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Mental Health and Learning Disabilities Statistics Monthly Report: Final December and Provisional JanuaryOfficial statistics
- Publication Date:
- 20 Mar 2015
- Geographic Coverage:
- Geographical Granularity:
- Mental Health Trusts, Independent Sector Health Care Providers, Clinical Commissioning Groups Local Authorities, Mental Health Trusts, Independent Sector Health Care Providers, Clinical Commissioning Groups
- Date Range:
- 01 Dec 2014 to 03 Jan 2015
This statistical release makes available the most recent Mental Health and Learning Disabilities Dataset (MHLDDS) final monthly data (December 2014). 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 of data shows that at the end of December 2014:
- 962,335 people were in contact with mental health or learning disabilities services. Of these, 921,498 people were in contact with mental health services and 52,410 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.
- 23,527 people were inpatients in hospital (2.4 per cent). 1,797 people were in hospital on wards for people with learning disabilities. The remaining 21,730 people were in hospital on wards for people with mental health needs.
- 16,968 people were subject to the Mental Health Act 1983 and of these 12,533 were detained in hospital (73.9 per cent) and 4,320 were subject to a CTO (25.5 per cent).
- 58.6 per cent of people aged 18-69, who were being treated under the Care Programme Approach, were recorded as being in settled accommodation, while 6.7 per cent were recorded as being employed
During December 2014
- 68,039 new spells of care began.
- There were 9,914 new admissions to hospital.
- Of those who were discharged from hospital during the month, 73.0 per cent received a follow up within 7 days from the same provider. This is an important suicide prevention measure.
Mental health currencies and payment
- 678,653 people were in scope for currencies and payment at the end of December 2014. Of these, 576,251 (84.9 per cent) were assigned to a care cluster.
- There were 17,657 initial care cluster assignments during December 2014. Of these, 9,736 (55.1 per cent) met the red rules for that care cluster.
- 587,604 care cluster episodes were assigned to people who were in scope for currencies and payment at the end of December 2014. Of these, 429,321 (73.1 per cent) were within the review period for that care cluster.
Between the start of April 2014 and the end of December 2014
- 1,625,827 people have had contact with secondary mental health and learning disability services and of these 86,425 (5.3 per cent) had spent at least one night as an inpatient in hospital.