Page | 1

Mental Health

Intelligence

Data Pack

Greater Manchester

December 2014 update

Contents Page

Page | 2

Contents 3 - Populations per CCG

4 - Health Maps 7 - Incidents 8 - Serious Incidents 15 - Monitor Regulatory Information 15 - CQC Regulatory Information 17 - Friends and Family 18 - Community Mental Health Survey 20 - Staff Survey

22 - Common Mental Health Disorders – Risk and related factors 22 - Common Mental Health Disorders – Prevalence 23 - Common Mental Health Disorders – Services

24 - Common Mental Health Disorders – Quality and Outcomes

25 - Common Mental Health Disorders – Finance

26 - Common Mental Health Disorders – CMHD Pathway

27 - Community Mental Health Profiles – Levels of mental health and illness 28 - Community Mental Health Profiles – Treatment 29 - Community Mental Health Profiles – Outcomes

29 - Severe Mental Illness – Risk and related factors

30 - Severe Mental Illness – Prevalence

31 - Severe Mental Illness – Services

32 - Severe Mental Illness – Quality & Outcomes

33 - Severe Mental Illness – Finance 34 - Severe Mental Illness – Psychosis Pathway

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Populations per Clinical Commissioning Group (CCG)

(Greater Manchester) 2014

Note

This table shows the CCG population size per Clinical Commissioning Group (CCG) for the

SCN. The table also gives information on the running cost allowance per CCG.

CCG

codeCCG name

ADS 2012

registered

population

ADS registered

population

adjusted to new

ONS13

projections

Running

Cost

Allowance

£m

00T NHS Bolton CCG 296,802 279,899 7.00

00V NHS Bury CCG 196,283 186,926 4.67

00W NHS Central Manchester CCG 214,744 203,032 5.08

01D NHS Heywood, Middleton & Rochdale CCG 224,572 212,238 5.31

01M NHS North Manchester CCG 187,565 177,542 4.44

00Y NHS Oldham CCG 241,018 230,603 5.77

01G NHS Salford CCG 250,125 241,857 6.05

01N NHS South Manchester CCG 166,928 157,807 3.95

01W NHS Stockport CCG 299,137 287,261 7.18

01Y NHS Tameside and Glossop CCG 241,023 232,491 5.81

02A NHS Trafford CCG 234,822 225,221 5.63

02H NHS Wigan Borough CCG 320,637 316,343 7.91

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Page | 4

Map showing % of the relevant population in

these areas living in the 20% most deprived Lower

Super Output Areas in England

Benchmark: England

Source: PHE Fingertips tool

Highlights

This map shows the deprivation per County UA area compared with the England score

as a benchmark.

The IMD 2010 is calculated mainly using 2008 data and will be at least 6 years out of

date.

Highest/worse than England deprived areas (Red) are: Blackburn with Darwen,

Blackpool, Bolton, Manchester, Oldham, Preston, Rochdale, Salford, Tameside and

Wigan.

Lowest/better than England deprived areas (Green) are: Bury, Fylde, Lancaster, South

Ribble, Trafford, West Lancashire and Wyre.

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Page | 5

Map showing Emergency Hospital Admissions for

Intentional Self-Harm

Benchmark: England

Source: PHE Fingertips tool

Highlights

This map shows the admissions per County UA area compared with the England score as

a benchmark.

Highest/worse than England admission areas (Red) are: Blackburn with Darwen,

Blackpool, Fylde, Lancaster, Manchester, Preston, Rochdale, Salford, Tameside, West

Lancashire, Wigan and Wyre.

Lowest/better than England admission areas (Green) are: There are no areas that are

green just those that are similar (Yellow) to the England total.

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Page | 6

Map showing Age-standardised mortality rate from

suicide and injury of undetermined intent per

100,000 population

Benchmark: England

Source: PHE Fingertips tool

Highlights

This map shows the Age-standardised mortality rate from suicide and injury of

undetermined intent per 100,000 population per County UA area compared with the

England score as a benchmark.

Highest/worse than England suicide areas (Red) are: Blackburn with Darwen, Blackpool,

Bolton, Manchester, Preston, South Ribble and Wigan.

Lowest/better than England suicide areas (Green) are: There are no areas that are

green just those that are similar (Yellow) to the England total. The (grey) areas are

those which have no values due to the number of cases being too small.

