Release of 'End of Year Final' 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.
'End of Year Final' versions of the main monthly csv files for each of the 5 months between October 2021 and February 2022, collected under MHSDS version 5, which reflect these revised 2021/22 MSWM submissions that occurred after 'Performance' monthly data had already been published are now available.
'End of Year Final' versions of the 'Restrictive Interventions' csv files have also been made available.
'End of Year Final' versions of the main monthly csv files for each of the 5 months between April 2021 and August 2021, collected under MHSDS version 4.1, were published in April 2022.
The September 2021 publication was the final monthly report to be published using data collected under MHSDS version 4.1, and as such, contained 'End of Year Final' rather than 'Performance' data when originally published. The Provisional October, Provisional November 2021 publication was the first monthly report to be published using data collected under MHSDS version 5.
'End of Year Final' data for both October 2021 and November 2021 has been made available on the Performance October, Performance November, Provisional December 2021 publication page.
The MHSDS Monthly: Performance and Provisional Access and Waiting Times Reference Tables excel files have not been reissued using 'End of Year Final' data. However the underlying Access and Waiting Times measures are available as 'End of Year Final' data within the MHSDS Monthly: End of Year Final MHSDS Data CSV file.
MHSDS version change
This is the first monthly release using data collected under MHSDS version 5. As a result, it contains provisional October 2021 and provisional November 2021 data only. No performance data is available as part of this publication.
The move to MHSDS version 5 from the October 2021 reporting period onwards brings with it changes to the dataset, and the construction of some metrics has changed as a result. In particular, the way in which contacts are reported has changed to allow a more detailed view of how patients interact with services. Some of the codes used in version 4.1 are now invalid yet continue to flow, and this has caused issues with metrics which used these fields such as the CYP access measures, as well as measures which show a breakdown by Consultation Mechanism.
Additionally, changes have been made to the way in which the Clinical Response Priority for referrals is reported. A new code for ‘Very Urgent referrals’ has been added, and this is now used in the methodology of metrics which use this field.
Furthermore, where a code was previously valid in version 4.1 but is no longer valid in version 5, NHS Digital has contacted providers to try and ensure that future submissions of the dataset are rectified to only include codes that are valid. This is particularly in relation to the Consultation Mechanism for care contacts and the service or team type referred to for referrals.
The figures in the restrictive interventions data are lower than in previous months due to the reduced number of providers submitting restrictive interventions data. They are, however, in line with what would be expected based on the providers that did submit. The restrictive interventions measures methodology will be reviewed in 2022 to take account of the new restrictive interventions table structure in version 5.
The interactive visualisations available on the Mental Health Data hub will not be updated until next month when performance data for both October 2021 and November 2021 is available.
Full details of the changes to the dataset are available in the Technical Output Specification and the updated constructions for all measures in this publication are available in the metadata file.
The next monthly release is due to be published on 10 February 2022. This release will contain Performance October 2021 and Performance November 2021 data, as well as Provisional December 2021 data.
From the March 2022 publication onwards, the usual pattern of releasing performance data for a single month and provisional data for the subsequent month will be resumed.
Update on CSV files originally published on 27 January 2022
The data for October 2021 in the main data CSV was originally published on the assumption that it employed data collected in December 2021. Due to issues with a series of measures and the need to reprocess the data post the close of the January window NHS Digital has discovered that the majority of the data within this CSV is related to the more recent October data collected in January 2022. The CSV has been reissued with an additional column to reflect whether the data used for specific metrics was from December 2021 or January 2022. All data is still classed as provisional and the performance data will be issued in February 2022.
The data for November 2021 employed data collected in December 2021.
The Data Quality files produced as part of this publication relate to the data collected in January 2022. As a result, these Data Quality files are not entirely reflective of the data used for the creation of the provisional metrics within this publication. NHS Digital has left these files in this publication as they provide some indication of the quality of the MHSDS data and are expected to be close to the data that was employed. To put this into context, it is estimated that the MPI counts reported at England level are around 1% higher than those used for the publication.
There was an issue with the data used to produce this publication. The underlying data in the Master Patient table (MHS001) was discovered to have a small number of duplicates (around 3% of people). These duplicates were caused by a new derivation relating to Learning Disabilities Services. At this time it is not anticipated that the duplicates have caused any over counts in this data as the constructions used count distinct people, referrals, hospital spells etc. However, caution should still be taken when interpreting these statistics. The statistics in this publication have also been left being badged as Provisional despite some of the metrics in the publication using January 2022 data as they may potentially change once the duplicate issue is resolved, in the February publication.
The October and November 2021 data published on 27 January 2022 has now been superseded by October and November 2021 performance data, which is of a higher quality, as part of the 10 February 2022 publication. The data released in January is being retained only as a record of the data that were originally published.
NHS Digital apologises for any inconvenience caused.
Issue identified with MHS69 data
An issue has been identified with the MHS69 data contained within each of the main MHSDS data files:
- MHSDS Monthly: Provisional October 2021 MHSDS Data File
- MHSDS Monthly: Provisional November 2021 MHSDS Data File
The counts reported for SOLENT NHS TRUST (R1C) and KOOTH DIGITAL HEALTH LIMITED (DFC) were incorrect. Due to the construction of the metric, there were small consequential effects on other provider counts also. This error was offset by a data quality issue in Kooth's version 5 submissions.
The data in this publication will not be updated as performance data has already been published as part of the February 2022 publication which supersedes this one.
Please also refer to the February 2022 publication for a quantification of the impact of this issue on the national level MHS69 count.
NHS Digital apologises for any inconvenience caused.
Resolution of issue with MHSDS Monthly: Provisional October 2021 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: Performance April 2021 Restrictive Interventions New CSV file. As a result, this breakdown was temporarily removed from the file. The issue has now been resolved however, however rather than reinstate the breakdown in the Provisional file, the Provisional file has now been withdrawn altogether, and an 'End of Year Final' version of this file has now been made available from the Performance October, Performance November, Provisional December 2021 publication page instead. This includes the previously withdrawn breakdown. NHS Digital apologises for any inconvenience caused.
Error affecting Early Intervention in Psychosis (EIP) and Children’s Eating Disorders (ED) metrics
An error has been found in the Early Intervention in Psychosis (EIP) and Children’s Eating Disorders (ED) metrics. The error means that version 4.1 data is being evaluated using version 5 criteria, and as such, activity from September 2021 or earlier that forms part of the pathway and is valid under version 4.1 but not under version 5 has been wrongly excluded from the calculation of the metric.
This impacts published Performance data for October 2021 to February 2022.
The error has been corrected for the March 2022 Final data published on 9 June 2022. It has also been corrected in the ‘End of Year Final’ data for each month between October 2021 and February 2022, published on each of the relevant monthly publication pages on 14 July 2022.
Neither Performance nor Provisional data for October 2021 to February 2022 will be corrected, as these data have now been superseded by the corrected ‘End of Year Final’ monthly data.
Please refer to 'Notes on Measures' for further details and an assessment of the impact of the error.
NHS Digital apologises for any inconvenience.
