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Mental Health Act Statistics, Annual Figures, 2022-23

Official statistics, National statistics

National Statistics

Current Chapter

Mental Health Act Statistics, Annual Figures, 2022-23


Correction to Table 1a

An issue has been identified and fixed with Table 1a of the Excel Data Tables. This issue had meant that Independent Sector Provider data for 2020-21 had duplicated with data for 2021-22. This meant that previously column AF in Table 1a was incorrect. An update has now been made and the tables reissued. NHS England apologises for any inconvenience caused.

29 January 2024 14:15 PM

Summary

This publication contains the official statistics about uses of the Mental Health Act ('the Act') in England during 2022-23.

Under the Act, people with a mental disorder may be formally detained in hospital (or 'sectioned') in the interests of their own health or safety, or for the protection of other people. They can also be treated in the community but subject to recall to hospital for assessment and/or treatment under a Community Treatment Order (CTO).

In 2016-17, the way we source and produce these statistics changed. Previously these statistics were produced from the KP90 aggregate data collection. They are now primarily produced from the Mental Health Services Data Set (MHSDS). The MHSDS provides a much richer data source for these statistics, allowing for new insights into uses of the Act. People may be detained in secure psychiatric hospitals, other NHS Trusts or at Independent Service Providers (ISPs). All organisations that detain people under the Act must be registered with the Care Quality Commission (CQC).

In recent years, the number of detentions under the Act have been rising. An independent review has examined how the Act is used and has made recommendations for improving the Mental Health Act legislation.

In responding to the review, the government said it would introduce a new Mental Health Bill to reform practice.

This publication does not cover:

1. People in hospital voluntarily for mental health treatment, as they have not been detained under the Act (see the Mental Health Bulletin).

2. Uses of section 136 where the place of safety was a police station; these are published by the Home Office.


Impact of the cyber incident

A cyber incident occurred in 2022-23 which impacted data for the months between August 2022 and March 2023. The cyber incident impacted 13 providers and meant that through the period NHS England produced national estimates where possible. Most providers had resolved the issue by the end of 2022-23 whilst some were given an additional opportunity to resubmit 2022-23 data after the 2022-23 submission period had ended. 

The majority of the data thought to have been lost as a result of the cyber incident has now been submitted to MHSDS but some providers have not been able to submit data for August 2022 to March 2023 and others have areas of data which they have not been able to include as part of their resubmissions. 

As such some caution is advised when interpreting the data included in this publication. Further information on the cyber incident and the response to the cyber incident can be found in the Mental Health Services Monthly Statistics publication.


Public Consultation

The Health and Social Care Statistics Leadership Forum have commissioned a joint public consultation of health and social care statistical outputs. As part of the consultation NHS England are proposing changes to the Mental Health Act annual report and the Mental Health Bulletin annual report. As users of the publications, we would welcome your views on these changes. The consultation is currently open and will close on Tuesday 5 March 2024.

Access the code used to create this report

The code used to create the outputs for this report is available on our NHS Digital GitHub webpage.

Click here to access the code

Key Facts

In 2022-23:

  • 51,312 new detentions under the Mental Health Act were recorded, but the overall national totals will be higher. Not all providers submitted data, and some submitted incomplete data. Trend comparisons are also affected by changes in data quality. For the subset of providers that submitted good quality detentions data in each of the last six years, we estimate there was an decrease in detentions of 7.7 per cent from last year. Further information is provided in the Background Data Quality Report.
  • Comparisons can still be made between groups of people using population-based rates, even though the rates shown are based on incomplete data. Known detention rates were higher for males (83.7 per 100,000 population) than females (82.9 per 100,000 population).
  • Amongst adults, detention rates tend to decline with age. Known detention rates for the 18 to 34 age group (135.9 detentions per 100,000 population) were around 59% higher than for those aged 65+ (85.4 per 100,000 population).


Last edited: 8 February 2024 12:25 pm