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Publication, Part of

Mental Health Services Monthly Statistics, Performance May, Provisional June 2022

Official statistics

Error affecting single breakdown within the Performance May 2022 Restrictive Interventions CSV file

An error has been identified in the data contained within the ‘England; Restrictive Intervention Type; Age Group; Upper Ethnicity’ breakdown of the MHSDS Monthly: Performance May 2022 Restrictive Interventions CSV file.  This resulted in incorrect figures being shown for measures MHS76 and MHS96, and it also caused the omission of figures for MHS77.

The error has now been rectified and corrected figures are available within the MHSDS Monthly: Performance May 2022 Restrictive Interventions V2 CSV file.

NHS Digital apologises for any inconvenience.

5 September 2022 09:30 AM

Error affecting sub-national breakdowns of measures MHS107a and MHS107b within the Performance May 2022 MHSDS Data CSV file

An error has been identified in the sub-national breakdowns contained with measures MHS107a and MHS107b of the MHSDS Monthly: Performance May 2022 MHSDS Data CSV file.  This resulted in some incorrect figures being shown within each of the sub-national breakdowns.  National level figures were unaffected.

The error has now been rectified and corrected figures are available within the MHSDS Monthly: Performance May 2022 MHSDS Data V2 CSV file

NHS Digital apologises for any inconvenience.

5 September 2022 09:30 AM

MHSDS version change

This is the eighth monthly release using data collected under MHSDS version 5.  Please refer to the January 2022 publication for an outline of the changes to the dataset introduced by the move to MHSDS version 5.  Full details of the changes to the dataset are available in the Technical Output Specification and the updated constructions for all measures in this publication are available in the metadata file.

11 August 2022 09:30 AM

Methodological improvement for MHS29d and MHS30f

From Performance May 2022 onwards, the methodology for each of the following measures:

  • MHS29d - Contacts in the RP with community mental health services for adult and older adults with severe mental illness
  • MHS30f - Attended contacts in the RP with community mental health services for adult and older adults with severe mental illness

has been improved to align with other care contact measures for consistency. 

At national level, the change in methodology results in a 3.1% decrease for MHS29d and a 3.2% decrease for MHS30f.

11 August 2022 09:30 AM

Issue with DQ VODIM Metrics DQM57 to DQM62

NHS England have uncovered an issue with the DQ VODIM files associated with this publication. The metrics impacted are DQM57 to DQM62. For these metrics, valid values were incorrectly identified as Invalid.

These values have not been removed or updated but should be disregarded by users when using the VODIM files.

12 December 2023 09:30 AM

Notes on Measures

New Measures

New care contact measure

From Performance May 2022 onwards, the following new measure relating to care contacts has been added to the monthly release:

  • MHS109 - Number of People aged 18 to 24 supported through NHS funded mental health with at least one contact (12 month rolling)

Full details are available in the Metadata file and Mental Health Services publication list.

New DQ VODIM measures

From Performance January 2022 onwards, six new DQ VODIM measures have been added to the DQ vodim CSV files. 

  • MHS-DQM57 - Organisation Identifier (code of specialised responsible commissioner) - Referral
  • MHS-DQM58 - Organisation Identifier (code of specialised responsible commissioner) - Care Contact
  • MHS-DQM59 - Organisation Identifier (code of specialised responsible commissioner) - Indirect Activity
  • MHS-DQM60 - Organisation Identifier (code of specialised responsible commissioner) - Group Session
  • MHS-DQM61 - Organisation Identifier (code of specialised responsible commissioner) - Hospital Provider Spell Commissioner Assignment Period
  • MHS-DQM62 - Organisation Identifier (code of specialised responsible commissioner) - Exceptional Package of Care

These look at specialised commissioning region and provider collaborative codes in the ORGANISATION IDENTIFIER (CODE OF COMMISSIONER) data item.

New community services and acute admissions measures

From Performance December 2021 onwards, 13 new measures were added to the monthly release.  Six relate to community services, 5 relate to acute admissions with and without prior contact and 2 are additional breakdowns of existing metrics relating to contact.  These are:

