This publication contains the official statistics about uses of the Mental Health Act(1) ('the Act') in England during 2018-19. Under the Act, people with a mental disorder may be formally detained in hospital (or 'sectioned') in the interests of their own health or safety, or for the protection of other people. They can also be treated in the community but subject to recall to hospital for assessment and/or treatment under a Community Treatment Order (CTO). In 2016-17, the way we source and produce these statistics changed. Previously these statistics were produced from the KP90 aggregate data collection. They are now primarily produced from the Mental Health Services Data Set (MHSDS). The MHSDS provides a much richer data source for these statistics, allowing for new insights into uses of the Act. However, some providers that make use of the Act are not yet submitting data to the MHSDS, or submitting incomplete data. Improvements in data quality have been made over the past year. NHS Digital is working with partners to ensure that all providers are submitting complete data and this publication includes guidance on interpreting these statistics. Footnotes (1) The Mental Health Act 1983 as amended by the Mental Health Act 2007 and other legislation.

This publication contains the official statistics about uses of the Mental Health Act ('the Act') in England during 2022-23. Under the Act, people with a mental disorder may be formally detained in hospital (or 'sectioned') in the interests of their own health or safety, or for the protection of other people. They can also be treated in the community but subject to recall to hospital for assessment and/or treatment under a Community Treatment Order (CTO). In 2016-17, the way we source and produce these statistics changed. Previously these statistics were produced from the KP90 aggregate data collection. They are now primarily produced from the Mental Health Services Data Set (MHSDS). The MHSDS provides a much richer data source for these statistics, allowing for new insights into uses of the Act. People may be detained in secure psychiatric hospitals, other NHS Trusts or at Independent Service Providers (ISPs). All organisations that detain people under the Act must be registered with the Care Quality Commission (CQC). In recent years, the number of detentions under the Act have been rising. An independent review has examined how the Act is used and has made recommendations for improving the Mental Health Act legislation. In responding to the review, the government said it would introduce a new Mental Health Bill to reform practice. This publication does not cover: 1. People in hospital voluntarily for mental health treatment, as they have not been detained under the Act (see the Mental Health Bulletin). 2. Uses of section 136 where the place of safety was a police station; these are published by the Home Office.

As of November 2023, over 41.8 thousand mental health nurses worked for the National Health Service (NHS) in England. From 2016 to 2023, the number of mental health nurses staff had a slight steady increase. This statistic depicts the total number of mental health nurses in the NHS Hospitals and Community Health Service (HCHS) workforce in England from 2009 to 2023.

In 2023, 85 percent of community mental health services for learning disabilities or autism were rated as good, and a further eight percent were rated as outstanding. This statistic displays the overall rating of NHS mental health core services in England as of August 2023, by service.

This statistic presents opinions of men and women in Great Britain regarding whether they consider long waiting times for mental health treatment to be an important challenge facing the national health service (NHS), as of October 2014. In this period, 27 percent of individuals interviewed ranked it as the second least important challenge for the NHS.

A 2023 survey of patient's experiences with NHS mental health services in England showed that 25 percent of respondents would give their experience the highest rating possible. Conversely, nine percent of respondents said they had a very poor experience.

Supports the development of The Model Mental Health productivity metrics for mental health services delivered in the community.

A survey of NHS mental health service users in England in 2023 showed that almost 40 percent of respondents had been in contact with mental health services for between one and five years. A further 12 percent had been in contact with NHS mental health services for between six and ten years, while 27 percent had been in contact for more than ten years.

Experimental statistics from the Mental Health Services Data Set (MHSDS), which replaces the Mental Health and Learning Disabilities Dataset (MHLDDS). As well as analysis of waiting times, first published in March 2016 using provisional submissions for January 2016, this release includes elements of the reports that were previously included in monthly reports produced from final MHLDDS submissions. It also includes some new measures.

The Mental Health of Children and Young People Surveys (MHCYP) series provides data about the mental health of young people living in Great Britain.

The MHCYP was first carried out in 1999, capturing information on 5 to 15-year-olds. It was conducted by the Office for National Statistics (ONS) on behalf of the Department of Health (now known as the Department of Health and Social Care, or DHSC), The Scottish Health Executive and the National Assembly for Wales. The following survey in the series was conducted in 2002 and focused on children looked after by their local authority. The third survey was conducted in 2004 and collected information from 5 to 16-year-olds. Follow-ups to this survey were conducted after 6 months and again after 3 years.

NHS Digital commissioned the 2017 survey on behalf of the DHSC. It collected information on 2 to 19-year-olds living in England. The survey was carried out by a consortium led by NatCen Social Research, which included the ONS and Youth In Mind.

The MHCYP 2020 survey was a Wave 1 follow-up to the 2017 survey and was conducted under the COVID-19 Public Health Directions 2020, as directed by the then Secretary of State for Health. The Wave 2 follow-up was conducted in 2021.

