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<p>Ray James, National Learning Disability Director at NHS England outlined that by
March 2019 National Health Service commissioners in England plan to decommission just
over 900 beds in mental health hospitals previously used by patients with a learning
disability, autism or both.</p><p> </p><p>The Assuring Transformation (AT) dataset
provides data on the numbers of people with learning disability and/or autism admitted
and discharged from mental health hospitals.</p><p> </p><p>Data is not collected centrally
on the number of people with learning disability and/orautism admitted and discharged
from all hospitals.</p><p> </p><p>The following tables show admissions from the community
and discharges to the community for the last three financial years. Figures reported
are for the number of admissions and discharges and not the number of people as this
is the format in which the data are collected. Presenting the data in this way also
enables discharges and admissions over the three years to be directly compared. Over
this three year period some people may have been admitted and discharged more than
once. All data are taken from the AT data set as at 31 March 2018. NHS England does
not hold information centrally regarding how much money has been transferred from
health budgets to each local authority to fund the development of community support.</p><p>
</p><p>All data are taken from the AT data set as at 31 March 2018.</p><p> </p><p>NHS
England does not hold information centrally regarding how much money has been transferred
from health budgets to each local authority to fund the development of community support.</p><p>
</p><p>Discharges to the community as at 31 March 2018*</p><table><tbody><tr><td><p>
</p></td><td><p>Learning Disability Only</p></td><td><p>Autistic Spectrum Condition
Only</p></td><td><p>Both (Learning Disability and Autistic Spectrum Condition</p></td><td><p>Total</p></td></tr><tr><td><p>2015/16</p></td><td><p>855
(56%)</p></td><td><p>265 (18%)</p></td><td><p>390 (26%)</p></td><td><p>1,510 (100%)</p></td></tr><tr><td><p>2016/17</p></td><td><p>865
(54%)</p></td><td><p>385 (24%)</p></td><td><p>360 (22%)</p></td><td><p>1,610 (100%)</p></td></tr><tr><td><p>2017/18</p></td><td><p>700
(44%)</p></td><td><p>550 (35%)</p></td><td><p>335 (21%)</p></td><td><p>1,580 (100%)</p></td></tr></tbody></table><p>Source:
AT data set</p><p>Admissions from the community as at 31 March 2018*</p><table><tbody><tr><td><p>
</p></td><td><p>Learning Disability Only</p></td><td><p>Autistic Spectrum Condition
Only</p></td><td><p>Both (Learning Disability and Autistic Spectrum Condition</p></td><td><p>Total</p></td></tr><tr><td><p>2015/16</p></td><td><p>690
(54%)</p></td><td><p>265 (21%)</p></td><td><p>315 (25%)</p></td><td><p>1,275 (100%)</p></td></tr><tr><td><p>2016/17</p></td><td><p>700
(50%)</p></td><td><p>380 (27%)</p></td><td><p>310 (22%)</p></td><td><p>1,395 (100%)</p></td></tr><tr><td><p>2017/18</p></td><td><p>485
(39%)</p></td><td><p>470 (38%)</p></td><td><p>295 (24%)</p></td><td><p>1,250 (100%)</p></td></tr></tbody></table><p>Source:
AT data set</p><p> </p><p>Notes:</p><p> </p><p>The AT data set does not directly identify
whether an admission is from the community or is a transfer from another hospital
setting. Similarly, the data does not directly identify whether the end of an episode
of care is a discharge to the community or a transfer to another hospital setting.</p><p>
</p><p>These figures represent the best estimate of admissions from the community
and discharges to the community, based on previous records for the patient and whether
a previous admission date is recorded. For this reason, these figures cannot be compared
directly to admission and discharge figures published by NHS Digital in their monthly
publication which include transfers from other hospital settings.</p><p> </p><p>Delays
in the recording of admissions on AT may affect the figures– the admissions count
for 2017/18 is likely to be understated due to late reporting of admissions that took
place in the last two or three months of the financial year.</p><p> </p><p>Numbers
have been rounded to the nearest five to minimise disclosure risks associated with
small numbers. It should be noted that rows will therefore not always add up to the
total. Percentages have been calculated based on the unrounded numbers.</p>
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