Publication, Part of Mental Health Bulletin
Mental Health Bulletin, 2022-23 Annual report
Official statistics, Experimental statistics
Amendments to Chapters 1, 7 and 17
Two issues have been uncovered and fixed within the publication. The issues relate to:
- The LAD/UA breakdown for Age in metrics 1a, 1b, 1c and 1d were not displaying correctly in the CSV file. This has been fixed and now displays 'LAD/UA; Age Group (Higher Level)' as the Breakdown name with the correct data
- The metric 7h (Crude rate of restrictive interventions with NHS funded secondary mental health, learning disabilities and autism services per 1,000 occupied bed days) was calculated incorrectly for breakdowns which included a geographical and demographic split, for example ICB of Residence; Ethnicity (Higher Level). This data has been recalculated and republished.
In addition, new breakdowns have been added to the publication for:
- Metric 7h with new breakdowns for ICB, ICB; Age Group (Lower Level), ICB; Ethnicity (Higher Level), ICB; Gender, ICB; IMD Decile
- Metric 17a with a new breakdown for LAD/UA
8 March 2024 10:00 AM
Addition of historic data for Specialist Perinatal Mental Health Community Services and Referrals that accessed Individual Placement Support
Historic data for Chapter 11, Specialist Perinatal Mental Health Community Services and Chapter 18, Referrals that accessed Individual Placement Support has been added to provide trends back to 2019-20. The additional CSVs published include the breakdowns and metrics published for 2022-23 dated back to 2019-20. Please note, for measures which provide population rates, these are based on the 2021 Census inline with the data used in this publication, not mid year estimates for the relevant reporting period.
16 May 2024 09:30 AM
Amendments to 2022-23 data
As part of the updates for 2023-24, a number of minor issues have been corrected in this publication to align with the data for 2023-24. National totals are not impacted by these changes and most changes relate to relabelling. Only the following issues impacted data:
- An issue was uncovered relating to the Sub ICB population data for Surrey and Sussex. This meant that rates for these areas were incorrectly calculated
- 2 bed types, 16 and 18, were included in the Adult Specialist grouping when they were not valid as per the v5 TOS. We have amended the grouping for these for 23-24 and so when backdating for 22-23 some data moved from adult specialist to invalid.
- Some breakdowns were published as 0 for the crude rates in chapter 10. These have been amended to show the correct figures.
- For provider data only, the average number of daily occupied beds was calculated incorrectly. Corrected figures are now included.
A full list of the corrections can be found below.
10 October 2024 09:30 AM
Removal of duplicate rows in Chapters 15, 16, 17 and 18
A small number of rows were identified as duplicate rows in chapters 15, 16, 17 and 18. In these cases, one rows presented held the correct value. The other value presented was 0. In these cases the rows including the 0 has been removed. The remaining data is unaffected.
11 April 2025 16:30 PM
Summary
This publication provides the most detailed picture available of people who used NHS funded secondary mental health, learning disabilities and autism services in England during the financial year 2022-23.
All the analysis included in this publication can be accessed in the associated machine-readable data file. Selected metrics and breakdowns at national level are also available in the reference tables. Information you need to know about the quality of these statistics and how they can be interpreted can be found in the main report. An interactive report is also available allowing you to explore some statistics in further detail.
Demographic analysis (age, gender, ethnicity and Index of Multiple Deprivation) is presented for 2022-23. Please consult previous editions of this publication series for demographic analysis for previous years. All annual and monthly publications relating to uses of mental health, learning disabilities and autism services can be found in the related links below. Please note that data for 2022-23 makes use of population data from the 2021 Census. There are instances where the populations have changed significantly between 2011 and 2021 and this should be considered when comparing rates for 2022-23 with previous years.
NHS England is continually working to improve the relevance and usefulness of content in the Mental Health Bulletin. Following feedback, no further development of the Excel reference tables has been undertaken this year, despite the addition of new metrics and breakdowns. These breakdowns and metrics are included in the CSV however, and are also included in the interactive visualisation which accompanies this publication.
Please note, the CSV files accompanying this year's publication have been split up in order to allow users to open the CSV in Microsoft Excel. The chapters used are based on the Metric numbers in the publication. Chapters 2 and 3 were discontinued in previous years and as such the metric numbers have been retained and there is no chapter 2 or 3 in this publication.
