This publication provides the most timely picture available of people using NHS funded secondary mental health, learning disabilities and autism services in England. These are experimental statistics which are undergoing development and evaluation. This information will be of use to people needing access to information quickly for operational decision making and other purposes. More detailed information on the quality and completeness of these statistics is made available later in our Mental Health Bulletin: Annual Report publication series. • COVID-19 and the production of statistics Due to the coronavirus illness (COVID-19) disruption, the quality and coverage of some of our statistics has been affected, for example by an increase in non-submissions for some datasets. We are also seeing some different patterns in the submitted data. For example, fewer patients are being referred to hospital and more appointments being carried out via phone/telemedicine/email. Therefore, data should be interpreted with care over the COVID-19 period. • Early release of statistics To support the ongoing COVID-19 work, Provisional May 2021 monthly statistics were made available early and presented on our supplementary information pages. Please see the 'Supplementary information requests' section below. • Updates to measures For details of new measures, or changes to existing measures, see the 'Notes on Measures' page. Full details of any changes are also available in the associated Metadata file.

Update 2 March 2023: Following the merger of NHS Digital and NHS England on 1st February 2023 we are reviewing the future presentation of the NHS Outcomes Framework indicators. As part of this review, the annual publication which was due to be released in March 2023 has been delayed. Further announcements about this dataset will be made on this page in due course. This indicator measures the weighted percentage of people who report their experience of making a GP appointment as ‘fairly good’ or ‘very good’. This indicator aims to capture the experience of patients of accessing GP services. Some different patterns have been observed in the 2020/21 GP Patient Survey (GPPS) data which are likely to have been impacted by the coronavirus (COVID-19) pandemic. Statistics from this period should also be interpreted with care. Legacy unique identifier: P01781

This publication provides the most timely statistics available relating to NHS funded secondary mental health, learning disabilities and autism services in England. This information will be of use to people needing access to information quickly for operational decision making and other purposes. These statistics are derived from submissions made using version 3.0 of the Mental Health Services Dataset (MHSDS). This edition includes final statistics for March 2019. NHS Digital review the quality and completeness of the submissions used to create these statistics on an ongoing basis. More information about this work can be found in the Accuracy and reliability section of this report. Fully detailed information on the quality and completeness of particular statistics in this release is not available due to the timescales involved in reviewing submissions and engaging with data providers. The information that has been obtained at the time of publication is made available in the Provider Feedback sections of the Data Quality Reports which accompany this release. Information gathered after publication is released in future editions of this publication series. More detailed information on the quality and completeness of these statistics and a summary of how these statistics may be interpreted is made available later in our Mental Health Bulletin: Annual Report publication series. All elements of this publication, other editions of this publication series, and related annual publication series' can be found in the Related Links below. Please note the following: The Quarter 4 Children and Young People Receiving Second Contact With Services measure will not be included in the June 2019 publication. A validation of this data is currently underway; we expect statistics for the full 2018-19 financial year to be published in the July 2019 publication. This publication includes annual statistics for the 2018-19 year: Annual - People in contact with services - April 2018 to March 2019, with age group breakdowns and Annual - People in contact with services with a hospital provider spell - April 2018 to March 2019, with age group breakdowns. Further annual statistics will be published in the annual Mental Health Bulletin in the Autumn. It was intended that data quality statistics for Provisional April 2019 data, collected via the newly introduced Strategic Data Collection Service (SDCS), be published alongside this publication; due to system issues this has not been possible. An update on this will be given alongside the next publication, published July 2019. As part of the update to include the provider XenZone/ Kooth in the Children and Young People Receiving Second Contact With Services measure (MHS69), in the 2019-20 year, Final March 2019 analysis was to be presented here; this was added here 17 July 2019. NHS Digital apologises for any inconvenience caused. The provider breakdown for AMH04 (People in contact with adult mental health services on CPA at the end of RP with HoNOS recorded) has not been included in this publication and will not be included in future publications until the cause is rectified. NHS Digital will inform users once this issue has been resolved. NHS Digital apologises for any inconvenience caused.

