Interview of patient | 10.00 | 32.50 | 10.00 | 24.00 | | 8.50 |
|---|
(10, 10) | (5, 45) | (10, 10) | (5, 30) | | (-4.22, 21.22) |
Consultation with other parties | | 28.00 | | 18.50 | | 9.50 |
|---|
| (5, 40) | | (5, 30) | | (-1.78,20.78) |
Checking records | | 18.00 | | 14.00 | | 10.00 |
|---|
| (10, 30) | | (10, 20) | | (-12.50, 32.50) |
Time taken considering alternatives to detention | | | | 12.50 | | |
|---|
| | | (5, 15) | | |
MHO report to med practitioner who granted certificate | | | | 15.00 | | |
|---|
| | | (15, 15) | | |
Total time commitment | 224.69 | 144.50 | 129.29 | 71.50 | 104.64 | 73.00 |
|---|
(75.00, 660.00) | (65.00, 350.00) | (60.00, 260.00) | (55.00, 85.00) | (-46.10, 255.39) | (-68.61, 214.61) |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.2: Time commitment for emergency certificates if no MHO consent
| Activity | Average (range) time commitment
under NEW act (mins) | Average (range) time commitment
under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=0)* | MHO (N=3) | Medic (N=0) | MHO (N=3) | Medic | MHO |
|---|
HM to inform LA | | 12.50 | | 12.5 | | |
|---|
| (5,20) | | (5, 20) | | |
MHO interview of patient | | 31.67 | | 28.3 | | 3.33 |
|---|
| (5, 45) | | (5, 45) | | (-11.01, 17.68) |
Consultation with other patients | | 27.50 | | 15.80 | | 11.67 |
|---|
| (5 , 40) | | (5 , 20) | | (-14.19, 37.52) |
Checking records | | 14.17 | | 12.50 | | 1.67 |
|---|
| (5, 30) | | (5, 30) | | (-5.50, 8.83) |
Consideration of alternatives | | 17.50 | | 12.50 | | 5.00 |
|---|
| (15, 20) | | (10, 15) | | (-58.53, 68.53) |
Report to medical practitioner | | 15.00 | | 15.00 | | |
|---|
| (15, 15) | | (15, 15) | | |
Total time commitment | | 94.17 | | 74.17 | | 20.00 |
|---|
| (47.50, 130.00) | | (47.50, 90.00) | | (-36.92, 76.92) |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.3: Time commitment for revoking an emergency certificate
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=1)* | MHO (N=0) | Medic (N=1) | MHO (N=0) | Medic | MHO |
|---|
Practitioner examination | 60.00 | - | 30.00 | - | - | - |
|---|
(60, 60) | | (30, 30) | | | |
Informing of patient/hospital management | 30.00 | - | 30.00 | - | - | - |
|---|
(30, 30) | | (30, 30) | | | |
Hospital mgnt to notify appropriate others | - | - | - | - | - | - |
|---|
Total time commitment | 90.00 | - | 60.00 | - | - | - |
|---|
(90.00, 90.00) | | (60.00, 60.00) | | | |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.4: Time commitment for suspending an emergency certificate
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=1)* | MHO (N=0) | Medic (N=1) | MHO (N=0) | Medic | MHO |
|---|
RMO assessment | 60.00 | | 60.00 | - | - | - |
|---|
(60, 60) | | (60, 60) | | | |
Prep of suspension certificate by RMO | 60.00 | | | - | - | - |
|---|
(60, 60) | | | | | |
Informing patients, MHO, appropriate others | - | | - | - | - | - |
|---|
| | | | | |
Time taken to inform if suspension revoked | 90.00 | | 30.00 | - | - | - |
|---|
(60, 120) | | (30, 30) | | | |
Hospital management to notify appropriate others | - | | - | - | - | - |
|---|
Total time commitment | 210.00 | | 90.00 | - | - | - |
|---|
(210.00, 210.00) | | (90.00, 90.00) | | | |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.5: The costs of medical practitioners and MHOs time at different stages of an emergency certificate (£sterling, 2005 prices)
| Average (range) costs under NEW act | Average (range) costs under OLD act | Mean difference (95% CI) in costs between NEW and OLD acts† |
|---|
Medic | MHO | Medic | MHO | Medic | MHO |
|---|
Cost of an emergency detention | 254.50 | 69.84 | 146.88 | 34.56 | 131.02 | 35.28 |
|---|
(60.42, 880.00) | (31.42, 169.17) | (33.83, 346.67) | (26.58, 41.80) | (-73.86, 335.91) | (-33.16, 103.73) |
Cost of an emergency detention if no MHO consent | - | 45.51 | - | 35.85 | - | 9.66 |
|---|
| (22.96, 62.83) | | (22.96, 43.50) | | (-17.84, 37.18) |
Cost of revoking an emergency certificate | 120.00 | | 80.00 | - | | - |
|---|
(120.00, 120.00) | | (80.00, 80.00) | | | |
Cost of suspending an emergency certificate | 285.00 | | 120.00 | - | | - |
|---|
(285.00, 285.00) | | (120.00, 120.00) | | | |
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.6: Time commitment for short-term certificates only
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=15)* | MHO (N=12) | Medic (N=15) | MHO (N=11) | Medic | MHO |
