Mental Health Inpatient Census 2023 - Parts 1 and 2
Results of the seventh Mental Health and Learning Disability Inpatient Census and Outwith NHS Scotland Placements Census, 2023.
Other sources of mental health, addiction and learning disability statistics
NHS National Services Scotland, Public Health Scotland (formerly ISD Scotland)
SMR04 - mental health (psychiatric) hospital inpatients and day cases
Information on mental health (psychiatric) hospital inpatients and day cases is collected by Public Health in Scottish Morbidity Record 04 (SMR04). An SMR04 record should be submitted for every episode of inpatient or day case care in a mental health specialty in a psychiatric hospital or unit, or in a facility treating people with learning disabilities.
SMR01 – inpatients and day cases in acute specialties
In addition to the SMR04 recording scheme for inpatients and day cases cared for in mental health specialties, activity for patients with mental and behavioural disorders cared for in acute (general hospital) specialties is recorded on the SMR01 scheme.
The PHS report; Mental Health Inpatient Activity, presents information on patients with mental health problems or learning disability who have been cared for as in both psychiatric and general acute specialties in Scottish hospitals.
SMR00 and ISD(S)1 – outpatient attendances
Psychiatric outpatient attendances are recorded on the SMR00 (patient level information on outpatient appointment/attendance record) and ISD(S)1 (aggregated summary statistics on activity in hospitals and other health care settings in Scotland) schemes. Outpatient information can be found on the ISD website at Hospital care – Outpatient activity. Diagnostic information is not available from ISD(S)1 or from SMR00.
Other PHS Scotland sources and information
Information on the following topics which include mental health data is also available on the PHS website: Mental health - Population health - Public Health Scotland
- Child health
- Community prescriptions
- General Practice
- Health and social community care
- Psychiatric bed provision
- Scottish Patients at Risk of Readmission and Admission Mental Disorder (SPARRA MD) report
- Substance misuse.
- Alcohol related discharges from psychiatric hospitals
- Child and adolescent (CAMHS) benchmarking
- Child and Adolescent Mental Health Services (CAMHS) waiting times
- Child and Adolescent Mental Health Services (CAMHS) workforce
- Dementia
- Electroconvulsive therapy (ECT)
- Medicines for mental health
- Psychological therapies waiting times
- Psychology workforce.
ScotSID - suicide
The Scottish Suicide Information Database provides a central repository for information on all recent probable suicide deaths in Scotland, and links these deaths to records of prior health service contact including non-psychiatric inpatients (SMR01), psychiatric inpatients (SMR04) and psychiatric outpatients (part of SMR00).
ScotPHO
The Scottish Public Health Observatory website includes a Mental health topic with extensive information on the background and policy context and data on mental wellbeing and mental health problems for adults and children, specific conditions, vulnerable groups, deprivation, and international comparisons, etc.
The ScotPHO website also includes a Suicide topic which includes the background and policy context, data on time trends and patterns by different geographies and deprivation levels, as well as UK and international comparisons.
Health & Social Care Analysis (HSCA), Scottish Government
Scottish Health Survey annual report
The Scottish Health Survey report includes mental health and wellbeing analyses on an annual basis.
https://www.gov.scot/collections/scottish-health-survey/
Scottish Health Survey Topic Report: Mental Health and Wellbeing
This report, published in February 2020, explores factors associated with mental wellbeing and mental health among adults in Scotland using data from the Scottish Health Survey. Analyses are based on the survey year 2018.
https://www.gov.scot/publications/scottish-health-survey-2018-volume-1-main-report/
Health and Care Experience Survey
The Health and Care Experience (HACE) survey asks about people’s experiences of:
- accessing and using their general practice and out of hours services
- aspects of care and support provided by local authorities and other organisations
- caring responsibilities and related support.
It is an online and postal survey sent to a random sample of people registered with a general practice in Scotland. The survey, successor to the GP and Local NHS Services Patient Experience Survey, has been run every two years since 2009. A topic report focussing on the care experience and demographics of people with mental health issues will be published on 28 November 2024.
