Community Mental Health Profile 2013 for Solihull

Young people aged 16-18 years old who are not in education, training or employment (NEETS) are more likely to have poor health and die an early death. They are also more likely to have a poor diet, smoke, drink alcohol and suffer from mental health problems.

Percentage of 16-18 year olds not in employment, education or training, 2011

North East Public Health Observatory

16-18 years

Persons

Estimated number of 16-18 year old NEETS (number of 16-18 year olds NEET has been adjusted to assume a proportion of those whose current activity is not known are NEET)

The number of 16-18 year olds known to the local authority includes those who are attending school or college in the local authority area, regardless of where they reside

Local Government Improvement and Development

http://www.education.gov.uk/16to19/participation/neet/a0064101/16-to-18-year-olds-not-in-education-employment-or-training-neet

N/A

2011

Local Authority. East Riding and Isles of Scilly did not provide data. Note the proportion of 16-18 year olds whose current activity is not known is more than 50% above the England average. As a result, it is possible that the number and proportion NEET for these Local Authorities (City of London, Barnet, Croydon, Haringey, Islington, Kensington & Chelsea, Lambeth, Lewisham, Merton, Richmond, Southwark, Sutton, Waltham Forest, Wandsworth, Westminster, Bolton, County Durham, Rutland, Telford and Wrekin, Wiltshire, East Sussex, Essex, Hampshire, Lincolnshire, Oxforshire, Surrey, Warwickshire) will be inaccurate.

Number of young people aged 16-18 years not in education, training or employment, Percentage, 2011

Percentage

A range of data is produced by the Department for Education on:

Wilson 95%

The number and % of 16-18 year olds NEET has been adjusted to assume a proportion of those whose current activity is not known are NEET.

Crime levels are associated with both illness and poverty, increasing the burden of ill health on those communities least able to cope. Violent crime can result directly in psychological distress and subsequent mental health problems.

Episodes of violent crime, rate per 1,000 population, 2010/11

North East Public Health Observatory

All ages

Male and female

Number of violent crimes against the person in the locality

ONS mid-year population estimate for the mid-point year. Population data is presented in rounded form in order to be consistent with data published by the Home Office.

Neighbourhood.statistics.gov.uk

Office for National Statistics (ONS), Population Estimates Tool-Mid 2010, http://www.ons.gov.uk/ons/taxonomy/search/index.html?pageSize=50&sortBy=none&sortDirection=none&newquery=+mid+2010&nscl=Population+Estimates+by+Age+and+Sex

Non-commercial use only

2010/11

Recorded violence against the person offences, crude rate per 1,000 population, all ages, 2009/10, persons.

Crude rate per 1,000 population

The indicator only includes violent offences which are reported to the police. It is susceptible to changes in police crime reporting procedures.

Byar's Method 95%

Rounding of numerator & denominator performed at the Home Office.

This indicator identifies areas with substantial levels of multiple deprivation, which helps to measure and identify health inequalities across England. Many studies have demonstrated the association between poor health and deprivation. For instance, all cause mortality, smoking prevalence and self-reported longstanding illness are all correlated with deprivation. Any increase in inequalities in deprivation is likely to result in widening inequalities in health.

Percentage of the relevant population living in the 20% most deprived areas in England, 2010

North East Public Health Observatory

All ages

Persons

Number of the relevant population living in the most deprived quintile in England

The 'at risk' relevant population.

Department for Communities and Local Government

http://www.communities.gov.uk/communities/research/indicesdeprivation/deprivation10/

All figures can only be reproduced if the source (Department for Communities and Local Government, Indices of Deprivation 2010) is fully acknowledged.

2010

Level of deprivation of a population in an area, as measured by the percentage of people in that area living in the most deprived fifth of areas in England. (The 'relevant' population is the population estimate used in the construction of the IMD 2008)

IMD Score

Index of Multiple Deprivation (IMD) is a model of measuring deprivation in an area based on various indicators based on 2008 data. It is underpinned by separate dimensions of deprivation; these dimensions are weighted and an overall deprivation score is given.

Wilson 95%

Note:

There is strong evidence to suggest that work is generally good for physical and mental health and wellbeing, taking into account the nature and quality of work and its social context. Long term worklessness is associated with poorer physical and mental health.

Working age adults who are unemployed, rate per 1,000 population, 2010/11

North East Public Health Observatory

Males aged 16-64 and females aged 16-59

Persons

Sum of unemployed males aged 16-64 and Females aged 16-59 in LA

Population of males and females in each LA for the same age group.