  • MHS32c - Referrals starting in the RP to community mental health services for adult and older adults with severe mental illness
  • MHS57b - People discharged from a referral in the RP from community mental health services for adult and older adults with severe mental illness
  • MHS23d - Open referrals at the end of the RP to community mental health services for adult and older adults with severe mental illness
  • MHS29d - Contacts in the RP with community mental health services for adult and older adults with severe mental illness
  • MHS30f - Attended contacts in the RP with community mental health services for adult and older adults with severe mental illness
  • MHS30h - Attended contacts in the RP by consultation medium
  • MHS29f - Care contacts by Attended / did not attend code
  • MHS106 - Adult and older adult acute admissions in the reporting period (this is based on a 3 month rolling RP)
  • MHS106a - Adult and older adult acute admissions for patients with contact in the prior year with mental health services, in the RP (this is based on a 3 month rolling RP)
  • MHS106b - Adult and older adult acute admissions for patients with no contact in the prior year with mental health services, in the RP (this is based on a 3 month rolling RP)
  • MHS107a - Percentage of adult and older adult acute admissions for patients with contact in the prior year with mental health services, in the RP (this is based on a 3 month rolling RP)
  • MHS107b - Percentage of adult and older adult acute admissions for patients with no contact in the prior year with mental health services, in the RP (this is based on a 3 month rolling RP)
  • MHS108 - Number of people accessing community mental health services for adults and older adults with serious mental illness who received 2 or more care contacts within the RP (this is based on a 12 month rolling RP)

Full details are available in the Metadata file and Mental Health Services publication list.

Perinatal

From Performance June 2021 onwards, 14 Perinatal measures have been added that provide further analysis of women in contact with mental health services who are new or expectant mothers. These measures will be refreshed on a quarterly basis, and look in more detail at mothers accessing services between their antenatal booking appointment and 24 months. The analysis also looks at those accessing services between 12 and 24 months post pregnancy for the first time. This includes those who are either new to services or continuing with services. Addition breakdowns now include by Indices of Multiple Deprivation (IMD):

  • PMH23b - Number of people aged 16 or over in the period between booking and 24 months post pregnancy in the reporting period
  • PMH24b - Number of people aged 16 or over in the period between booking and 24 months post pregnancy with a mental health referral open in in the reporting period and during the perinatal period
  • PMH25b - Number of people aged 16 or over in the period between 12 and 24 months post pregnancy who are continuing with services with a mental health referral open in in the reporting period and during the perinatal period
  • PMH26b - Number of people aged 16 or over in the period between 12 and 24 months post pregnancy who are new to services with a mental health referral open in in the reporting period and during the perinatal period
  • PMH27a - Number of people aged 16 or over in the perinatal period in contact with specialist community based perinatal mental health services in the reporting period and during time between booking and 24 months post pregnancy
  • PMH28a - Number of people aged 16 or over in the perinatal period in contact with specialist community based perinatal mental health services in the reporting period and during time between 12 and 24 months post pregnancy who are continuing with services
  • PMH29a - Number of people aged 16 or over in the perinatal period in contact with specialist community based perinatal mental health services in the reporting period and during time between 12 and 24 months post pregnancy who are new to services
  • PMH30a - Number of maternities for people aged 16 or over in the period between booking and 24 months post pregnancy in the reporting period
  • PMH31a - Number of maternities for people aged 16 or over in the period between booking and 24 months post pregnancy with a mental health referral open in in the reporting period and during the perinatal period
  • PMH32a - Number of maternities for people aged 16 or over in the period between 12 and 24 months post pregnancy who are continuing with services with a mental health referral open in in the reporting period and during the perinatal period
  • PMH33a - Number of maternities for people aged 16 or over in the period between 12 and 24 months post pregnancy who are new to services with a mental health referral open in in the reporting period and during the perinatal period
  • PMH34a - Number of maternities for people aged 16 or over in the perinatal period in contact with specialist community based perinatal mental health services in the reporting period and during time between booking and 24 months post pregnancy
  • PMH35a - Number of maternities for people aged 16 or over in the perinatal period in contact with specialist community based perinatal mental health services in the reporting period and during time between 12 and 24 months post pregnancy who are continuing with services
  • PMH36a - Number of maternities for people aged 16 or over in the perinatal period in contact with specialist community based perinatal mental health services in the reporting period and during time between 12 and 24 months post pregnancy who are new to services

Restrictive Interventions Measures and Interactive Report

As part of an improvement initiative, the two existing Restrictive Interventions measures:

  • MHS76 - Number of people subject to restrictive intervention
  • MHS77 - Number of restrictive intervention types

have now been supplemented by four new measures

  • MHS96 - Restraint types per 1,000 occupied bed days in Reporting Period
  • MHS97 - Percentage of people in hospital subject to restrictive intervention in Reporting Period
  • MHS98 - Average Minutes of restraint type in Reporting Period
  • MHS99 - Maximum Minutes of restraint type in Reporting Period

These are available in a new standalone csv file from Performance April 2021 onwards. This file also contains many new breakdowns for the two longstanding measures, MHS76 and MHS77.  These are listed in the Mental Health Services publication list.