Health and Care Experience Survey - gov.scot (www.gov.scot)
Inpatient Experience Survey
The Scottish Inpatient Experience Survey is jointly supported by Scottish Government, Information Services Division (now Public Health Scotland) and NHS Boards. It is one of a suite of national surveys which are part of the Scottish Care Experience Survey Programme. The survey aims to provide local and national information on the quality of health and care services from the perspective of those using them. Volume 3 contains some information on mental health;
The 2018 publication can be found here:
https://www.gov.scot/publications/inpatient-experience-survey-2018-national-results/
Scottish Commission for Learning Disabilities (SCLD) and Health & Social Care Analysis Division (Scottish Government)
Scottish Learning Disabilities Statistics
Every year, all local authorities in Scotland collect information on the numbers of people with learning disabilities and autism spectrum disorders in their area and send this information to the Scottish Consortium for Learning Disabilities. Information is collected on everyone who is known to the local authority - not just the people who are using services. A range of data is collected, topics include: housing, care, employment, and education. This report has been suspended at present.
The latest publication can be found here:
https://www.scld.org.uk/2019-report/
The full dataset guidance notes are available here:
https://www.scld.org.uk/wp-content/uploads/2019/04/Guidance-Notes-2019.pdf
Health & Social Care Analysis Division (Scottish Government), Care Inspectorate and Public Health Scotland
Scottish Care Home Census
This Census was first issued by the Scottish Government in March 2003 and replaced two previous surveys. It combined the former 'Residential Care Home Census - R1' (run by the Scottish Government) and the 'Private Nursing Homes Census' (run by ISD Scotland). From 2010, the Census has been run in collaboration between Health & Social Care Analysis Division, Care Inspectorate and Public Health Scotland (previously ISD Scotland).
There are three sectors responsible for running care homes: local authority/NHS, private and voluntary sector. The Census covers all adult care homes, which are registered with the Care Inspectorate, from these three sectors. This includes care homes for older people, care homes for people with learning disabilities, care homes for people with addictions and care homes for people with mental health problems.
The latest publication can be found here:
Mental Welfare Commission for Scotland
The Mental Welfare Commission for Scotland aims to ensure that care, treatment and support are lawful and respect the rights and promote the welfare of individuals with mental illness, learning disability and related conditions.
The Commission produces annual statistical monitoring reports based on an independent overview of the operation of the Mental Health (Care & Treatment) (Scotland) Act 2003 and the Adults with Incapacity (Scotland) Act 2000. This is a legal requirement and is embedded in legislation.
http://www.mwcscot.org.uk/publications/statistical-monitoring-reports/
The Commission receives notifications of most interventions under the Mental Health (Care & Treatment) (Scotland) Act 2003. It uses these to report on how the Act is used and to monitor trends over time and geographical variations. A range of data is held, including emergency detentions and short term detentions under the Act, for which certificates are issued. These detentions include cases of formal admission to hospital, about which each NHS Board notifies the Commission.
Differences between SMR04, Census and Mental Welfare Commission for Scotland data
Formal admission records on the SMR04 and the Census, mental health inpatient record scheme will overlap with the Commission’s records on emergency and short term detention certificates which relate to hospital care. However most SMR04 records relate to informal admissions, which the Commission does not routinely record. The Commission’s records include those relating to formal community-based care as well as hospital-based care. SMR04 and the Census are purely for hospital care.
It is therefore not advisable to try and compare the SMR04 and the Census with the Mental Welfare Commission for Scotland’s data.
Scotland Census 2022, National Records of Scotland
The 2022 census asked if people had a health condition which had lasted or was expected to last more than twelve months, including a mental health condition. A list of conditions was presented along with descriptions. People were asked to tick all that apply.
The question included tick boxes for learning disabilities, learning difficulties and developmental disorders. However, there were changes to how these three conditions were presented on the census form in 2022 and this data has not yet been released, pending further quality assurance.
The most recent census report on health, disability and unpaid care is available here:
Where to find data on mental health and mental health services in the UK
Because health is a devolved policy area, data is collected and published separately for each UK nation. A briefing from the House of Commons Library provides data on prevalence, services and funding in England as well as links to a further selection of sources for England, Scotland, Wales and Northern Ireland.
Contact
mhic@gov.scot
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