Department for Communities and Local Government

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/6872/1871524.xls

Office for National Statistics (ONS), Population Estimates Tool-Mid 2010, http://www.ons.gov.uk/ons/taxonomy/search/index.html?pageSize=50&sortBy=none&sortDirection=none&newquery=+mid+2010&nscl=Population+Estimates+by+Age+and+Sex

Non commercial use only

2010/11

Claimant count (rounded to the nearest 5) for Jobseekers

Rate per 1000 of the population

Data for Claimant Counts on NOMIS is updated monthly, around the 3rd week of each month, for the previous month's data. A full 12 months (calendar year - January to December) of data is used to produce this indicator.

Byar's Method 95%

Rounding is performed by ONS on the source data.

Alcohol misuse leads to a range of public health problems and the long term effects of excessive alcohol consumption are a major cause of avoidable hospital admissions. Alcohol affects all of society, from the burden on the NHS in terms of hospital admission and treatment in primary care, the economic burden due to loss of employment and reduced capacity to work, through to other negative effects of alcohol on the social and behavioural welfare of communities.

Crude rate of hospital admissions for alcohol attributable conditions, per 1,000 population, 2011/12

North East Public Health Observatory

All ages

Persons

Number of alcohol attributable admissions

Population of males and females in each LA

Local Alcohol Profiles England

Local Alcohol Profiles for England (LAPE ).

ONS 2011 Mid-year population estimates

Non- commercial use only

2011/12

Individuals admitted to hospital directly or indirectly as a result of alcohol misuse

Rate per 1,000 of the population

Crude rate of admissions.

Byar's Method 95%

Rounding and suppression performed by LAPE at source on the LA data. We used the regional & national totals total's from the published data. This data is found at the link above for the numerator data.

There is an association between mental health problems and drug misuse. Some people misuse substances to help cope with the symptoms of mental illness. Others may experience mental health issues as a result of their substance abuse.

Numbers of people (aged 18-75) in drug treatment, rate per 1,000 population, 2011/12

North East Public Health Observatory

18-75 year olds

Persons

Numbers in contact with structured drug treatment

Office for National Statistics census based Mid year 2011 population estimate for 18-75 year olds

National Treatment Agency for Substance Misuse <

National Treatment Agency for Substance Misuse < http://www.nta.nhs.uk/>

SYOA Mid 2011 data requested directly from ONS as at time of compiling the indicators the data wasn't available on the ONS website.

Non- commercial use only

2011/12

Individuals in contact with structured drug treatment

Rate per 1000

(Numbers in contact with structured drug treatment/2010 Mid year LA population estimates)*1000

Byar's Method 95%

Rounding and suppression performed at source

This indicator highlights a group that are amongst the most vulnerable in society. Homelessness is associated with severe poverty and is a social determinant of health.

Statutory homeless households, rate per 1,000 households, all ages, 2010/11

North East Public Health Observatory

All ages

Male and female

Count of households who are eligible, unintentionally homeless and in priority need, for which the local authority accepts responsibility for securing accommodation under part VII of the Housing Act 1996 or part III of the Housing Act 1985. Department for Community and Local Government.

Number of households, rounded, 2008 mid-year estimate. Estimates are based on ONS mid-year population estimates and projected rates of household formation from trends in Census and Labour Force Survey data. Other data sources, such as the Labour Force Survey, provide direct sample survey estimates of the number of households in each year and therefore may differ from the estimates shown here. Sub regional household projections are less robust than those at the regional level, particularly for those areas with relatively small numbers of households. This should be taken into account in using the figures. The sub regional household projections are not 'National Statistics'.

Department for Communities and Local Government

Collection and collation from form P1E- Local Authority activity under the homelessness provisions of part 7 of the 1996 Housing Act via the Department for Communities and Local Government.

ONS 2008 Mid-year population estimates

Non commercial use only

2010/11

Estimates of homelessness amongst the most needy and vulnerable groups in society. Estimates of homelessness amongst the most needy and

Crude rate per 1000 estimates households, all ages, all persons, financial year 2010/11

The statistic only measures the incidence of official homelessness.

Byar's Method 95%

Not applicable

Poor quality of life through physical illness is known to be closely related to mental health problems. People with mental health problems are twice as likely as the general population to experience a long term illness or disability.

