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Publication, Part of

Learning Disability Services Monthly Statistics, AT: March 2025, MHSDS: February 2025

Official statistics, Experimental statistics

Gender code issue affecting tables 2.1 and 4.3

NHS England has identified an issue affecting the ‘Gender identity’ breakdown forming part of Table 2.1 in the LDA monthly statistics from AT-Data tables.  The issue also affects the ‘Gender’ breakdown which is part of Table 4.3.

These breakdowns have been temporarily removed from the respective tables, as well as from the AT csv file while we investigate the issue.

The ‘Gender (v3)’ breakdown within Table 2.1 is unaffected, however this breakdown only presents data up to March 2024, just prior to the introduction of AT v4 in April 2024.

NHS England apologies for any inconvenience caused.

17 April 2025 09:30 AM

Changes to reporting for patients on extended leave under Section 17 of the Mental Health Act

With effect from the publication on 20 February 2025 onwards, patients who are recorded in Assuring Transformation as on extended leave under Section 17 (S17) of the Mental Health Act due to specific court judgments (MM / PJ judgments) will be excluded from the inpatient counts reported in the publication. 

A change to the guidance for data submitters on recording such patients in the data was issued in November 2024.  Where historic data in the data tables is refreshed each month to account for updates by data submitters, patients will be excluded from the counts from each time point from 30 November 2024 onwards.

17 April 2025 09:30 AM

Summary findings from the AT dataset

Main findings

Data collected at the end of March 2025 shows that:

  • There were 2,025 learning disabilities and/or autism inpatients at the end of the month.

  • More patients were discharged (175) than admitted (80) to hospitals.

  • 130 (74%) 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, 1,020 (50%) have had a total length of stay of over 2 years. This includes 315 who have been in hospital for more than 10 years.

  • 855 (42%) inpatients are in a secure ward.

  • There were more males than females in hospital.

  • The largest number of inpatients (610, 30%) were aged between 25-34, and the lowest number (402%) were aged 65 and over.

  • 80 were admitted to hospital. Of these 40 were first admissions, 15 were readmissions within a year of the previous discharge, and 30 were transfers from other hospitals.

  • 540 inpatients (27%) last had a review of care over 6 months ago.

  • 31% of inpatients (510) in hospital travelled up to 10km for care or treatment, whilst approximately 32% of inpatients (540) in hospital travelled over 50km for care or treatment.

  • 440 inpatients (22%) have a date planned for them to leave hospital.


Inpatients

Overall Counts

There were 2,025 learning disabilities and/or autism inpatients at the end of the month. Of these, 1,955 have been receiving care from the start of the month.

Of the NHS England commissioning regions, Midlands and North-East & Yorkshire each account for the highest proportion of learning disabilities and/or autism inpatients (each 19% of the total), whilst East of England and South-West each have the lowest (each 10% of the total). 

Notes on chart
  1. Region is based on originating sub-Integrated Care Board.
  2. Percentage calculations exclude patients who could not be allocated to a region based on the information recorded.

Inpatient Age and Gender

(225, 11%) of inpatients are under 18 and (40, 2%) are 65 and over. The largest number of inpatients are in the 25-34 group (610, 30%).

Overall, there were more males than females in hospital. 


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, 1,020 (50%) have had a total length of stay over 2 years. This includes 315 who have been in hospital for more than 10 years.


Ward Security Level

1,175 (59%) of inpatients are in a non-secure ward, and 855 (42%) are in a secure ward. 70 (3%) of 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

1,055 (52%) inpatients had a review of care within the last 12 weeks. 540 (27%) 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

80 were admitted to hospital during March 2025. Of these 40 were first admissions in a year, 15 were readmissions within a year of the previous discharge, and 30 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 from acute hospital beds (33%), followed by admission from their usual place of residence (28%).

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.

The recording of Discharge destination changed in v3 of the dataset from April 2021, earlier data is not comparable.

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

 

Discharge Destination

175 inpatients were discharged from a hospital during March 2025. Of these 130 (74%) were discharged back to the community. 35 (20%) 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: 17 April 2025 3:27 pm