In addition, a new interactive report based on these new measures has been made available on the Mental Health data hub.  This allows users to further explore this data.

Unlike the longstanding Restrictive Interventions measures for which both Performance and Provisional files exist, these new measures are currently available for Performance only.  

As of Performance July 2021, the legacy csv files and legacy interactive report have been discontinued, and are replaced by the new standalone csv file and new interactive report.

Please note there is a known DQ issue affecting MHSDS v5 data (October 2021 data onwards) allowing providers to submit restrictive intervention ‘incident’ data to the MHS505 table without specifying a corresponding restrictive intervention ‘type’ in the MHS515 table.

Incident data which does note have the corresponding restrictive intervention ‘type’ data is not counted as part of our current restrictive intervention measures, as these currently only use data from the MHS515 table.

We are working with providers to resolve this issue.


Additional Breakdowns

Additional breakdowns for selected care contacts measures

From Performance May 2022 onwards, additional breakdowns (specified in italics) have been made available within each of the following five measures:

  • MHS29a  - Contacts with perinatal MH team in the Reporting Period
    • England; Attendance
    • CCG - GP Practice or Residence; Attendance
    • Provider; Attendance
  • MHS29d - Contacts in the RP with community mental health services for adult and older adults with severe mental illness
    • England; Attendance
    • CCG - GP Practice or Residence; Attendance
    • Provider; Attendance
  • MHS30a - Attended contacts with perinatal MH team in Reporting Period
    • England; Consultant Mechanism
    • CCG - GP Practice or Residence; Consultant Mechanism
    • Provider;  Consultant Mechanism
  • MHS30f - Attended contacts in the RP with community mental health services for adult and older adults with severe mental illness
    • England; Consultant Mechanism
    • CCG - GP Practice or Residence; Consultant Mechanism
    • Provider;  Consultant Mechanism
  • MHS91 - Perinatal Access showing the number of people in contact with Specialist Perinatal Mental Health Community Services (12 month rolling)
    • England; Ethnicity

Full details are available in the Metadata file and Mental Health Services publication list.

Additional demographic breakdowns within Restrictive Interventions CSV file

From Performance May 2022 onwards, the following additional demographic breakdowns will be added to the Restrictive Interventions CSV file

  • England; Restrictive Intervention Type; Age Group; Upper Ethnicity
  • England; Restrictive Intervention Type; Gender; Lower Ethnicity
  • England; Restrictive Intervention Type; Gender; Upper Ethnicity

These will not be added to the Restrictive Interventions dashboard as the dashboard reports on single demographics only.

The Specialised Service Type breakdown has also been amended to now include "Non-specialised Service", "No associated Ward Stay" and "Invalid Specialised Code used".

Full details are available in the Metadata file and Mental Health Services publication list.

Additional demographic breakdowns within main monthly CSV file

From Performance April 2022 onwards, additional demographic breakdowns which include:

  • Accommodation Type
  • Age
  • Disability
  • Employment Status
  • Ethnicity
  • Gender
  • IMD Decile
  • Sexual Orientation

have been published for the following selected measures

  • MHS01 - People in contact with mental health services at the end of the RP
  • MHS07 - People with an open hospital spell at the end of the RP
  • MHS29 - Contacts in the RP
  • MHS32 - Referrals starting in the RP   (this is the version of MHS32 based on a one month reporting period rather than three months).

Full details are available in the Metadata file and Mental Health Services publication list.

Additional Breakdowns of existing metrics

From Final September 2021 onwards, 3 new measures were added to the monthly release.  These are:

  • MHS27a - Admissions to hospital in the RP by Hospital Bed Type
  • MHS32d - Referrals starting in the RP to specialist perinatal Mental Health services
  • MHS57c - People discharged from a referral in the RP from specialist perinatal Mental Health services

Full details are available in the Metadata file and Mental Health Services publication list.


New Dual Badged Monthly Statistics

These statistics have been produced by both NHS Digital and NHS England and as such are dual-badged.  NHS Digital has worked with NHS England in assuring the statistics before they are published here.

