Mental health, dementia and neurology intelligence and data tools

National Mental Health, Dementia and Neurology Intelligence Network: Updates and Developments

New Products from Public Health England

This is a copy of an e-mail for users who have shown an interest in keeping updated with the work of the NMHDNIN. If you would like to receive information directly from NMHDNIN or If you have any questions regarding any of the updates detailed below, please contact the team on mhdnin@phe.gov.uk.


Mental Health

Psychosis Data Report (published 17th October)

This report shows data for a range of indicators across the psychosis care pathway. It describes their variation across England by local authority or clinical commissioning group. It highlights:

  • variation in numbers of people with psychosis
  • variation in access to a range of care and support interventions for people with psychosis
  • gaps in routine data relating to psychosis
  • quality issues with current data relating to psychosis.

It is for public health, service planners, commissioners, providers, advocacy groups, and policy makers. Those involved in the local planning and provision of care for people with or at risk of psychosis can use the data to help ensure that services provided meet local needs, are evidence based and to address any gaps in provision. Continued improvement in the collection and reporting of data on psychosis is also encouraged.

The excel spreadsheet shows a breakdown of indicator value for each clinical commissioning group or local authority in the country.

Perinatal Mental Health Data Catalogue (published 26th October)

The perinatal period spans the time from conception through to a year after giving birth.  Perinatal mental health is concerned with the mental health and wellbeing of women and their child, partner and families during this time period.

This report lists all data and metrics that the NMHIN is aware of that is related to perinatal mental health.  Metrics graded as not available at a national level may be sourced locally. It includes national datasets published at clinical commissioning group (CCG), local authority or provider level. It has information on data availability and location.   It is part of a system-wide drive towards using data to support the commissioning and delivery of effective and integrated perinatal pathways.

It can be used by commissioners, policy makers, planners, service providers and advocacy groups in local areas to identify available data on perinatal mental health prevention and care.  The data can be used to inform their work to ensure there are adequate and effective perinatal mental health care services in England. The data catalogue is the first step in ensuring all gaps in perinatal mental health data are filled, and aims to stimulate conversation across organisations and promote joint working to make more data available on perinatal mental health.

The data catalogue is being continuously developed and improved. Please send comments and suggestions to mhdnin@phe.gov.uk

Neurology

Neurology Services Hospital Activity Compendium (published 13th October)

The compendium shows summary level data (counts and percentages) at a national level on the hospital activity of people admitted with a neurological condition. Where possible, these national level data are also provided at a CCG level. By making this data available it is hoped that analysts, policy makers, clinicians, commissioners and charities involved in the provision of services for people with neurological conditions will be able to undertake further exploration of the information included and begin to uncover the rich detail that the product contains.

The data tables for England show data for three financial years (2012/13, 2013/14 and 2014/15):

  • Hospital admissions - numbers of admissions by neurological condition group 
  • Emergency hospital admissions - numbers of emergency admissions by neurological condition group 
  • Subsequent hospital episodes - finished episodes following an emergency admission by neurological condition group 
  • People in treatment - all admissions and new admissions by neurological condition group 
  • Hospital discharges - all inpatient admissions, emergency admissions and emergency admissions under the care of a neurologist by neurological condition group and length of stay in hospital

The network plan to develop further extracts of this dataset in accordance with the identified needs of end users. We would very much appreciate feedback on the scope of this future work; if you have any suggestions on what these future extracts should contain please submit them via email to mhdnin@phe.gov.uk.

Profile Developments

Mental Health

Severe Mental Health (SMI) Profiling Tool

Two indicators based on NHS England Mental Health Community Teams Activity data have been updated to Q1 2016/17:

  • Gate-kept admissions to acute wards. The Q3 and Q4 values of these indicators have been revised also, following revisions to the values published by NHS England.

Four indicators have also been updated in the Risk & related factors domain

  • Supported asylum seekers
  • Long-term unemployment:
  • Statutory homelessness rate
  • Migrant GP registrations

Common Mental Health Disorders (CMHD) Profiling Tool

Eleven monthly IAPT indicators have been updated for April – June 2016: they include indicators on access, recovery and reliable improvement rates, non-attendance rates, data completeness, waiting times and numbers of attended treatments. These are in the Quality and Outcomes domain. The quarterly IAPT indicators have not been updated because they were not available from NHS Digital when updates were run. Two prescribing indicators have been updated to Q1 2016/17: cost of GP prescribing for hypnotics and anxiolytics and cost of GP prescribing for antidepressant drugs. These are  in the Finance domain.

Six indicators in the Risk and related factors domain have been updated:

  • Long-term unemployment:
  • Statutory homelessness rate
  • Supported asylum seekers
  • Population turnover (internal migration)
  • Migrant GP registrations
  • Quality of indoor living environment

One indicator in the Prevalence domain has been updated:

  • Long term mental health problems among GP survey respondents.

A further four indicators in the Quality and outcomes domain have been updated

  • Support for people with LTCs
  • Gap in employment rate between those with mental health disorders & overall population
  • Satisfaction with social care support
  • Employment of people with mental health disorders.

Suicide Prevention Profiling Tool

A number of updates on indicators have been made in the following domains:

Suicide Data

  • Suicide age-standardised rate per 100 000 (3 year average) new County & UA 2013/15 data

Related Risk Factors

  • Adult social care users who have as much social contacts as they would like new County & UA 2015/16 data
  • Statutory homelessness new County and UA data 2015/16
  • Domestic abuse incidents new County & UA data 2014/15
  • Children in the youth justice system new County & UA data for 2014/15
  • Unemployment new County & UA data for 2015. Please note for this indicator past year’s data were updated as a result of re-weighting of the original survey data from the source. Re-weighting was done so that the estimates take into account population changes taking place over time. 
  • Long-term unemployment new County & UA data up to August 2016.

Related Service Contacts Domain

  • IAPT service access and recovery indicators updated for new CCG data for 2016
  • Follow up after discharge new CCG data for Q1 2016/17

Co-existing substance misuse and mental health issues Profiling Tool

Two indicators in the Related risk factors domain have been updated:

  • Long-term unemployment:
  • Statutory homelessness rate

Crisis Care Profiling Tool

Three indicators in the Suicide data domain have been updated:

  • The directly standardised rate for suicide has been updated for males, females and persons for the years 2013-2015.

Four indicators in the Understanding Need domain have been updated:

  • Long term MH problem
  • Long-term unemployment:
  • Statutory homelessness rate
  • Supported asylum seekers.

Three indicators in the Access to Support domain have been updated:

  • IAPT access rates
  • IAPT waiting times (6 weeks and 18 weeks)

One indicator in the Quality of treatment  domain has been updated:

  • IAPT DNAs

Two indicators in the Recovery and Staying Well domain have been updated:

  • Employment of people with mental health disorders
  • IAPT recovery rates

Children and Young People's Mental Health and Wellbeing Profiling Tool

A number of updates on indicators have been made in the following domains:

Social Care

  • First time entrants to the youth justice system new data for County & UA for 2015
  • All entered to the youth justice system new County & UA data for 2014/15

Education

  • Primary school fixed period exclusions new County & UA data for 2014/15
  • Secondary school fixed period exclusions new County & UA data for 2014/15
  • Fixed period exclusions due to persistent disruptive behaviour new County & UA data for 2014/15
  • Fixed period exclusions due to drugs/alcohol use new County & UA data for 2014/15

YouTube videos demonstrating how to use the profiling tools

A great deal of content in the profiles has been updated this month.  For an informative video guide showing how to use all profiles go here. We also provide a video specifically showing the suicide prevention profile here.

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