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Mental Health Information: NHS Trust Forum 26 th April 2010, Birmingham Botanical Gardens PowerPoint Presentation
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Mental Health Information: NHS Trust Forum 26 th April 2010, Birmingham Botanical Gardens

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  1. Mental Health Information: NHS Trust Forum 26th April 2010, Birmingham Botanical Gardens

  2. Welcome and Introductions General Mental Health Information Update Netta Hollings

  3. Welcome • General Election 2010 • House keeping

  4. Agenda for Today

  5. Updates • PbR • ISN (DSCN) – for Classification and Currency • MHMDS changes – ISB – June; July ISN • Accurate clinical and activity information to support development of MH tariffs …MHMDS version 4.00 • Coverage, accurate team and staff info, diagnosis and HONOS • Reducing the Burden • KP90 collection – Mental Health Act related info – comprehensive and detailed • DRE Dashboard – team caseload • Community Activity – team caseload • Other elements of Performance Framework • CDS

  6. Update continued • More use of MHMDS • DH ACRA (PCT allocations) • Clinical Prioritisation – Bruce Keogh • QIPP – NHS Board dashboard • Supplied to SHAs, PCTs, Audit Commission routinely • DH Service Performance Indicators for MH Trusts • Delayed Transfers of Care • Indicators for Quality Improvement • CQC Periodic Review • NI 149 and N1 150 • WCC Datapacks • Clinical Indicators … • NHS Comparators …

  7. Update continued • Mental Health Informatics Board • Established – chaired by DH; members – DH (Mental Health policy, CIO office and National Clinical Director), IC, CfH clinical leads, Chief Exec rep. • Then “task force” layer and Intelligence Network – will be discussed at Pan Programme group in May

  8. Update continued • IAPT • ISB this week (28th April) • Mental Capacity Act • DoLS publication – 23rd March • Assembly investigation • Verbal update • Independent Sector • Representatives today • “Beginner’s Guide to MHMDS”

  9. Update • Advance warning • Next annual bulletin • Diagnosis • Person based cost analysis • More about patients on SCT • Service mapping • Some elements may return (but NB reducing the burden item earlier) • Use of ESR • Mentally Disordered Offenders • CAMHS • Referral to Treatment data • Dementia • Autism / LD

  10. Update on Uses of MHMDS and Related Data Quality Issues Jo Simpson Steven Burrows

  11. New uses of MHMDS • Growing interest in activity data: MHMDS extracts now regularly supplied to SHAs, PCTs, Audit Commission, as well as CQC • Growing interest in linking this to reference costs: • Advisory Committee on Resource Allocation (ACRA) • Clinical Prioritisation • NHS Board – to support QIPP agenda • Price proxies developed for units of activity from DH Reference costs

  12. Matching MHMDS and Reference Cost Activity • Community Mental Health Teams - Face to Face • Mental Health Consultant Services (Community Setting) - First Contact / Follow-up Contact Face to Face • Mental Health Consultant Services (Outpatient Setting) - First Attendance / Follow-up Attendance Face to Face • Mental Health Inpatients • Eating Disorder Services • Mother & Baby Units

  13. Other activity • Mental Health Specialist Teams • Mental Health Day Care Facilities • Non Face to Face • Children’s Services • Drug & Alcohol Services • Maximum Secure Units • High Dependency Secure Provision • Autistic Spectrum Disorder Teams

  14. Other activity • Mental Health Specialist Teams • Mental Health Day Care Facilities • Non Face to Face • Children’s Services • Drug & Alcohol Services • Maximum Secure Units • High Dependency Secure Provision • Autistic Spectrum Disorder Teams

  15. National Unit Costs sum (Provider unit cost x Provider activity) = total activity

  16. National MHMDS price proxies 08-09

  17. Notes • Age Bands include ages from 15 to 111 • Total Bed Days removes wrongly recorded bed days totals which significantly skew costs amongst Medium and Standard bed days • When the total of bed days is greater than 365 days (apparent in c.1,100 records of the 1 million plus total) then the type of bed day is ranked in the order of highest to lowest, and where counts are equal in order of Intensive  Medium  Standard bed days

  18. Sample total volume and costs in the 2008/9 MHMDS extract

  19. Price proxy for Mental Health Activity: all English Providers

  20. Related issues / areas for improvement • Incorrect Start and End dates of Ward Stays • either overlapping • or not synchronised to Hospital Provider Spell, • or not present • Derived bed days that are plainly invalid are excluded from cost calculations

  21. Related issues / areas for improvement • Incorrect Start and End dates of Ward Stays • either overlapping Invalid Bed Days that can’t be used, eg > 366 in year or 92 in quarter • or not synchronised to Hospital Provider Spell Admissions and discharges but not correctly related to Bed Days • or not present No Bed Days • Bed Days are most expensive unit of activity – potential impact on resourcing and payment.

  22. Related issues / areas for improvement • Coverage – all services and teams so that comprehensive records of contacts and appointments • Improvements to recording of NHS day care facilities, acute home based care and stays in NHS residential homes – not considered reliable enough to include at present

  23. Basic Data Quality Checks Total Record Counts Any change in services? Can huge changes in data volumes be explained?

  24. New uses of MHMDS • Growing range of indicators • DH Service Performance Indicators for MH Trusts • Indicators for Quality Improvement • CQC Periodic Review • NI 149 and N1 150 • WCC Datapacks

  25. Related DQ issues • DH Service Performance Indicators for MH Trusts • HONOS, Diagnosis, Under 16s, AWOL • Indicators for Quality Improvement • CPA • CQC Periodic Review • Diagnosis, HONOS • WCC Datapacks

  26. New uses of MHMDS 3. Reducing the burden • KP90 collection, Mental Health Act related information – comprehensive and detailed • DRE Dashboard – team caseload • Community Activity – team caseload • Other elements of Performance Framework

  27. Present comparison, trust level figures about uses of the Mental Health Act * subject to confidentiality risk assessment

  28. Basic Data Quality Checks Team Type (at the end of the reporting period) Are your CLINTEAM and REV tables aligned? Are you using the same team identifier in both tables allowing the data to be linked?

  29. New uses of MHMDS • Making published statistics more useful – wider range of analysis in MH Bulletin to include • Diagnosis • Person based cost analysis • More about patients on SCT