OMOP dataset: Hospital COVID patients: severity, acuity, therapies, outcomes Dataset number 2.0

Coronavirus disease 2019 (COVID-19) was identified in January 2020. Currently, there have been more than 6 million cases & more than 1.5 million deaths worldwide. Some individuals experience severe manifestations of infection, including viral pneumonia, adult respiratory distress syndrome (ARDS) & death. There is a pressing need for tools to stratify patients, to identify those at greatest risk. Acuity scores are composite scores which help identify patients who are more unwell to support & prioritise clinical care. There are no validated acuity scores for COVID-19 & it is unclear whether standard tools are accurate enough to provide this support. This secondary care COVID OMOP dataset contains granular demographic, morbidity, serial acuity and outcome data to inform risk prediction tools in COVID-19.

PIONEER geography The West Midlands (WM) has a population of 5.9 million & includes a diverse ethnic & socio-economic mix. There is a higher than average percentage of minority ethnic groups. WM has a large number of elderly residents but is the youngest population in the UK. Each day >100,000 people are treated in hospital, see their GP or are cared for by the NHS. The West Midlands was one of the hardest hit regions for COVID admissions in both wave 1 & 2.

EHR. University Hospitals Birmingham NHS Foundation Trust (UHB) is one of the largest NHS Trusts in England, providing direct acute services & specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds & 100 ITU beds. UHB runs a fully electronic healthcare record (EHR) (PICS; Birmingham Systems), a shared primary & secondary care record (Your Care Connected) & a patient portal “My Health”. UHB has cared for >5000 COVID admissions to date. This is a subset of data in OMOP format.

Scope: All COVID swab confirmed hospitalised patients to UHB from January – August 2020. The dataset includes highly granular patient demographics & co-morbidities taken from ICD-10 & SNOMED-CT codes. Serial, structured data pertaining to care process (timings, staff grades, specialty review, wards), presenting complaint, acuity, all physiology readings (pulse, blood pressure, respiratory rate, oxygen saturations), all blood results, microbiology, all prescribed & administered treatments (fluids, antibiotics, inotropes, vasopressors, organ support), all outcomes.

Available supplementary data: Health data preceding & following admission event. Matched “non-COVID” controls; ambulance, 111, 999 data, synthetic data. Further OMOP data available as an additional service.

Available supplementary support: Analytics, Model build, validation & refinement; A.I.; Data partner support for ETL (extract, transform & load) process, Clinical expertise, Patient & end-user access, Purchaser access, Regulatory requirements, Data-driven trials, “fast screen” services.

Experiences of local GP services, NHS treatment waiting lists, community health services, dentistry and pharmacy services, analysing data from the Health Insight Survey commissioned by NHS England. These are official statistics in development.

All activity relating to Children and Young People who receive assessments and treatment from Mental Health Services is within the scope of the CYP Mental Health Services Data Set, where the patient has, or are thought to have: - a mental health condition and/or - a need for support with their mental wellbeing and/or - a learning disability and/or - Autism or any other neurodevelopmental condition - The scope of the Mental Health Services Data Set requires patient record level data submission from services as follows:

For each patient attending a service located in England: If the care is wholly funded by the NHS: the data submission for that patient is mandatory If the care is partially funded by the NHS: the data submission for that patient is mandatory If the care is wholly funded by any means that is not NHS: the data submission for that patient is optional.

For each patient attending a service located outside England, but commissioned by an English Integrated Care Board or NHS England specialised commissioner, the data submission is optional.

We currently have the data from Central and North West London NHS Foundation Trust from financial year 2017 onwards.

