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Mental Health Bulletin, Annual Report From MHMDS Returns - 2013-14

Publication date: 09:30 November 27, 2014

Summary

Note:

Following publication of this release, an issue was identified with Per cent subject to the Mental Health Act calculation in table 2.3 of the National reference tables

A corrected version of the National reference tables was issued on 24th July 2015 and we apologise for any inconvenience caused.

This annual report provides a comprehensive picture of people who used adult and older person's secondary mental health services in 2013-14. This report is based on submissions made to the Mental Health Minimum Dataset (MHMDS) between April 2013 and March 2014. These submissions were made using version 4.1 of the MHMDS, which was mandated in April 2013 as a monthly submission for the first time. This report also uses mid-year population estimates (2013) from the Office for National Statistics.

For consistency, much of the information produced in this report and reference tables are updates to those produced in last year's publication, allowing the reader to compare this year's data to previous years. However, to reflect the changes to NHS commissioning structures, we have replaced our Primary Care Trust (PCT) level analysis with Clinical Commissioning Group (CCG) level analysis. This means that no time series information is available at CCG level as 2013/14 was the first year these organisations became operational.

Time series have been maintained at a high level within our reference tables, but in many places have been limited to 2011-12 as the earliest data point. This is because significant changes were made to the MHMDS in this year (moving from version 3.5 to version 4.0) which means that information before this is not directly comparable.

Demographic analysis (age, gender and ethnicity) is presented for 2013-14 only where numbers allow. The reader is advised to consult previous publications (as appropriate) for historical data.

To prevent the release of disclosive information, numbers less than five (including zero) are replaced with by a "*" symbol. All other numbers are rounded to the nearest five, apart from the England totals which are unrounded. Calculated values are based on unrounded numbers but rounded to 1 decimal place to prevent backward calculation. This approach will prevent identification of a person through cross referencing different publications.

Monthly analyses and associated data quality measures for 2013-14 have already been released as monthly publications.  The Background Quality Report and monthly data quality measures provide relevant information about the quality of the data that is the source for this annual publication. 

The report also includes experimental analysis through our special topics on length of hospital stay and analysis of Clinician Reported Outcomes Measurements (CROMs) from MHMDS. The CROMs special topic may also be accessed via an on-line interactive visualisation tool that supports benchmarking. This can be accessed through the related links at the bottom of the page.


Key Facts

Key findings from this publication show that in 2013-14:

  • The number of people in contact with mental health services increased to 1,746,698 from 1,590,332 in 2012-13. The rate of access to mental health services was 3,489.5 per 100,000 of the population (for people over 18 and with a known gender and ethnicity). This means that approximately one person in 28 was in contact with secondary mental health services in the year.
  • 6.0 per cent of these people (105,270) spent some time as an inpatient during the year, a smaller percentage than in 2012-13 when 6.6 per cent of people (105,224) spent time in hospital.
  • Although the median length of stay for people discharged from hospital during the year was 23 days, at the end of the year half the people in hospital had been there for more than 117 days.
  • Throughput in mental health inpatient services was less than one discharge (0.7) per 100 occupied bed days.
  • The first findings from analysis of CROMs recorded in MHMDS showed that, based on changes across four domains (personal, social and emotional well-being and severe disturbance) between the start and end of a person's spell of care:
    • There was a clinically significant improvement in the average emotional well-being domain for people assigned to non-psychotic care clusters.
    • There were clinically significant improvements in the emotional well-being and severe disturbance domain for people assigned to psychotic care clusters
    • None of the domains showed clinically significant changes for people assigned to organic care clusters. However, due to the progressive nature of organic illness, you would not necessarily expect to see improvement.

Coverage

Date Range: 01 April 2013 to 31 March 2014
Geographical coverage: England
Geographical granularity: Mental Health Trusts, Independent Sector Health Care Providers, Clinical Commissioning Groups

Have a question? Call us on 0300 303 5678 or contact enquiries@nhsdigital.nhs.uk.

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