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Publication

Mental Health and Learning Disabilities Statistics Monthly Report: Final September and October and Provisional November

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 Sep 2014 to 30 Nov 2014

Summary

This statistical release makes available the most recent Mental Health and Learning Disabilities Dataset (MHLDDS) final monthly data (October 2014) along with final data from September 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.

Key facts

This release of data shows that at the end of October 2014:

  • 961,455 people were in contact with mental health or learning disabilities services. Of these, 920,229 people were in contact with mental health services and 52,143 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.
  • 23,975 people were inpatients in hospital (2.5 per cent). 1,871 people were in hospital on wards for people with learning disabilities. The remaining 22,104 people were in hospital on wards for people with mental health needs.
  • 16,746 people were subject to the Mental Health Act 1983 and of these 12,375 were detained in hospital (73.9 per cent) and 4,258 were subject to a CTO (25.4 per cent).
  • 59.2 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 October 2014

  • 74,555 new spells of care began.
  • There were 10,531 new admissions to hospital.
  • Of those who were discharged from hospital during the month, 74.5 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

  • 681,146 people were in scope for currencies and payment at the end of October 2014. Of these, 558,320 (82 per cent) were assigned to a care cluster.
  • There were 20,132 initial care cluster assignments during October 2014. Of these, 11,077 (55 per cent) met the red rules for that care cluster.
  • 568,041 care cluster episodes were assigned to people who were in scope for currencies and payment at the end of October 2014. Of these, 415,989 (73.2 per cent) were within the review period for that care cluster.

Between the start of April 2014 and the end of October 2014

  • 1,490,984 people have had contact with secondary mental health and learning disability services and of
    these 74,236 (5.0 per cent) had spent at least one night as an inpatient in hospital.

Key findings from the special feature on the distance to treatment for people in hospital include:

  • The average distance travelled to treatment was 22.0km, with a median of 6.6km.
  • The majority of people had a distance to treatment of less than 10 kilometres (60.3%, 9,115 people). For over 1 in 10 people (11.0 per cent, 1,665 people) the distance was over 50km and for 1 in 20 (5.1 per cent, 778 people) the distance was 100km or more.
  • Over a third (4,525) of the 12,007 people in mental health beds were in acute inpatient beds for working age adults and 3.8 per cent (172 people) from this group travelled over 50km to treatment.
  • 2.2 per cent (35) of people in older adult mental health beds (1,561 in total) travelled over 50km to treatment.
  • Distances travelled were greater for the 3,091 people being treated in secure mental health services ranging from 19.0 per cent (246) in low secure to 69.6 per cent (289) of people in high secure travelling more than 50km.
  • Greater distances were also linked to legal status and length of stay:

- People with a distance to treatment of 100km or more had a median length of stay in hospital of 493.0 days compared to those with a distance to treatment of less than 10km who had a median of 99.0 days.

- Approximately 1 in 7 (14.5 per cent or 1,358) of the 9,357 people detained under the Mental Health Act were in hospital at a distance of more than 50km, compared with 1 in 20 (5.4 per cent or 333) of informal inpatients.

  • The five providers with the highest proportion of its patients travelling 100km or more were all Independent Sector providers.

Resources

Related links

Last edited: 11 October 2018 11:50 am