|---|
AMP medical examination | 46.67 | 31.88 | 39.83 | 18.33 | 6.83 | 9.17 |
|---|
(20, 120) | (15, 45) | (15, 60) | (5, 40) | (-2.02, 15.69) | (-10.80, 29.13) |
Length of time taken to contact MHO | 18.04 | 20 | 18.39 | 10 | -0.36 | - |
|---|
(0, 60) | (10, 30) | (0, 60) | (10, 10) | (-5.09, 4.37) | |
MHO interview of patient | 26.75 | 38.18 | 27.5 | 33 | 0.50 | 5.25 |
|---|
(10, 60) | (10, 90) | (10, 60) | (10, 60) | (-0.63, 1.63) | (-1.62, 12.12) |
AMP preparation of certificate | 37.83 | 45 | 12.86 | 25 | 26.25 | 12.50 |
|---|
(15, 180) | (30, 60) | (0, 30) | (5, 45) | (5.56, 46.94) | (-146.33, 171.33) |
HM informed /Consult named person | 25.00 | 36.43 | 9.23 | 25 | 15.32 | 11.43 |
|---|
(10, 60) | (20, 60) | (1, 20) | (5, 60) | (6.92, 23.71) | (3.55, 19.31) |
MHO consent | 19.79 | 59.06 | 13.54 | 45.83 | 6.25 | 1.67 |
|---|
(5, 60) | (10, 180) | (5, 60) | (5, 180) | (-2.95, 15.45) | (-2.62, 5.95) |
Compilation and completion of SCR | 32.50 | 330 | 7.5 | 261.11 | 25.00 | 62.22 |
|---|
(5, 60) | (120, 600) | (5, 60) | (60, 600) | (-292.65, 342.65) | (-11.18, 135.63) |
Arrangements to transfer patient | 89.00 | 75 | 42.5 | 32.5 | 65.00 | 42.50 |
|---|
(10, 360) | (30, 120) | (10, 120) | (5, 60) | (-121.25, 251.25) | (-179.86, 264.86) |
Report if MHO unable to interview patient | 10.63 | 30 | 6.17 | 21.67 | 4.67 | 13.33 |
|---|
(5, 15) | (15, 60) | (2, 10) | (5, 30) | (-7.84, 17.17) | (-47.94, 74.60) |
Hospital management informed | 9.38 | 15 | 8.75 | 7.5 | 0.63 | 12.50 |
|---|
(5, 20) | (5, 30) | (5, 20) | (5, 10) | (-0.85, 2.10) | (-146.33, 171.33) |
HM to inform appropriate parties | 18.33 | 75 | 15 | 60 | 3.33 | - |
|---|
(10, 30) | (30, 120) | (5, 30) | (60, 60) | (-11.01, 17.68) | |
Review of short-term order | 63.93 | 79.29 | 46.54 | 38 | 20.00 | 46.00 |
|---|
(10, 180) | (15, 120) | (0, 120) | (0, 60) | (2.38, 37.62) | (16.42, 75.58) |
Total commitment | 260.17 | 508.33 | 168.33 | 330.91 | 91.83 | 179.55 |
|---|
(115, 620) | (150, 840) | (87, 400) | (20, 705) | (38.30, 145.36) | (59.46, 299.64) |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given. † This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.7: Time commitment for revoking a short-term certificate
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=14)* | MHO (N=6) | Medic (N=14) | MHO (N=4) | Medic | MHO |
|---|
RMO examination | 28.75 | 30 | 23.46 | 15 | 5.91 | - |
|---|
(10, 75) | 30, 30 | (5, 60) | (15, 15) | (0.99, 9.40) | |
Informing patient/appropriate others | 17.77 | 76.67 | 8.23 | 20 | 9.14 | 56.66 |
|---|
(1, 30) | 50, 120 | (0, 30) | (10, 30) | (4.12, 14.15) | (-58.07, 171.40) |
Preparation of oral/written evidence | 100.42 | 285 | 35.5 | 45 | 32.50 | - |
|---|
(20, 480) | (60, 1020) | (5, 120) | (30, 60) | (11.49, 53.51) | |
Total time commitment | 131.32 | 328.33 | 53.61 | 41.25 | 77.71 | 376.25 |
|---|
(30, 530) | (60, 1070) | (10, 170) | (20, 60) | (4.69, 150.74) | (-346.41, 1098.91) |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.8: Time commitment for extending a short-term certificate
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=9)* | MHO (N=9) | Medic (N=7) | MHO (N=6) | Medic | MHO |
|---|
AMP examination | 34.72 | 105 | 25.36 | 10 | 9.29 | - |
|---|
(15, 60) | (30, 180) | (10, 60) | (10, 10) | (-4.95, 23.52) | |
Preparation of extension certificate | 24.44 | 30 | 8.33 | 10 | 16.67 | - |
|---|
(15, 30) | (30, 30) | (5, 15) | (10, 10) | (10.31, 23.02) | |
Consultation with MHO | 25 | 23.75 | 22.5 | 12.5 | 4.64 | 11.25 |
|---|
(10, 60) | (15, 30) | (5, 60) | (5, 30) | (-2.96, 12.24) | (-2.34, 24.84) |
MHO interview of patient | 15 | 49.17 | 13.75 | 30 | - | 20.00 |
|---|
(10, 20) | (30, 100) | (10, 20) | (10,60) | | (2.76, 37.24) |
AMP to inform patient/appropriate others | 24.72 | 60 | 10.64 | 10 | 11.14 | - |
|---|
(10, 60) | (60, 60) | (0, 30) | (10, 10) | (-0.944, 23.23) | |
Preparation of oral/written evidence | 102.22 | 292.50 | 19.29 | 70 | 39.29 | 200.00 |
|---|
(20, 480) | (60, 1020) | (5, 60) | (30, 120) | (11.48, 67.08) | (-406.96, 806.96) |
Total time commitment | 221.11 | 353.06 | 92.79 | 78.33 | 82.93 | 187.50 |
|---|
(90, 590) | (52.5, 1260) | (45, 180) | (10, 180) | (28.22, 137.64) | (3.09, 371.91) |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.9: Time commitment for revoking an extension of a short-term certificate
