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Mental Health

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Mental Health

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    1. Mental Health What data is available to support Mental Health Commissioning?

    3. Finagles Law of Information states that “the information we have is not what we want, the information we want is not what we need, and the information we need is not available”

    4. In WCC commissioners need to know Mental Health needs, demand and supply Broad health need Prevalence and burden of mental ill health Service provision and utilisation Inputs, process and outputs Staffing, beds, services Waiting, effective care Satisfaction, access Cost and cost-effectiveness Expenditure, value for money etc. Outcomes Better mental health Better physical health in mentally ill people Reduce inequalities Reduced suicide and self-harm Better identification and outcomes of MI Comparative – benchmarking, expected rates, variation, performance

    5. Where do you get this information from…? Lots of places…. Broad health needs – health profiles Health poverty index http://www.hpi.org.uk/ Mental health observatory Mental health workbooks World class commissioning data packs Neighbourhood stats www.neighbourhood.statistics.gov.uk Erpho (http://www.erpho.org.uk/topics/Mental_Health/default.aspx) Programme budgets NCHOD www.nchod.nhs.uk Locally…

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    10. Mental health…GHQ scores

    11. Mental Health Needs Indicators MINI and MINI2000 Calculated by taking rates of hospital admission and the proportion of people expected to have a mental health problem from general population surveys. This is correlated mathematically with a range of population characteristics thought to be associated, such as poverty, unemployment or social isolation. A needs index of 0.8 suggests that there will be 20% less illness in an area than in the country as a whole, an index of 1.2 suggests 20% more.

    12. Mental Health Needs Indicators AREA mental health services model Hybrid index calculated from admission statistics and General Health Questionnaire (GHQ) scores NPMS index An index for Common mental illness, based on National Psychiatric Morbidity Survey IMD 2007 mental health domain Range of characteristics associated with prevalence of mental illness – poverty, unemployment and social isolation. provides a relative ranking of areas across England according to their level of deprivation.

    13. Mental Health Needs Indicators Employment Percentage of adults of working age with a mental health problem lasting over 1 year who are in employment. (NOMIS, Annual Population Survey ) Incapacity Mental and behavioural disorders incapacity benefit claimant rate per 100,000 population aged 16 to 59 years. (Department for Work and Pensions).

    14. Psychiatric Morbidity Survey The National Psychiatric Morbidity Survey provides information about the prevalence of relevant psychiatric disorders. Prevalence can be applied locally for the population of PCTs and local authorities to estimate sufferers from common mental disorders based on findings from the 2000 National Psychiatric Morbidity Survey of people resident in private households for the age group 16 to 74.

    15. Quality and Outcomes Framework Measures the proportion of people registered to GPs who have severe mental health problems and are being followed up in primary care. More a measure of utilisation and the quality of service at primary care level for people with severe mental health problems than a disease prevalence register

    16. Psychiatric Morbidity Survey

    17. Psychiatric Morbidity Survey

    18. Psychiatric Morbidity Survey

    19. Psychiatric Morbidity Survey

    20. Quality and Outcomes Framework Mental Health Register measures ‘All patients with schizophrenia, bipolar disorder and other psychoses’. Previously (2004-5) this indicator was defined as – ‘all patients with severe long-term mental health problems who require and have agreed to regular follow-up’

    21. Correlation between CMD and QOF Mental Health Register measures ‘All patients with schizophrenia, bipolar disorder and other psychoses’. Previously (2004-5) this indicator was defined as – ‘all patients with severe long-term mental health problems who require and have agreed to regular follow-up’

    22. MHMDS The MHMDS is a national dataset from a range of existing sources collated by the Centre for Public Mental Health working with the Mental Health Trusts to assemble the data into the MHMDS. Available to the regional public health intelligence units. It is designed to show the detailed patterns of care received by individuals looked after by specialist mental health care providers in England.

    23. MHMDS No of persons on enhanced and standard care No of CPA contacts No of outpatients and day hospital attendances No of admissions by ICD10 codes for Schizophrenia, anxiety disorders and affective disorders Rate per 100,000 population aged 18 to 64 years documented as receiving care

    24. Electronic prescribing Average Daily Quantity of antidepressants prescribed by region Average Daily Quantity of antipsychotics prescribed by region Average Daily Quantity of hypnotics and anxiolytics prescribed by region

    25. Community Care Statistics Council supported residents aged 18 to 64 with mental health problems in local authority and registered care homes Closure of old mental hospitals indicated a clear requirement for long-term residential care for a small, but severely disabled group of individuals.

    26. Drug and Alcohol Statistics Number of clients in contact with structured drug treatment services Recorded on the National Drug Treatment Monitoring System for the National Treatment Agency for Substance Misuse.

    27. Mental Health Act Commission Service users detained under the Mental Health Act 1983 resident in NHS facilities and independent hospitals, rate per 100,000 population aged 18 years and over Department of Health statistics.

    28. Service User Experience Percentage of complaints regarding mental health trusts/service that are referred back to trust. Healthcare commission data. There is also an Annual survey of patient experience by the Healthcare Commission of a random sample of 850 working age adults registered on the Care Programme Approach (CPA) programme of each mental health provider trust in England Percentage of Healthcare Commission survey respondents that rated the care they had received as either excellent, very good or good. Percentage of Healthcare Commission survey respondents that had received at least one care review.

    29. 29 Programme budget categories spend per unified weighted population

    33. And finally… There is a lot out there to help, but Fragmented Overload – it could be easier Data on its own is not enough CSIP, NHS EoE, erpho, MHO engaged in trying to improve access to MH data through profiles, atlases etc.

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