Percentage of the population with a limiting long term illness, 2001

North East Public Health Observatory

All ages

Persons

Number with a limiting long term illness

ONS Mid 2001 population estimates

Office for National Statistics

ONS downloaded from NOMIS standard tables at MSOA level (CAS016)

MSOA population data were taken from PHO Community website data Repository 2001 mid year estimates

ONS Crown Copyright Reserved from NOMIS

2001 census

Proportion of people, usually resident in the area at the time of the 2001 Census who had a limiting long-term illness. A limiting long-term illness is defined as any long-term illness, health problem or disability that limits daily activities or work.

Percentage %

Limiting long term illness and population for LAs, Counties, Regions and England were calculated by aggregating MSOA level data.

Wilson Method 95%

Rounded to two decimal places

The rate of first time entrants to the criminal justice system per 100,000, where first time entrants are defined as young people (aged 10-17) who receive their first substantive outcome (relating to a reprimand, a final warning with or without an intervention, or a court disposal for those who go directly to court without a reprimand or final warning).

First time entrants into the youth justice system 10 to 17 year olds, 2001 to 2011

North West Public Health Observatory

10-17 year olds

Persons

National Indicator No. 111 Number of 10-17 year olds receiving their first reprimand, warning or conviction.

Mid-year populations (10 to 17 year olds)

Youth Justice Indicators

Police National Computer

ONS Population estimates

Data for Isles of Scilly and City of London are not included in Ministry of Justice published figures and are therefore not included here.

2001-2011

The rate of first time entrants to the criminal justice system per 100,000, where first time entrants are defined as young people (aged 10-17) who receive their first substantive outcome (relating to a reprimand, a final warning with or without an intervention, or a court disposal for those who go directly to court without a reprimand or final warning).

Crude rate per 100,000

Number of juveniles receiving their first reprimand, warning or conviction divided by 10-17 year old population by Local Authority of residence

95%, Byars Method

If any rounding and suppression was undertaken it will have been done at source by the Department of Criminal Justice Statistics.

People who have a physically active lifestyle are at approximately half the risk of developing coronary heart disease compared to those who have a sedentary lifestyle. Regular physical activity is also associated with a reduced risk of diabetes, obesity, osteoporosis and colon cancer and with improved mental health. In older adults physical activity is associated with increased functional capacities.

Percentage of adults (16+) participating in recommended level of physical activity, 2009/10 to 2011/12

North East Public Health Observatory

Adults 16+

Persons

No's of Persons aged 16+ participating in moderate sport and recreation (weighted)

Total no's in the Active people Survey (weighted)

Sport England

Active People Surveys 4 and 5 http://www.sportengland.org/research/active_people_survey.aspx

Active people Survey as above

There is the potential for non-response bias with this measure and certain segments of the population may be under-represented. Sport England numerator data are based on observed self reported physical activity levels in the previous 4 weeks and self reported physical activity levels may be prone to respondent bias.

2009/10 -2011/12

Adults aged 16+ participation in moderate intensity sport and active recreation on 20 or more days in the previous 4 weeks, (averaging 5 or more times per week),

Percentage of respondents

The indicator reflects data collected between October 2011 and October 2009 and October 2009-October 2011 (APS4 and 5 results have been combined for those local authorities who choose not to boost their sample size in APS5 in order to provide a sufficient sample size for the estimate).

Wilson Method 95%

Performed at source.

This indicator estimates the prevalence of dementia from PCT data. Dementia is a syndrome characterised by catastrophic, progressive global deterioration in intellectual function and is a main cause of late-life disability. The prevalence of dementia increases with age and is estimated to be approximately 20 per cent at 80 years of age. In a third of cases, dementia is associated with other psychiatric symptoms such as depressive disorder, adjustment disorder, generalised anxiety disorder and alcohol related problems.

Percentage of adults (18+) with dementia, 2011/12

North East Public Health Observatory

All ages

Persons

No of patients on dementia register

Estimated no of all patients registered with the GP

The NHS Information Centre

General Practice Quality Outcomes Framework Prevalence tables No. on the dementia register

GP all patient register (can also be found in the link above).

Copyright 2012, Re-used with the permission of The Health and Social Care Information Centre

2011/12

Proportion of patients with dementia in a GP registered population. This definition applies to all patients diagnosed with dementia either directly by the General Practitioner or through referral to secondary care.

Percept

Calculation: (No of patients on dementia register/No of all patients registered with the GP)*100. Raw data is at GP level from the QOF data. An aggregation to upper tier LA is performed on the numerator and the denominator.

Wilson Method 95%

Rounding/suppression of the original PCT level data may have been applied by the Information Centre.