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=7)* | MHO (N=1) | Medic (N=6) | MHO (N=1) | Medic | MHO |
|---|
RMO examination | 28.21 | 30 | 24.58 | 10 | 3.33 | - |
|---|
(10, 60) | (30, 30) | (10, 60) | (10, 10) | (-3.02, 9.69) | |
Informing patient | 15.71 | 120 | 12.92 | 10 | 3.33 | - |
|---|
(10, 30) | (120, 120) | (5, 30) | (10, 10) | (-2.09, 8.75) | |
Informing appropriate others | 43 | 120 | 26.67 | | 21.67 | - |
|---|
(10, 60) | (120, 120) | (10, 60) | | (-42.07, 85.40) | |
Preparation of evidence if goes to tribunal | 50 | | 15 | | 41.67 | - |
|---|
(20, 120) | | (5, 30) | | (-62.50, 145.83) | |
Total time commitment | 103.21 | 270 | 58.33 | 20 | 48.33 | - |
|---|
(65, 185) | (270, 270) | (20, 150) | (20, 20) | (3.73, 92.93) | |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.10: Time commitment for suspending a short-term certificate
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=15)* | MHO (N=3) | Medic (N=12) | MHO (N=3) | Medic | MHO |
|---|
RMO assessment | 23.04 | 30 | 19.77 | 10 | 3.75 | - |
|---|
(10, 40) | (30, 30) | (5, 30) | (10, 10) | (-0.65, 8.15) | |
Preparation of suspension cert. by RMO | 21.83 | 30 | 5.86 | | 10.93 | - |
|---|
(5, 45) | (30, 30) | (1, 20) | | (-0.24, 22.10) | |
Informing patient | 14.73 | 56.67 | 9 | 15.00 | 6.36 | 10.00 |
|---|
(1, 30) | (5, 120) | (1, 30) | (5, 25) | (1.24, 11.47) | (-117.06, 137.06) |
Informing appropriate others | 18.86 | 120 | 10 | | | |
|---|
(2, 60) | (120, 120) | (10, 10) | | | |
Informing patient of revoked certificate | 18.33 | 17.5 | 13.71 | 5 | 4.86 | |
|---|
(5, 30) | (5, 30) | (1, 30) | (5, 5) | (-0.22, 9.93) | |
Informing appropr others of revoked cert. | 23.75 | | 10 | | 5.00 | |
|---|
(10, 60) | | (10, 10) | | (-58.53, 68.53) | |
Hospital management notifies others | 17 | 60 | 11.67 | | | |
|---|
(5, 45) | (60, 60) | (5, 20) | | | |
Total time commitment | 34.50 | 148.33 | 41.04 | 15 | 43.16 | 133.33 |
|---|
(34.50, 220) | (10, 390) | (18, 90) | (10, 25) | (24.25, 62.08) | (-397.91, 664.57) |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.11: The costs of medical practitioners and MHOs time at different stages of a short-term order (£sterling, 2005 prices)
| Average (range) costs under NEW act (mins) | Average (range) costs under OLD act (mins | Mean difference (95% CI) in costs between NEW and OLD acts† (mins) |
|---|
Medic | MHO | Medic | MHO | Medic | MHO |
|---|
Cost of an short term detention | 509.32 | 245.69 | 334.38 | 159.94 | 174.94 | 86.78 |
|---|
(111.17, 1271.00) | (72.50, 406.00) | (49.54, 820.00) | (9.67, 340.75) | (64.41, 285.47) | (28.74, 144.82) |
Cost of revoking a short term certificate | 255.78 | 158.69 | 106.53 | 19.94 | 149.24 | 181.85 |
|---|
(58.00, 1086.50) | (29.00, 517.17) | (14.50, 348.50) | (9.67, 29.00) | (-1.42, 299.91) | (-167.43, 531.14) |
Cost of extending a short term certificate | 423.69 | 170.64 | 190.21 | 37.86 | 170.00 | 90.63 |
|---|
(82.17, 1209.50) | (25.38, 609.00) | (92.25, 369.00) | (4.83, 87.00) | (57.85, 282.16) | (1.50, 179.75) |
Cost of revoking an extension of a short term certificate | 193.13 | 130.50 | 119.58 | 9.67 | 99.08 | |
|---|
(39.88, 379.25) | (130.50, 130.50) | (41.00, 307.50) | (9.67, 9.67) | (7.64, 190.53) | |
Cost of suspending a short term certificate | 184.10 | 71.69 | 84.13 | 7.25 | 88.49 | 64.44 |
|---|
(70.73, 451.00) | (4.83, 188.50) | (36.90, 184.50) | (4.83, 12.08) | (49.71, 127.27) | (-192.32, 321.21) |
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.12: Time commitment for CTOs only
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=22)* | MHO (N=19) | Medic (N=21) | MHO (N=19) | Medic | MHO |
|---|
Medical practitioner examination of patient | 47.14 | | 43.75 | | 2.75 | |
|---|
(10, 60) | | (10, 60) | | (-1.23, 6.73) | |
2nd medical practitioner examination of patient | 53.85 | | 52.5 | | 2.73 | |
|---|
(30, 90) | | (30, 90) | | (-3.35, 8.80) | |
Preparation of mental health reports | 55.13 | 225 | 18.03 | 45 | 37.11 | |
|---|
(30, 120) | (200, 250) | (10, 60) | (45, 45) | (24.19, 50.02) | |
MHO Interview patient | 120 | 90 | 40 | 79.41 | | 12.35 |
|---|
(120, 120) | (30, 360) | (40, 40) | (30, 240) | | (-0.79, 25.50) |
MHO identification of relevant parties | 40 | 52.35 | 5 | 34.41 | | 17.94 |
|---|
(40, 40) | (0, 240) | (5, 5) | (0, 120) | | (0.01, 35.87) |