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Page | 7

Incidents

Source: National Patient Safety Agency (NPSA) data

Note: Data comes from NRLS which is publically available information for incidents reported by

NHS providers.

Note: The above is a comparison of the type of incidents that occur in Greater Manchester Mental

Health trusts as a percentage of all incidents

17.07

21.13 20.5

0

5

10

15

20

25

Pennine Care GMW MMH

Rate per 1000 Bed days - Mental Health

April13 - Sep13 Oct13 - Mar14

Page | 8

Note: The degree of harm associated with incidents for Mental Health trusts in GM.

Serious Incidents

Note: STEIS covers serious incidents. Above, incidents are compared for the same time period in

2013 and 2014.

0

1

2

3

4

5

6

7

Greater Manchester

West Mental Health NHS

Foundation Trust

Manchester Mental

Health and Social Care

Trust

Pennine Care NHS

Foundation Trust

STEIS in mental health per 1000 patients

Apr 2013 - Nov 2013

Apr 2014 - Nov 2014

Page | 9

Note: The rate (per 1000 admissions) at which serious incidents occur to different patient

categories

Note: The rate (per 1000 admissions) at which serious incidents occur at different locations

0

1

2

3

4

A&

E P

ati

en

t

Co

mm

un

ity

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t P

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lien

t

Rat

e o

f se

rio

us

inci

de

nts

pe

r 1

00

0 a

dm

issi

on

s Rate of all serious incidents in trusts by patient type

Greater Manchester West Mental Health NHS Foundation Trust

Manchester Mental Health and Social Care Trust

Pennine Care NHS Foundation Trust

0

0.5

1

1.5

2

2.5

3

War

d a

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ide

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and

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al

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/rem

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Rat

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f se

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us

inci

de

nts

pe

r 1

00

0 a

dm

issi

on

s Greater Manchester West Mental

Health NHS Foundation Trust

Manchester Mental Health and Social

Care Trust

Pennine Care NHS Foundation Trust

Page | 10

Note: The rate (per 1000 admissions) at which serious incidents occur on different days of the

week

Note: The rate (per 1000 admissions) at which serious incidents occur at different days in the

month

0

0.5

1

1.5

2

2.5

MON TUE WED THU FRI SAT SUN

Rat

e o

f se

rio

us

inci

de

nts

pe

r 1

00

0 a

dm

issi

on

s

Day of the week

Rate of serious incidents in trusts by day of the week

Greater Manchester West Mental Health NHS Foundation Trust

Manchester Mental Health and Social Care Trust

Pennine Care NHS Foundation Trust

0

0.2

0.4

0.6

0.8

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Rat

e o

f se

rio

us

inci

de

nce

s p

er

10

00

ad

mis

sio

ns

Rate of serious incidents in trusts for each day of month

Greater Manchester West Mental Health NHS Foundation Trust

Manchester Mental Health and Social Care Trust

Pennine Care NHS Foundation Trust

Page | 11

Note: The rate (per 1000 admissions) at which serious incidents occur to different patient

categories in different times of the year. Jan Feb and Dec data not included in this extract.

Note: The rate (per 1000 admissions) at which serious incidents occur to different patient

ethnicities

0

1

2

3

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Rat

e o

f se

rio

us

inci

de

nts

pe

r 1

00

0

adm

issi

on

sRate of serious incidents in trusts for each

month of the year

Greater Manchester West Mental Health NHS Foundation Trust

Manchester Mental Health and Social Care Trust

Pennine Care NHS Foundation Trust

0123456789

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r 1

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0 a

dm

issi

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Rate of all serious incidents in trusts by patient ethnicity

Greater Manchester West Mental Health NHS Foundation Trust

Manchester Mental Health and Social Care Trust

Pennine Care NHS Foundation Trust

Page | 12

Note: The rate (per 1000 admissions) at which serious incidents occur to different patient sexes

