Mental Health Bulletin, Fifth report from Mental Health Minimum Data Set (MHMDS) annual returns: 2011
Please note: A clarification has been issued for the final key fact below on 12 December 2011. The revised text is shown in italics.
This fifth annual report on NHS adult specialist mental health services in England and the people who use them covers five years with the most recent information for 2010/11. It covers hospital care and services delivered in the community.
This year, for the first time, data from a small number of NHS funded independent sector providers of specialist mental health services are included and almost all the patients in these services spent time in hospital.
The MHMDS is the data source which will be used for Payment by Results (PbR) and is an essential source of information for all those interested in planning or commissioning services or monitoring what is delivered. It is also being used by researchers.
- The number of people using services in 2010/11 rose to 1,287,730 which included a rise for NHS services only of 1.2 per cent since 2009/10. This represents a rate of access to NHS funded services in England of 2,789 per 100,000 population or approximately 1 in 36 people.
- Although the number of people using services rose slightly, the proportion of people using NHS services who spent time in hospital during the year continued on a downward trend (8.1 per cent in 2010/11)
- Rates of access to all NHS funded services are also presented by Primary Care Trust (PCT) and show considerable variation across the country. High rates may reflect high need, good access to services, GP referral patterns or a combination of these. The PCTs with the highest rates of access were Brighton and Hove City PCT, Walsall Teaching PCT, Barnsley PCT, Bury PCT and Northumberland Care Trust – all with rates greater than 5,000 per 100,000 (1 in 20 people). The report also shows the proportion of service users who spent time in hospital by PCT. Nationally one in eleven service users spent time in NHS funded hospital services during the year.
- The fall in the proportion of service users spending time in hospital is consistent with the 2.2 per cent fall in the number of average daily occupied NHS beds (from 21,553 in 2009/10 to 21,076 in 2010/11). During this time the number of NHS beds may have fallen and if so this will have been reflected in these figures.
- For people who did spend time in hospital during the year the average number of bed days was high. Mean in year bed days in the NHS for men were 78 and for women were 68. For independent sector providers however, the corresponding figures were 246 and 209: these differences may reflect the different types of service provided. Other data sources show that the providers who submitted data accounted for over 40 per cent of independent sector formal detentions in 2010/11, so whilst the number of providers is small they give moderate coverage of the independent sector.