MHO notification of relevant parties | 50 | 46.67 | | 32.19 | | 15.94 |
|---|
(50, 50) | (15, 180) | | (10, 60) | | (-0.72, 32.60) |
Time taken to gather info from relevant parties | 60 | 148.82 | 20 | 105.94 | | 46.56 |
|---|
(30, 90) | (0, 480) | (20, 20) | (0, 420) | | (10.00, 83.13) |
Preparation of Proposed care plan | 35 | 92.5 | 10 | 34.09 | | 72.27 |
|---|
(30, 40) | (15, 240) | (10, 10) | (0, 90) | | (34.08, 110.46) |
If app, attendance at multi-disciplinary meeting(s) | | 72.35 | | 45 | | 17.14 |
|---|
| (15, 180) | | (15, 60) | | (-3.20, 37.48) |
Completion of MHO report | 90 | 249 | 45 | 98.93 | | 150.71 |
|---|
(90, 90) | (60, 600) | (45, 45) | (15, 300) | | (79.22, 222.20 |
CTO application prep/subm to the tribunal | 53.33 | 130.89 | 17 | 47.44 | 41.00 | 84.00 |
|---|
(20, 100) | (10, 360) | (10, 20) | (9, 120) | (-4.71, 86.71) | (-2.49, 170.49) |
If app, time taken to deliver the application | 10 | 82 | 66.67 | 48 | | 52.50 |
|---|
(5, 15) | (0, 240) | (5, 180) | (30, 60) | | (-114.59, 219.58) |
Time taken for attend at hearing/prep evidence | 128.18 | 191.84 | 72.50 | 55.77 | 32.50 | 123.08 |
|---|
(30, 240) | (0, 480) | (0, 360) | (0, 180) | (-47.32, 112.32) | (84.22, 161.94) |
Travel time to/from tribunal hearing | 32.34 | 69.71 | 35.21 | 36.54 | -7.75 | 9.58 |
|---|
(0, 200) | (10, 480) | (0, 180) | (5, 80) | (-46.50, 31.00) | (-2.42, 21.58) |
Time taken for attend at hearing/prep evidence (if more than one hearing required) | 148.13 | 133.13 | 25.71 | 58.75 | 115.71 | 101.25 |
|---|
(40, 480) | (0, 240) | (0, 60) | (15, 180) | (46.95, 184.48) | (-12.24, 190.26) |
Travel time to/from tribunal hearing (if more than one hearing required) | 33.57 | 81.15 | 8.5 | 40.63 | 8.50 | 14.38 |
|---|
(0, 200) | (10, 480) | (0, 30) | (5, 80) | (-25.76, 42.76) | (-3.97, 32.72) |
Plans for transfer of patient to hospital/other place | 26.25 | 65 | 8.33 | 25 | 6.67 | |
|---|
(10, 60) | (20, 180) | (0, 15) | (20,30) | (-22.02, 35.35) | |
Total time commitment | 447.73 | 1214.08 | 180.56 | 480.37 | 261.31 | 733.71 |
|---|
(160, 1100) | (360, 2610) | (15, 910) | (35, 1197) | (144.30, 378.32) | (503.57, 963.85) |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.13: Time commitment for the operation of a ICTO/ CTO
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=20)* | MHO (N=18) | Medic (N=13) | MHO (N=10) |
|---|
RMO preparation & implementation of ICTO/ CTO care-plan | 52 | 100 | 9.23 | 60 | 40.77 | - |
|---|
(30, 100) | (60, 120) | (0, 30) | (60, 60) | (28.07, 53.46) | |
Informing patient/others of finalised care-plan | 21.15 | 75 | 10.63 | 46.67 | 10.63 | 43.33 |
|---|
(10, 40) | (30, 120) | (0, 30) | (20, 60) | (1.57, 19.68) | (-28.38, 115.04) |
LA designation of MHO responsible | 11.67 | 30 | 8.33 | 30 | 3.33 | |
|---|
(10, 15) | (30, 30) | (0, 15) | (30, 30) | (-11.01, 17.68) | |
MHO contact with appropriate others | 90 | 83 | 30 | 75 | | 15 |
|---|
(90, 90) | (0, 180) | (30, 30) | (30, 180) | | (-11.34, 41.34) |
MHO interview/contact with patient | 90 | 83 | 30 | 67.5 | | 15 |
|---|
(90, 90) | (0, 180) | (30, 30) | (30, 120) | | (-11.34, 41.34) |
MHO involve assessment/review of a care plan | 30 | 58.5 | 10 | 34.5 | | 24 |
|---|
(30, 30) | (15, 120) | (10, 10) | (0, 60) | | (-7.17, 55.17) |
MHO preparation of an SCR | 60 | 203.06 | 60 | 240 | | 16.88 |
|---|
(60, 60) | (0, 1050) | (60, 60) | (0, 1050) | | (-23.03, 56.78) |
Time taken on continual review of CTO | 67 | 111.67 | 17.5 | | 50.00 | |
|---|
(30, 120) | (30, 420) | (0, 30) | | (-9.54, 109.54) | |
Total time commitment | 114.50 | 492.64 | 33.08 | 320.75 | 84.23 | 248.50 |
|---|
(30, 500) | (150, 1620) | (0, 190) | (0, 1050) | (35.20, 133.26) | (57.41, 439.59) |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.14: Time commitment for detention pending review/application for variation
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=5)* | MHO (N=14) | Medic (N=2) | MHO (N=7) | Medic | MHO |
|---|
MHO interview of patient | 60 | 60.71 | 15 | 57 | 45.00 | 6.00 |
|---|
(30, 90) | (0, 120) | (0, 30) | (30, 120) | (-145.59, 235.59) | (-10.66, 22.66) |
MHO consent | 26 | 41.67 | 5 | 45 | 32.50 | 7.5 |
|---|
(10, 60) | (5, 120) | (0, 10) | (30, 60) | (-189.86, 254.86) | (-87.80, 102.80) |
Contacting named person | 22.5 | 43.33 | 5 | 46 | 15.00 | -11 |
|---|