Many people with dementia go undiagnosed, and may not have the access to care that could be available to them. One way to investigate the variation of diagnosed to underdiagnosed patients is to look at numbers of observed to expected prevalence for dementia. There can be a large amount of people who may be suffering from dementia who are not recognised on the dementia register. This could have implications for the local implementation of the National Dementia Strategy. For this indicator, we have assessed higher values to be preferable, that is, where the recorded prevelance is close to the expected prevalence.

Ratio of recorded to expected prevalence of dementia, 2010/11

North East Public Health Observatory

All persons with dementia on GP register (all ages), and all persons with dementia from POPPI & PANSI 30-64 and 65+

Persons

The number of people on the dementia register - by GP 2010/11

2011 Early Onset dementia (age 30-64) (PANSI website) + 2011 Dementia 65+ (POPPI website)

POPPI & PANSI

The Information Centre QOF Prevalence data tables 2010/11. Practice level QOF tables 2010/11 - prevalence, all ages (Aggregate these figures up to upper tier LA)

Part 1 involves: Each region's data must be downloaded separately, this can be done by selecting the map and choosing the region, then selecting the download icon, and checking the radio button for 'region and authorities'. Predicted data for 2011 is used for this purpose. Use totals for males and females, then add these to produce the total for persons for each Local Authority and region.

Denominator does not include ages 0-29. Aggregation of LA's do not total region figures due to suppression from PANSI and POPPI

2011

Proportion of recorded over expected people with dementia

Ratio of observed/expected

Aggregate QOF for dementia from GP level up to Local Authority. To obtain the ratio divide the Observed Prevalence QOF by the denominator of expected persons with early onset dementia obtained from the POPPI and PANSI data.

Byars Method 95%

PANSI and POPPI have suppressed numbers at Local Authority Level

This indicator estimates the prevalence of depression from General Practice records. Depression is common and disabling. The estimated prevalence of major depression among 16-65 year olds in the UK is 21/1000 (males 17, females 25). Mixed anxiety and depression is prevalent in a further 10 per cent of adult patients attending general practices. It contributes 12 per cent of the total burden of non-fatal global disease and by 2020, looks set to be second after cardiovascular disease in terms of the world's disabling diseases. Major depressive disorder is increasingly seen as chronic and relapsing, resulting in high levels of personal disability, lost quality of life for patients, their family and carers, multiple morbidity, suicide, higher levels of service use and many associated economic costs.

Percentage of adults (18+) with depression, 2011/12

North East Public Health Observatory

18+

Persons

No of patients on the depression register 18+

No of all registered patients

The NHS Information Centre

PCT Prevalence data tables

PCT all patient register (in the same file as above)

Copyright 2011, Re-used with the permission of The Health and Social Care Information Centre

2011/12

Proportion of adults diagnosed with depression in a GP registered population. This definition applies to all patients diagnosed with depression either directly by the GP or through referral to secondary care.

Percentage

Calculation:

Wilson Method 95%

Rounding/suppression of the original GP practice data may have been applied by the Information Centre.

People with learning disabilities demonstrate the complete spectrum of mental health problems, with higher prevalence than found in those without learning disabilities.

Percentage of adults (18+) with learning disabilities, 2011/12

North East Public Health Observatory

18+

Persons

Number of patients on learning disabilities register

Estimated number of registered patients 18+

The NHS Information Centre

PCT learning disabilities Prevalence http://www.ic.nhs.uk/article/2021/Website-Search?productid=9592&q=QOF&sort=Relevance&size=10&page=1&area=both#top Illness or condition/Mental health and behavioural disorders/learning difficulties

GP register of all patients by PCT (in the same file as above)

Copyright 2012, Re-used with the permission of The Health and Social Care Information Centre

2011/12

Prevalence of Learning Disabilities

Percentage

Calculation:

Wilson Method 95%

Rounding/suppression of the original GP practice/ PCT data may have been applied by the Information Centre

Admissions to hospital for a mental health condition should be avoided wherever possible through the use of assertive community based services and crisis teams. This indicator shows the number of hospital admissions for mental health. The data is sourced from the Hospital Episode Statistics dataset. Hospital Episode Statistics, The NHS Information Centre for health and social care http://www.ic.nhs.uk/hes

Directly standardised rate for hospital admissions for mental health, 2009/10 to 2011/12

North East Public Health Observatory

All ages

Persons

Count of admissions for mental health in 2009/10, 2010/11 and 2011/12

ONS Mid-year estimates pooled for 2009, 2010 and 2011

Hospital Episode Statistics, The NHS Information Centre for health and social care, and the Office for National Statistics

