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Publication, Part of

Learning Disability Services Monthly Statistics, AT: November 2021, MHSDS: September 2021 Final

Official statistics, Experimental statistics

AT data tables - total length of stay

The Assuring Transformation (AT) data tables were updated due to an issue with historic length of stay data being incorrectly calculated in table 2.7 (now removed). This has been replaced with table 3.4 which contains the correct data. Figures for November 2021 were unaffected.

20 December 2021 10:30 AM

About the Assuring Transformation dataset


Assuring Transformation (AT) is a commissioner based return for inpatients in a hospital setting with learning disabilities and/or autism (LDA). 

The release comprises: 

  • A summary of findings which presents England level analysis of key measures based on data submitted.
  • Excel data tables covering a wide range of the data covered by the collection. Where possible historic data is refreshed each month to account for updates by data submitters (green tabs). For a small number of tables this is not possible and so the original cut of data is always presented (yellow tabs). If users require the most up-to-date information, then you are strongly advised to use information in the green tab sheets only.
  • A CSV file which presents key measures at England level based on data submitted.
  • A metadata file to accompany the CSV file, which provides information for each measure. This can be found at the bottom of the publication series page.
  • An easy read version of the latest findings. 

The purpose of the ‘Assuring Transformation’ data collection is to ensure that public awareness of the NHS commitments in the Winterbourne View Concordat is transparent and robust. The Department of Health published Transforming Care: A national response to Winterbourne View Hospital and the Concordat: Programme of Action in December 2012. The review of services received indicated that failings were widespread within the operating organisation but importantly also evident across the wider care system. The Concordat and 63 actions detailed within the review seek to address poor and inappropriate care and achieve the best outcomes for people with a learning disability, or autism, who may also have mental health needs or behaviour that challenges.

Data for March from 2015 onwards is included as a benchmark for the start of the collection along with the latest 12 months of available data.

From February 2015, responsibility for its collection and publication were transferred to NHS Digital. This addressed key requirements around the improvement of data quality and reporting frequency. The revised collection methodology supports real time data capture from a “live” system that commissioners are required to update as and when changes occur in the care of a patient who falls within the scope of the collection. This has resulted in a significant burden reduction on the part of service commissioners / data submitters.

NHS Digital currently takes a snapshot of the data at the end of each month and reports on them on a monthly basis. The data published here shows the position as was reported within the “live” system at the end of the reporting month. Commissioners are expected to keep data in the system up to date; however, we are aware that this is not always possible and some data are known to be submitted after the period cut-off date. 

On 30th October 2015, NHS England published the report - ‘Building the right support’. This sets out “a national plan to develop community services and close inpatient facilities for people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition”. Earlier AT data are available on the NHS England website.

Changes to AT dataset from April 2021

There has been some significant changes to the AT dataset (now v3.0) from 1 April 2021. More information can be found on the main AT data collection page.

Some of these changes impact on the breakdowns available in the AT data tables and these have been footnoted where relevant. In most cases these changes were not mandatory in submissions until June 2021. A number of new data items have also been added to the data collection and so new measures may be added to the publication once the relevant data submitted is deemed of suitable quality for publication.

Scope of collection

This collection comprises of inpatients with ‘a bed’ normally designated for the treatment or care of people with a learning disability or those with ‘a bed’ designated for mental illness treatment or care who have been diagnosed or are understood to have a learning disability and/or autistic spectrum disorder.

Data is collected from Clinical Commissioning Groups (CCGs) and Commissioning Hubs (Hubs). Learn more information on the different roles of CCGs and Hubs

In some cases, Commissioning Support Units (CSUs) submit data on behalf of one or more CCGs. These are English commissioners and healthcare providers typically providing services in England; although care commissioned for patients in England but provided elsewhere in the UK will be included.

From  October  2020,  some  patients  have  been  registered  to  new  commissioning organisations called Provider Collaboratives (PCs). A  small  number  of  patients  have  been  recorded  to  PCs  that  are  not  yet  active,  and  which  are therefore not included in commissioner counts. Learn more about Provider Collaboratives.

Since April 2021, some data in this publication are also presented by Integrated Care Systems.

Last edited: 20 December 2021 9:33 am