(10, 30) | (15, 120) | (0, 10) | (3, 120) | (-48.53, 78.53) | (-121.62, 99.62) |
Completion of detention certificate | 25 | 65 | 5 | 20 | 20.00 | |
|---|
(10, 40) | (30, 120) | (0, 10) | (20, 20) | (-107.06, 147.06) | |
HM notify detention to appropriate others | | 30 | | 30 | | |
|---|
| (30, 30) | | (30, 30) | | |
(20, 220) | (45, 450) | (0, 60) | (30, 233) | (-491.04, 716.04) | (-7.33, 92.19) |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.15: Time commitment for mandatory review of a CTO
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=19)* | MHO (N=13) | Medic (N=14) | MHO (N=5) | Medic | MHO |
|---|
RMO/other AMP examination of a patient | 38.61 | 60 | 33.08 | 30 | 5.38 | |
|---|
(20, 60) | (60, 60) | (10, 60) | (30, 30) | (-2.65, 13.42) | |
RMO/ AMP consultation with MHO | 36.76 | 41.25 | 19 | 32 | 15.00 | 13.00 |
|---|
(10, 120) | (30, 60) | (0, 30) | (20, 60) | (-2.36, 32.36) | (-7.40, 33.40) |
RMO/ AMP consult other approp persons | 30 | 60 | 15 | | 11.88 | |
|---|
(0, 180) | (60, 60) | (0, 30) | | (-1.52, 25.27) | |
Decision on outcome of review | 17.78 | 40 | 6.25 | 25 | 10.00 | 20.00 |
|---|
(10, 30) | (30, 60) | (0, 10) | (30, 30) | (-4.53, 24.53) | (-234.12, 274.12) |
Informing appropriate others | 25 | 48 | 3.33 | 40 | 31.67 | 20.00 |
|---|
(10, 60) | (30, 60) | (0, 10) | (20, 60) | (-11.95, 75.29) | (-234.12, 274.12) |
Notification of application to patient/others | 25 | 75 | 0 | 30 | 20.00 | 60.00 |
|---|
(10, 60) | (60, 120) | (0, 0) | (30, 30) | (-4.84, 44.84) | (-321.19, 441.19) |
MHO's consent for application | 17.86 | 70 | 0 | 30 | 20.00 | |
|---|
(10, 30) | (20, 120) | (0, 0) | (30, 30) | (-107.06, 147.06) | |
Preparation and submission of s95 application | 46.39 | 135 | 0 | | 45.00 | |
|---|
(15, 120) | (60, 480) | (0, 0) | | (-145.59, 235.59) | |
Total time commitment | 149.34 | 211.54 | 55.36 | 88.00 | 96.96 | 201.00 |
|---|
(30, 435) | (30, 480) | (30, 95) | (20, 150) | (32.85, 161.08) | (12.16, 389.83) |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.16: Time commitment for revoking an ICTO/ CTO
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=18)* | MHO (N=15) | Medic (N=13) | MHO (N=5) | Medic | MHO |
|---|
RMO review of patient | 43.06 | 60 | 25.54 | 30 | 13.46 | |
|---|
(15, 130) | (60, 60) | (0, 60) | (30, 30) | (-3.60, 30.53) | |
MHO involvement in revocation process | 22.14 | 51.54 | 13.75 | 20 | 10.00 | 5 |
|---|
(10, 60) | (15, 195) | (10, 20) | (15, 30) | (-21.82, 41.82) | (-16.51, 26.51) |
RMO prep revocation statement to patient/others | 23.21 | 60 | 4.29 | | 17.14 | |
|---|
(10, 60) | (60, 60) | (0, 10) | | (9.66, 24.63) | |
Drawing up/implement of discharge plan of care | 32.08 | 102 | 13.57 | 75 | 16.42 | |
|---|
(10, 60) | (60, 240) | (0, 40) | (60, 90) | (-1.02, 33.88) | |
Total time commitment | 91.11 | 86.67 | 40.38 | 48.00 | 43.08 | 45.00 |
|---|
(25, 180) | (15, 360) | (10, 100) | (15, 90) | (25.05, 61.10) | (-69.81, 159.81) |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.17: Time commitment for suspension of compulsory measures specified in an ICTO/ CTO
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=20)* | MHO (N=2) | Medic (N=17) | MHO (N=1) | Medic | MHO |
|---|
RMO assessment | 25.53 | 60 | 16.56 | | 8.67 | |
|---|
(10, 40) | (60, 60) | (0, 30) | | (1.77, 15.57) | |
Preparation of suspension certificate by RMO | 21.75 | 60 | 5.58 | | 19.82 | |
|---|
(10, 60) | (60, 60) | (0, 30) | | (10.26, 29.37) | |
Informing patient/appropriate others | 13.44 | 52.5 | 6.11 | 45 | 7.78 | |
|---|
(5, 30) | (45, 60) | (0, 15) | (45, 45) | (0.31, 15.25) | |
Time taken to ensure patient care | 18.86 | 60 | 12.81 | | 6.25 | |
|---|
(5, 40) | (60, 60) | (0, 30) | | (-2.89, 15.39) | |
Time taken by RMO to inform patient/others | 23 | 60 | 11.42 | 30 | 15.00 | |
|---|
(10, 60) | (60, 60) | (0, 30) | (30, 30) | (-6.19, 36.19) | |
Hospital mgnt to notify appropriate others | 10 | 30 | 10 | 30 | | |
|---|
(10, 10) | (30, 30) | (10, 10) | (30, 30) | | |
Total time commitment | 84.88 | 217.5 | 34.09 | 105.00 | 51.44 | |
|---|
(20, 190) | (120, 315) | (0, 80) | (105, 105) | (30.40, 72.48) | |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.18: Time commitment for non-compliance with a community based CTO/ ICTO
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=10)* | MHO (N=9) | Medic (N=5) | MHO (N=2) | Medic | MHO |
|---|
