Publication, Part of Statistics on people with a learning disability and autistic people in mental health hospitals
Statistics on people with a learning disability and autistic people in mental health hospitals, AT: May 2026, MHSDS: April 2026
Official statistics, Experimental statistics
Issue with legal status breakdowns in historical publications
Please note that an issue has been identified within the legal status breakdown within tables 2.3, 4.1 and 4.2. These breakdowns relate to whether the patient was detained under the Mental Health Act, Mental Capacity Act or other acts.
Impact
NHS England has completed an impact assessment which showed that previously the number of patients who were subject to the MHA was being overreported by 1 and 2% of total patients. In the most recent 12 months this was closer to 1% - the median across all time periods reported was 1.1% and 25 patients.
Most of these patients were detained under the Mental Capacity Act (MCA) and other acts but were reported as MHA Other. Within the specific parts of the MHA, a small number of patients were reported under MHA Other but should have been reported under Part II, correcting the MHA Part II figures has largely not made a difference to the rounded figures. All figures for Part III with and without restrictions were reported correctly.
Current Publication
This issue has been resolved in time for the May-26 publication but impacts historical publications using data from the Assuring Transformation dataset.
Historical Publication
NHS England will not republish historical files with updated data but caution is advised in using these breakdowns and users should use the publications from the May-26 publication onwards for correct counts of patients detained under specific sections of the MHA.
NHS England apologises for any inconvenience caused.
18 June 2026 09:30 AM
Methodological Changes to the publication
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Two changes have been made to the methodology for measures within the AT data tables, with effect from the
These changes will mean a more accurate view of the number of patients in hospital, and the total length of stay. |
18 June 2026 09:30 AM
New tables within Assuring Transformation data tables
NHS England have added 3 new sub-national tables to the AT data tables with effect from the April 2026 data.
These tables present data at Integrated Care Board (ICB), Region and England level:
- number and rate of admissions (for under 18s and adults)
- number and proportion of patients in hospital with the longest lengths of stay
- number of patients, by age group and patient category, and inpatient rate per million population
18 June 2026 09:30 AM
Integrated Care Board (ICB) changes from 1 April 2026
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From 1 April 2026, 6 new Integrated care boards (ICBs) were established and the boundary of an existing ICB was widened |
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Further details of ICB changes are available at NHS England » Integrated care in your area |
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18 June 2026 09:30 AM
Summary findings from the AT dataset
Main findings
Data collected at the end of May 2026 shows that:
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There were 2,130 people with a learning disability and autistic people in hospital at the end of the month.
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More patients were discharged to the community (115) than admitted (95) to hospitals.
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Many inpatients have been in hospital for a long time. Of those in hospital at the end of the month, 1,030 (48%) have had a total length of stay of over 2 years. This includes 320 who have been in hospital for more than 10 years.
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810 (38%) inpatients are in a secure ward.
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There were more males than females in hospital.
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The largest number of inpatients (665, 31%) were aged between 25-34, and the lowest number (45, 2%) were aged 65 and over.
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115 were admitted or transferred into hospital. 20 were transfers from other hospitals and 95 were admissions, of which 70 were first admissions and 20 readmissions within a year of the previous discharge.
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630 inpatients (30%) last had a review of care over 6 months ago.
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33% of inpatients (580) in hospital travelled up to 10km for care or treatment, whilst approximately 29% of inpatients (515) in hospital travelled over 50km for care or treatment.
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375 inpatients (18%) have a date planned for them to leave hospital.
Inpatients
Overall Counts
There were 2,130 people with a learning disability and autistic people in hospital at the end of the month. Of these, 2,025 have been receiving care from the start of the month.
Of the NHS England commissioning regions, the Midlands account for the highest proportion of people with a learning disability and autistic people in hospital (21% of the total), whilst the South-West has the lowest (9% of the total).
Inpatient Age and Gender
Inpatient Age and Gender
10% (210) of inpatients are under 18 and 2% (45) are 65 and over. The largest number of inpatients are in the 25-34 group (665, 31%).
Overall, there were more males than females in hospital.
Total Length of Stay
Total Length of Stay
An inpatient’s total length of stay is the time since the date of their first admission to any hospital as part of this continuous period of inpatient care.
Of those in hospital at the end of the month, 1,030 (48%) have had a total length of stay over 2 years. This includes 320 who have been in hospital for more than 10 years.
Ward Security Level
Ward Security Level
1,315 (62%) of inpatients are in a non-secure ward, and 810 (38%) are in a secure ward. 75 (3%) of inpatients were in a high secure ward setting.
Non-secure wards include inpatients in general wards and psychiatric intensive care units (PICU). Secure wards include patients with low, medium and high secure ward settings.
Time since most recent review of care plan
Time since most recent review of care plan
935 (44%) inpatients had a review of care within the last 12 weeks. 630 (30%) last had a review of care over 6 months (26 weeks) ago.
Admissions
Counts of admissions include people who were admitted in the month and who were admitted and discharged in the month. For further details see the Glossary and Definitions in the AT Appendices.
Admissions by Status on Admission
115 were admitted or transferred into hospital. 20 were transfers from other hospitals and 95 were admissions, of which 70 were first admissions and 20 readmissions within a year of the previous discharge.
Source of Admission
Source of Admission
Patients were most commonly admitted from their usual place of residence (46%), followed by admission from other hospital (general/A&E) (28%).
Discharges / Transfers
Discharge Destination
145 inpatients were discharged or transferred from a hospital during May 2026. Of these 115 (79%) were discharged back to the community. 25 (18%) were transferred to another hospital setting.
(Counts of discharges include people who were discharged in the month and who were admitted and discharged in the month.
The recording of discharge destination changed in v3 of the dataset from April 2021, earlier data is not comparable.
For further details see the Glossary and Definitions in the AT Appendices.)
Last edited: 22 June 2026 7:47 am