Publication, Part of Mental Health Services Monthly Statistics

Mental Health Services Monthly Statistics Performance September, Provisional October 2020

Official statistics

Publication Date:: 10 Dec 2020
Geographic Coverage:: England
Geographical Granularity:: Clinical Commissioning Groups, Councils with Adult Social Services Responsibilities (CASSRs), Independent Sector Health Care Providers, Mental Health Trusts, Provider, Regions, Sustainability and Transformation Partnerships, Local Authorities
Date Range:: 01 Jul 2020 to 31 Oct 2020

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Data Quality

Release of 'End of Year' data and other updates

Release of 'End of Year' data

From April 2020 onwards, NHS Digital has been implementing a multiple submission window model (MSWM) for MHSDS. This allows providers to retrospectively submit data for a specific reporting period once the initial provisional and performance submission windows have closed. Please click on 'Multiple Submission Window Model' under 'Related Links' at the bottom of this page for further information.

Throughout summer 2021, NHS Digital intends to release 'End of Year' versions of the main monthly csv files for each of the 11 months between April 2020 and February 2021 which reflect these revised 2020/21 MSWM submissions that occurred after 'Performance' monthly data had already been published.

'End of Year' data for 8 months within this range was released on 9 August 2021. Data for a further month (June 2020) was released on 23 August 2021 and data for the remaining 2 months in the range (April 2020 and May 2020) was released on 04 May 2022.

'End of Year' versions of the 'Mental Health Act' and 'Restrictive Interventions' CSV files have been released where applicable also.

72 hour follow-up measures (MHS78, MHS79 and MHS80) update

Investigations into an issue with the 72 hour follow-up measures (MHS78, MHS79 and MHS80) previously published within the MHSDS Monthly: Performance April MHSDS Data File have now been completed. These were removed pending investigation, but as of this update, have now been reinstated, although only in the 'End of Year' version of the August 2020 main monthly CSV file. If you hold a previously downloaded 'Performance' or 'Provisional' version, we advise downloading the 'End of Year' version from the link below.

New Restrictive Interventions Measures

As part of an improvement initiative, the two existing Restrictive Interventions measures (MHS76 and MHS77) were supplemented by four new measures (MHS96, MHS97, MHS98 and MHS99) from Performance April 2021 onwards and made available in a standalone restrictive Interventions new CSV file. This CSV file has now been generated for historic monthly reporting periods for each month between September 2020 and March 2021.

9 August 2021 09:30 AM

Resolution of issue with MHSDS Monthly: End of Year Final September 2020 Restrictive Interventions New CSV file

An issue was previously identified in the data contained within the Provider; Specialised Commissioning Service; Restrictive Intervention Type; Gender of the MHSDS Monthly: End of Year Final September 2020 Restrictive Interventions New CSV file. As a result, this breakdown was temporarily removed from the file. The issue has now been resolved however, and the breakdown reinstated. NHS Digital apologises for any inconvenience.

25 July 2022 09:30 AM

Summary

This publication provides the most timely picture available of people using NHS funded secondary mental health, learning disabilities and autism services in England. These are experimental statistics which are undergoing development and evaluation. This information will be of use to people needing access to information quickly for operational decision making and other purposes. More detailed information on the quality and completeness of these statistics is made available later in our Mental Health Bulletin: Annual Report publication series.

• COVID-19 and the production of statistics

Due to the coronavirus illness (COVID-19) disruption, it would seem that this is now starting to affect the quality and coverage of some of our statistics, such as an increase in non-submissions for some datasets. We are also starting to see some different patterns in the submitted data. For example, fewer patients are being referred to hospital and more appointments being carried out via phone/telemedicine/email. Therefore, data should be interpreted with care over the COVID-19 period.

• Delayed measures

For the Performance September 2020 publication some of the measures due for release were delayed for operational reasons. The below measures were made available 18 December 2020:

- The monthly outputs, Access and Waiting Times measures (ED32, all EIPxx, MHS32 quarterly).