Further information can be found on the NHS Digital Mental Health of Children and Young People Surveys webpage.

A similar series covering adults, the Adult Surveys of Psychiatric Morbidity, is also commissioned by NHS Digital.

The Mental Health of Children and Young People in England, 2021: Special Licence Access (MHCYP) is the second in a series of follow-up surveys to the MHCYP 2017 survey (see SN 8467). The 2021 MHCYP was funded by the Department of Health and Social Care and commissioned by NHS England. The survey was carried out by the National Centre for Social Research (NatCen Social Research), the Office for National Statistics, the University of Cambridge and the University of Exeter.

The MHCYP surveys provide England's Official Statistics on trends in child mental health. The MHCYP 2017 was conducted face-to-face and involved data collection from a random sample of children and young people (aged 2 to 19 years). MHCYP 2017 participants who agreed to be re-contacted for future research were invited to take part in the MHCYP 2020 follow-up survey. In the 2020 survey, participants were asked to confirm that they were happy to continue to be re-contacted for future research. Therefore, the achieved MHCYP 2021 sample for this (Wave 2) follow-up was based on 3,667 children and young people (now aged 6 to 23 years) who took part in MHCYP 2017.

The three main aims of MHCYP 2021 were:

• to compare mental health between 2017 and 2020 - the likelihood of a mental disorder was assessed against completion of the Strengths and Difficulties Questionnaire (SDQ) in both years;
• to describe life during the COVID-19 pandemic;
• to present more detailed data on the mental health, circumstances and experiences of children and young people by ethnic group during the COVID-19 pandemic (where sample sizes allow).

In a 2019 survey carried out in England, it was found that more NHS mental health patients were likely to not complain when unhappy at the service provided than those who would complain. Overall, 42 percent of patients reported they would be likely to complain in a situation where they were unhappy but 48 percent advised they would not likely complain.

In 2020, a survey of those receiving medication for mental health issues from the NHS in England found that 44 percent of respondents found their medication definitely helpful, while twelve percent reported that their medication didn't help.

In 2021, 41 percent of respondents in England reported that they had definitely seen NHS mental health services enough times in the previous twelve months for their needs. Over the provided time interval the share of people who feel their needs are being met has decreased while the share who feel it is not being met has increased.

This dataset has been discontinued and replaced with the Mental Health Services Monthly Statistics dataset, available at https://data.gov.uk/dataset/mental-health-services-monthly-statistics

The Mental Health Minimum Data Set (MHMDS) was renamed Mental Health and Learning Disabilities Data Set (MHLDDS) following an expansion in scope (from September 2014) to include people in contact with learning disability services for the first time.

This monthly statistical release makes available the most recent Mental Health Minimum Dataset (MHMDS) data from April 2013 onwards. Further analysis to support currencies and payment in adult and older people's mental health services was added to the publication of April 2014 final data which can be found in the related links below. These changes are described in the Methodological Change paper referenced below.

As well as providing timely data, it presents a wide range of information about care given to users of NHS-funded, secondary mental health services for adults and older people ('secondary mental health services') in England.

This information will be of particular interest to organisations involved in giving secondary mental health care to adults and older people, as it presents timely information to support discussions between providers and commissioners of services. The MHMDS Monthly Report now includes the ten nationally recommended quality and outcome indicators to support the implementation of currencies and payment in mental health.

For patients, researchers, agencies and the wider public it aims to provide up to date information about the numbers of people using services, spending time in psychiatric hospitals and subject to the Mental Health Act (MHA). Some of these measures are currently experimental analysis.

Experimental statistics from the Mental Health Services Data Set (MHSDS) - Children & Young People

In 2021, over 20,000 women and approximately 9,600 thousand men aged 85 years and over died from mental and behavioral disorders in England and Wales. This statistic displays the number of deaths caused by mental and behavioral disorders in England and Wales in 2021, by gender and age.

Mental Health Resource Centres and Primary Care Mental Health Team addresses including post code along with OSGR Easting, OSGR Northing, WGS84 Latitude, WGS84 Longitude and a resolvable URI for the post code from the Ordnance Survey Linked Data repository. NHS data extracted October 2013 and provided by NHS Greater Glasgow and Clyde Health Board. Ordnance Survey data published under the terms of an OS OpenData Licence. OS data extracted: 2014-02-19 Contains Ordnance Survey data (c) Crown copyright and database right 2014 Contains Royal Mail data (c) Royal Mail copyright and database right 2014 Contains National Statistics data (c) Crown copyright and database right 2014 Licence: None mentalhealth-resource-primary.json - https://dataservices.open.glasgow.gov.uk/Download/Organisation/556566ae-bb58-44b3-9752-f03abe4075a1/Dataset/4efad475-3ae7-422a-9f86-3247a9aa68c3/File/ecb9997d-4bc4-48d3-a353-12f6f7b2c536/Version/b171bd9e-5c6e-46a4-b96b-006fe989351f

A survey carried out among those who had received mental health care from the NHS in England in 2020 showed that 52 percent of respondents felt they were definitely involved as much as they wanted to be in deciding about their treatment. On the other hand, eight percent of respondents were not involved in agreeing the mental health care they were going to receive.

