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 3.0 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.
A correction has been made to this publication on 13 June 2019. This amendment relates to the monthly reference table file for the ‘LDA Monthly Statistics from MHSDS – reference table file’ and ‘LDA Monthly Statistics from MHSDS – CSV file’. These files have been replaced with corrections being made to table 11 and table 16 within the file only. NHS Digital apologises for any inconvenience caused.
Data collected at the end of February 2019 show that:
· 2,295 inpatients were in hospital at the end of the reporting period.
· More inpatients were discharged (125) than admitted (100) to hospitals. Out of the 125 inpatients who were discharged/transferred from hospital in February 2019, 85 (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 February 2019, 1,330 (58%) had a total length of stay of over 2 years.
· At the end of February 2019, around half of inpatients (1,190, 52%) were in a non-secure ward. There were 1,105 (48%) inpatients in a secure ward.
· The largest proportion of inpatients (29%) were aged between 25-34 (665) and the lowest proportion (2%) were aged 65 and over (40).
· In line with previous months trends, there were more males (1,675) than females (610) in hospital this month (73% were male).
· There were 100 admissions to hospital; of these 55 were first admissions, 20 were readmissions within a year of the previous discharge and 25 were transfers from other hospitals.
· Under half of inpatients (38%) last had a review of their care over 6 months ago (860 people).
· Over half of inpatients (58%) have a date planned for them to leave hospital (1,320).
· 16% of inpatients (375) in hospital travelled less than 10km for care or treatment, whilst approximately 40% of inpatients (920) in hospital travelled over 50km for care or treatment.
MENTAL HEALTH SERVICES DATASET: LEARNING DISABILITY AND AUTISM STATISTICS
At the end of December 2018 (based on hospital spells data):
· There were 3,690 people with learning disabilities and/ or autistic spectrum disorders in hospital.
· There were 1,285 admissions and 1,365 discharges. 87% of these were discharged back into the community.
· There were 183,905 referrals for people with learning disabilities and autism (LDA).
Of these inpatients:
· 1,355 (37%) had been in hospital for over 2 years.
· 160 (4%) had a delayed discharge.
· The largest proportion (28%) were aged between 25-34 (1,025).
· The lowest proportion (5%) were aged under 18 (190).
· 71% were male (2,625) and 29% were female (1,065).
Findings based on ward stays data:
· There were 3,660 ward stays reported for the end of the period.
· The majority of inpatients were in a learning disabilities ward (1,660, 45%), followed by an adult mental health ward (1,420, 39%).
· 2,035 (56%) were in a non-secure setting. 1,515 (41%) were in a secure setting.
· 520 (14%) travelled over 50km from home to get to the hospital for care or treatment.
· 390 patients were restrained at least once.