Contacting patient | 54.17 | 54 | 34.5 | 30 | 43.00 | |
|---|
(5, 180) | (30, 120) | (5, 120) | (30, 30) | (-48.41, 134.41) | |
Enquiries about non-compliance to others | 41.25 | 57 | 27.5 | 60 | 20.00 | |
|---|
(10, 90) | (30, 120) | (10, 60) | (60, 60) | (-25.01, 65.01) | |
MHO consent to take patient for required treatment | 28.00 | 52.14 | 16.67 | 60 | 17.50 | |
|---|
(20, 40) | (20, 90) | (5, 30) | (60, 60) | (-204.86, 239.86) | |
Taking patient for required treatment | 80 | 360 | 60 | 120 | | |
|---|
(60, 120) | (60, 840) | (60, 60) | (120, 120) | | |
RMO/ AMP examination | 37 | 60 | 21.67 | 60 | 18.33 | |
|---|
(10, 60) | (60, 60) | (15, 30) | (60, 60) | (-31.86, 68.53) | |
Preparation of detention certificate | 34.44 | 30 | 5 | 30 | 28.33 | |
|---|
(20, 60) | (30, 30) | (0, 10) | (30, 30) | (-18.69, 73.36) | |
HM notification to appropriate others | 25 | 45 | 1.67 | 30 | 23.33 | |
|---|
(15, 40) | (30, 60) | (0, 5) | (30, 30) | (-2.52, 49.19) | |
Total time commitment | 202.75 | 280.56 | 95.50 | 195.00 | 168.00 | 97.50 |
|---|
(50, 550) | (20, 840) | (20, 180) | (90, 300) | (-8.56, 344.56) | (-1141.35, 1336.36) |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.19: The costs of medical practitioners and MHOs time at different stages of a CTO (£sterling, 2006 prices)
| Average (range) costs under NEW act | Average (range) costs under OLD act | Mean difference (95% CI) in costs between NEW and OLD acts† |
|---|
Medic | MHO | Medic | MHO | Medic | MHO |
|---|
Cost of an long term detention | 917.84 | 586.80 | 370.22 | 232.18 | 535.68 | 354.63 |
|---|
(328.00, 2255.00) | (174.00, 1261.50) | (30.75, 1865.50) | (16.92, 578.55) | (295.82, 775.55) | (243.39, 465.86) |
Cost of operating an ICTO/ CTO | 234.73 | 238.11 | 67.81 | 155.03 | 172.67 | 120.11 |
|---|
(61.50, 1025.00) | (72.50, 783.00) | (0.00, 389.50) | (0.00, 570.50) | (72.16, 273.18) | (27.75, 212.47) |
Cost of a mandatory review of CTO | 306.15 | 102.24 | 113.48 | 42.53 | 198.77 | 97.15 |
|---|
(61.50, 891.75) | (14.50, 232.00) | (61.50, 194.75) | (9.67, 72.50) | (67.34, 330.21) | (5.88, 188.42) |
Cost of detention pending review | 159.00 | 63.52 | 61.50 | 38.87 | 230.63 | 20.51 |
|---|
(41.00, 451.00) | (21.75, 217.50) | (0.00, 123.00) | (14.50, 112.62) | (-1006, 1467) | (-3.54, 44.56) |
Cost of revoking an ICTO/ CTO | 186.78 | 41.89 | 82.79 | 23.20 | 88.31 | 21.75 |
|---|
(51.25, 369.00) | (7.25, 174.00) | (20.50, 205.00) | (7.25, 43.50) | (51.35, 125.26) | (-33.74, 77.24) |
Cost of suspending compulsory measures | 173.99 | 105.13 | 69.88 | 50.75 | 105.45 | - |
|---|
(41.00, 389.50) | (58.00, 152.25) | (0.00, 164.00) | (50.75, 50.75) | (62.31, 148.58) | |
Cost of non-compliance | 415.63 | 135.60 | 195.78 | 94.25 | 344.40 | 47.13 |
|---|
(102.50, 1127.50) | (9.67, 406.00) | (41.00, 369.00) | (43.50, 145.00) | (-17.55, 706.35) | (-551.65, 645.90) |
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.20: Time commitment for a CORO order only
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=4)* | MHO (N=2) | Medic (N=4) | MHO (N=1) | Medic | MHO |
|---|
Medical examination of patient | 41.67 | | 46.25 | | | |
|---|
(20, 60) | | (20, 60) | | | |
Second medical examination | 32.50 | | 20.00 | | | |
|---|
(20, 45) | | (20, 20) | | | |
Preparation of medical report | 43.33 | | 22.50 | | 33.33 | |
|---|
(30, 60) | | (10, 60) | | (-4.61, 71.28) | |
Section 57c report | | 600.00 | | | | |
|---|
| (240, 960) | | | | |
Ascertaining name/address of named person | | 180.00 | | | | |
|---|
| (180, 180) | | | | |
Accessing advance statement where applicable | | 70 | | | | |
|---|
| (70, 70) | | | | |
SCR report | | 600 | | 540 | | |
|---|
| (240, 960) | | (540, 540) | | |
Preparation of RMO care plan | | 660 | | 570 | | |
|---|
| (360, 960) | | (570, 570) | | |
Multi-disciplinary meetings/discussions | 33.75 | | 7.5 | | 22.50 | |
|---|
(30, 45) | | (5, 10) | | (-9.27, 54.27) | |
RMO report to Scottish Ministers ( CORO) | 70 | | 60 | | | |
|---|
(60, 80) | | (60, 60) | | | |
Total time commitment | 148.75 | 1985.00 | 92.50 | 1100.00 | 56.25 | |
|---|
(105, 210) | (840, 3130) | (50, 180) | (1100, 1100) | (-103.32, 215.82) | |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.21: Time commitment for mandatory review of CORO
| Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=3)* | MHO (N=2) | Medic (N=3) | MHO (N=0) | Medic | MHO |
