The Severe Mental Illness Profiling tool is part of a suite that make population level data on mental health publicly available, and supports an intelligence driven approach to understanding and meeting need.
The tool collates and analyses a wide range of data on prevalence, risk, prevention, early intervention, assessment, treatment, outcomes and inequality. It provides commissioners, service providers, clinicians, services users and their families with the means to profile areas and benchmark against similar populations.
Note: data are drawn from many sources and vary by time period, population and presentation of values. Care should be taken with interpretation. Detailed meta data and any caveats are set out in the Definitions section.
April 2021 - an Exploring Inequality domain has been added to this profiling tool. It includes metrics that can be further broken down by population characteristic and by deprivation grouping.
Go to Exploring Inequality for an introduction on content and using this new domain.
To go direct to the available metrics click on Inequality in detail
December 2020 - 2 new indicators on mortality in adults with SMI have been added. These are:
and can be found in Quality and Outcomes domain, for area County and UA pre 4/19
Quality and Outcomes domain
The following indicators were updated:
Please note: Data for 2015-17 have been recalculated due to a change in the methodology for assignment of patient ID by NHS Digital across a number of datasets. Please see metadata for further information.
The following new indicators were added:
Exploring Inequality: Learn more about inequality data in secondary mental health services data.
Inequality in detail Examine the range of inequality data in our indicators
Two small errors have been found in the contextual data published by NHS Digital for the following indicator:
Details of the errors and corrected data is now available from the NHS Outcome Framework website
This only affected the version of the data published by NHS Digital and data on this site was not affected
The following indicators were added:
The following indicators were removed:
The following indicators have been removed:
Services domain
Quality and Outcomes domain
Thirty two indicators in Profile have been updated.
Four indicators in the quality and outcomes domain.
Two indicators in the quality and outcomes domain.
Indicator 93291 persons detained under Mental Heath Act is now also available for older persons (people over 65 + years)
17 Quarterly indicators updated with the latest MHSDS data for Q4 2017/18
Quality and Outcomes
CPA adults in employment: % of people on CPA (aged 18-69) (end of quarter snapshot)
Stable and appropriate accommodation: % of people on CPA (aged 18-69) (end of quarter snapshot)
CPA review: % of people on CPA for more than 12 months who have had a review (end of quarter snapshot)
CPA users with HoNOS assessment: % of people on CPA with HoNOS recorded (end of quarter snapshot)
Recording of employment status: % of people in contact with mental health and learning disability services with employment status recorded (end of quarter snapshot)
Diagnosis coding: % of people in contact with mental health services with a diagnosis or provisional diagnosis recorded (end of quarter snapshot)
Recording of accommodation status: Percentage of people in contact with mental health services with accommodation status recorded (end of quarter snapshot)
Delayed discharges: days of delayed discharges in the quarter: rate per 1,000 bed days
Service users with crisis plans: % of people in contact with mental health services (end of quarter snapshot)
Services
People on Care Programme Approach (CPA): rate per 100,000 population aged 18+ (end of quarter snapshot)
People subject to Mental Health Act: rate per 100,000 population aged 18+ (end of quarter snapshot)
Contact with specialist mental health services: rate per 100,000 population aged 18+ (end of quarter snapshot)
Mental health service users on Care Programme Approach: % of mental health service users (end of quarter snapshot)
Service users in hospital: % of mental health service users (end of quarter snapshot)
Mental health admissions to hospital: rate per 100,000 population
Persons detained under MHA: proportion of people in contact with mental health services (end of quarter snapshot)
Persons detained under MHA: rate per 100,000 population (end of quarter snapshot)
RAG rating for all serious mental illness indicators has been added to align with other PHE indicators in fingertips.
