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Publication, Part of

Learning Disability Services Monthly Statistics, AT: May 2025, MHSDS: April 2025

Official statistics, Experimental statistics

Restrictive Intervention (AT) Data Quality Report

NHS England have added a data quality report to the publication.  The report presents information on the completion of restrictive intervention data by submitting organisations in the Assuring Transformation (AT) data collection.  The purpose of the report is to highlight where completion of restrictive intervention data is poorer to improve data quality.

Restrictive intervention data is submitted to the Mental Health Services Data Set (MHSDS) and this is the main source of use of force data for restrictive interventions for patients in contact with Mental Health Services.  Data on restrictive interventions for people with a learning disability or autistic people in mental health hospital is included in this publication in the MHSDS data tables.

19 June 2025 09:30 AM

Summary findings from the AT dataset

Main findings

Data collected at the end of May 2025 shows that:

  • There were 2,030 learning disabilities and/or autism inpatients at the end of the month.

  • More patients were discharged (165) than admitted (115) to hospitals.

  • 140 (83%) 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, 1,015 (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.

  • 845 (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.

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

  • 580 inpatients (29%) last had a review of care over 6 months ago.

  • 30% of inpatients (505) in hospital travelled up to 10km for care or treatment, whilst approximately 32% of inpatients (530) in hospital travelled over 50km for care or treatment.

  • 415 inpatients (21%) have a date planned for them to leave hospital.


Inpatients

Overall Counts

There were 2,030 learning disabilities and/or autism inpatients at the end of the month. Of these, 1,930 have been receiving care from the start of the month.

Of the NHS England commissioning regions, the Midlands accounts for the highest proportion of learning disabilities and/or autism inpatients (20% of the total), whilst East of England and South-West 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

(245, 12%) 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, 1,015 (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

1,180 (58%) of inpatients are in a non-secure ward, and 845 (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

950 (47%) inpatients had a review of care within the last 12 weeks. 580 (29%) 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

115 were admitted to hospital during May 2025. Of these 65 were first admissions in a year, 30 were readmissions within a year of the previous discharge, and 15 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 (45%), followed by admission from other hospital (24%).

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

165 inpatients were discharged from a hospital during May 2025. Of these 140 (83%) were discharged back to the community. 25 (14%) 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: 19 June 2025 9:31 am