|---|
RMO or AMP medical examination | 30.00 | | 30.00 | | | |
|---|
(20, 40) | | (20, 40) | | | |
Consultation with MHO | 11.67 | 60.00 | 10.00 | | -1.67 | |
|---|
(5, 20) | (60, 60) | (5, 20) | | (-5.50, 8.84) | |
Consultation with other appropriate people | 12.50 | | 10.00 | | | |
|---|
(10, 15) | | (10, 10) | | | |
RMO submission to Scottish Ministers | 45 | | 15 | | 30.00 | |
|---|
(30, 60) | | (10, 20) | | (-97.06, 157.06) | |
MHO interview of patient (including rights/advocacy/access to services etc) | | 230 | | | | |
|---|
| 100, 360) | | | | |
Application to tribunal for extension | 20 | 1200 | | | | |
|---|
(20, 20) | (1200, 1200) | | | | |
Participation in tribunal hearing/written evidence | 120 | 180 | 5 | | | |
|---|
(60, 150) | (180, 180) | (5, 5) | | | |
Time taken for further reviews | | | | | | |
|---|
Total time commitment | 166.67 | 950.00 | 55.00 | | 111.67 | |
|---|
(80.00, 275.00) | (100.00, 1800.00) | (50.00, 60.00) | | (-147.19, 370.52) | |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.22: Total time commitment for extension/variation of a CORO
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=2)* | MHO (N=2) | Medic (N=1) | MHO (N=0) | Medic | MHO |
|---|
RMO examination/review of patient | 25 | | 25.00 | | | |
|---|
(20, 30) | | (20, 30) | | | |
RMO notification to MHO about proposed application | 15 | | 5.00 | | | |
|---|
(10, 20) | | (5, 5) | | | |
MHO discussion patients, named person etc | | 100.00 | | | | |
|---|
| (20, 180) | | | | |
MHO inform patient of application | | 42.50 | | | | |
|---|
| (25, 60) | | | | |
MHO reply to RMO proposed application | | 40.00 | | | | |
|---|
| (0, 80) | | | | |
Notification to patient and appropriate others | 17.50 | 20.00 | 5 | | | |
|---|
(15, 20) | (20, 20) | (5, 5) | | | |
RMO preparation of application to Tribunal | 40 | | 0 | | | |
|---|
(20, 60) | | (0, 0) | | | |
Copies of order sent to patient and appropriate others | | | | | | |
|---|
Time at tribunal hearing | 120 | 300 | 0 | | | |
|---|
(60, 150) | (300, 300) | 0 | | | |
Total time commitment | 217.50 | 342.50 | 30.00 | | 187.5 | |
|---|
(165.00, 270.00) | (45.00, 640.00) | (20.00, 40.00) | | (-606.64, 981.64) | |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.23: Total time commitment for revoking a compulsion order
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=2)* | MHO (N=1) | Medic (N=1) | MHO (N=0) | Medic | MHO |
|---|
RMO examination | 10.00 | | 12.50 | | | |
|---|
(10, 10) | | (10, 15) | | | |
Consultation with MHO | 10.00 | 20 | 5.00 | | 5.00 | |
|---|
(5, 15) | (20, 20) | (5, 5) | | (-58.53, 68.53) | |
MHO interview of patient | 5 | 20 | | | | |
|---|
(5, 5) | (20, 20) | | | | |
MHO discussion with carers etc | | 20 | | | | |
|---|
| (20, 20) | | | | |
Preparation of revocation statement to Scottish ministers | 10 | | | | | |
|---|
(10, 10) | | | | | |
Notification to appropriate others | 15 | | | | | |
|---|
(10, 20) | | | | | |
Total time commitment | 25.00 | 60 | 17.5 | | 10 | |
|---|
(15.00, 40.00) | (60.00, 60.00) | (15.00, 20.00) | | (-117.06, 137.06) | |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.24: Total time commitment for review of a compulsion order and restriction order
Activity | Average (range) time commitment under NEW act (mins) | Average (range) time commitment under OLD act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† (mins) |
|---|
Medic (N=2)* | MHO (N=1) | Medic (N=2) | MHO (N=0) | Medic | MHO |
|---|
RMO or AMP examination | 20.00 | | 20.00 | | | |
|---|
(20, 20) | | (20, 20) | | | |
Consultation with MHO | 10.00 | | 5.00 | | | |
|---|
(10, 10) | | (5, 5) | | | |
MHO interview of patient | | 90.00 | | | | |
|---|
| (90, 90) | | | | |
MHO discussion with carers etc | | | | | | |
|---|
| | | | | |
Preparation of revocation statement to Scottish ministers | 60.00 | | | | | |
|---|
(60, 60) | | | | | |
Notification to appropriate others | 0.00 | | | | | |
|---|
(0, 0) | | | | | |
Preparation for/time at tribunal hearing | 90.00 | | | | | |
|---|
(60, 120) | | | | | |
Total time commitment | 105 | 90 | 25 | | 80.00 | |
|---|
(30.00, 180.00) | (90.00, 90.00) | (25.00, 25.00) | | (-872.97, 1032.97) | |
* This is the maximum number of respondents, however some tasks have fewer respondents, but to simplify the presentation individual sample sizes are not given.
