Skip to main content

Early Intervention in Psychosis (EIP) Waiting Times quick guide to submitting data

This guide was updated in May-24 to reflect the implementation of  Mental Health Services Data Set (MHSDS)v6. Author: Mental Health, NHS Talking Therapies and Learning Disability and Autism Analysis Team, NHS England

Page contents

Aim

NHS England is working to improve the recording and reporting of waiting times for Early Intervention in Psychosis using the Mental Health Services Data Set (MHSDS).

View the MHSDS published figures.

Data collected in MHSDS is used to create the following measures

EIP01

Referrals into a service with a suspected First Episode of Psychosis (FEP) which have entered treatment and remain in treatment at the end of the reporting period. Referrals entering treatment are those who have had a first contact with an Early Intervention for Psychosis team and have been assigned to a care coordinator. This measure is broken down by age group: 0-17; 18-34; 35 and over.

EIP23

Referrals into a service with a suspected First Episode of Psychosis (FEP) which entered treatment in the reporting period. Referrals entering treatment are those who have had a first contact with an Early Intervention for Psychosis team and have been assigned to a care coordinator. This is the number of referrals with a 'clock stop' for waiting times in the reporting period. This measure is broken down to show those who waited two weeks or less to enter treatment and those that waited more than two weeks.

EIP32

Referrals into any service with a suspected First Episode of Psychosis (FEP) received in the reporting period.

EIP63

Referrals into a service with a suspected First Episode of Psychosis (FEP), which have NOT been referred to an Early Intervention for Psychosis team open at the end of the reporting period.

EIP64 to EIP67

Referrals into a service with a suspected First Episode of Psychosis (FEP), which have NOT been referred to an Early Intervention for Psychosis team entering treatment. Referrals entering treatment are those who have had a first contact with any team and have been assigned to a care coordinator with any team. This is the number of referrals with a 'clock stop' for waiting times in the reporting period, but for those who are not on the full EIP pathway.  This measure is broken down to show those who waited two weeks or less to enter-in treatment and those that waited more than two weeks. 

EIP68

Count of referrals with at least one attended contact that were linked to an EIP team, regardless of the primary reason for referral, that were not rejected and are still open at the end of the reporting period.

EIP69

Count of referrals with any SNOMED-CT activity that were linked to an EIP team, regardless of the primary reason for referral, that were not rejected and are still open at the end of the reporting period.

MHSDS data items needed for these measures

The table below lists all MHSDS fields needed by NHS Digital to compile these measures, alongside the mandatory tables and data items needed to make a submission to the MHSDS. More information can be found in the MHSDS User Guidance and Technical Output Specification.

The metrics published by NHS Digital are published every month.

Data needed for recording Early Intervention in Psychosis

Please note that with the implementation of MHSDS v6 - in order to 'start' the clock:

  • PrimReasonReferralMH in MHS101Referral must be 01 – (Suspected) First Episode Psychosis
  • ServTeamTypeRefToMH in MHS902ServiceTeamDetails must be A14 - Early Intervention Team for Psychosis
  • Either CareProfTeamLocalID in MHS101Referral or OtherCareProfTeamLocalID in MHS102OtherServiceType must link to the Early Intervention Team for Psychosis in MHS902ServiceTeamDetail

Clock start dates will be taken from the ReferralRequestReceivedDate in MHS101Referral

 

Table Field Notes specific to EIP
MHS101Referral ReferralRequestReceivedDate Used to ‘start the clock’. Limited to new referrals from 1 January 2016.
  PrimReasonReferralMH Only include where: 01 – (Suspected) First Episode Psychosis
  ServDischDate To remove from ‘stop the clock’ waits
  CareProfTeamLocalID Used to link to Early Intervention for Psychosis team in the MHS902ServiceTeamDetails table
MHS102OtherServiceType

ReferClosureDate

To remove from ‘stop the clock’ waits
  ReferRejectionDate To remove from ‘stop the clock’ waits
  OtherCareProfTeamLocalID Used to link to Early Intervention for Psychosis team in the MHS902ServiceTeamDetails table
MHS902ServiceTeamDetails ServTeamTypeRefToMH Only include where: A14 - Early Intervention Team for Psychosis

Please note that with the implementation of MHSDS v6 - there is now a OtherCareProfTeamLocalID field in the MHS201CareContact table but no longer a CareProfTeamLocalID field. The following outlines the specific scenarios and how they will be handled in order to 'stop the clock'

Scenario 1:

  • CareProfTeamLocalID is recorded in MHS101Referral and
  • OtherCareProfTeamLocalID is not recorded in MHS102OtherServiceType and
  • OtherCareProfTeamLocalID is not recorded in MHS201CareContact

Outcome: the contact will be assumed to be with the team entered in the CareProfTeamLocalID in MHS101Referral

Scenario 2:

  • CareProfTeamLocalID is recorded in MHS101Referral and
  • OtherCareProfTeamLocalID is recorded in MHS102OtherServiceType and
  • OtherCareProfTeamLocalID is not recorded in MHS201CareContact

Outcome: the contact will be assumed to be with the team entered in the CareProfTeamLocalID in MHS101Referral

Scenario 3:

