This is the second short blogpost looking at recent trends in what’s happening with learning disability inpatient services in England to accompany the #7daysofaction campaign. This one looks at levels of ward security for people with learning disabilities in inpatient services in England from 2007 to 2015, using inpatient census information (see here http://www.hscic.gov.uk/searchcatalogue?productid=19718&q=learning+disability+census+2013&sort=Most+recent&size=100&page=1#top , here http://www.hscic.gov.uk/searchcatalogue?productid=20487&q=learning+disability+census+2013&sort=Most+recent&size=100&page=1#tophttps://www.improvinghealthandlives.org.uk/publications/1161/A&T_and_other_specialist_inpatient_care_for_people_with_LD_in_the_Count-Me-In_census
There is currently a lot of debate about different types of specialist inpatient service (particularly attempts to define Assessment and Treatment Units as fundamentally different to secure, forensic inpatient services), so I thought it would be useful to get an idea of trends in the number of people in these types of service over time. However, from 2007 to 2015 the categories of some types of inpatient service reported in censuses have changed substantially, and certainly from 2007 to 2010 underwent a time of definitional instability (with the number of people in services defined as ATUs going up and down so rapidly that this had to be a feature of how the same service defined itself over time rather than anything else - revealing in itself). So, as a relatively consistent measure of how services define themselves in terms of the ‘risk’ of the people they house, level of security (general, low, medium, high) seemed to be a better bet.