Hospital Episode Statistics, The NHS Information Centre for health and social care

ONS Mid-year estimates pooled for 2009, 2010 and 2011

Non - commercial use only

3 years pooled 2009/10 to 2011/12

DSR per 100,000 of hospital admissions for mental Health

Directly Standardised rate per 100,000

Episode status, HES field heading "epistat" = 3. Where 3 is a finished episode

Byar's Method 95%

Not applicable

Unipolar depression is a major depressive episode that occurs without the manic phase characteristic of bipolar depression. Major depression may include a combination of symptoms that interfere with a person's ability to work, sleep, study, eat, and enjoy once-pleasurable activities. Major depression is disabling and prevents a person from functioning normally. Some people may experience only a single episode within their lifetime, but more often a person may have multiple episodes.

Directly standardised rate for hospital admissions for unipolar depressive disorders, 2009/10 to 2011/12

North East Public Health Observatory

15 and over

Persons

Count of admissions in 2009/10, 2010/11 and 2011/12

ONS Mid-year estimates pooled for 2009, 2010 and 2011

Hospital Episode Statistics, The NHS Information Centre for health and social care, and the Office for National Statistics

Hospital Episode Statistics, The NHS Information Centre for health and social care

ONS Mid-year estimates pooled for 2009, 2010 and 2011

Non - commercial use only

3 years pooled 2009 to 2011/12

DSR per 100,000 of psychiatric hospital admissions for unipolar depressive disorder

Directly Standardised rate per 100,000

• Episode status, HES field heading "epistat" = 3. Where 3 is a finished episode

Byar's Method 95%

Numbers less than 6 have been suppressed

According to the Alzheimer's Society, Alzheimer's disease is the most common cause of dementia, affecting around 465,000 people in the UK. The term 'dementia' describes a set of symptoms which can include loss of memory, mood changes, and problems with communication and reasoning. Alzheimer's is a progressive disease, which means that gradually, over time, more parts of the brain are damaged. As this happens, the symptoms become more severe.

Directly standardised rate for hospital admissions for Alzheimer's and other related dementia, 2009/10 to 2011/12

North East Public Health Observatory

65 and over

Persons

Count of admissions in 2009/10, 2010/11 and 2011/12

ONS Mid-year estimates pooled for 2009, 2010 and 2011

Hospital Episode Statistics, The NHS Information Centre for health and social care, and the Office for National Statistics

Hospital Episode Statistics, The NHS Information Centre for health and social care

ONS Mid-year estimates pooled for 2009, 2010 and 2011

Non - commercial use only

3 years pooled 2009/10 to 2011/12

DSR per 100,000 of hospital admissions for Alzheimer's and other dementias

Directly Standardised rate per 100,000

Episode status, HES field heading "epistat" = 3. Where 3 is a finished episode

Byar's Method 95%

Values less than 6 have been suppressed

Schizophrenia is one of the most common serious mental health conditions. The illness has a range of symptoms including hallucinations, delusions, and difficulty in thinking. Doctors describe schizophrenia as a psychotic illness. The 2000 National Survey of Psychiatric Morbidity in the UK found that 5 people in every 1000 had experienced a psychotic disorder (including schizophrenia and manic depression).

Directly standardised rate for hospital admissions for schizophrenia, schizotypal and delusional disorders, 2009/10 to 2011/12

North East Public Health Observatory

15 and over

Persons

Count of admissions in 2009/10, 2010/11 and 2011/12

ONS Mid-year estimates pooled for 2009, 2010 and 2011

Hospital Episode Statistics, The NHS Information Centre for health and social care, and the Office for National Statistics

Hospital Episode Statistics, The NHS Information Centre for health and social care

ONS Mid-year estimates pooled for 2009, 2010 and 2011

Non-commercial use only

3 years pooled 2009/10 to 2011/12

DSR per 100,000 of hospital admissions for schizophrenia, schizotypal and delusional disorders

Directly Standardised rate per 100,000

Episode status, HES field heading "epistat" = 3. Where 3 is a finished episode

Byar's Method 95%

Values less than 6 have been suppressed

This indicator gives the total estimated spend per head of the population on Mental Health Services, based on NHS funding. The data is sourced from the Department of Health Exposition Book, which provides information on allocation funding to the NHS.

Allocated average spend for mental health per head, 2011/12

North East Public Health Observatory

All ages

Persons

Estimated allocation of average total spend on mental health for 2011/12

2009/10 crude population

Department of Health, Exposition book.

