Mental Health and Learning Disabilities Statistics Monthly Report: Final October and Provisional November
Publication date: 09:30 January 20, 2016
Please note: The Monthly MHLDS Report published in February 2016 will cover November 2015 final data and December 2016 provisional data and be the last publication of Monthly MHLDS Reports. On 31 March 2016 we will publish the first release of the Mental Health Services Monthly Statistics from the new version of the data set (MHSDS). (There is no refresh MHLDDS submission for December as this would coincide with the first submission MHSDS for January data.) This means there will not be a release of December 2015 Final data, however a monthly data file based on provisional December data will be included with the release of November 2015 final data. A Methodological Change paper describes these changes in detail.
This statistical release makes available the most recent Mental Health and Learning Disabilities Dataset (MHLDDS) final monthly data (September 2015). This publication presents a wide range of information about care delivered to users of NHS funded secondary mental health and learning disability services in England.
The scope of the Mental Health Minimum Dataset (MHMDS) was extended to cover Learning Disability services from September 2014. Many people who have a learning disability use mental health services and people in learning disability services may have a mental health problem. This means that activity included in the new MHLDDS dataset cannot be distinctly divided into mental health or learning disability spells of care - a single spell of care may include inputs from either of both types of service.
The Currencies and Payment file that forms part of this release is specifically limited to services in scope for currencies and payment in mental health services and remains unchanged.
This information will be of particular interest to organisations involved in delivering secondary mental health and learning disability care to adults and older people, as it presents timely information to support discussions between providers and commissioners of services. The MHLDS Monthly Report also includes reporting by local authority for the first time.
For patients, researchers, agencies, and the wider public it aims to provide up to date information about the numbers of people using services, spending time in hospital and subject to the Mental Health Act (MHA). Some of these measures are currently experimental analysis.
The Currency and Payment (CaP) measures can be found in a separate machine-readable data file and 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.
This release also includes a note about the new experimental data file and the issuing of the ISN for the Mental Health Services Dataset (MHSDS).
During summer 2015 we undertook a consultation on Adult Mental Health Statistics, seeking users views on the existing reports and what might usefully be added to our reports when the new version of the dataset (MHSDS) is implemented in 2016. A report on this consultation can be found below.
This release of data shows that at the end of October 2015:
• 970,636 people were in contact with mental health or learning disabilities services. Of these, 929,394 people were in contact with mental health services and 55,219 people were in contact with learning disabilities services. These two figures combined are higher than the total, as a person may be in contact with both services.
• 24,777 people were inpatients in hospital (2.6 per cent). 1,418 people were in hospital on wards for people with learning disabilities. The remaining 23,359 people were in hospital on wards for people with mental health needs.
• 17,068 people were subject to the Mental Health Act 1983 and of these 12,748 were detained in hospital (74.7 per cent) and 4,201 were subject to a CTO (24.6 per cent).
• 56.3 per cent of people aged 18-69, who were being treated under the Care Programme Approach, were recorded as being in settled accommodation, while 6.3 per cent were recorded as being employed.
During October 2015
• 73,619 new spells of care began.
• There were 10,187 new admissions to hospital.
• Of those who were discharged from hospital during the month, 72.3 per cent received a follow up within 7 days from the same provider. This is an important suicide prevention measure.
• There were 23,321 bed days lost through delayed transfers of care. This equates to 3.0 per cent of all bed days.
• There were 12.8 discharges per 1,000 bed days.
Mental health currencies and payment
• 661,033 people were in scope for currencies and payment at the end of October 2015. Of these, 549,301 (83.1 per cent) were assigned to a care cluster.
• There were 19,869 initial care cluster assignments during October 2015. Of these, 11,626 (58.5 per cent) met the red rules for that care cluster.
• 560,277 care cluster episodes were assigned to people who were in scope for currencies and payment at the end of October 2015. Of these, 405,592 (72.4 per cent) were within the review period for that care cluster.
Between the start of April 2015 and the end of October 2015
• 1,491,251 people have had contact with secondary mental health and learning disability services and of these 73,438 (4.9 per cent) had spent at least one night as an inpatient in hospital.
|Date Range:||01 October 2015 to 30 November 2015|
|Geographical granularity:||Local Authorities, Mental Health Trusts, Independent Sector Health Care Providers, Clinical Commissioning Groups|