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.25: The costs of medical practitioners and MHOs time at different stages of a CORO (£sterling, 2006 prices)
| Average (range) costs under NEW act | Average (range) costs under OLD act | Mean difference (95% CI) in costs between NEW and OLD acts† |
|---|
Medic | MHO | Medic | MHO | Medic | MHO |
|---|
Cost of a compulsion/restriction order only | 304.94 | 959.42 | 189.63 | 536.50 | 115.31 | - |
|---|
(215.25, 430.50) | (406.00, 1512.83) | (102.50, 369.00) | (536.50, 536.50) | (-211.81, 442.43) | |
Cost of mandatory/further review of orders | 341.67 | 459.17 | 112.75 | - | 228.92 | - |
|---|
(164.00, 563.75) | (48.33, 870.00) | (102.50, 123.00) | | (-310.74, 759.57) | |
Cost of extension/variation of an order | 445.88 | 165.54 | 61.50 | - | 384.38 | - |
|---|
(338.25, 553.50) | (21.75, 309.33) | (41.00, 82.00) | | (-1243.61, 2012.36) | |
Cost of revoking a compulsion order | 51.25 | 29.00 | 35.88 | - | 20.50 | - |
|---|
(30.75, 82.00) | (29.00, 29.00) | (30.75, 41.00) | | (-239.98, 280.97) | |
Cost of review of a compulsion order and restriction order | 215.25 | 43.50 | 51.25 | - | 164.00 | - |
|---|
(61.50, 369.00) | (43.50, 43.50) | (51.25, 51.25) | | (-1789.58, 2117.58) | |
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.26: Average and total cost estimates for emergency and short-term certificates and compulsory treatment orders (£sterling, 2006 prices)
| Cost of an average order under the new Act | Cost of an average order under the old Act | The total cost of all orders under the new act from 5/10/05 - 31/03/06 | The total cost of all orders under the old act from 1/04/05 - 04/10/05 | The difference in total costs |
|---|
Short term certificate | Average | 768.51 | 501.32 | 1,280,338 | 757,493 | 522,845 |
|---|
Minimum | 188.17 | 61.91 | 313,491 | 93,546 | 219,945 |
|---|
Maximum | 1731.00 | 1178.75 | 2,883,846 | 1,781,091 | 1,102,755 |
|---|
Emergency certificate | Average | 338.11 | 188.24 | 311,058 | 453,661 | -142,602 |
|---|
Minimum | 94.84 | 62.21 | 87,253 | 149,926 | -62,673 |
|---|
Maximum | 1103.17 | 406.47 | 1,014,916 | 979,593 | 35,324 |
|---|
CTO | Average | 1519.14 | 610.69 | 712,476 | 472,063 | 240,414 |
|---|
Minimum | 506.50 | 48.27 | 237,549 | 37,313 | 200,236 |
|---|
Maximum | 3552.50 | 2465.05 | 1,666,123 | 1,905,484 | -239,361 |
|---|
Table A4.27: Number of orders during a five month period (under the MHCT and 1984 Acts)
| Order | Orders from
5th October 2005 - 31st March 2006 | Orders from
1st April 2005 - 4th October 2005 |
|---|
Emergency detention | 920 | 2410 |
|---|
Short term detention | 1666 | 1511 |
|---|
Long term detention | 469 | 773 |
|---|
Community orders | 59 | 6 |
|---|
Source: Mental Welfare Commission for Scotland
Table A4.28: Sensitivity analysis, varying the unit cost values, average cost for the initial stage of each order for medical practitioners and MHOs
| Average (range) costs under NEW act | Average (range) costs under OLD act | Mean difference (95% CI) in costs between NEW and OLD acts† |
|---|
Medic | MHO | Medic | MHO | Medic | MHO |
|---|
Cost of a short term detention | 642.71 | 271.11 | 421.76 | 176.48 | 220.94 | 95.76 |
|---|
(153.33, 1601.67) | (80.00, 448.00) | (68.33, 1033.33) | (10.67, 376.00) | (81.82, 360.07) | (31.71, 159.81) |
Cost of an emergency detention | 304.84 | 77.07 | 175.55 | 38.13 | 154.94 | 38.93 |
|---|
(83.33, 1034.00) | (34.67, 186.67) | (46.67, 407.33) | (29.33, 45.33) | (-85.28, 395.17) | (-36.59, 114.46) |
Cost of a long term order | 1156.63 | 647.51 | 466.54 | 256.20 | 675.05 | 391.31 |
|---|
(413.33, 2841.67) | (192.00, 1392.00) | (38.75, 2350.83) | (18.67, 638.40) | (372.78, 977.32) | (268.57, 514.05) |
Cost of a CORO | 384.27 | 1058.67 | 238.96 | 592.00 | 145.31 | - |
|---|
(271.25, 542.50) | (448.00, 1669.33) | (129.17, 465.00) | (592.00, 592.00) | (-266.91, 557.53) | |
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
Table A4.29: Time commitment for medical records staff, across a range of orders
| Average (range) time commitment under NEW act (mins) | Average (range) time commitment under NEW act (mins) | Mean difference (95% CI) in time commitment between NEW and OLD acts† |
|---|
Short term detentions | 45.00 | 23.33 | 21.67 |
|---|
(15, 180) | (9, 60) | (-7.74, 51.08) |
Emergency detentions | 45.89 | 22.67 | 23.22 |
|---|
(10, 180) | (6, 60) | (-5.24, 51.69) |
Long term orders / CTO | 48.33 | 27.63 | 21.13 |
|---|
(15, 120) | (2, 70) | (-19.19, 61.44) |
CORO | 50.00 | 50.00 | |
|---|
(50, 50) | (30, 70) | |
† This is the pairwise mean difference and 95% confidence interval from a paired sample t-test. These can only be estimated where there is paired differences (that is a respondent has estimated their time commitment under both the new and old act), and where there is variation in the difference. As such, some differences and confidences intervals cannot be estimated and are not presented.
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