The costs of change - financial implications of the Fallon recommendations

Expected deficit at end of the financial year:£2.2m.

Finance director Allan Menkin says: 'A considerable number of the recommendations could have financial implications.'

'Our wards have considerably more patients (25) than the recommendations want (12).'

Possible changes ahead:

Increasingly regionalised service - Ashworth historically takes patients from as far away as north London.

Alliance - or full merger - with Mental Health Services of Salford trust.

Women's service - currently caring for 48 patients transferred elsewhere.

Changes in the shape and size of Ashworth following consultation on legal changes regarding personality disorder.