2009/10 crude population

NA

2011/12

Estimated allocation of average total spend on mental health for 2011/12

Crude rate

Explanation taken from the Department of Health

The lowest and highest percentiles of the data were calculated, using a cumulative population and the lowest and highest rate seen. An average spend per head which fell outside these limits were assessed as being significantly better or worse.

Values less than 6 have been suppressed

Commissioners of services need to be aware of the number of people using mental health services in order to plan for future provision. This indicator measures those individuals using adult and elderly NHS secondary mental health services as recorded in the Mental Health Minimum Dataset, collated by the NHS Information Centre.

Numbers of people using adult & elderly NHS secondary mental health services, rate per 1000 population, 2010/11

North East Public Health Observatory

Adults 18+

Persons

Number of people using adult and elderly secondary mental health services 2011/2012

ONS Mid year 2010 population estimates for people aged 18+

The NHS Information Centre - Mental Health Minimum Dataset

Mental Health Minimum Dataset

ONS 2010 Mid-year population estimates

Non- commercial use only, The Information Centre and ONS must be referenced for source data.

2010/11

Rate per 1,000 of the population

Data needs aggregating from PCT to upper tier local authority.

Byar's Method 95%

Rounding and suppression performed at source. i.e. The Information Centre.

Improving Access to Psychological Therapies is an NHS programme which routinely measures the performance of mental health services to highlight those areas where improvement is needed.

Percentage of referrals entering treatment from Improving Access to Psychological Therapies, 2011/12

North East Public Health Observatory

Adults 16+

Persons

The number of people who received psychological therapies

The number of people who were referred for psychological therapies

Improving Access to Psychological Therapies, Key Performance Indicators (IAPT KPI's) http://www.ic.nhs.uk/pubs/psychologicaltherapies1112q4

Improving Access to Psychological Therapies, Key Performance Indicators (IAPT KPI's) http://www.ic.nhs.uk/pubs/psychologicaltherapies1112q4

For non-commercial use, The NHS Information Centre must be referenced

4 quarters pooled 2011/2012

The proportion of people entering treatment against the level of need in the general population (the level of prevalence addressed or 'captured' by referral routes). This is one of two IAPT indicators included in the NHS Operating Framework.

Percentage

Referral data is pooled over 4 quarters and then divided by the population estimate of adults aged 16+ and multiplied by 100 to obtain the percentage of the population referred to IAPT for each region and local authority

95% confidence interval, Wilson

Not applicable

The Care Programme Approach is a way of co-ordinating community mental health services for people with severe and enduring mental health problems. It involves carrying out a comprehensive assessment and producing a care plan for each patient. This indicator measures the number of individuals who are on the Care Programme Approach per 1,000 population.

Numbers of people on a Care Programme Approach, rate per 1,000 population, 2010/11

North East Public Health Observatory

Adults 18+

Persons

Number of people on the Care Programme Approach

ONS Mid year 2010 population estimates for people aged 18+

The NHS Information Centre - Mental Health Minimum Dataset

Information Centre for Health and Social Care

ONS 2010 Mid-year population estimates

Non- commercial use only, The Information Centre and ONS must be referenced for source data.

2010/11

Number of people on the Care Programme Approach

Rate per 1000 18 + population

Calculation:

Byar's Method 95%

Rounding and suppression performed at source. i.e. The Information Centre.

Knowing the number of bed days used by patient each year helps commissioners with the planning of mental health services. This indicator measures the number of bed days used in secondary mental health care hospitals as recorded by the Mental Health Minimum Dataset.

In-year bed days for mental health, rate per 1,000 population, 2010/11

North East Public Health Observatory

18+

Persons

Number of in year bed days

ONS Mid year 2010 population estimates for people aged 18+

The NHS Information Centre - Mental Health Minimum Dataset

Information Centre for Health and Social Care

ONS 2010 Mid-year population estimates

Non- commercial use only, The Information Centre and ONS must be referenced for source data.

2010/11

Outpatient and community activity by NHS commissioner, 2008/09 - 2009/10 CPN

Rate per 1,000 population

Data needs aggregating from PCT to upper tier local authority.

Byar's Method 95%

Note:

This indicator records the number of contacts that Outpatient and Community Psychiatric Nurse have with patients each year, per 1,000 population. The data is sourced from the Mental Health Minimum Dataset.

