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Publication

Mental Health and Learning Disabilities Statistics Monthly Report: Final April and Provisional May

This is part of

Official statistics
Publication date:
Geographic coverage:
England
Geographical granularity:
Local Authorities, Mental Health Trusts, Independent Sector Health Care Providers, Clinical Commissioning Groups
Date range:
01 Apr 2015 to 31 May 2015

Summary

Please note: Following publication of this release, on 22nd July 2015 an issue was identified with the April Currency and Pricing file. Due to an error in our automated process, organisation names with commas were split across columns, resulting in figures being out of line of the appropriate column header for these organisations. 

A further issue was identified with the May Primary Data Integrity Measures, which are included in the May Provisional Data Quality Report. This issue was caused by the underlying table which populates the Data Integrity Measures being populated twice.

A corrected version of the April 2015 Currency and Pricing.csv and the May Provisional Data Quality Report was issued on the 23rd July 2015 and we apologise for any inconvenience caused.

This statistical release makes available the most recent Mental Health and Learning Disabilities Dataset (MHLDDS) final monthly data (April 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.  We will be working with stakeholders to define specific information and reporting requirements relating to specific services or groups of patients.

Four new measures have been added to this release to help with interpretation of the data. At local level these contextual figures will provide an indication of the increased caseload that could be attributed to the extension of the dataset to cover LD services. Information on these measures can found in the Announcement of Change paper which accompanies this release.

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).

A consultation on changes to these statistics as a result of the change to the dataset has been opened.  We welcome views on the proposed changes.  

 

Key facts

This release of data shows that at the end of April 2015:

  • 978,337 people were in contact with mental health or learning disabilities services. Of these, 935,311 people were in contact with mental health services and 56,496 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.
  • 23,727 people were inpatients in hospital (2.4 per cent). 1,773 people were in hospital on wards for people with learning disabilities. The remaining 21,954 people were in hospital on wards for people with mental health needs.
  • 16,992 people were subject to the Mental Health Act 1983 and of these 12,686 were detained in hospital (74.7 per cent) and 4,179 were subject to a CTO (24.6 per cent).
  • 59.4 per cent of people aged 18-69, who were being treated under the Care Programme Approach, were recorded as being in settled accommodation, while 6.8 per cent were recorded as being employed.

During April 2015

  • 71,411 new spells of care began.
  • There were 9,961 new admissions to hospital.
  • Of those who were discharged from hospital during the month, 73.6 per cent received a follow up within 7 days from the same provider. This is an important suicide prevention measure.
  • There were 20,477 bed days lost through delayed transfers of care. This equates to 2.9 per cent of all bed days.
  • There were 14.3 discharges per 1,000 bed days.

Mental health currencies and payment

  • 668,054 people were in scope for currencies and payment at the end of April 2015. Of these, 571,112 (85.5 per cent) were assigned to a care cluster.
  • There were 19,696 initial care cluster assignments during April 2015. Of these, 11,363 (57.7 per cent) met the red rules for that care cluster.
  • 584,973 care cluster episodes were assigned to people who were in scope for currencies and payment at the end of April 2015. Of these, 427,015 (73 per cent) were within the review period for that care cluster.

Between the start of April 2015 and the end of April 2015:

  • 1,017,270 people have had contact with secondary mental health and learning disability services and of these 30,778 (3.0 per cent) had spent at least one night as an inpatient in hospital.

Resources

Related links

Last edited: 11 April 2018 4:29 pm