Friday, 13 May 2016

Some statistics on children in learning disability inpatient services

The 2015 Learning Disability Census

From the Learning Disability Census 2015 (weblink here http://www.hscic.gov.uk/article/2021/Website-Search?productid=20487&q=learning+disability+census+2015&sort=Relevance&size=10&page=1&area=both#top ). This is run by the Health and Social Care Information Centre.

As of 30th September 2015, in total there were exactly 3,000 people in specialist learning disability inpatient services.

Total number of children aged under 18 in learning disability inpatient services:
·        2015:     165 children
           2014:     160 children
2013:     160 children

Main treatment reason for needing inpatient care:
·        Need inpatient care:                     130 children (75 mental illness; 55 behavioural treatment)
·        Does not need inpatient care:      15 children (for 5 a community placement was being sought)
·        Other:                                           20 children

Treatment plan:
·        Not  dischargeable:                         35 children
·        Active treatment plan:                    60 children
·        Working towards discharge:           55 children
·        Delayed transfer of care:                10 children

Behavioural risks (multiple risks are possible):
·        Violence/threats to others:                          105 children
·        Sexual behaviour – risk to others:               30 children
·        Sexual behaviour – risk to self:                    35 children
·        Fire setting:                                                    5 children
·        Injury to self:                                                95 children
·        Property damage:                                          85 children

DoLS not in place:            160 children

Advocacy used (multiple advocates are possible): Yes – 110 children
·        Family:                                60 children
·        Independent person:            90 children
·        IMCA:                                 20 children
·        IMHA:                                 45 children
·        Non-instructed:                   20 children

Are patient’s family involved:       Yes – 145 children

Length of stay (to date – in current unit)
·        Less than 3 months:          65 children
·        3-6 months:                       30 children
·        6 months-1 year:               35 children
·        1-2 years:                           25 children
·        2-5 years:                           10 children

Distance of unit from home post code:
·        Less than 10km: 20 children
·        10-20km:                            10 children
·        20-50km:                            25 children
·        50-100km:                          30 children
·        More than 100km:              60 children

Incidents experienced in 3 months before census:
·        Adverse experiences only (accident, physical assault, self-harm):                    55 children
·        Restrictive measures only (seclusion, physical restraint):                                  25 children
·        Both adverse experiences and restrictive measures:                                          70 children
·        No incidents:                                                                                                       55 children

Antipsychotic medication in 28 days before census:
·        None:                                                 60 children
·        Regularly prescribed:                        85 children
·        Regularly prescribed and PRN:        20 children

Rapid tranquilising medication in 28 days before census:  
·        Yes:        45 children
·        No:        120 children

  
Assuring Transformation data
This is also collected by/creditable to the HSCIC (see weblink here http://www.hscic.gov.uk/article/2021/Website-Search?productid=20879&q=assuring+transformation+report+quarter+4&sort=Relevance&size=10&page=1&area=both#top ). The latest available information is collated for the quarter January - March 2016. Nearly all commissioners provide information now, which is an improvement, but a lot of them provide information late, so the current total number of people recorded in this dataset (2,615 people) will increase as people are ‘found’ by commissioners later on.

Total number of children with learning disabilities under 18 in specialist inpatient services: 170
·        Secure forensic:                                      60 children
·        Acute learning disability:                       40 children
·        Acute generic mental illness:                 40 children
·        Other specialist:                                      10 children
·        Other:                                                      20 children

Legal status:
·        Informal:             60 children
·        MHA Part II:     100 children

Time to planned transfer from the inpatient service:
·        0-3 months:                             20 children
·        Transfer overdue:                     5 children
·        No planned transfer date:      140 children

Length of stay (to date) in current unit:
·        Up to 1 year:              125 children
·        1-5 years:                    45 children

Total length of continuous stay in specialist inpatient services:
·        Up to 1 year:              115 children

·        1-5 years:                    55 children

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