Number of contacts with Community Psychiatric Nurse, rate per 1,000 population, 2010/11

North East Public Health Observatory

18+

Persons

Number of CPN Contacts

ONS Mid year 2010 population estimates for people aged 18+

The NHS Information Centre - Mental Health Minimum Dataset

Information Centre for Health and Social Care

ONS 2010 Mid-year population estimates

Non- commercial use only, The Information Centre and ONS must be referenced for source data.

2010/11

Number of contacts with Community Psychiatric Nurse by NHS commissioner 2009/10 CPN

Rate per 1,000 population

Data was aggregated from PCT to upper tier local authority.

Byar's Method 95%

Rounding and suppression performed at source. i.e. The Information Centre.

This indicator measures all contacts with mental health staff, including Consultant Psychiatrists, Community Psychiatric, Nurses, Clinical Psychologists, Occupational Therapists, Physiotherapists, Consultant Psychotherapists & Social Workers.

Number of total contacts with mental health services, rate per 1,000 population, 2010/11

North East Public Health Observatory

18+

Persons

No's of All contacts with mental health services

ONS Mid year 2010 population estimates for people aged 18+

The NHS Information Centre - Mental Health Minimum Dataset

Information Centre for Health and Social Care

ONS 2010 Mid-year population estimates

Non- commercial use only, The Information Centre and ONS must be referenced for source data.

2010/11

Outpatient and community activity by NHS Commissioner. All contacts

Rate per 1,000 population

Data was aggregated from PCT to upper tier local authority.

Byar's Method 95%

Rounding and suppression performed at source. i.e. The Information Centre.

Percentage of adults receiving secondary mental health services known to be in settled accommodation at the time of their most recent assessment, formal review or multi disciplinary care planning meeting.

People with mental illness and or disability in settled accommodation, 2011/12

NHS Information Centre

18-64 years

Persons

Number of working age (aged 18-64) learning disabled clients known to councils with adult social service responsibilities (CASSRs), as described in the denominator, who are living in their own home or with their family during the financial year. The numerator should include those living in their own home or with their family irrespective of whether they have had a review during the year, but the information would have to be captured within the current financial year.

Number of working-age (aged 18-64) learning disabled clients known to CASSRs during the financial year. This includes:

The NHS Information Centre

The Information Centre - Social care & mental health indicators from the National Indicator set 2010-11 FINAL. National Indicator 145. Adults with learning disabilities known to social services who were assessed or reviewed during the year and were in settled accommodation at the time of their latest assessment or review: Adult Social Care Combined Activity Return (ASC-CAR), The Information Centre.

The Information Centre - Social care & mental health indicators from the National Indicator set 2010-11 FINAL. National Indicator 145. Adults with a learning disability known to social services who were assessed or reviewed during the year: Adult Social Care Combined Activity Return (ASC-CAR), The Information Centre.

The Information Centre must be referenced

2011/12

Percentage of all adults with a learning disability who are known to the council, who are recorded as living in their own home or with their family.

Percentage

The numerator (number of working age (aged 18-64) learning disabled clients known to councils with adult social service responsibilities (CASSRs), who are living in their own home or with their family during the financial year) divided by the denominator (number of working age (aged 18-64) learning disabled clients known to CASSRs during the financial year) multiplied by 100.

No confidence intervals

Values less than 6 and indicators based on values less than 6 are suppressed. Data for Isles of Scilly are suppressed. In addition, the numerator and denominator data have been rounded to the nearest 5.

Self-harm is an expression of personal distress. It can result from a wide range of psychiatric, psychological, social and physical problems and self-harm can be a risk for subsequent suicide.

Directly standardised rate for emergency hospital admissions for self harm, 2011/12

North East Public Health Observatory

All ages

Persons

Count of admissions for self harm in 2011/12

ONS Mid-year estimates 2010, persons, all ages

Hospital Episode Statistics, The NHS Information Centre for health and social care, and the Office for National Statistics

Hospital Episode Statistics, The NHS Information Centre for health and social care

ONS 2011 census based mid-year population estimates

Non-commercial use only

2011/12

DSR per 100,000 of emergency hospital admissions for self harm

Directly Standardised rate per 100,000

Admission Data:

Byar's Method 95%

Numbers less than 6 have been suppressed

It is estimated that around 1 million people will die by suicide worldwide each year. A person may be more likely to become suicidal if they have a mental health condition. Reduction of suicide rates was a target indicator in the Saving Lives: Our Healthier Nation strategy. The Public Health Outcomes Framework 2013-2016 retains an indicator on suicide while the NHS Outcomes Framework 2012/13 proposes a new indicator to reduce premature death in people with serious mental illness. This new indicator will be included in future updates of the Community Mental Health Profiles once data becomes available.