17 Quarterly indicators updated
Quality and Outcomes
CPA adults in employment: % of people on CPA (aged 18-69) (end of quarter snapshot)
Stable and appropriate accommodation: % of people on CPA (aged 18-69) (end of quarter snapshot)
CPA review: % of people on CPA for more than 12 months who have had a review (end of quarter snapshot)
CPA users with HoNOS assessment: % of people on CPA with HoNOS recorded (end of quarter snapshot)
Recording of employment status: % of people in contact with mental health and learning disability services with employment status recorded (end of quarter snapshot)
Diagnosis coding: % of people in contact with mental health services with a diagnosis or provisional diagnosis recorded (end of quarter snapshot)
Recording of accommodation status: Percentage of people in contact with mental health services with accommodation status recorded (end of quarter snapshot)
Delayed discharges: days of delayed discharges in the quarter: rate per 1,000 bed days
Service users with crisis plans: % of people in contact with mental health services (end of quarter snapshot)
Services
People on Care Programme Approach (CPA): rate per 100,000 population aged 18+ (end of quarter snapshot)
People subject to Mental Health Act: rate per 100,000 population aged 18+ (end of quarter snapshot)
Contact with specialist mental health services: rate per 100,000 population aged 18+ (end of quarter snapshot)
Mental health service users on Care Programme Approach: % of mental health service users (end of quarter snapshot)
Service users in hospital: % of mental health service users (end of quarter snapshot)
Mental health admissions to hospital: rate per 100,000 population
Persons detained under MHA: proportion of people in contact with mental health services (end of quarter snapshot)
Persons detained under MHA: rate per 100,000 population (end of quarter snapshot)
Updates 17 indicators updated
Quality and Outcomes
CPA adults in employment: % of people on CPA (aged 18-69) (end of quarter snapshot)
Stable and appropriate accommodation: % of people on CPA (aged 18-69) (end of quarter snapshot)
CPA review: % of people on CPA for more than 12 months who have had a review (end of quarter snapshot)
CPA users with HoNOS assessment: % of people on CPA with HoNOS recorded (end of quarter snapshot)
Recording of employment status: % of people in contact with mental health and learning disability services with employment status recorded (end of quarter snapshot)
Diagnosis coding: % of people in contact with mental health services with a diagnosis or provisional diagnosis recorded (end of quarter snapshot)
Recording of accommodation status: Percentage of people in contact with mental health services with accommodation status recorded (end of quarter snapshot)
Delayed discharges: days of delayed discharges in the quarter: rate per 1,000 bed days
Service users with crisis plans: % of people in contact with mental health services (end of quarter snapshot)
Services
People on Care Programme Approach (CPA): rate per 100,000 population aged 18+ (end of quarter snapshot)
People subject to Mental Health Act: rate per 100,000 population aged 18+ (end of quarter snapshot)
Contact with specialist mental health services: rate per 100,000 population aged 18+ (end of quarter snapshot)
Mental health service users on Care Programme Approach: % of mental health service users (end of quarter snapshot)
Service users in hospital: % of mental health service users (end of quarter snapshot)
Mental health admissions to hospital: rate per 100,000 population
Persons detained under MHA: proportion of people in contact with mental health services (end of quarter snapshot)
Persons detained under MHA: rate per 100,000 population (end of quarter snapshot)
27 new indicators updated using the latest MHSDS and QOF data
Psychosis Pathway
•Severe mental illness recorded prevalence (QOF): % of practice register (all ages)
Risk and related factors
•Learning disability QOF prevalence: % of people on GP practice registers
Services
•Contact with specialist mental health services: rate per 100,000 population aged 18+
•People on Care Programme Approach (CPA): rate per 100,000 population aged 18+
•Mental health admissions to hospital: rate per 100,000 population
•People subject to Mental Health Act: rate per 100,000 population aged 18+
•Persons detained under MHA: rate per 100,000 population
•CPA users with HoNOS assessment: % of people on CPA with HoNOS recorded
•Mental health service users on Care Programme Approach: % of mental health service users
•Service users in hospital: % of mental health service users
Quality and outcomes
•CPA adults in employment: % of people on CPA (aged 18-69)
•Persons detained under MHA: proportion of people in contact with mental health services Stable and appropriate accommodation: % of people on CPA (aged 18-69)
•Delayed discharges: days of delayed discharges in the quarter: rate per 1,000 bed days
•Recording of employment status: % of people in contact with mental health and learning disability services with employment status recorded
•Diagnosis coding: % of people in contact with mental health services with a diagnosis or provisional diagnosis recorded
•Recording of accommodation status: Percentage of people in contact with mental health services with accommodation status recorded
•Service users with crisis plans: % of people in contact with mental health services
•People with SMI who have comprehensive care plan: % of people with SMI
•Patients on lithium therapy with record of serum creatinine and TSH: % with record in the preceding 9 months
•Patients on lithium therapy with levels in therapeutic range: % within preceding 4 months
•Exception rate for severe mental illness (SMI) QOF indicators: % of patients excluded from mental health quality indicators
•Patients with SMI with alcohol consumption check: % with record in preceding 12 months
•Female patients with SMI who had cervical screening test: % tested in preceding 5 years
•Smokers on GP registers (certain conditions) offered cessation support and treatment: % within preceding 12 months
•Staff training: % of staff receiving job-relevant training, learning or development in last 12 months
•Staff health & safety training: % of staff receiving mandatory training in last 12 months
•Staff witnessing potentially harmful errors, near misses or incidents: % staff witnessing in last month
•Staff engagement: overall score
Quality and Outcomes domain
The following indicators were updated:
Please note: Data for 2015-17 have been recalculated due to a change in the methodology for assignment of patient ID by NHS Digital across a number of datasets. Please see metadata for further information.
