Thread by @rcpsych

The next parallel session S45 at #RCPsychIC on this last day of Congress is on 'Better Data, Better Care: Improving Quality of Care using Data'.

The first speaker is @stephenwatkinsNHS, Director, NHS Benchmarking Network (@NHSBenchmarking).

Their talk title is 'What NHS Benchmarking Data tells us about the state of mental health services'.

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Correction, that's @SteveWatkinsNHS as the Twitter handle. #RCPsychIC

SW: This is where benchmarking data comes from.

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SW: Many countries involved in an international project:

nhsbenchmarking.nhs.uk/international

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SW: The real value and real stories you get from data is by observing data over a number of years.

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SW: We need to be holistic with our data and include finance and workforce data as part of our benchmarking data sets.

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SW: Inpatient beds are a small proportion of the data but we spend a disproportionate amount of time talking about them.

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SW: Almost 700K patients being looked after in the community by community health specialists before the #COVID19 pandemic.

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SW: 20 beds per 100,000 of population. Much geographical variation relating to need.

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SW: Big international variation in general psychiatry beds per 100,000 of population. This chart breaks down UK by devolved nation.
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SW: Different mix of patient presentations occupying beds, led by psychiatric disorders in UK. Diagnostic profile changes between nations though.

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SW: Median length of stay is 32 days but substantial variation around the world.

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SW: Declining acute mental health admissions over last decade. This is influenced by changes in bed numbers and lengths of stay.
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SW: Red dots in this chart represent pre-COVID conditions (each bar is a month in 2020 or 2021). Most specialities have not returned to same bed occupancy levels compared to pre-COVID.
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SW: More patients detained under Mental Health Act during pandemic.

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SW: Increasing length of stay during COVID (yearly data in blue, monthly data for 2020/2021 in red).
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SW: What is the mix of workers in adult acute care. Proportion of nurses has dropped (2019/2020 vs 2012/2013).

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SW: This is the yearly and monthly picture of community caseloads.

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SW: There was a "cliff edge" drop in face-to-face care during pandemic. Replaced by phone/digital support but digital mobilisation varies by area.

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SW: Inequalities in ethnicities of people being treated under inpatient detentions (first slide, right) compared to UK average (first slide, left). Also big variation in ethnic representation by bed type.
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SW: CAMHS referrals doubled over 2012-2020 and CAMHS workforce has also grown.

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SW: Hope that data "has a story to tell". Data is really essential in planning. We also "mustn't forget about the equalities story".
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Next up is Simon Rose (@simonro40611952), a Lived Experience Educator for Derbyshire Healthcare NHS Foundation Trust (@derbyshcft). Their #RCPsychIC talk title is 'Real life impact: the information contained in the data'.

SR: "Behind every data point is a person". Data is useful but "essentially, healthcare is about patients."

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SR: Patient numbers don't tell the whole story as every patient has friends and family who are affected. During pandemic 69,000 more people left services than came in. "People have disappeared from the system."

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SR: As we enter ‘recovery phase’, what does the future look like? "We have a tsunami that's coming...into services that look like they are reducing".

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SR: Although telepsychiatry has scope to form part of the response "we need to retain a person-centred approach".

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SR: "Let's look at the data...but let's plan things that involves patients in what services are going to look like."

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Concluding this session we have Dr Asif Bachlani (@asifmbachlani), Clinical Director for Acute and PICU Network, @PrioryGroup. Their talk #RCPsychIC title is 'Why Data Matters for Clinicians'.

AB: How data is perceived vs how I find data...
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