This indicator measures the weighted percentage of people who report their overall experience of GP services as ‘fairly good’ or ‘very good’. Purpose This indicator aims to capture the experience of patients of their GP. The vast majority of the population visit their GP each year and often it is the experience people have of primary care that determines their overall view of the NHS. Current version updated: Sep-17 Next version due: Aug-18

Initially this data is collected during a patient's time at hospital as part of the Commissioning Data Set (CDS). This is submitted to NHS Digital for processing and is returned to healthcare providers as the Secondary Uses Service (SUS) data set and includes information relating to payment for activity undertaken. It allows hospitals to be paid for the care they deliver. This same data can also be processed and used for non-clinical purposes, such as research and planning health services. Because these uses are not to do with direct patient care, they are called 'secondary uses'. This is the SUS data set. SUS data covers all NHS Clinical Commissioning Groups (CCGs) in England, including: 1. private patients treated in NHS hospitals 2. patients resident outside of England 3. care delivered by treatment centres (including those in the independent sector) funded by the NHS

Each SUS record contains a wide range of information about an individual patient admitted to an NHS hospital, including: 1. clinical information about diagnoses and operations 2. patient information, such as age group, gender and ethnicity 3. administrative information, such as dates and methods of admission and discharge 4. geographical information such as where patients are treated and the area where they live

NHS Digital apply a strict statistical disclosure control in accordance with the NHS Digital protocol, to all published SUS data. This suppresses small numbers to stop people identifying themselves and others, to ensure that patient confidentiality is maintained.

Who SUS is for SUS provides data for the purpose of healthcare analysis to the NHS, government and others including:

The Secondary Users Service (SUS) database is made up of many data items relating to A&E care delivered by NHS hospitals in England. Many of these items form part of the national Commissioning Data Set (CDS), and are generated by the patient administration systems within each hospital. 1. national bodies and regulators, such as the Department of Health, NHS England, Public Health England, NHS Improvement and the CQC 2. local Clinical Commissioning Groups (CCGs) 3. provider organisations 4. government departments 5. researchers and commercial healthcare bodies 6. National Institute for Clinical Excellence (NICE) 7. patients, service users and carers 8. the media

Uses of the statistics The statistics are known to be used for: 1. national policy making 2. benchmarking performance against other hospital providers or CCGs
3. academic research 4. analysing service usage and planning change 5. providing advice to ministers and answering a wide range of parliamentary questions 6. national and local press articles 7. international comparison

More information can be found at https://digital.nhs.uk/data-and-information/data-tools-and-services/data-services/hospital-episode-statistics https://digital.nhs.uk/data-and-information/publications/statistical/hospital-accident--emergency-activity"

Hospital Episode Statistics (HES) is a database containing details of all admissions, A and E attendances and outpatient appointments at NHS hospitals in England.

Initially this data is collected during a patient's time at hospital as part of the Commissioning Data Set (CDS). This is submitted to NHS Digital for processing and is returned to healthcare providers as the Secondary Uses Service (SUS) data set and includes information relating to payment for activity undertaken. It allows hospitals to be paid for the care they deliver.

This same data can also be processed and used for non-clinical purposes, such as research and planning health services. Because these uses are not to do with direct patient care, they are called 'secondary uses'. This is the HES data set.

HES data covers all NHS Clinical Commissioning Groups (CCGs) in England, including:

• private patients treated in NHS hospitals
• patients resident outside of England
• care delivered by treatment centres (including those in the independent sector) funded by the NHS

Each HES record contains a wide range of information about an individual patient admitted to an NHS hospital, including:

• clinical information about diagnoses and operations
• patient information, such as age group, gender and ethnicity
• administrative information, such as dates and methods of admission and discharge
• geographical information such as where patients are treated and the area where they live

We apply a strict statistical disclosure control in accordance with the NHS Digital protocol, to all published HES data. This suppresses small numbers to stop people identifying themselves and others, to ensure that patient confidentiality is maintained.

