And, as one would hope, the capital spend used to develop the growth of the low and medium secure psychiatric estate in 2006, as part of the, then, market stimulation exercises, will also be reviewed. Is the tail wagging the dog, again?

Having closed countless hospitals, and reduced the bed-spaces for the ooen ward NHS provision of services throughout the 1990’s, ‘

We’ created a new estate and needed patients to fill them.

The existing secure provision having already been privatised without any significant reductions in the prison transfered patient population, matching the otherwise unmet terms of security and public protection liabilities, ought to have happened ~ did it?

A review of the Act must also consider the clinical accuracy of the use of the Act and historically so.

The 1969 Act contained provision for the treatment of alcohol psychosis ~ imagine that today! Similarly, drug induced psychosis has been hived-off into a separate and now almost completely non-statutory set of services I’ll equipped for the most complex of cases ~ prison transfers now a thing of the past despite the increase of inmates with an active mental illness, if not adhd/autism ~ Prison Services, today, is calling out for help. Instead, it seems, that Buutzorg as a service model amongst the homeless is the going-forward thinking.

The diagnostic capture of adhd/autism/disassociative conditions within the MHA requires critical and forensic examination ~ has the Act been about a provider heads-in-beds economic necessity ~ community disposal of autistic patients with a disassociative condition better than prison transfers ?

It’s clear that there’s a genuine need for asylum, in the true sense of the term and for the hugely different patients’ groups, and not a reduction in bed spaces per population ~ a more targeted improvement in the range of locally available bed spaces.

As with OAP’s in Children’s Services it does require that Councils decide, once again, to step up. The current loosening of the legislation via Right Touch and Light Touch of the NHS Act 2022 and the Procurement Act 2023 allows for the likes of Buutzorg to flourish but really is this going-forward as is so casually said, I think not.

Providers of any ilk follow the money. Fettering their professional, and now commercial, interests is crucial.