Series of indicators underlying the myhealthlondon website. Information about outcome standards is also available.

Each indicator is provided as a separate data file which can be found using the links below. Full metadata for the indicators are also available.

1. Indicator 1 - One year cancer survival for lung cancer and breast cancer (Borough level)
2. Indicator 2 - Identifying the prevalence of cancer (Borough level)
3. Indicator 3 - Cervical Screening
4. Indicator 4 - GP recorded smoking (all patients)
5. Indicator 5 - GP recorded smoking (patients with long term conditions)
6. Indicator 6a - Identification of the prevalence of atrial fibrillation
7. Indicator 6b - Treatment of atrial fibrillation
8. Indicator 7 - Uptake of immunisations for children
9. Indicator 8 - Uptake of immunisation for influenza for patients aged over 65, and those at risk under 65
10. Indicator 9 - Identifying the prevalence of chronic obstructive pulmonary disease based on estimates for the local population
11. Indicator 10 - Identifying the prevalence of asthma - no data for 2009
12. Indicator 11 - Identifying the prevalence of Diabetes - no data for 2009
13. Indicator 12 - Identifying the prevalence of coronary heart disease
14. Indicator 13 - Identifying the prevalence of dementia - data no longer available
15. Indicator 14 - Monitoring safe, rational and cost effective prescribing in general practice (Borough level)
16. Indicator 15 - The rate of emergency hospital admission for people with long term conditions usually managed by GPs
17. Indicator 16 - Rate of A&E attendances
18. Indicator 17 - Satisfaction with the quality of consultation at the GP practice
19. Indicator 17a - Percentage of patients who gave a positive answer to 'did the doctor or nurse take notice of your views about how to deal with your health problem?'
20. Indicator 17b - Percentage of patients who gave a positive answer to 'did the doctor or nurse give you information about the things you might do to deal with your health problem?'
21. Indicator 17c - Percentage of patients who gave a positive answer to 'did you and the doctor or nurse agree about how best to manage your health problem?
22. Indicator 17d - Percentage of patients who gave a positive answer to 'did the doctor or nurse give you a written document about the discussions you had about managing your health problem?'
23. Indicator 17e - Percentage of patients who gave a positive answer to 'did you want a written plan summarising your discussion with the doctor or nurse?'
24. Indicator 17f - Percentage of patients who gave a positive answer to 'did the doctor or nurse ever tell you that you had something called a 'care plan?'
25. Indicator 17g - Percentage of patients who gave a positive answer to 'do you think that having these discussions with your doctor or nurse has helped improve how you manage your health problem?'
26. Indicator 18 - Satisfaction with overall care received at the GP practice
27. Indicator 19 - Patients leaving this GP practice without changing home address
28. Indicator 20 - Satisfaction in being able to see a preferred doctor
29. Indicator 21 - Satisfaction with accessing primary care
30. Indicator 22 - Significant event reviews (one year and three year minimum levels)
31. Indicators 23 & 24 - Do not exist
32. Indicator 25 - Early detection of Cancer
33. Indicator 26b - Identifying the prevalence and assessing patients with a new diagnosis of depression - 26a data no longer available
34. Indicator 26c - Assessment of depression
35. Indicator 27a - Percentage of patients in the local area with serious mental illness contacted by their GP practice after missing their health review
36. Indicator 27b - Percentage of patients with serious mental illness with a physical health check in the last 15 months
37. Indicator 27c - Blood pressure checks for serious mental health illness
38. Indicator 27d - Physical health checks for serious mental health illness
39. Indicator 28 - End of life care

All indicators are provided at GP Practice level except for those marked as Borough level.

19 and 25 as of 04/09/2012

Indicator 6 updated as of 01/05/2013

Indicators 1, 2, 3, 4, 5, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 17a to 17g, 18, 20, 21, 22, 26a, 26c, 27c ,27d and 28 updated as of 17/12/2013

Indicator 26a has been discontinued and is no longer available on the Datastore. There is a possibility that it may be reinstated in the future.

Data are provided in a standardised schema with each record containing an indicator ID and organisation ID. These can be matched against the two lookup files below to identify the indicator (or sub-indicator where available) and organisation.

• Indicator Lookup File (csv format)
• Organisation Lookup File (csv format)
• Period Lookup File (csv format)