Timescales for dissemination can be found under 'Our Service Levels' at the following link: https://digital.nhs.uk/services/data-access-request-service-dars/data-access-request-service-dars-process

The National Survey of Bereaved People (VOICES - Views of Informal Carers - Evaluation of Services) is an annual survey designed to measure the quality of end-of-life care. The VOICES survey particularly focuses on the last three months of life. Results are used to inform policy decisions and enable evaluation of the quality of end of life care by age group, sex, in different settings (home, hospital, care homes and hospices) and by different causes of death. Quality of end-of-life care is also included as an indicator in the NHS Outcomes Framework and the VOICES survey is used to monitor progress against this.

The Department of Health (DH) first commissioned the survey in 2011 to follow up on a commitment made in the End of Life Care Strategy. Previously, very little systematic information was available about the quality of care delivered to people approaching the end of life, despite reports from the Healthcare Commission and the Neuberger review highlighting deficiencies in care. The commissioning responsibility for the survey moved from DH to NHS England following the restructuring of the Health and Care systems in England in April 2013. Each year a sample of approximately 49,000 adults who died in England is selected from the deaths registration database held by the Office for National Statistics (ONS). To ensure the sample represents the deaths in England for the given period and covers the key domains of interest, the sample is stratified according to the cause of death, place of death and geography. For the 2011 and 2012 surveys, geography was based on Primary Care Trust (PCT) clusters. For the 2013 survey onwards, this is based on NHS Area Teams (NHS Area Team 2013 has also been applied to the earlier datasets).

The VOICES questionnaire is sent by post to the person who registered the death of the deceased; this is usually a relative or friend of the deceased. Questionnaires are sent out between 4 and 11 months after the patient has died. As is standard in most postal surveys, if no response is received, this first questionnaire is then followed up with two reminders. Once fieldwork, data capture, cleaning and processing are complete, findings are disseminated at both the national and sub-national level.

Further information about the survey and links to related publications may be found on the ONS National Bereavement Survey (VOICES) QMI webpage.

End User Licence and Secure Access versions available
The UK Data Service holds standard End User Licence (EUL) and Secure Access versions of the National Survey of Bereaved People data. EUL data are available to registered users but Secure Access data are only available to ONS Accredited Researchers (in addition, project approval and successful completion of a stringent training course are required before access can be granted). The Secure Access version contains finer detail variables (e.g. IMD deciles as opposed to quintiles in the EUL data, Strategic Clinical Network in addition to NHS Area Teams, and more detailed information on age, causes, dates and place of death). Users are strongly advised to check whether the EUL datasets (SNs 7975-7979, 8017 and 8018) and are sufficient for their research needs before making an application for the Secure Access version.

The National Cancer Registration and Analysis Service (NCRAS) at Public Health England supplies cancer registration data to NHS Digital. This data is available to be linked to other data held by NHS Digital in order to provide notifications on an individual's cancer status, be available to support research studies and to identify potential research participants for clinical trials.

NCRAS is the population-based cancer registry for England. It collects, quality assures and analyses data on all people living in England who are diagnosed with malignant and pre-malignant neoplasms, with national coverage since 1971.

The Cancer Registration dataset comprises England data to the present day, and Welsh data up to April 2017.

Timescales for dissemination of agreed data can be found under 'Our Service Levels' at the following link: https://digital.nhs.uk/services/data-access-request-service-dars/data-access-request-service-dars-process Standard response

This is a monthly report on publicly funded community services for children, young people and adults using data from the Community Services Data Set (CSDS) reported in England for April 2019. The CSDS is a patient-level dataset and has been developed to help achieve better outcomes for children, young people and adults. It provides data that will be used to commission services in a way that improves health, reduces inequalities, and supports service improvement and clinical quality. These services can include NHS Trusts, health centres, schools, mental health trusts, and local authorities. The data collected in CSDS includes personal and demographic information, diagnoses including long-term conditions and disabilities and care events plus screening activities. These statistics are classified as experimental and should be used with caution. Experimental statistics are new official statistics undergoing evaluation. They are published in order to involve users and stakeholders in their development and as a means to build in quality at an early stage. More information about experimental statistics can be found on the UK Statistics Authority website. We hope this information is helpful and would be grateful if you could spare a couple of minutes to complete a short customer satisfaction survey. Please use the survey in the related links to provide us with any feedback or suggestions for improving the report.

