We asked for feedback on our proposals for MHSDS Version 4.0, particularly with regard to the technical solutions drafted.
Feedback was received from a range of interested stakeholders which the Data Set Development Service (DSDS) have considered and will be taking into account throughout the work to take the proposal forward.
The responses generally supported the draft technical solutions and timescales proposed. Findings based on the feedback have suggested a small number of minor amendments for consideration for the Data Set Specification. Notable changes are as follows:
Employment Status
You said: An inconsistency was highlighted with the references to age ranges as shown in the ‘employment status’ and ‘weekly hours worked’ data items.
We Did: This inconsistency has now been addressed within the Data Set Specification.
Restrictive Interventions
You said: Concerns were raised in relation to the addition of Start and End Times. These concerns related to local system configurations, data recording burden and general data quality issues.
We did: Ongoing consultation with and by the CQC supports the inclusion of these data items to promote appropriate monitoring locally and nationally. Extensive guidance will be made available to support the local collection of this data.
You said: Feedback suggested unfamiliar terminology with respect to the proposed Restraint Level data item may lead to inconsistent application.
We did: Further consultation in conjunction with the CQC supported this feedback and a decision has been made to remove Restraint Level as a data item within MHSDS v4.0. This may be consulted on further for a future version.
You said: Addition of Restrictive Intervention Debrief Held Indicator – Users commented that it was unclear how this item related to staff and/or the patient.
We did: This data item has been consulted on further and split out to provide additional context with respect to both Patients debriefs and Care Personnel debriefs independently.
Medication
You said: Responses suggested varying levels of digital maturity with regard to electronic prescriptions recording. Furthermore, not all service providers have electronic prescription systems currently in place. Of those that do, feedback suggested mixed abilities to link the data easily to the patient record to enable MHSDS submissions.
We did: Feedback from the consultation has been taken forward in further discussions with involved national stakeholders. Prescribing data will not be mandated in MHSDS v4.0, although a new Medication table has been developed for potential use on a pilot basis only.
Care Plan Types
You said: You highlighted the additional care plan types proposed are generally not widely recognised at a local level. Specific concerns were noted about the ability of services to apply consistent interpretations and therefore complete the MHSDS accurately for this information. Comments indicated services often have one care plan which can encompass the various types in different manners.
We did: The proposed additional Care Plan Type codes have been taken out for MHSDS v4.0, with a view to consulting on further for a future version. In particular, to ensure nationally recognised definitions and guidance are available to support data collection.
The full summary report which contains a breakdown of the response results can be accessed via the following link and also via the overview section below: https://nhs-digital.citizenspace.com/community-and-mental-health/mhsds-v4/supporting_documents/Summary%20Report%20from%20citizen%20space.pdf
What Happens Next
Keep up to date with the development of MHSDS v4.0 through the developers MHSDS webpages
Mental Health Services Data Set
The Mental Health Services Data Set (MHSDS) contains record-level data about the care of children, young people and adults who are in contact with mental health, learning disabilities or autism spectrum disorder services. The MHSDS applies to, and is used by, a wide range of stakeholders. The content of the data set is determined from consultation with these stakeholders, including the Department of Health and Social Care, NHS England, Care Quality Commission, service providers and commissioners.
More information about the MHSDS can be found on the developer's website; the developer is the Data Set Development Service within NHS Digital.
Data Coordination Board
The Data Coordination Board (DCB) has received a request for changes to an information standard, DCB0011 Mental Health Services Data Set (MHSDS). As part of the development and assurance process, this consultation seeks feedback on the proposed changes.
Your feedback will be reported back to the DCB which we anticipate will consider the request for change at its meeting in August 2018.
Version 4.0 of the MHSDS
Changes are required to MHSDS v3.0 to ensure that the data set remains 'fit for purpose'.
The changes included in this release relate to new government policy initiatives; resolution of issues within the current data collection; and inclusion of other key stakeholder requirements. In summary, the changes in v4.0 are as follows:
Full details of the changes can be found in the draft Change Specification which should be read alongside the draft Data Set Specification and draft Data Model. Links to these documents can be found below.
Please review all documents before answering our questions.
Note that you don't have to complete the questions in one go; it is possible to save your responses for later completion.
The survey is also available as a word document below, please return it:
We can also be contacted on 0300 3035678 for further support.
As part of the application to obtain approval from the Data Coordination Board (DCB), we are asking for feedback on our proposals for MHSDS Version 4.0.
Extensive engagement has already taken place. However, we would now like any interested parties to participate and provide feedback with regard to the technical solution, before version 4.0 is finalised.
Consultation feedback will be reported back to the DCB before publication of an Information Standards Notice (ISN) is agreed.
This consultation runs until 27 May 2018.
Please review the following documents before answering our consultation questions.
These are available in the Related Documents section below.
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