The following new indicators were added:
Exploring Inequality: Learn more about inequality data in secondary mental health services data.
Inequality in detail Examine the range of inequality data in our indicators
Two small errors have been found in the contextual data published by NHS Digital for the following indicator:
Details of the errors and corrected data is now available from the NHS Outcome Framework website
This only affected the version of the data published by NHS Digital and data on this site was not affected
The following indicators were added:
The following indicators were removed:
The following indicators have been removed:
Services domain
Quality and Outcomes domain
Thirty two indicators in Profile have been updated.
Four indicators in the quality and outcomes domain.
Two indicators in the quality and outcomes domain.
Indicator 93291 persons detained under Mental Heath Act is now also available for older persons (people over 65 + years)
17 Quarterly indicators updated with the latest MHSDS data for Q4 2017/18
Quality and Outcomes
CPA adults in employment: % of people on CPA (aged 18-69) (end of quarter snapshot)
Stable and appropriate accommodation: % of people on CPA (aged 18-69) (end of quarter snapshot)
CPA review: % of people on CPA for more than 12 months who have had a review (end of quarter snapshot)
CPA users with HoNOS assessment: % of people on CPA with HoNOS recorded (end of quarter snapshot)
Recording of employment status: % of people in contact with mental health and learning disability services with employment status recorded (end of quarter snapshot)
Diagnosis coding: % of people in contact with mental health services with a diagnosis or provisional diagnosis recorded (end of quarter snapshot)
Recording of accommodation status: Percentage of people in contact with mental health services with accommodation status recorded (end of quarter snapshot)
Delayed discharges: days of delayed discharges in the quarter: rate per 1,000 bed days
Service users with crisis plans: % of people in contact with mental health services (end of quarter snapshot)
Services
People on Care Programme Approach (CPA): rate per 100,000 population aged 18+ (end of quarter snapshot)
People subject to Mental Health Act: rate per 100,000 population aged 18+ (end of quarter snapshot)
Contact with specialist mental health services: rate per 100,000 population aged 18+ (end of quarter snapshot)
Mental health service users on Care Programme Approach: % of mental health service users (end of quarter snapshot)
Service users in hospital: % of mental health service users (end of quarter snapshot)
Mental health admissions to hospital: rate per 100,000 population
Persons detained under MHA: proportion of people in contact with mental health services (end of quarter snapshot)
Persons detained under MHA: rate per 100,000 population (end of quarter snapshot)
RAG rating for all serious mental illness indicators has been added to align with other PHE indicators in fingertips.
