Mental Health Services Data Set Version 4.0

Closed 27 May 2018

Opened 30 Apr 2018

Feedback updated 13 Aug 2018

We asked

We asked for feedback on our proposals for MHSDS Version 4.0, particularly with regard to the technical solutions drafted.

You said

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:

We did

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.


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:

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:

  • Enhanced data collection in support of CYP mental health
  • Changes to support reporting with respect to patients in contact with mental health services who are also part of the youth justice system
  • Changes with respect to restrictive interventions
  • Collection of medication data
  • Operationalisation of the Overseas Visitor Charging Status fundamental standard (OVCC) DCB3017
  • Minor maintenance changes to respond to issues raised by the NHS Data Model and Dictionary
  • Change of scope to include flow of data for family members and carers in support of the EIP care pathway
  • Change of scope to facilitate flow of data relating to non-English organisations where it relates to services commissioned by English CCGs or NHS England specialised commissioners.

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:

  • via email stating MHSDS v4.0 Public Consultation in the subject line, or
  • by post FAO of Dataset Development Service, Data Content and New Data Collections, NHS Digital, 1 Trevelyan Square, Boar Lane, Leeds LS1 6AE

We can also be contacted on 0300 3035678 for further support.

Why your views matter

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.

  • Draft Change Specification
  • Draft Data Set Specification
  • Draft Data Model

These are available in the Related Documents section below.


  • All Areas


  • Managers
  • Commissioners
  • IG Specialists
  • IG Administrators
  • IT Specialists
  • Pharmacy Managers
  • Patients
  • Carers
  • Members of the Public
  • Public Health Organisations
  • Informatics Specialists
  • Academia/Research
  • Prison Health
  • Qualified Providers - Clinical
  • Health IT System Suppliers
  • Clinicians
  • Information providers
  • Heads of Information
  • Information Managers
  • IT Quality Assurance Managers
  • Data Quality Managers
  • Acute Non Foundation Trusts
  • Acute Foundation Trusts
  • Care Non Foundation Trusts
  • Care Foundation Trusts
  • Mental Health Non Foundation Trusts
  • Mental Health Foundation Trusts
  • Clinical Commissioning Groups (CCGs)
  • Independent and Voluntary Sector
  • NHS Care Homes
  • NHS England
  • NHS England - Local Area Teams
  • Secondary Use Organisations
  • All Secondary Healthcare Providers
  • NHS England Commissioning Teams
  • All Users of National Data Sets
  • Overseas Visitors Managers
  • IT System suppliers
  • Pharmacists
  • Pharmacy technicians
  • Subject Matter Experts


  • Information Governance
  • Governance
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  • Commissioning
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  • Clinical Systems
  • Information Standards
  • Data Set Change Notices
  • Data Collections
  • Pharmacy
  • Prescribing
  • dm+d
  • ePrescribing
  • Secondary Uses
  • Clinical Safety
  • Clinical Risk Management
  • Service users