Publication, Part of Statistics on people with a learning disability and autistic people in mental health hospitals
Learning Disability Services Monthly Statistics, AT: February 2025, MHSDS: January 2025
Official statistics, Experimental statistics
Error in adult inpatient rates in Assuring Transformation (AT) Table 5.2
We have identified an error affecting the adult inpatient rates presented in Assuring Transformation (AT) Table 5.2. The error affects each AT reporting period from October 2023 to June 2025 inclusive.
The error arose due to the rate calculation having been performed using ONS mid-year population estimates from the year 2020 rather than 2017. The adult inpatient numbers in this table are unaffected by the error.
The affected rates data has now been redacted from Table 5.2 in each of the affected publications.
Corrected rates for March 2024 and March 2025, the ‘end-of-year’ months, have been published on Supplementary Information here.
NHS England apologises for any inconvenience caused.
8 October 2025 18:00 PM
Changes to reporting for patients on extended leave under Section 17 of the Mental Health Act
With effect from the publication on 20 February 2025 onwards, patients who are recorded in Assuring Transformation as on extended leave under Section 17 (S17) of the Mental Health Act due to specific court judgments (MM / PJ judgments) will be excluded from the inpatient counts reported in the publication.
A change to the guidance for data submitters on recording such patients in the data was issued in November 2024. Where historic data in the data tables is refreshed each month to account for updates by data submitters, patients will be excluded from the counts from each time point from 30 November 2024 onwards.
20 March 2025 09:30 AM
Summary findings from the AT dataset
Main findings
Data collected at the end of February 2025 shows that:
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There were 2,055 learning disabilities and/or autism inpatients at the end of the month.
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More patients were discharged (145) than admitted (95) to hospitals.
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115 (80%) were discharged back into the community.
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Many inpatients have been in hospital for a long time. Of those in hospital at the end of the month, 1,030 (50%) have had a total length of stay of over 2 years. This includes 315 who have been in hospital for more than 10 years.
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850 (41%) inpatients are in a secure ward.
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There were more males than females in hospital.
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The largest number of inpatients (620, 30%) were aged between 25-34, and the lowest number (40, 2%) were aged 65 and over.
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95 were admitted to hospital. Of these 50 were first admissions, 20 were readmissions within a year of the previous discharge, and 25 were transfers from other hospitals.
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540 inpatients (26%) last had a review of care over 6 months ago.
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30% of inpatients (495) in hospital travelled up to 10km for care or treatment, whilst approximately 32% of inpatients (540) in hospital travelled over 50km for care or treatment.
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410 inpatients (20%) have a date planned for them to leave hospital.
Inpatients
Overall Counts
There were 2,055 learning disabilities and/or autism inpatients at the end of the month. Of these, 1,970 have been receiving care from the start of the month.
Of the NHS England commissioning regions, Midlands and North East & Yorkshire each account for the highest proportion of learning disabilities inpatients (each 19% of the total), whilst East of England and South West each have the lowest (each 10% of the total).
Inpatient Age and Gender
(225, 11%) of inpatients are under 18 and (40, 2%) are 65 and over. The largest number of inpatients are in the 25-34 group (620, 30%).
Overall, there were more males than females in hospital.
Total Length of Stay
An inpatient’s total length of stay is the time since the date of their first admission to any hospital as part of this continuous period of inpatient care.
Of those in hospital at the end of the month, 1,030 (50%) have had a total length of stay over 2 years. This includes 315 who have been in hospital for more than 10 years.
Ward Security Level
1,205 (59%) of inpatients are in a non-secure ward, and 850 (41%) are in a secure ward. 70 (3%) of inpatients were in a high secure ward setting.
Non-secure wards include inpatients in general wards and psychiatric intensive care units (PICU). Secure wards include patients with low, medium and high secure ward settings.
Time since most recent review of care plan
990 (48%) inpatients had a review of care within the last 12 weeks. 540 (26%) last had a review of care over 6 months (26 weeks) ago.
Admissions
Counts of admissions include people who were admitted in the month and who were admitted and discharged in the month. For further details see the Glossary and Definitions in the AT Appendices.
Admissions by Status on Admission
95 were admitted to hospital during February 2025. Of these 50 were first admissions in a year, 20 were readmissions within a year of the previous discharge, and 25 were transfers from other hospitals.
Source of Admission
Patients were most commonly admitted from their usual place of residence (40%), followed by from acute hospital beds (25%).
Discharges / transfers
Counts of discharges include people who were discharged in the month and who were admitted and discharged in the month. Discharges includes where patients were transferred to other hospitals.
The recording of Discharge destination changed in v3 of the dataset from April 2021, earlier data is not comparable.
For further details see the Glossary and Definitions in the AT Appendices.
Discharge Destination
145 inpatients were discharged from a hospital during February 2025. Of these 115 (80%) were discharged back to the community. 25 (18%) were transferred to another hospital setting.
Last edited: 8 October 2025 5:54 pm