17 Quarterly indicators updated
Quality and Outcomes
CPA adults in employment: % of people on CPA (aged 18-69) (end of quarter snapshot)
Stable and appropriate accommodation: % of people on CPA (aged 18-69) (end of quarter snapshot)
CPA review: % of people on CPA for more than 12 months who have had a review (end of quarter snapshot)
CPA users with HoNOS assessment: % of people on CPA with HoNOS recorded (end of quarter snapshot)
Recording of employment status: % of people in contact with mental health and learning disability services with employment status recorded (end of quarter snapshot)
Diagnosis coding: % of people in contact with mental health services with a diagnosis or provisional diagnosis recorded (end of quarter snapshot)
Recording of accommodation status: Percentage of people in contact with mental health services with accommodation status recorded (end of quarter snapshot)
Delayed discharges: days of delayed discharges in the quarter: rate per 1,000 bed days
Service users with crisis plans: % of people in contact with mental health services (end of quarter snapshot)
Services
People on Care Programme Approach (CPA): rate per 100,000 population aged 18+ (end of quarter snapshot)
People subject to Mental Health Act: rate per 100,000 population aged 18+ (end of quarter snapshot)
Contact with specialist mental health services: rate per 100,000 population aged 18+ (end of quarter snapshot)
Mental health service users on Care Programme Approach: % of mental health service users (end of quarter snapshot)
Service users in hospital: % of mental health service users (end of quarter snapshot)
Mental health admissions to hospital: rate per 100,000 population
Persons detained under MHA: proportion of people in contact with mental health services (end of quarter snapshot)
Persons detained under MHA: rate per 100,000 population (end of quarter snapshot)
Updates 17 indicators updated
Quality and Outcomes
CPA adults in employment: % of people on CPA (aged 18-69) (end of quarter snapshot)
Stable and appropriate accommodation: % of people on CPA (aged 18-69) (end of quarter snapshot)
CPA review: % of people on CPA for more than 12 months who have had a review (end of quarter snapshot)
CPA users with HoNOS assessment: % of people on CPA with HoNOS recorded (end of quarter snapshot)
Recording of employment status: % of people in contact with mental health and learning disability services with employment status recorded (end of quarter snapshot)
Diagnosis coding: % of people in contact with mental health services with a diagnosis or provisional diagnosis recorded (end of quarter snapshot)
Recording of accommodation status: Percentage of people in contact with mental health services with accommodation status recorded (end of quarter snapshot)
Delayed discharges: days of delayed discharges in the quarter: rate per 1,000 bed days
Service users with crisis plans: % of people in contact with mental health services (end of quarter snapshot)
Services
People on Care Programme Approach (CPA): rate per 100,000 population aged 18+ (end of quarter snapshot)
People subject to Mental Health Act: rate per 100,000 population aged 18+ (end of quarter snapshot)
Contact with specialist mental health services: rate per 100,000 population aged 18+ (end of quarter snapshot)
Mental health service users on Care Programme Approach: % of mental health service users (end of quarter snapshot)
Service users in hospital: % of mental health service users (end of quarter snapshot)
Mental health admissions to hospital: rate per 100,000 population
Persons detained under MHA: proportion of people in contact with mental health services (end of quarter snapshot)
Persons detained under MHA: rate per 100,000 population (end of quarter snapshot)
27 new indicators updated using the latest MHSDS and QOF data
Psychosis Pathway
•Severe mental illness recorded prevalence (QOF): % of practice register (all ages)
Risk and related factors
•Learning disability QOF prevalence: % of people on GP practice registers
Services
•Contact with specialist mental health services: rate per 100,000 population aged 18+
•People on Care Programme Approach (CPA): rate per 100,000 population aged 18+
•Mental health admissions to hospital: rate per 100,000 population
•People subject to Mental Health Act: rate per 100,000 population aged 18+
•Persons detained under MHA: rate per 100,000 population
•CPA users with HoNOS assessment: % of people on CPA with HoNOS recorded
•Mental health service users on Care Programme Approach: % of mental health service users
•Service users in hospital: % of mental health service users
Quality and outcomes
•CPA adults in employment: % of people on CPA (aged 18-69)
•Persons detained under MHA: proportion of people in contact with mental health services Stable and appropriate accommodation: % of people on CPA (aged 18-69)
•Delayed discharges: days of delayed discharges in the quarter: rate per 1,000 bed days
•Recording of employment status: % of people in contact with mental health and learning disability services with employment status recorded
•Diagnosis coding: % of people in contact with mental health services with a diagnosis or provisional diagnosis recorded
•Recording of accommodation status: Percentage of people in contact with mental health services with accommodation status recorded
•Service users with crisis plans: % of people in contact with mental health services
•People with SMI who have comprehensive care plan: % of people with SMI
•Patients on lithium therapy with record of serum creatinine and TSH: % with record in the preceding 9 months
•Patients on lithium therapy with levels in therapeutic range: % within preceding 4 months
•Exception rate for severe mental illness (SMI) QOF indicators: % of patients excluded from mental health quality indicators
•Patients with SMI with alcohol consumption check: % with record in preceding 12 months
•Female patients with SMI who had cervical screening test: % tested in preceding 5 years
•Smokers on GP registers (certain conditions) offered cessation support and treatment: % within preceding 12 months
•Staff training: % of staff receiving job-relevant training, learning or development in last 12 months
•Staff health & safety training: % of staff receiving mandatory training in last 12 months
•Staff witnessing potentially harmful errors, near misses or incidents: % staff witnessing in last month
•Staff engagement: overall score