- The quarterly output, Mental Health Services Selected NHS England Measures.

- The quarterly output, Women in contact with Mental Health Services who were new or expectant mothers.

One set of measures remains unpublished, 72 hour follow-up measures (MHS78, MHS79 and MHS80); these will be published as soon as they are available. NHS Digital apologises for the inconvenience caused.

• Early release of statistics

To support the ongoing COVID-19 work, October 2020 monthly statistics were made available early and presented on our supplementary information pages.

https://digital.nhs.uk/data-and-information/supplementary-information/2020/provisional-october-2020-mental-health-statistics

• Changing existing measures

The move to MHSDS version 4.1 from April 2020 has brought with it changes to the dataset; the construction of a number of measures have been changed as a result. Improvements in the methodology of reporting delay of discharge has also resulted in a change in the construction of the measure from the April 2020 publication onwards.

From August 2020 onwards, the methodology for calculating restrictive interventions (MHS76 and MHS77) in the reporting month has been updated to include all restraints that span several months. Previously the measure only includes restraints that started or ended in the month and did not include those spanning more than 2 months. This change predominately impacts segregation.

From September 2020 onwards, the methodology for MHS26 (Delayed transfer of care) has been updated. Previously only the first midnight of a delayed transfer of care within a hospital provider spell was excluded. The updated methodology now excludes the first midnight for delay start date where there is a gap of more than one day within the same hospital provider spell. This is to take into account valid gaps between delay reasons.

Full details of these changes are available in the associated Metadata file.

From September 2020 onwards, a presentational change has been introduced to restrictive interventions csv files to exclude providers with no inpatients.

• New measures

A number of new measures have been included from the July 2020 publication onwards:

- MHS81 Number of Detentions

- MHS82 Number of Short Term Orders

- MHS83 Number of uses of Section 136

- MHS84 Number of Community Treatment Orders

Full details of these are available in the associated Metadata file.

• CCG and STP changes

A number of changes to NHS organisations were made operationally effective from 1 April 2020. These changes included: 74 former Clinical Commissioning Groups (CCGs) merging to form 18 new CCGs; alterations to commissioning hubs; provider mergers; and the incorporation of Sustainability and Transformation Partnerships (STPs) into the NHS commissioning hierarchy. The Organisation Data Service (ODS) is responsible for publishing organisation and practitioner codes, along with related national policies and standards. A series of ODS data amendments are required to support the introduction of these changes. This would normally result in a number of organisations becoming ‘legally’ closed including the 74 former CCGs. However, to minimise any burden to the NHS during the COVID-19 pandemic and remove any non-critical activity, these organisations remain open within ODS data. ODS aim to both legally and operationally close predecessor organisations involved in April 2020 Reconfiguration on 30 September 2020.

Activity may be recorded against either former or current organisations, depending on data providers and processors ability to transition to the new organisation codes at this time. The same activity will not be recorded against both former and current organisations.

There is no impact on the statistics presented here as CCG is derived in all cases within this publication.

Key Facts Based on 'End of Year' data

At the end of September, there were 1,346,128 people in contact with services; the majority of these (950,662) were in adult mental health services. There were 286,880 people in contact with children and young people’s mental health services and 152,713 in learning disabilities and autism services.
340,035 new referrals were received into services during September and 2,037,153 care contacts were attended.
20,987 people were subject to the Mental Health Act at the end of September, including 14,866 people detained in hospital.

Key Facts Based on 'Performance' data (superseded by 'End of Year' statistics)

At the end of September, there were 1,339,842 people in contact with services; the majority of these (946,214) were in contact with adult mental health services. There were 286,413 people in contact with children and young people’s mental health services and 151,351 in contact with learning disabilities and autism services.
334,406 new referrals were received into services during September and 2,009,771 care contacts were attended.
20,893 people were subject to the Mental Health Act at the end of September, including 14,752 people detained in hospital.