Note: The rate (per 1000 admissions) at which different serious incidents occur

0

1

2

3

4

5

6

7

8

Greater Manchester West

Mental Health NHS Foundation

Trust

Manchester Mental Health and

Social Care Trust

Pennine Care NHS Foundation

Trust

Rat

e o

f se

rio

us

inci

de

nts

pe

r 1

00

0 a

dm

issi

on

s

Rate of all serious incidents in trusts by patient gender

Female Male

0

1

2

3

4

5

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Rat

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us

inci

de

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pe

r 1

00

0 a

dm

issi

on

s Rate of all serious incidents in trusts by incident type

Greater Manchester West Mental Health NHS Foundation Trust

Manchester Mental Health and Social Care Trust

Pennine Care NHS Foundation Trust

Page | 13

Note: The rate (per 1000 admissions) at which serious incidents occur to different male patients of

different ethnicities

Note: The rate (per 1000 admissions) at which serious incidents occur to different female patients

of different ethnicities

0

10

20

30

40

50

Wh

ite

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riti

sh

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ck o

r B

lack

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tish

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ish

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Rat

e o

f se

rio

us

inci

de

nts

pe

r 1

00

0 a

dm

issi

on

s Rate of serious incidents in trusts by male patient ethnicity

Greater Manchester West Mental Health NHS Foundation Trust

Manchester Mental Health and Social Care Trust

Pennine Care NHS Foundation Trust

05

10152025303540

Fem

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r

Bla

ck B

riti

sh -

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ale

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ite

& B

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Wh

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Asi

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sh…

Rat

e o

f se

rio

us

inci

de

nts

pe

r 1

00

0 a

dm

issi

on

s Rate of serious incidents in trusts by female patient ethnicity

Greater Manchester West Mental Health NHS Foundation Trust

Manchester Mental Health and Social Care Trust

Pennine Care NHS Foundation Trust

Page | 14

Note: The rate (per 1000 admissions) at which different types of incidents occur that involve harm.

This is a combination of different categories

Note: The rate (per 1000 admissions) at which serious incidents occur at different times in a 24

hour period

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

suicide rate Attempted

suicide rate

unexpected

death rate

(including

overdoses)

rate of

patients

harming, or

attempting to

harm others

Rat

e o

f se

rio

us

inci

de

nts

pe

r 1

00

0 a

dm

issi

on

s

Greater Manchester West Mental

Health NHS Foundation Trust

Manchester Mental Health and

Social Care Trust

Pennine Care NHS Foundation

Trust

0

1

2

3

4

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 0

Rat

e o

f se

rio

us

inci

de

nce

s p

er

10

00

ad

mis

sio

ns

Hour of day

Rate of serious incidents in trusts by time of day

Pennine Care NHS Foundation Trust

Manchester Mental Health and Social Care Trust

Greater Manchester West Mental Health NHS Foundation Trust

Page | 15

Monitor regulatory information

Continuity of services rating 1: significant risk 2: material risk 2*: level of risk is material but stable 3: emerging or minor concern 4: no evident concerns Governance rating Red - where we are taking enforcement action Green - no evident concerns Note: The monitor governance rating for Mental Health trusts

CQC regulatory information

Note: Findings from CQC

Page | 16

Note: Advancing Quality Alliance (AQA) results for Mental Health trusts in GM. Trusts that

outperform AQA targets are highlighted in green and underperforming trusts are highlighted in

red.

Page | 17

Friends and family

Note: The percentage of staff respondents for Q1 2014 who would their organisation to friends

and family in need of care/treatment, and the percentage who would not recommend their

organisation

Page | 18

Community Mental Health Survey 2013

Page | 19

Page | 20

Staff survey

Page | 21

Note: Staff survey for the three trusts highlighted according to performance against comparison

trusts

Note: Comparison of the 2013 staff survey to results for the same trusts in the 2012 survey

Note: Comparison of the 2013 staff survey against national peer group

Page | 22

Common Mental Health Disorders –

Risk and related factors

Common Mental Health Disorders –

Prevalence

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Page | 23

Common Mental Health Disorders –

Services

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Common Mental Health Disorders –

Quality & Outcomes

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Page | 25

Common Mental Health Disorders –

Finance

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Page | 26

Common Mental Health Disorders –

CMHD Pathway

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Page | 27

Community Mental Health Profiles –

Levels of mental health and illness

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Page | 28

Community Mental Health Profiles –

Treatment

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Page | 29

Community Mental Health Profiles –

Outcomes

Severe Mental Illness – Risk and

related factors

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Page | 30

Severe Mental Illness – Prevalence

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Page | 31

Severe Mental Illness – Services

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Severe Mental Illness – Quality and Outcomes

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Severe Mental Illness – Finance

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Severe Mental Illness – Psychosis Pathway

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