  • CareProfTeamLocalID is recorded in MHS101Referral and
  • OtherCareProfTeamLocalID is recorded in MHS102OtherServiceType and
  • OtherCareProfTeamLocalID is recorded in MHS201CareContact and
  • OtherCareProfTeamLocalID in MHS201CareContact matches the EIP team recorded in MHS102OtherServiceType

Outcome: the contact will be assumed to be with the team entered in the OtherCareProfTeamLocalID in MHS102OtherServiceType

Scenario 4:

  • CareProfTeamLocalID is recorded in MHS101Referral and
  • OtherCareProfTeamLocalID is recorded in MHS102OtherServiceType and
  • OtherCareProfTeamLocalID is recorded in MHS201CareContact and
  • OtherCareProfTeamLocalID in MHS201CareContact doesn't match the EIP team recorded in MHS102OtherServiceType

Outcome: the contact will not count towards clock-stops

 

Table Field Notes specific to EIP

MHS006MHCareCoord

StartDateAssCareCoord

The date used to ‘stop the clock’
  CareProfServOrTeamTypeAssoc

Only include where: A14 - Early Intervention Team for Psychosis
MHS201CareContact CareContDate The date used in to ‘stop the clock’
  AttendStatus Only include where: 5 – Attended on time, 6 – Arrived late but was seen
  ConsMechanismMH Only include where: 01 – Face to face, 02 – Telephone, 04 – Talk type for a person unable to speak, 11 - Video consultation
  OtherCareProfTeamLocalID Used to identify activity based on service type when linked to MHS102

For EIP68 and EIP69 we are also interested in the recording of SNOMED data and below are the tables and fields where these are counted.

Table Field Notes specific to EIP

MHS202CareActivity

 Procedure

May contain SNOMED CT concept, ideally NICE concordant (see list below)
  Finding

May contain SNOMED CT concept, ideally NICE concordant (see list below)
  Observation

May contain SNOMED CT concept, ideally NICE concordant (see list below)
MHS204IndirectActivity IndActProcedure May contain SNOMED CT concept, ideally NICE concordant (see list below)
  Finding May contain SNOMED CT concept, ideally NICE concordant (see list below)
List of NICE concordant SNOMED codes
Carer focused education and support
726052009​ Carer focused education and support programme
1097201000000108​ Referral for carer focused education and support programme


 

Clozapine​
723948002​ Clozapine therapy

 

Cognitive Behavioural Therapy for psychosis (CBTp)
718026005​ Cognitive behavioural therapy for psychosis
1097161000000100​ Referral for cognitive behavioural therapy for psychosis

 

Family Interventions (FI)​
985451000000105​ Family intervention for psychosis
859411000000105​ Referral for family therapy​

 

Education and employment support​
183339004​ Education rehabilitation
415271004​ Referral to education service
70082004​ Vocational rehabilitation
18781004​ Patient referral for vocational rehabilitation
335891000000102​ Supported employment​
1098051000000103​ Employment support
1098041000000101​ Referral to an employment support service
1082621000000104​ Individual Placement and Support
1082611000000105​ Referral to an Individual Placement and Support service

 

Physical health interventions​
1090411000000105​ Referral to general practice service​
1097181000000109 Referral for antihypertensive therapy
308116003​ Antihypertensive therapy
1099151000000109​ Referral for diabetic care
385804009​ Diabetic care​
1098021000000108 Diet modification
1097191000000106​ Metformin therapy
134350008​ Lipid lowering therapy

 

Physical health assessments and healthy lifestyle promotion
196771000000101​ Smoking assessment
443781008​ Assessment of lifestyle
698094009​ Measurement of body mass index​
171222001​ Hypertension screening
43396009​ Haemoglobin A1c measurement​
271062006​ Fasting blood glucose measurement​
271061004​ Random blood glucose measurement​
121868005​ Total cholesterol measurement​
17888004​ High density lipoprotein measurement​
166842003​ Total cholesterol: HDL ratio measurement​
763243004​ Assessment using QRISK cardiovascular disease 10 year risk calculator
225323000​ Smoking cessation education
710081004 Smoking cessation therapy​
871661000000106​ Referral to smoking cessation service​
715282001 Combined healthy eating and physical education programme
1094331000000103​ Referral for combined healthy eating and physical education programme
281078001​ Education about alcohol consumption​
425014005 Substance use education
1099141000000106 Referral to alcohol misuse service​
201521000000104​ Referral to substance misuse service
699826006​ Lifestyle education regarding risk of diabetes​
718361005​ Weight management programme​
408289007​ Refer to weight management programme
1097171000000107​ Referral for lifestyle education​

 

At Risk Mental State (ARMS)
304891004 Cognitive behavioural therapy​
519101000000109​ Referral for cognitive behavioural therapy​
1095991000000102​ At Risk Mental State for Psychosis

 

Furthermore, the following 3 tables need to be submitted in each submission with their respective mandatory and required fields. More information can be found in the MHSDS User Guidance and Technical Output Specification.

Table Description
MHS000Header Uniquely identifies each MHSDS submission made by the provider
MHS001MPI Uniquely identifies every patient and records personal details of each patient
MHS002GP Records details of the GP of every patient

Last edited: 7 April 2025 1:00 pm