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Publication, Part of

Learning Disability Services Monthly Statistics, AT: October 2022, MHSDS: August 2022 Final

Official statistics, Experimental statistics

Cyber Incident Impact on MHSDS data submissions

Unfortunately, a number of providers of MHSDS data have been affected by a recent cyber incident. NHS Digital has actively worked with these providers to understand how best to resolve any data submission issues that may have occurred as a result. We also continue to encourage affected providers to reach out to [email protected] as well as their regional Emergency Preparedness, Resilience and Response (EPRR) teams.

Please read below for full details:

Although the impact on June and July 2022 monthly data was quite limited, the impact on August 2022 data is much more substantial. As such, national level breakdowns have been omitted from all outputs that are part of this publication. It was not considered appropriate to publish national level August 2022 data at present, given that these data are not an accurate reflection of activity for that month.

Data at Provider and Local Authority level data are, however, still included within this publication.  Comparisons between providers not impacted by the cyber incident are still valid, as are comparisons between August 2022 data and that of previous months for any given non-cyber incident impacted provider.

Although the ‘Experimental Statistics’ designation is stated underneath the publication title above, users should be aware that the designation does not currently apply to this publication in the series.  It does, however, remain applicable to all editions up to and including Final July 2022.

Finally, we will continue to monitor this situation with regards to subsequent months’ publications. No changes to submission processes will be introduced while service providers are actively dealing with this issue.

17 November 2022 09:30 AM

Summary findings from the AT dataset

Main findings

Data collected at the end of October 2022 shows that:

  • There were 2,000 learning disabilities and/or autism inpatients at the end of the month.

  • More patients were discharged (100) than admitted (75) to hospitals.

  • 75 (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, 1,120 (56%) have had a total length of stay of over 2 years. This includes 345 who have been in hospital for more than 10 years.

  • 920 (46%) inpatients are in a secure ward.

  • There were more males (1,370) than females (625) in hospital (68% were male).

  • The largest number of inpatients (600, 30%) were aged between 25-34, and the lowest number (45, 2%) were aged 65 and over.

  • 75 were admitted to hospital. Of these 45 were first admissions, 20 were readmissions within a year of the previous discharge, and 10 were transfers from other hospitals.

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

  • 27% of inpatients (385) in hospital travelled up to 10km for care or treatment, whilst approximately 35% of inpatients (490) in hospital travelled over 50km for care or treatment.

  • 890 inpatients (45%) have a date planned for them to leave hospital.


Inpatients

Overall counts

There were 2,000 learning disabilities and/or autism inpatients at the end of the month. Of these, 1,935 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 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

10% (190) of inpatients are under 18 and 2% (45) are 65 and over. The largest number of inpatients are in the 25-34 group (30%, 600).

Overall, there were more males (1,370) than females (625) in hospital (68% 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, 1,120 (56%) have had a total length of stay over 2 years. This includes 345 who have been in hospital for more than 10 years.


Ward security level

1,085 (54%) inpatients are in a non-secure ward, and 920 (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

935 (47%) inpatients had a review of care within the last 12 weeks. 550 (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

75 were admitted to hospital during October 2022. Of these 45 were first admissions in a year, 20 were readmissions within a year of the previous discharge, and 10 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 from other hospital (general/A&E) (25%).

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

100 inpatients were discharged from a hospital during October 2022. Of these 75 (74%) were discharged back to the community. 20 (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 November 2022 1:15 pm