Inpatient census 2016: parts one and two

Executive summary

This report presents an overview of the results of the second 'Mental Health & Learning Disability Inpatient Bed Census' and the 'Mental Health, Addiction and Learning Disability Patients: Out of NHS Scotland Placements Census', carried out by the Scottish Government and NHS Boards as at midnight, 31 March 2016.

The report enhances the Scottish Government's and NHS Scotland's understanding of mental health, addiction and learning disability services, and about the patients who use these services. This analytical evidence will inform policy development and service planning, both nationally and locally.

Patients occupying a psychiatric, addiction or learning disability inpatient bed in an NHS Scotland facility, by Census date

Some key points from this report include:

• There were 3,633 patients occupying a psychiatric, addiction or learning disability inpatient bed in an NHS Scotland facility in the March 2016 census. This compares to 3,909 in October 2014.
• Of the 3,633 patients, 58% were Male, 42% were female. Of patients of working age (between 18 and 64 years old), 64% were male.
• The patients in the census were mostly from older age groups. 22% were aged 18-39, 35% were aged 40-64 and 41% aged 65+.
• There were 55 patients aged under 18 in the March census. There were 50 in October 2014
• Patients were most likely to be in an Acute Ward (37% of all patients).
• As at the census, there were 4,254 psychiatric, addiction or learning disability inpatient beds available in NHS Scotland at the March 2016 census, compared to 4,532 in October 2014. The overall occupancy rate in Scotland was 85% (86% in October 2014).
• There were 458 patients primarily managed by Forensic Services at March 2016. This compares with 507 in October 2014. Forensic psychiatry is a specialized branch of clinical psychiatry which relates to mentally disordered offenders and others with similar problems.
• Of the 3,578 patients aged 18+ at the Census, 291 patients (8%) had a diagnosis for either a Learning Disability or Autism. 242 patients had a diagnosis for a Learning Disability, 109 patients had a diagnosis for Autism (60 patients had a diagnosis for both).
• Of the 3,633 patients occupying a psychiatric, addiction or learning disability inpatient bed at the March 2016 census, 1,128 received Hospital Based Complex Clinical Care ( HBCCC). This is 31% of all patients . HBCCC by definition does not include Delayed Discharge patients.
• There were 255 patients who were Delayed Discharges at the census date, 7% of all patient for which this information was known (data was incomplete for 140 patients). Of the 255 patients, 49 had a learning disability.
• Just over half (53%) of patients aged 18+ had at least one long term physical health co-morbidity.
• 2002 adult patients were either Overweight or Obese (excluding patients in Eating Disorder wards). This is 59% for whom BMI was known.
• There were an additional 137 patients who were funded by NHS Scotland, but treated outwith NHS Scotland, either in a private facility or NHS facility elsewhere in the UK. This compares with 143 patients at the October 2014 Census. Of the 137 patients, 89 (65%) were in receipt of HBCCC.