Indirectly standardised mortality rate for suicide and undetermined injury, 2010/11

North East Public Health Observatory

All ages

Persons

Mortality from suicide & injury undetermined - Observed figures

Mortality from suicide & injury undetermined - Expected figures

Compendium of Population Health Indicators, The NHS Information Centre for health and social care, and the Office for National Statistics

NCHOD - Information Centre Indicator Portal.

Standardised 2010 population European age group specific rates.

Non-commercial use only

2010/11

Mortality from suicide and undetermined injury

Indirectly Standardised mortality rate SMR

Mortality from suicide and injury undetermined. ICD9 E950-E959, E980-E989 exc E988.8; ICD10 X60-X84, Y10-Y34 exc Y33.9)

Byar's Method 95%

Rounding and suppression performed on the source data from the IC

Hospital admissions caused by unintentional and deliberate injuries in under 18s have been confirmed as one of the public health indicators as part of the new Public Health Outcomes Framework for England, 2013 - 2016. The hospital admissions indicator for under 18s is one of the key health improvement outcome measures. It aims to help people to live healthy lifestyles, make healthy choices and reduce health inequalities.

Hospital admissions caused by unintentional and deliberate injuries in <18s, 2009/10

SWPHO http://www.swpho.nhs.uk/resource/browse.aspx?RID=41062

0-17 year olds

Persons

The number of finished in-year emergency admissions of children and young people aged 0-17 years to hospital as a result of unintentional and deliberate injuries (ICD 10 codes V01-V98 excluding X33-X39 and X52 which refer to forces of nature)

ONS mid-year population estimate for age 0-17 years.

Hospital Episode Statistics, The NHS Information Centre for health and social care, and the Office for National Statistics

Hospital Episode Statistics, The NHS Information Centre for Health and Social Care

ONS

Not applicable

2009-10

Crude rate of hospital emergency admissions cause by unintentional and deliberate injuries in age 0-17 years, per 10,000 resident population.

Crude rate per 10,000 population

Rate= (Num/Dem) x 10,000

95% Byars

Not applicable

Improving Access to Psychological Therapies is an NHS programme which routinely measures the performance of mental health services to highlight those areas where improvement is needed.

Improving Access to Psychological Therapies - Recovery Rate, 2011/12

North East Public Health Observatory

Adults 16+

Persons

The number of people who were not at caseness i.e. suffering from anxiety and depressive disorders at their last session

Number of people who were at caseness i.e. suffering from anxiety and depressive disorders at their first session

Improving Access to Psychological Therapies, Key Performance Indicators (IAPT KPI's) http://www.ic.nhs.uk/pubs/psychologicaltherapies1112q4

http://www.ic.nhs.uk/pubs/psychologicaltherapies1112q4

Not for commercial use. The NHS Information Centre for Health and Social Care must be referenced.

4 quarters pooled 2011/2012

The number of people who are "moving to recovery" (of those who have completed treatment, those who at initial assessment achieved "caseness" and at final session did not) during the reporting period

Rate per 1,000 population

Rate= (Num/Dem) x 10,000

95% confidence interval, Byars method

Not applicable

People with a 'serious mental illness' are defined as those who have been in contact with specialist secondary mental health services at any time over the previous three years; including out-patients, people in contact with community services and in-patients. This is the first time figures have been calculated by linking mortality data to the Mental Health Minimum Dataset (MHMDS); the dataset that contains record-level data about NHS services delivered to over one million people with serious mental health problems.

Excess under 75 mortality rate in adults with serious mental illness, 2010/11

The NHS Information Centre for Health and Social Care

18-74

Persons

MHMDS linked over three years and to PCMD

MHMDS linked over three years and to PCMD.

Compendium of Population Health Indicators, The NHS Information Centre for health and social care, and the Office for National Statistics

ONS mortality records

ONS 2010 Mid-year population estimates

Not for commercial use. The NHS Information Centre for Health and Social Care must be referenced.

2010/11

To measure premature mortality in people suffering from serious mental illness.

Rate per 100,000

For full methodology refer to https://indicators.ic.nhs.uk/webview/index.jsp?v=2&submode=ddi&study=http%3A%2F%2F172.16.9.26%3A80%2Fobj%2FfStudy%2FP01446&mode=documentation&top=yes

95% Directly standardised rate.

Not applicable