NHS 111 / Integrated Urgent Care data describes a range of statistics including NHS 111 and Out of Hours services, which aim to ensure a seamless patient experience with minimum handoffs and access to a clinician where required.

• to provide annual data about the nation's health;
• to estimate the proportion of people in England with specified health conditions;
• to estimate the prevalence of certain risk factors associated with these conditions;
• to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;
• to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;
• to monitor progress towards selected health targets
• since 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;
• since 1995, monitor the prevalence of overweight and obesity in children.

The survey includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change.

Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage.

Changes to the HSE from 2015:
Users should note that from 2015 survey onwards, only the individual data file is available under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL version of the dataset contains variables with a higher disclosure risk or are more sensitive than those included in the EUL version and is subject to more restrictive access conditions (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version.

COVID-19 and the HSE:
Due to the COVID-19 pandemic, the HSE 2020 survey was stopped in March 2020 and never re-started. There was no publication that year. The survey resumed in 2021, albeit with an amended methodology. The full HSE resumed in 2022, with an extended fieldwork period. Due to this, the decision was taken not to progress with the 2023 survey, to maximise the 2022 survey response and enable more robust reporting of data. See the NHS Digital Health Survey for England - Health, social care and lifestyles webpage for more details.

Legacy unique identifier: P01782

The IAPT programme aims to improve access to evidence based talking therapies in the NHS through an expansion of the psychological therapy workforce and services. (http://www.iapt.nhs.uk/about/) The workbook includes monthly information by Primary Care Trust (PCT) on the following: - The number of people who have entered IAPT programme psychological therapies - The number of people who have completed IAPT programme psychological therapies moving off sick pay & benefits per month - Recovery Rates (%) for people completing IAPT programme psychological therapies Total Activity by Gender of Patient (numbers of people entering IAPT programme psychological therapies - Total Activity by Ethnic Group of Patient (numbers of people entering IAPT programme psychological therapies Data source: Commission Support for London Improving Access to Psychological Therapies http://www.workingforwellness.org.uk/ This data is being published by NHS London alongside other datasets related to depression. The aim is to develop a resource to support the public’s knowledge of this common condition, to raise awareness of treatments and how health services are meeting needs, and to support health policy and commissioning.

Please provide the following information under FOI law full schedule of uk databases used to check eligibility for Health Insurance Card eg NI, passport, register of births number of applications for HI Card received april 22-april 23 number of applications rejected due to lack of proof of eligibility april 22-april 23 number of people required to provide further proof following application NHS definition of legal criteria for eligibility for Health Insurance Card Your request was received on 16 August 2023 and I am dealing with it under the terms of the Freedom of Information Act 2000. On 3 December 2023 you clarified the following: 1) When assessing UK Global Health Insurance Card applications does the Authority have access to UK Government records? For example Registration of Births, National Insurance, EU Settlement Scheme records, UK Passport Office Records, DVA Records of Driving Licences? 2) Please give me the number of applications for UK Global Health Insurance Card applications in the last financial year. Please also indicate the number that were approved and the number rejected due to insufficient proof of residency. On 27th December 2023 you clarified the following: 5) I can confirm I want the information for EHIC, UK EHIC and UK GHIC. Response Question 1 When assessing UK Global Health Insurance Card applications, the NHSBSA has access to some UK Government records, such as EU settlement Scheme records. The NHSBSA does not have access to National Insurance records, Registration of Births, UK Passport Office Records or DVA Records. UK Global Health Insurance Card applications are based on a residency system and the NHSBSA will use third party data provider Equifax to establish UK residency. This is stated in our Privacy Notice. https://www.nhsbsa.nhs.uk/our-policies/privacy/overseas-healthcare-services-privacy-notice#:~:text=You%20have%20the%20right%20to,it%20for%20longer%20than%20necessary Question 2 There were 6,510,849 UK Global Health Insurance Card applications in the last financial year. Question 3 and 4 6,016,310 applications were approved and 145,876 were rejected because we were unable to establish proof of residency. The remaining applications were either rejected for other reasons, or we have not yet finished dealing with them. Question 5 The following links provide definitions of legal criteria for eligibility for UK GHIC and UK EHIC: • https://faq.nhsbsa.nhs.uk/knowledgebase/article/KA-26813 • https://www.nhs.uk/using-the-nhs/healthcare-abroad/apply-for-a-free-uk-global-health-insurance-card-ghic/ Please note that we do not issue EHIC anymore as that card has been replaced by the UK EHIC.

