Scotland Mental Health data and metrics John Mitchell

Scotland – Mental Health data and metrics John Mitchell, Principal Medical Officer and Psychiatric Adviser Scottish Government Fiona Mac. Kenzie, Service Manager, Information Services Division, NHS National Services Scotland

Scotland Population of 5. 4 m 6 cities population of ~1. 9 m Towns/villages/remote population ~3. 3 m 790 islands (~95 populated with 104 k people) Est. That one in three will have mental ill health each year

Strategic Background • Mental Health Strategy 2017 -2027 • Thematic work on prevention and early intervention, access, physical health, rights, data. • Specific action on creation of a quality indicator profile as well as population MH & wellbeing framework. • How to ensure its vision is delivered? (parity, shifting the balance, MH a priority) • The opportunity and challenge of integration.

Data collection and challenges Scottish Suicide Database Distress Brief Interventions – Pilot Drug and Alcohol misuse en ce –E vid Workforce e rag ve ta Co Da Outpatients ion -A lat pu ctio n Po Inpatients Finance CHI - linkage Urgent and Emergency Care Waiting times – CAMHS and Psychological Therapy Community Prescribing Primary care Third/Voluntary Sector Police Education Social Care

Deaths by Suicide by Health and Social Care Partnership – Scotland 2012 -16

Number of Defined Daily Doses per 1, 000 Population (aged 0 -19) per Day – ADHD Drugs – 2009/10 and 2016/17

30, 0% % of DNAs for first contact appointments 25, 0% 26, 9% Non-attendance by Child/Young person for 1 st Appointment by NHS Board Quarter ending 31 December 2017 20, 0% 17, 6% 14, 3% 15, 0% 11, 7% 9, 9% 10, 0% 11, 8% 11, 2% 11, 0% 9, 9% 8, 9% 7, 5% 5, 1% 5, 0% 0, 0% NHS Ayrshire & Arran NHS Borders NHS Dumfries & Galloway NHS Fife NHS Forth NHS Valley Grampian NHS Greater Glasgow & Clyde NHS Board NHS Highland Lanarkshire NHS Lothian NHS Orkney, NHS Shetland & NHS Western Isles NHS Tayside Scotland

Linked CAMHS Pathways

MH Quality Indicator profile • Action 38 MHS but work since 2014. • Applies to mental health services – 17 current indicators, 13 new. • MH strategy framework in development will provide data on population mental health and wellbeing from a social and public health perspective, using existing data. • Together will provide data to support commissioning and delivery, quality improvement. • Not performance indicators and set no new targets.

Presentation of Indicators

Taking forward the work • Move from annual reports to web based real time data with improvement emphasis. • Draft commissioning guidance - illustration of how service delivery can be underpinned and supported by data. • Align with new National Performance Framework and Public Health Priority on Mental health and wellbeing.

Scotland John. mitchell 4@scotland. gsi. gov. uk • Population = 5. 5 m f. mackenzie@nhs. net • Urban remote and rural • Mental health prevalence