Monthly Mental Health Minimum Data Set (MHMDS) Reports, England - Final November 2013 summary statistics and related information
This statistical release makes available the most recent Mental Health Minimum Data Set (MHMDS) final monthly data (November 2013). This publication series replaces the Routine Quarterly MHMDS Reports, last published for the period Q4 2012-13, reflecting the change in the frequency of submissions. Further information about these changes and format of the monthly release can be found through the Resource links.
This information will be of particular interest to organisations involved in delivering secondary mental health care for adults, as it presents timely information to support discussions between providers and commissioners of services. 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 psychiatric hospitals and subject to the Mental Health Act (MHA). Some of these measures are currently experimental analysis.
In addition to the standard monthly outputs, this month's report includes a special feature focusing on people under the age of 18 on adult wards.
- 936,603 people were in contact with secondary mental health services and of these 22,510 were inpatients
in a psychiatric hospital (2.4 per cent)
- 15,923 people were subject to the Mental Health Act 1983 and of these 11,377 were detained in hospital
(71.5 per cent) and 4,370 were subject to a CTO (27.4 per cent)
- 61.3 per cent of people aged 18-69, who were being treated under the Care Programme Approach, were recorded
as being in settled accommodation, while 7.2 per cent were recorded as being employed.
During November 2013
- 61,897 new spells of care began
- There were 9,647 new admissions to hospital
- Of those who were discharged from hospital during the month, 74.9 per cent received a follow up within 7 days
from the same provider. This is an important suicide prevention measure.
Key facts from the special feature include
- The number of people under the age of 18 who were recorded as spending time in adult mental health wards during the year fell by 39 per cent from 357 in 2011-12 to 219 in 2012-13, while the number of people under the age of 16 who were recorded as spending time in adult mental health wards during the year fell by 51 per cent from 47 in 2011-12 to 23 in 2012/13
- The number of times people under the age of 18 were recorded as being admitted to adult mental health wards fell by 46 per cent, from 440 in 2011-12 to 236 in 2012-13, while the number of times people under the age of 16 were recorded as being admitted to adult mental health wards fell by 64 per cent, from 80 in 2011-12 to 29 in 2012-13.
- The MHMDS contains more instances of people under the age of 18 spending more than 48 hours on an adult mental health ward, compared to similar data for the CQC. Further investigation is needed in order to fully understand this difference
- The number of bed days people under the age of 18 were recorded as spending on adult mental health wards fell by 46 per cent from 21,980 bed days in 2011-12 to 11,791 bed days in 2012-13). Under-16s were recorded as spending 59 per cent fewer days on adult wards in 2012-13 (1,211 bed days) than in 2011-12 (2,975 bed days)
- A full year of data for 2013-14 has not been collected yet but provisional data for April 2013 to November 2013 shows a reversal of this trend with 250 people under the age of 18 recorded as spending time in adult mental health wards, 303 admissions and 10,424 bed days so far. The figures for people and admissions is already higher than the annual figures for 2012-13 even though they only cover the first eight months of 2013-14 and the figure for bed days is close to the level in 2012-13, although the data still appears to include some information about CAMHS services.