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Publication, Part of

Learning Disability Services Monthly Statistics, AT: December 2021, MHSDS: October 2021 Final

Official statistics, Experimental statistics

MHSDS version change

From October 2021, LD MHSDS data is collected under MHSDS version 5. Data for October 2021 was added retrospectively to this publication on 17th February 2022.

All data available for this publication continues to be available in MHSDS v5. 

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.

15 February 2022 10:20 AM

AT discharge destination

The Assuring Transformation (AT) key facts and summary report were updated to correct the number of discharges to the community and other hospital settings, for December 2021. Discharges to the community was updated from 95 to 90, and discharges to other hospital setting from 25 to 30. The information presented in the data tables and csv was correct as originally published.

15 February 2022 10:20 AM

Summary findings from the AT dataset

Main findings

Data collected at the end of December 2021 shows that:

  • There were 2,065 learning disabilities and/or autism inpatients at the end of the month.

  • More patients were discharged (130) than admitted (65) to hospitals.

  • 90 (70%) of these were discharged back into the community

  • Many inpatients have been in hospital for a long time. Of those in hospital at the end of the month, 1,150 (56%) had a total length of stay of over 2 years. This includes 355 who have been in hospital for more than 10 years.

  • 955 (46%) inpatients are in a secure ward.

  • There were more males (1,425) than females (625) in hospital (69% were male).

  • The largest number of inpatients (620, 30%) were aged between 25-34, and the lowest number (45, 2%) were aged 65 and over.

  • 65 were admitted to hospital. Of these 30 were first admissions, 15 were readmissions within a year of the previous discharge, and 25 were transfers from other hospitals.

  • 610 inpatients (30%) last had a review of care over 6 months ago.

  • 25% of inpatients (350) in hospital travelled up to 10km for care or treatment, whilst approximately 36% of inpatients (505) in hospital travelled over 50km for care or treatment.

  • 890 inpatients (43%) have a date planned for them to leave hospital.


Inpatients

Overall counts

There were 2,065 learning disabilities and/or autism inpatients at the end of the month. Of these, 2,005 have been receiving care from the start of the month.

Of the NHS England commissioning regions, Midlands accounts for the highest proportion of learning disabilities inpatients (21% of the total), whilst East Of England has the lowest (9% of the total).

Notes on chart
  1. Region is based on originating Clinical Commissioning Group.
  2. Percentage calculations exclude patients who could not be allocated to a region based on the information recorded.

Inpatient age and gender

9% (185) of inpatients are under 18 and 2% (45) are 65 and over. The largest number of inpatients are in the 25-34 group (30%, 620).

Overall there were more males (1,425) than females (625) in hospital (69% were male).


Total length of stay

An inpatient’s total length of stay is the time since the date of their first admission to any hospital as part of this continuous period of inpatient care.

Of those in hospital at the end of the month, 1,150 (56%) have had a total length of stay over 2 years. This includes 355 who have been in hospital for more than 10 years.


Ward security level

1,110 (54%) inpatients are in a non-secure ward, and 955 (46%) are in a secure ward. 65 (3%) inpatients were in a high secure ward setting.

Non-secure wards include inpatients in general wards and psychiatric intensive care units (PICU). Secure wards include patients with low, medium and high secure ward settings.


Time since most recent review of care plan

780 (38%) inpatients had a review of care within the last 12 weeks. 610 (30%) last had a review of care over 6 months (26 weeks) ago.


Admissions

Counts of admissions include people who were admitted in the month and who were admitted and discharged in the month. For further details see the Glossary and Definitions in the AT Appendices. 

 

Admissions by status on admission

65 were admitted to hospital during October 2021. Of these 30 were first admissions in a year, 15 were readmissions within a year of the previous discharge, and 25 were transfers from other hospitals.

Notes on chart
  1. A readmission is where the inpatient's last date of discharge was within the last year. If the last date of discharge matches the current admission date the episode is classed as a transfer.
  2. Latest month figures tend to be lower as not all information has been recorded by the month end. Previous months have been retrospectively updated.

Source of admission

Patients were most commonly admitted from their usual place of residence (40%),  followed by from other hospital (mental health/LD) (33%).

Notes on chart

'Other locations' are defined as temporary residence, penal establishment, foster care or residential care, and other hospital (secure forensic ward).


Discharges / transfers

Counts of discharges include people who were discharged in the month and who were admitted and discharged in the month.  Discharges includes where patients were transferred to other hospitals.

For further details see the Glossary and Definitions in the AT Appendices. 

 

Discharge destination

130 inpatients were discharged from a hospital during December 2021. Of these 90 (70%) were discharged back to the community. 30 (21%) were transferred to another hospital setting.

Notes on chart
  1. Values below 5 are shown as zero in line with the suppression rules for the dataset.

Last edited: 28 March 2022 1:05 pm