Length of Stay measures

From Performance June 2021 onwards, 12 length of stay measures were added to the monthly release.  The measures are related to people being discharged from adult acute and older adult acute beds as well as those being discharged aged 0 to 17. These metrics also include a rate of people discharged per 100,000 at CCG level:

  • MHS100 - The number of people discharged in the RP from adult acute beds aged 18 to 64 with a length of stay of 60+ days
  • MHS100a - Rate of people discharged per 100,000 in the RP from adult acute beds aged 18 to 64 with a length of stay of 60+ days
  • MHS101 - The number of people discharged in the RP from adult acute beds aged 18 to 64 with a length of stay of 90+ days
  • MHS101a - Rate of people discharged per 100,000 in the RP from adult acute beds aged 18 to 64 with a length of stay of 90+ days
  • MHS102 - The number of people discharged in the RP from older adult acute beds aged 65+ with a length of stay of 60+ days
  • MHS102a - Rate of people discharged per 100,000 in the RP from older adult acute beds aged 65 and over with a length of stay of 60+ days
  • MHS103 - The number of people discharged in the RP from older adult acute beds aged 65+ with a length of stay of 90+ days
  • MHS103a - Rate of people discharged per 100,000 in the RP from older adult acute beds aged 65 and over with a length of stay of 90+ days
  • MHS104 - The number of people discharged in the RP aged between 0 and 17 with a length of stay of 60+ days
  • MHS104a - Rate of people discharged per 100,000 in the RP aged 0 to 17 with a length of stay of 60+ days
  • MHS105 - The number of people discharged in the RP aged between 0 and 17 with a length of stay of 90+ days
  • MHS105a - Rate of people discharged per 100,000 in the RP aged 0 to 17 with a length of stay of 90+ days

Early Intervention in Psychosis (EIP)

From Performance June 2021 onwards, three Early Intervention in Psychosis (EIP) measures were added to the monthly release. These measures are related to EIP caseload and how many of these have NICE concordant SNOMED codes or any other SNOMED codes associated with their referral. These metrics use NHSE methodology:

  • EIP68 - EIP Caseload (Number of Referrals open to EIP services with at least one attended contact at the end of the reporting period)
  • EIP69a - Number of open Referrals with any valid SNOMED-CT activity submitted that were linked to an EIP team in the reporting period
  • EIP69b - Number of open Referrals with any NICE concordant EIP SNOMED-CT activity submitted that were linked to an EIP team in the reporting period

Children and Young People (CYP) and Perinatal

There are five new MHSDS monthly statistics that have been introduced from Final March 2021 onwards. These measures will be refreshed on a monthly basis and have been produced by both NHS Digital and NHS England.  As such, they are dual-badged.  NHS Digital has worked with NHS England in assuring the statistics before they are published here. These five new statistics are:

  • MHS91 Number of people in contact with Specialist Perinatal Mental Health Community Services (12 month rolling)

  • MHS92 Closed referrals for children and young people aged between 0 and 17 with 2 contacts where the length of referral was over 14 days and a paired score

  • MHS93 Closed referrals for children and young people aged between 0 and 17 with 2 contacts where the length of referral was over 14 days

  • MHS94 Percentage of closed referrals for children and young people aged between 0 and 17 with 2 contacts where the length of referral was over 14 days and a paired score

  • MHS95 Number of children and young people aged under 18 supported through NHS funded mental health with at least one contact (12 month rolling)

The methodologies for the construction of each measure is available in the associated Metadata Tab. The key difference to consider when using the statistics listed above is the methodology for assigning Clinical Commissioning Group (CCG) to activity; a brief explanation of the different methodologies is presented below and any CCG level statistics should be used with consideration of these differences. For the above statistics, the NHS England methodology for assigning CCGs has been adopted.

  • NHS Digital – the CCG is assigned to activity based on the most recent information about an individual and, as such, activity measured will be attributed to a single CCG. The CCG methodology also assigns a CCG based on the CCG of GP Practice or Residence.

  • NHS England – the CCG is assigned to activity based on the information available at the time of activity and, as such, activity measured may be attributed to multiple CCGs. The CCG methodology is based on CCG of Residence only.

  • The statistics listed above includes data for residents in England only.


Changing existing measures

Methodological improvement for MHS29d and MHS30f

From Performance May 2022 onwards, the methodology for each of the following measures:

  • MHS29d - Contacts in the RP with community mental health services for adult and older adults with severe mental illness
  • MHS30f - Attended contacts in the RP with community mental health services for adult and older adults with severe mental illness

has been improved to align with other care contact measures for consistency. 

At national level, the change in methodology results in a 3.1% decrease for MHS29d and a 3.2% decrease for MHS30f.

Announcement of methodological changes to the Restrictive Intervention Statistics

From Performance April 2022 onwards, the methodology underpinning construction of the restrictive interventions measures has changed.  This was necessary due to the changes within the restrictive interventions dataset tables introduced in MHSDS v5.  The methodological change review involving NHS England, CQC and NHS Digital resulted in an agreed new methodology to calculate the existing set of measures.

