We have detected that you are using Internet Explorer to visit this website. Internet Explorer is now being phased out by Microsoft. As a result, NHS Digital no longer supports any version of Internet Explorer for our web-based products, as it involves considerable extra effort and expense, which cannot be justified from public funds. Some features on this site will not work. You should use a modern browser such as Edge, Chrome, Firefox, or Safari. If you have difficulty installing or accessing a different browser, contact your IT support team.
Publication, Part of Monthly Mental Health Minimum Data Set Reports
Monthly Mental Health Minimum Data Set (MHMDS) Reports, England - June 2014 summary statistics and related information
Official statistics, Other reports and statistics- Publication Date:
- 26 Sep 2014
- Geographic Coverage:
- England
- Geographical Granularity:
- Country, Independent Sector Health Care Providers, Clinical Commissioning Groups, Mental Health Trusts
- Date Range:
- 01 Jun 2014 to 31 Jul 2014
Summary
This statistical release makes available the most recent Monthly Mental Health Minimum Data Set (MHMDS): June 2014 (final data) and July 2014 (provisional data). Further analysis to support currencies and payment in adult and older people's mental health services was added to the publication of April 2014 (final data). These changes are described in the Methodological Change paper.
This information will be of particular interest to organisations involved in delivering secondary mental health care to adults and older people, as it presents timely information to support discussions between providers and commissioners of services. The MHMDS Monthly Report now includes the 10 nationally recommended quality and outcome indicators to support the implementation of currencies and payment in mental health.
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.
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.
In addition to the standard monthly outputs, this month's report includes a special feature focusing on the duration of untreated psychosis (DUP).
Please note - The Currency and Payment file is designed to be analysed by Care Cluster. Each measure is shown by the 21 Care Clusters and by an 'All' Care Cluster category, which gives the total for all Care Clusters. Failure to analyse information by the Care Cluster field will result in duplication.
Highlights
This release of data shows that at the end of June 2014:
- 940,124 people were in contact with secondary mental health services and of these 23,679 were inpatients in a psychiatric hospital (2.5 per cent).
- 16,586 people were subject to the Mental Health Act 1983 and of these 12,194 were detained in hospital (73.5 per cent) and 4,230 were subject to a CTO (25.5 per cent).
- 59.3 per cent of people aged 18-69, who were being treated under the Care Programme Approach, were recorded as being in settled accommodation, while 6.8 per cent were recorded as being employed.
During June 2014
- 64,619 new spells of care began.
- There were 9,808 new admissions to hospital.
- Of those who were discharged from hospital during the month, 77.0 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
- 724,504 people were in scope for currencies and payment at the end of June 2014. Of these, 606,087 (83.7 per cent) were assigned to a care cluster.
- There were 19,333 initial care cluster assignments during June 2014. Of these, 11,386 (58.9 per cent) met the red rules for that care cluster.
- 628,132 care cluster episodes were assigned to people who were in scope for currencies and payment at the end of June 2014. Of these, 443,026 (70.5 per cent) were within the review period for that care cluster.
Between the start of April 2014 and the end of June 2014
- 1,154,465 people have had contact with secondary mental health services and of these 45,133 (3.9 per cent) had spent at least one night as an inpatient in a psychiatric hospital.
Key findings from the special feature on the duration of untreated psychosis include
- In 2013-14 there were 28,115 people in contact with EIS, with all of these people experiencing psychotic symptoms. Of these, 1,497 people (5.3 per cent) had sufficient information recorded to allow us to calculate DUP.
- Providers should record information about DUP where they provide EIS services although not all providers do. However, the number of people with enough information recorded to calculate DUP has risen from 629 recorded cases in 2011-12 to 1,497 recorded cases in 2013-14.
- The median time it takes males to receive a prescription for anti-psychotic medication after the onset of a positive symptom of psychosis (the emergent psychosis stage) is 4.5 weeks, compared to 3.0 weeks for women.
- More men had sufficient information recorded to calculate DUP than women. In 2013-14 963 men had sufficient information recorded as compared to 534 women.
- The median length of time for the black or black British ethnic group between the emergent psychosis date and the prescription date was longer than for other ethnic groups. For this group, the median DUP was 5.5 weeks, compared to 3.5 weeks for the white ethnic group and 4.0 weeks for the Asian or Asian British ethnic group. The median DUP for all ethnic groups was 4.0 weeks.
Resources
Last edited: 27 August 2020 3:34 pm