Establish baseline data

This page highlights the importance of collecting quality data and provides links to resources that will help you analyse your local population’s needs and service provision requirements.

Recommended actions

Analyse current data and establish a baseline

  • Establish benchmarks, gaps, unmet need and priorities through local data cleansing and analysis of serious mental illness (SMI) register.
  • Benchmark and assess current provision to promote and support physical health (at organisation and system levels).
  • Involve care providers and other stakeholders in data collection and analysis.

Identify the population

  • Identify SMI population and at-risk population.
  • Identify health needs of SMI population.
  • Interrogate and link existing local population data (other Quality and Outcomes Framework (QOF) disease registers, the SMI disease register) to establish levels of multi co-morbidity.

Inform and evaluate service provision

  • Establish a clear baseline of current attainment in respect of completion of health checks, QOF and exception reporting.
  • Evaluate screening coverage, diagnosis and treatment rates.

Tools to help you

Physical health check and follow-up interventions for people with severe mental illness – Technical guidance (2019/20 collection): The updated indicator for 2019/20 asks CCGs to report quarterly on the delivery of physical health checks for people on the SMI register in any setting, including the relevant follow-up interventions and access to national screening. Technical guidance supporting both the 2018/19 collection and the expanded 2019/20 collection is available below.

Physical Health Checks-SMI Q1 2019-20: The data presented here are considered experimental owing to the fact that they are known to be incomplete both in terms of the number of CCGs who have not supplied information, and that some of those that have supplied information have supplied partial data. The experimental label of these statistics will be reviewed and removed once data completeness improves sufficiently.

Public Health England Fingertips – Public Health Profiles: These collate and analyse a wide range of publicly available data on prevalence, risk, prevention, early intervention, assessment, treatment, outcomes and service costs. It provides commissioners, service providers, clinicians, services users and their families with the means to benchmark their area against similar populations and gain intelligence about what works. The most relevant public health profiles for this work include:

The London Mental Health Dashboard combines a wide range of sources for a one-stop-data shop.

The Mental Health Five Year Forward View (MH FYFV) Dashboard. Brings together key data from across mental health services to measure the performance of the NHS in delivering the MH FYFV.

Public Health England Psychosis data report and dataset. Describes the variation in numbers of people with psychosis and their access to care and support across England, by local authority or Clinical Commissioning Group (CCG). It also highlights where there are quality issues or gaps in data relating to psychosis.

National Audit of Schizophrenia (NAS) collected data that enabled “clinicians who treat people with schizophrenia in the community to assess the quality of their prescribing of antipsychotic drugs and of their monitoring of  patients’ physical health. It also supported them to monitor patients’ experience and outcome of treatment, plus carers’ satisfaction with information and support.

Resources from NHS RightCare Intelligence (formerly Commissioning for Value) has produced information packs and tools to support commissioners on different topics, including mental health.

The NHS Atlas of Variation in Health Care (2015) summarises areas of unwarranted variation, including in mental health.

CCG outcomes tool and explorer. Published by the NHS and provides interactive access to data from the CCG Outcomes Indicator Set and the NHS Outcomes Framework as well as demographic and disease prevalence (QOF) data. Particular outcomes of relevance are:

CCG Outcomes Indicator Set: Smoking rates in people with serious mental illness (indicator 1.23)

CCG Outcomes Indicator Set: People with serious mental illness who have received the complete list of physical checks (indicator 1.12).

Mental health – from public data to public information:  The RSA (Royal Society for the encouragement of Arts, Manufactures and Commerce) Open Public Services Network (OPSN has produced an interactive tool to provide service users and the public access to data highlighting how well local health providers are looking after people with mental health conditions, and how death rates compare for people with serious mental health conditions.

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