Mental Health Services Monthly Statistics, Performance June 2024

From the Provisional April 2023 data onwards, all metrics in the publication are being published in both the performance and provisional files. This is to support a move towards a single submission window towards the end of 2023.

The single submission window would mean that instead of reporting both performance and provisional data, just one cut of data would be taken. The submission window would be increased meaning that providers have longer to submit the data but that the data published would effectively be the provisional data.

As part of the Performance March 2024 publication, 4 new metrics (OAP01a, OAP02a, OAP03a, OAP04a) have been added to the Out of Area Placements (OAPs) file - all relating to Adult Acute Beds. 

As part of the Performance April 2024 publication, new metrics relating to the length of restraint for seclusion and segregation have been added. 

Full details are available in the Metadata file and Mental Health Services publication list.

For reporting pre April-24, the average minutes of restraint are calculated for restraints that started and ended in the month. As a result, for some restraint types, specifically seclusion and segregation, this can lead to averages that do not represent all uses of the restraint types. This is because these restraint types can occur over long periods of time, and as such cross months.

From April 2024 data onwards, these metrics will be amended to calculate the average minutes of restraint for all restraints that ended in the month. Additionally, 6 new restrictive intervention measures (MHS98a, MHS138a, MHS146, MHS146a, MHS147 and MHS147a) will be included that show the average number days (as median and mean) for incidents of seclusion and segregation that remain open at the end of the reporting period.

Full details of the methodological changes made for this publication can be found here. Changes to the code used to produce this publication are also reflected on GitHub and in the associated Metadata file.

The April 24 reporting period figures are the first reports using MHSDS v6. The implementation of MHSDS v6 includes a fundamental restructuring of the recording of key areas including (but not limited to) - service or team type, ward details and delayed discharges.

Full details of the methodological changes made for this publication can be found here. Changes to the code used to produce this publication are also reflected on GitHub and in the associated Metadata file.

In addition to this, data previously presented on Currency and Payments will no longer be included in this publication due to the removal of the Care Cluster tables as part of version 6. As a result of this, 6 metrics will be removed from the publication:

• ACC33 - People assigned to an adult MH care cluster
• ACC36 - People assigned to an adult MH care cluster within cluster review period
• ACC37 - Proportion of people assigned to an adult MH care cluster within cluster review period
• ACC54 - People at the end of the RP in settled accommodation
• ACC62 - Proportion of people at the end of the RP in settled accommodation
• MHS33 - People assigned to an adult MH Care Cluster at end of the reporting period

Full details of the changes to the dataset are available in the Technical Output Specification.

Following the implementation of version 6 of MHSDS, some small changes have been made to the data quality metrics presented in the VODIM file within this publication:

• The construction of DQM09 has changed to reflect the fact that the Ward Site ID is now captured in the MHS903 Ward Details table. The calculation remains unchanged but the data is joined to the Ward Stay table from the MHS903 table.
• DQM45 has been removed following the removal of the Provisional diagnosis table from the dataset. 
• DQM51 has been adjusted to use data from either MHS101 or MHS102 as this data is now captured in both tables. Previously only MHS102 was used in this metric.