• to provide annual data about the nation’s health;
• to estimate the proportion of people in England with specified health conditions;
• to estimate the prevalence of certain risk factors associated with these conditions;
• to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;
• to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;
• to monitor progress towards selected health targets
• since 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;
• since 1995, monitor the prevalence of overweight and obesity in children.

The survey includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change.

Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage.

Changes to the HSE from 2015:
Users should note that from 2015 survey onwards, only the individual data file is available under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version.

COVID-19 and the HSE:
Due to the COVID-19 pandemic, the HSE 2020 survey was stopped in March 2020 and never re-started. There was no publication that year. The survey resumed in 2021, albeit with an amended methodology. The full HSE resumed in 2022, with an extended fieldwork period. Due to this, the decision was taken not to progress with the 2023 survey, to maximise the 2022 survey response and enable more robust reporting of data. See the NHS Digital Health Survey for England - Health, social care and lifestyles webpage for more details.

The main focus of the HSE in 2011 was cardiovascular disease. The survey also provided updates on core topics including smoking, drinking and fruit and vegetable consumption. Additional modules of questions were also included covering social care, chronic pain and well-being. A drinking diary designed to measure weekly consumption of alcohol was also included.

Data collection involved an interview, followed by a visit from a specially trained nurse for all those in the core sample who agreed. The nurse visit included measurements and collection of blood, saliva and urine samples, as well as additional questions.

Latest edition information

For the second edition (June 2023) three variables have been updated: SOC2010B and HRPSOC10B have had one category corrected that was incorrectly coded, and BMIVG5 has had one case corrected that had been coded into the wrong category.

I am wondering if you might be able to help me. I am in the middle of trying to think of improved ways for patients to access NHS dental services and the information, it’s not an easy task on your website is probably the main portal for people to seek information. I am not entirely sure how big an issue this is and I thought one of the interesting things would be how the public users the NHS find a dentist platform. I would be really interested in any data that you have in terms of Daily user statistics for the platform and also potentially broken down by region searched or any other kind of data you may have in regards to this. I’m working in the north east of England and I’m really interested in trying to support the information available to patients and any kind of data for my write up would be useful. The NHS Business Services Authority (NHSBSA) received your request on 7 August 2025. We have handled your request under the Freedom of Information Act 2000 (FOIA). Our response I am writing to advise you that following a search of our paper and electronic records, I have established that the information you requested is not held by the NHSBSA. Advice and Assistance Having reviewed your request, the website https://www.nhs.uk/service-search/find-a-dentist/ is managed by NHS England. I believe that it is possible that NHS England may hold some or all of the information you require. They can be contacted at: NHS England PO Box 16738 Redditch B97 9PT Telephone: 0300 311 22 33 Email: england.contactus@nhs.net Web: http://www.england.nhs.uk/contact-us/foi/ Following the announcement on 13 March 2025 regarding the disbanding of NHS England, please be assured that at this time they can be contacted for information as normal. More information can be found here: https://www.england.nhs.uk/