A total of 69 new metrics, as well as new breakdowns for existing metrics, have been made available as part of the 2022-23 bulletin. Most of these feature within Chapters 15 to 19. The new metrics are listed in the 'Mental Health List of Publications and Measures', available from the link under 'Resources' below.
Highlights
Impact of cyber incident
A cyber incident occurred in 2022-23 which impacted the data of 13 providers between August 2022 and March 2023. Throughout this period, NHS England produced national estimates where possible. Most providers had resolved the issue by the end of 2022-23 whilst some were given an additional opportunity to resubmit 2022-23 data after the 2022-23 submission period had ended.
The majority of the data thought to have been lost as a result of the cyber incident has now been submitted to MHSDS but some providers have not been able to submit data for August 2022 to March 2023. Others have areas of data which they have not been able to include as part of their resubmissions.
As such some caution is advised when interpreting the data included in this publication. Further information on the cyber incident and the response to the cyber incident can be found in the Mental Health Services Monthly Statistics publication.
Public Consultation
The Health and Social Care Statistics Leadership Forum have commissioned a joint public consultation of health and social care statistical outputs. As part of the consultation NHS England are proposing changes to the Mental Health Act annual report and the Mental Health Bulletin annual report. As users of the publications, we would welcome your views on these changes. The consultation is currently open and will close on Tuesday 5 March 2024.
Access the code used to create this report
The code used to create the outputs for this report is available on our NHS England GitHub webpage.
Revisions to 2022-23 data
As part of the publication of the 2023-24 Mental Health Bulletin, the files for 2022-23 have been refreshed to ensure that data is aligned between the two publications. The full list of changes can be found below:
- An issue was uncovered relating to the Sub ICB population data for Surrey and Sussex. This meant that rates for these areas were incorrectly calculated
- Relabelling of Not Known and Not Stated in the Level One column to 99 and Z. This is to make these more consistent with the other lower ethnicity data.
- Relabelling of the Arab Gypsy Roma categories in the census data that is included in the publication.
- 2 bed types, 16 and 18, were included in the Adult Specialist grouping when they were not valid as per the v5 TOS. We have amended the grouping for these for 23-24 and so have updated the data to reflect this for 2023-24.
- Some breakdowns were published as 0 for the crude rates in chapter 10. These have been amended to show the correct figures.
- Chapter 10 had an issue where in some cases, the Service or Team Type Team ID recorded for the early intervention pathway occurred after the year end. In these cases, a person was being classed as entering treatment in the year when they should not have been. The code has been updated which has seen a small drop in numbers overall.
- Some breakdowns were published as 0 for the crude rates in chapter 16. These have been amended to show the correct figures.
- Some data for Unknowns in chapter 19 was omitted. These have now been included.
- For provider data only, the average number of daily occupied beds was calculated incorrectly. Corrected figures are now included.
- In Chapter 17, there was an issue uncovered where the ranking used in the methodology is based solely on contact date. In a small number of cases, a person can have a first contact with two different providers on the same day. In some limited circumstances this meant that the code was randomly ranking some rows. This has been amended to introduce a tie break to ensure consistency but means there are some small differences between what was initially published.
- Changed the labelling of Unknown to be consistent across the entire publication (to use UNKNOWN). In the published data some Unknown rows weren’t published, these are now present.
- The original file had some census data published for Unknowns these rows have been removed.
- Some rows for the Service or Team Type breakdown were omitted from the publication. These have now been added back in correctly.
- In some Chapter 11 there has been a change in the way that we labelled the breakdown of Sub ICB by ethnicity.
Key Facts
3,582,864 people were known to be in contact with secondary mental health, learning disabilities and autism services at some point in the year. 1,103,495 of these were under 18 years of age.
6.3% of people in England were known to be in contact with secondary mental health, learning disabilities and autism services during this year. This is compared to 5.8% of people in 2021-22 and 5.0% of people in 2020-21.
2.6% (91,945) of people known to be in contact with secondary mental health, learning disabilities and autism services spent time in hospital as part of being in contact with these services during 2022-23. This is compared to 3.0% (97,160) in 2021-22 and 3.5% (97,103) in 2020-21.
Resources
Last edited: 11 April 2025 4:26 pm