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Mental Health Information Update April 2021


Introduction
This regular update includes the latest information and relevant updates on all mental health data sets that we collect. You are receiving this email because you have asked to receive mental health news from NHS Digital.

Improving Access to Psychological Therapies Data Set (IAPT) news 

IAPT version 2.1
We are currently in active discussion with the Data Standards Assurance Service (DSAS) about the possibility of carrying out a minor uplift to the IAPT data set. The proposed changes are:
1.  Alignment with MHSDS v5.0 on the capture of gender
2.  Facilitate the capture of previous COVID-19 diagnoses and other medical history information by adding a ‘Medical History (Previous Diagnosis)’ table
3.  Minor amendments to ensure alignment with the NHS Data Model and Dictionary
4.  Addition of an ‘Accommodation Type’ table
5.  Changes to mandation status of two data items​​
a.  ​​​​​Person Birth Date’ in the IDS001 Master Patient Index table.
b.  ‘Employment Status Recorded Date’ in the IDS004 Employment Status table

These proposals were discussed with a mental health and IAPT provider user group in March 2021 who indicated that these proposals are feasible if IT system suppliers can deliver the changes. IT system supplier have indicated that they could accommodate these changes in time for a January 2022 implementation date. 

If approved by the Data Co-ordination Board (DCB), this would result in an updated Information Standards Notice (ISN) being released in early July 2021, with the intention for local data collection to commence in January 2022. Submissions of January 2022 data in the new IAPT v2.1 format to the SDCS Cloud would then start from February 2022.

We will continue to use this newsletter to keep you updated about any changes to these proposals in advance of a new ISN being released.

If you have any questions on IAPT v2.1, please send them to
dataset.development@nhs.net 

Monthly publication
Four new measures have been included in the Employment Advisors csv output in the December 2020 monthly publication published on 11 March 2021. These measures (EA108 to EA111) count the number of care contacts in the month that have a misreported follow up status.

Quarterly publication
The first quarterly publication from v2.0 of the IAPT data set was published with the regular monthly output on 11 March 2021. This covers data from Q3 of the financial year 2020/21. The quarterly data was published in a long, thin csv format alongside a Power BI dashboard. The size of the quarterly data in the new format meant that the data was published in six separate csv files. The quarterly csv files included two new measures listing the proportion of IAPT care contacts and referrals in the quarter that were given as part of an integrated care package alongside treatment for a long-term physical condition.

Mental Health Services Data Set (MHSDS) news 
MHSDS webpages
We have made some amendments to the Mental Health Services Data Set webpages, which includes some amendments to the MHSDS Technical Output Specification v4.1.11. Please note that the next version of the MHSDS Technical Output Specification for v4.1.12 is now live and will be published on the MHSDS webpages. Please refer to the change control tab for further details. We have also included a new Technical Output Specification (TOS) for v5.0, with additional supporting documentation to follow. Please note that the TOS for v5.0 is not live until October 2021, the current TOS for submissions is still v4.1. 

We have also recently amended the scope sections on the webpages for further clarification.


Future events and webinars 
Further details about upcoming webinars, including how to join, will be advertised on the NHS Digital events page.

If there are any subject areas that you would like to be covered, please email your suggestions to
dataset.development@nhs.net or mhsdsdq@nhsdigital.nhs.uk

Previous events and webinars
SNOMED in MHSDS – Data Quality Dashboard webinar 
This MHSDS webinar took place on Monday 22 March and provided an overview of a new dashboard that looks at the SNOMED items reported in MHSDS. The dashboard reports on where SNOMED is in MHSDS, the quality of the data and ideas on how to improve the usage of SNOMED. SNOMED is a clinical terminology used to electronically record patient details such as procedures, diagnosis, and outcomes. There was a live demonstration of the dashboard, followed by a questions and answers session.

If you have any further questions, please email
mhsdsdq@nhsdigital.nhs.uk with the subject heading “SNOMED in MHSDS – Data Quality Dashboard Webinar”.  

