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Publication, Part of

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

Main Findings

These figures show key findings about people known centrally to be in contact with NHS funded secondary mental health, learning disabilities and autism services in England during 2022-23. Further figures are available in the publication.

A person is considered to be in contact with services in this publication if they have had an open referral with secondary mental health, learning disabilities and autism services during 2022-23. This may include referrals which did not result in an attendance with a service or treatment being received.


Changes Over Time

  • 3,582,864 people were known to be in contact with secondary mental health, learning disabilities and autism services at some point during 2022-23.
  • 1,103,495 of these were under 18 years of age and 2,470,364 were aged 18 or over
  • Changes in scope, issues with the quality of some submissions and the increase in submitting providers have impacted on the comparability of statistics prior to 2016-17 with 2016-17 onwards. Full details of this can be found in the Making comparisons with previous years section of this report.
  • Statistics for people of all ages prior to 2016-17 are most closely comparable with statistics for people aged 18 or over from 2016-17 onwards due to the inclusion of mental health services for children and young people from this year.

People Aged 18 or over

  • 16.8% of people aged 90 or over (84,013) and 14.1% of people aged between 85 and 89 years old (122,692) and 9.4% of people aged between 80 and 84 years old (133,766) in England were known to be in contact with secondary mental health, learning disabilities or autism services during 2022-23. This will include people in contact with these services because of organic mental health disorders such as dementia. This compares to 6.3% of people of all ages who were known to be in contact with secondary mental health, learning disabilities or autism services during 2022-23.
  • 3.6% of people aged 18 or over (89,308) known to be in contact with secondary mental health, learning disabilities or autism services had spent time admitted as an inpatient as part of their care during 2022-23.

People aged under 18

  • 22.6% of 16 year old females (75,411) and 19.6% of 17 year old females (64,973) in England were known to be in contact with secondary mental health, learning disabilities or autism services during 2022-23. 14.0% of 16 year old males (44,240) and 12.7% of 17 year old males (39,494) in England were known to be in contact with these services.
  • The number of in-year bed days for females aged under 18 known to be in contact with secondary mental health, learning disabilities or autism services during 2022-23 were 252,640. The number of in-year bed days for males aged under 18 known to be in contact with secondary mental health, learning disabilities or autism services during 2022-23 were 51,698. This is compared to 253,348 bed days for females aged under 18 and 55,714 bed days for males aged under 18 in 2021-22.
  • The number of people in contact with secondary mental health services aged 11 to 15 has increased from 498,558 in 2021-22 to 562,651 to 2022-23, an increase of 12.9%

Changes since 2021-22

Between 2021-22 and 2022-23:

  • The number of people in contact with services increased by 10.0%, from 3,256,695 to 3,582,864.
  • The number of in year bed days decreased by 5.1%, from 10,024,443 to 9,512,771. This is also reflected in the change in the number of admissions and discharges between years.  The number of admissions decreased by 6.9%, from 109,900 to 102,366.  The number of discharges decreased by 6.5%, from 107,413 to 100,452.
  • The number of care contacts decreased by 3.3%, from 28,611,747 to 27,668,164.  In 2022-23, 83.9% of all care contacts were attended, compared with 84.8% in 2021-22.


Last edited: 11 April 2025 4:26 pm