For further details, please refer to the Announcement of methodological changes to the Restrictive Intervention Statistics published on 29 June 2022 as well as the the metadata file.

MHSDS version change

The move to MHSDS version 5 from the October 2021 reporting period onwards brings with it changes to the dataset, and the construction of some metrics has changed as a result.  In particular, the way in which contacts are reported has changed to allow a more detailed view of how patients interact with services.  Some of the codes used in version 4.1 are now invalid yet continue to flow, and this has caused issues with metrics which used these fields such as the CYP access measures, as well as measures which show a breakdown by Consultation Mechanism.

Additionally, changes have been made to the way in which the Clinical Response Priority for referrals is reported.  A new code for ‘Very Urgent referrals’ has been added, and this is now used in the methodology of metrics which use this field.

Furthermore, where a code was previously valid in version 4.1 but is no longer valid in version 5, NHS Digital has contacted providers to try and ensure that future submissions of the dataset are rectified to only include codes that are valid. This is particularly in relation to the Consultation Mechanism for care contacts and the service or team type referred to for referrals.

Full details of the changes to the dataset are available in the Technical Output Specification and the updated constructions for all measures in this publication are available in the metadata file.

New methodology for MHS95

From Performance June 2021 onwards a new methodology has been introduced for MHS95 (number of CYP aged under 18 supported through NHS funded mental health with at least one contact (12 month rolling)) see the methodology section below.  This methodology has also been used to refresh the metric values published from March 2021 onwards.

From Performance June 2021 onwards the CYP Eating Disorder metrics ED85 to ED90 (and their breakdowns) have been incorporated into the main monthly file and no longer appear as a standalone file in the publication:

  • ED85 - Referrals with eating disorder issues entering treatment in RP, aged 0-18
  • ED86 - Referrals with eating disorder issues categorised as urgent entering treatment in RP, aged 0-18
  • ED87 - Referrals eating disorder issues categorised as routine entering treatment in RP, aged 0-18
  • ED88 - Referrals with eating disorder issues waiting for treatment at end of RP, aged 0-18
  • ED89 - Referrals with eating disorder issues categorized as urgent waiting for treatment end RP, aged 0-18
  • ED90 - Referrals with eating disorder issues categorized as routine waiting for treatment end RP, aged 0-18

Decommissioned Measures

Care Programme Approach (CPA) measures

With the publication of the Community Mental Health Framework, CPA has now been superseded nationally.  As such, measures relating to CPA have been removed from all MHSDS outputs from Performance April 2021 data onwards.  These measures include:

  • MHS02 - People on CPA at the end of the reporting period
  • AMH02 - People in contact with adult mental health services on CPA at the end of the reporting period
  • AMH03 - People on CPA aged 18-69 at the end of the reporting period (adult mental health services only)
  • AMH04 - People in contact with adult mental health services CPA at the end of the reporting period with HoNOS recorded
  • AMH05 - People on CPA for 12 months at the end of the reporting period (adult mental health services only)
  • AMH06 - People on CPA for 12 months with review at the end of the reporting period (adult mental health services only)
  • AMH14 - People aged 18-69 on CPA at the end of the reporting period in settled accommodation (adult mental health services)
  • AMH15 - Proportion of people aged 18 to 69 on CPA at the end of the reporting period in settled accommodation (adult mental health services)
  • AMH17 - People aged 18-69 on CPA (adult mental health services) at the end of the reporting period in employment.
  • AMH18 - Proportion of people aged 18 to 69 on CPA (adult mental health services) at the end of the reporting period in employment
  • ACC02 - The number of people on Care Programme Approach (CPA) at the end of the reporting period with an associated Care Cluster open at the end of the reporting period with a valid Adult Mental Health Care Cluster Code (Final) recorded
  • ACC53 - The proportion of people on Care Programme Approach (CPA) at the end of the reporting period with an associated Care Cluster open at the end of the reporting period with a valid Adult Mental Health Care Cluster Code (Final) recorded
  • CYP02 - People in contact with children and young people's mental health services on CPA at the end of the reporting period

Clinical Commissioning Group (CCG) changes

Number of changes to CCGs were made operationally effective from 1 April 2021. These changes included 38 former CCGs merging to form 9 new CCGs.

The Organisation Data Service (ODS) is responsible for publishing organisation and practitioner codes, along with related national policies and standards.

Further information is available here.



Last edited: 12 December 2023 9:15 am