MHSDS Table and Data Item Level Data Quality Dashboard webinar 
This MHSDS webinar took place on Thursday 25 March and provided an overview of a dashboard in development that looks at the completion of tables and data items in the MHSDS. The dashboard reports on completion levels by region and provider with further information on validity of data and the use of ‘other’ categories.  There was a live demonstration of the dashboard, followed by a questions and answers session.

If you have any further questions, please email
mhsdsdq@nhsdigital.nhs.uk with the subject heading “MHSDS Table and Data Item Level Data Quality Dashboard Webinar”. 

SNOMED CT in mental health
You can visit the NHS Digital sharing website to find useful publications; education and training materials; animations; live webinars and much more. If you have any specific SNOMED CT mental health related queries, please contact the team at snomed.implementation@nhs.net

A new dashboard to help providers improve SNOMED submitted to MHSDS can be accessed here: Mental Health Services Dataset SNOMED data quality dashboard 

Publication news
Mental Health Data Hub
The Mental Health Data Hub is a collection of interactive dashboards and useful links covering mental health data in England. You can continue to send any comments and suggestions to mh.analysis@nhs.net

Mental Health Services Monthly Statistics
The Mental Health Services Monthly Statistics reports are published on the second Thursday of the month.

Mental Health Act Annual Publication
The 2019-20 Mental Health Act Statistics were published on 27 October 2020.The 2019-20 Mental Health Act Statistics - additional analysis was published on 25 March 2021 providing analysis on the length of stay of detentions.

Mental Health Bulletin Annual Publication
The
Mental Health Bulletin statistics annual figures 2019-20 were published on 28 January 2021. This publication includes additional demographic breakdowns as well as several new measures that cover referrals on Early Intervention for Psychosis (EIP) pathways, people in perinatal period with an open mental health referral, discharges followed up within 72 hours of discharge and referrals and contacts with memory services teams for people with dementia.

The Mental Health Bulletin 2019-20 annual report - additional analysis was published on 25 March 2021. This publication complements the Mental Health Bulletin annual report by providing additional breakdowns for some of the published measures. 


Learning Disability Services Monthly Statistics
The monthly Learning Disability Services Monthly Statistics are published on the third Thursday of the month and use data from both the Assuring Transformation (AT) collection and MHSDS. 

Autism Statistics
The Autism Statistics Series was updated in August and September to establish a quarterly release cycle. These statistics expand on the waiting times measures published in November 2019, calculating waiting times for two cohorts of patients relevant to autism spectrum disorder (ASD) diagnostic pathways. 

The 10 December 2020 release has further geographical breakdowns implemented, including CCG and STP breakdowns. This is in addition to existing provider level figures published in previous editions. The forward model denominator has been updated to improve the measurements, and additional measures showing the source of referrals diagnosed with autism in the reverse model statistics. 

The
March 2021 release of the publication has additional measures included to the forward model. The denominator for the additional measures is patients with a new referral for suspected autism in a reporting period (ASD01) and additional measures (ASD01a to ASD01j) are calculated for these referrals based on whether a diagnosis or a care contact date or a discharge date is recorded by the latest available submission at the time of publication.

Improving Access to Psychological Services (IAPT) publications
The monthly Psychological Therapies, Report on the use of IAPT services are published on the second Thursday of the month and report on core IAPT data and the Employment Adviser (EA) pilot. 

Recently, the
November 2020 Final was published. For this publication, data from the Employment Advisers Pilot was brought into the interactive dashboard. Additionally, two further sections were included in the IAPT Guidance Document to outline legacy changes to provider or system supplier and a worked example of how providers can pivot the 'long and skinny' CSVs to appear as the 'wide and short' format used in the IAPT v1.5 publications. 

Other news
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Useful links
Mental Health Services Data Set (MHSDS) webpage 
Improving Access to Psychological Therapies (IAPT) webpage
Assuring Transformation (AT) webpage