Publication, Part of Learning Disability Services Statistics

Learning Disability Services Monthly Statistics (AT: August 2019, MHSDS: June 2019 Final)

Official statistics, Experimental statistics

Publication Date:: 19 Sep 2019
Geographic Coverage:: England
Geographical Granularity:: Country
Date Range:: 01 Sep 2014 to 31 Aug 2019

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Data Quality

Summary

Latest Monthly statistics on Learning Disabilities and Autism (LDA) from the Assuring Transformation collection and MHSDS collection.

This publication brings together the LDA data from the Assuring Transformation collection and the LDA service specific statistics from the Mental Health Statistics Data Set (MHSDS).

There are differences in the inpatient figures between the MHSDS and AT data sets and work is underway to better understand these. NHS Digital plans to publish additional monthly comparator data from this work in future publications. The MHSDS LDA data are currently labelled experimental as they are undergoing evaluation. Further information on the quality of these statistics is available in the Data Quality section of the main report. It is planned that the MHSDS will become the sole source of inpatient LDA data in the future, replacing Assuring Transformation.

There is a slight difference in scope between the two data collections. The MHSDS data is from providers based in England and includes care provided in England but may be commissioned outside England. Whereas the Assuring Transformation data are provided by English commissioners and healthcare will typically be provided in England but also includes data on care commissioned in England and provided elsewhere in the UK.

The release comprises:

Assuring Transformation Publication: This statistical release published by NHS Digital makes available the most recent data relating to patients with learning disabilities and/or autistic spectrum disorder receiving inpatient care commissioned by the NHS in England

MHSDS LDA Publication: This publication provides statistics relating to NHS funded secondary mental health, learning disabilities and autism services in England. These statistics are derived from submissions made using version 4.0 of the Mental Health Services Dataset (MHSDS). Prior to May 2018 the LDA service specific statistics were included in the main MHSDS publication.

Each publication consists of the following documents:

· A report which presents England level analysis of key measures.

· A monthly CSV file which presents key measures at England level.

· A metadata file to accompany the CSV file, which provides contextual information for each measure.

· An easy read version of both main reports highlighting key findings in an easy-to-understand way.

We hope this information is helpful and would be grateful if you could spare a couple of minutes to complete a short customer satisfaction survey. Please use the link to the form at the bottom of this page to provide us with any feedback or suggestions for improving the report.

105 were admitted to hospital

(AT)

145 were discharged from hospital

(AT)

2,255 were in hospital at the end of the month

(AT)

1,505 were admitted to hospital

(MHSDS)

1,560 were discharged from hospital

(MHSDS)

3,790 were in hospital at the end of the month

(MHSDS)

Assuring transformation

Data collected for LDA inpatients at the end of August 2019 show that:

2,255 inpatients were in hospital at the end of the reporting period.
More inpatients were discharged (145) than admitted (105) to hospitals. Out of the 145 inpatients who were discharged/transferred from hospital in August 2019, 100 (69%) were discharged back into the community.
Many inpatients have been in hospital for a long time. Of those in hospital at the end of August 2019, 1,295 (57%) had a total length of stay of over 2 years.
At the end of August 2019, around half of inpatients (1,200, 53%) were in a non-secure ward. There were 1,055 (47%) inpatients in a secure ward.
The largest proportion of inpatients (29%) were aged between 25-34 (665) and the lowest proportion (1%) were aged 65 and over (35).
In line with previous months trends, there were more males (1,605) than females (640) in hospital this month (71% were male).
There were 105 admissions to hospital; of these 55 were first admissions, 25 were readmissions within a year of the previous discharge and 25 were transfers from other hospitals.
Under half of inpatients (39%) last had a review of their care over 6 months ago (875 people).
Under half of inpatients (49%) have a date planned for them to leave hospital (1,105).
16% of inpatients (360) in hospital travelled less than 10km for care or treatment, whilst approximately 39% of inpatients (875) in hospital travelled over 50km for care or treatment.

Mental Health Services Dataset: Learning Disability and Autism Statistics

Summary of main findings as at the end June 2019:

Findings based on hospital spells data:

There were 3,790 people with learning disabilities and/ or autistic spectrum disorders (LDA) in hospital.
There were 1,505 admissions and 1,560 discharges. 91% of these were discharged back into the community.
There were 191,205 referrals for people with LDA.

Of these inpatients:

1,385 (36%) had been in hospital for over 2 years.
There are 550 inpatients with a planned discharge date (15%).
125 (3%) had a delayed discharge.
The largest proportion (29%) were aged between 25-34 (1,115).
The lowest proportion (5%) were aged 65 and over (205).
71% were male (2,690) and 29% were female (1,095).

Findings based on ward stays data:

There were 3,570 ward stays reported for the end of the period.
The majority of inpatients were in a learning disabilities ward (1,650, 46%), followed by an adult mental health ward (1,305, 36%).
2,140 (60%) were in a non-secure setting. 1,335 (37%) were in a secure setting.
515 (14%) travelled over 50km from home to get to the hospital for care or treatment.
430 patients were restrained at least once.