Wednesday, October 07, 2009

Mental health acute inpatient service users survey 2009 Birmingham and Solihull Mental Health NHS Foundation Trust


UserWatch Provides the Links for the Inpatient Survey at BSMHFT HERE and others below .

Good luck when you try to fathom out its full meaning since its been designed for intellectual androids and the "blade-runner" sheep (dreamt of by androids) probably went to sleep in their dreams knocked out by narcotic overcomplicated details floating around in this survey.

Its NOT User friendly .. But then what truly is in the mental Health NHS ?


The mental health acute inpatient service users survey 2009 was coordinated by the mental health survey coordination centre at the National Centre for Social Research


National NHS patient survey programme
Mental health acute inpatient service users survey 2009

The Care Quality Commission

About the Care Quality Commission

The Care Quality Commission is the independent regulator of health and adult social care services in England. We also protect the interests of people detained under the Mental Health Act. Whether services are provided by the NHS, local authorities, private companies or voluntary organisations, we make sure that people get better care. We do this by:

• Driving improvement across health and adult social care.
• Putting people first and championing their rights.
• Acting swiftly to remedy bad practice.
• Gathering and using knowledge and expertise, and working with others.

The mental health acute inpatient service users survey 2009

To improve the quality of services that the NHS delivers, it is important to understand what patients think about their care and treatment. One way of doing this is by asking patients who have recently used their local health services to tell us about their experiences. This report provides the results of the first survey of mental health acute inpatient services in NHS trusts in England (including combined mental health and social care trusts and primary care trusts).

This report shows how each trust scored for each question in the survey, in comparison with
national benchmark results. It should be used to understand the trust’s performance, and to identify areas for improvement. Also available on our website is a set of tables showing the national results for the survey, and a briefing note highlighting the key national findings.

These documents were produced by the Mental Health Survey Co-ordination Centre at the National Centre for Social Research. Previous surveys carried out in 2004, 2005, 2006, 2007 and 2008 focused on community mental health services. They are part of a wider programme of NHS patient surveys, which covers a range of topics including adult (non mental health) inpatient services, outpatient services and non emergency ambulance services (category ‘C’ calls).

To find out more about our programme, please visit our website (see further information section).
About the survey

The survey of acute adult inpatient mental health services involved 64 NHS trusts providing mental health inpatient services. We received responses from more than 7,527 people who used services, a response rate of 28%. People were eligible for the survey if they were aged 16-65, had stayed on an acute ward or a psychiatric intensive care unit (PICU) for at least 48 hours between 1 July 2008 and 31 December 2008 and were not current inpatients at the time of the survey. Fieldwork for the survey took place between April and June 2009.

(1. Although 66 trusts took part in the survey, two trusts did not have enough respondents to enable inclusion in the publication.)

Interpreting the report

The benchmark scores are calculated by converting responses to particular questions into scores (2 see below ).

For each question in the survey, the individual responses were scored on a scale of 0 to 100. A
score of 100 represents the best possible response. Therefore, the higher the score for each question, the better the trust is performing. Please note: the scores are not percentages, so a score of 80 does not mean that 80% of people who have used services in the trust have had a particular experience (e.g. ticked ‘Yes’ to a particular question), it means that the trust has scored 80 out of a maximum of 100. A ‘scored’ questionnaire showing the scores assigned to each question is available on our website (see ‘Further Information’ section).

Please also note that it is not appropriate to score all questions within the questionnaire for
benchmarking purposes. This is because not all of the questions assess the trusts in any way, or
they may be ‘filter questions’ designed to filter out respondents to whom following questions do not apply. An example of such a question would be Q29 “During your stay in hospital, did you have talking therapy?”.

The graphs included in this report display the scores for this trust, compared with national
benchmarks. Each bar represents the range of results for each question across all trusts that took part in the survey.

In the graphs, the bar is divided into three sections:

• The red section (left hand end) shows the scores for the 20% of trusts with the lowest scores.

• The green section (right hand end) shows the scores for the 20% of trusts with the highest scores.

• The orange section (middle section) represents the range of scores for the remaining 60% of

A white diamond represents the score for this trust. If the diamond is in the green section of the bar, for example, it means that the trust is among the top 20% of trusts in England for that question. The line on either side of the diamond shows the amount of uncertainty surrounding the trust’s score, as a result of random fluctuation. Since the score is based on a sample of inpatients in a trust rather than all inpatients, the score may not be exactly the same as if everyone had been surveyed and had responded. Therefore a confidence interval(3) is calculated as a measure of how accurate the score is. We can be 95% certain that if everyone in the trust had been surveyed, the ‘true’ score would fall within this interval.

2Trusts have differing profiles of patients. For example, one trust may have more male inpatients than another trust. This can potentially affect the results because people tend to answer questions in different ways, depending on certain characteristics. For example, older respondents tend to report more positive experiences than younger respondents, and women tend to report less positive experiences than do men. Because the mix of patients varies across trusts this could potentially lead to the results for a trust appearing better or worse than they would if they had a slightly different profile of patients. To account for this we ‘standardise’ the data. Results have been standardised by the age and sex of respondents to ensure that no trust will appear better or worse than another because of its respondent profile. This helps to ensure that each trust’s age-sex profile reflects the national age-sex distribution (based on all of the respondents to the survey). It therefore enables results from trusts with different profiles of patients to be more accurately compared.

3A confidence interval is an upper and lower limit within which you have a stated level of confidence that the true mean (average) lies somewhere in that range. These are commonly quoted as 95% confidence intervals, which are constructed so that you can be 95% certain that the true mean lies between these limits. The width of the confidence interval gives some indication of how cautious we should be; a very wide interval may indicate that more data should be collected before any conclusions are made.

When considering how a trust performs, it is very important to consider the confidence interval surrounding the score. If a trust’s average score is in one colour, but either of its confidence limits are shown as falling into another colour, this means that you should be more cautious about the trust’s result because, if the survey was repeated with a different random sample of people, it is possible their average score would be in a different place and would therefore show as a different colour.

The white diamond (score) is not shown for questions answered by fewer than 30 people because the uncertainty around the result would be too great. When identifying trusts with the highest and lowest scores and thresholds, trusts with fewer than 30 respondents have not been included.

At the end of the report you will find the data used for the charts and background information about the patients that responded.

Notes on specific questions

Q28 and Q29: The information collected by Q28 (“During your stay in hospital, did you ever want talking therapy?”) and Q29 (“During your stay in hospital did you have talking therapy?”) is presented together to show whether the provision of talking therapy met the requirements of the person using the services. The combined question is numbered in this report as Q29 and has been reworded to read: “During your stay in hospital, did the provision of talking therapies meet your requirements?”.

Q40 and Q41: Information from Q41 (“What was the main reason for the delay [to discharge]?”) has been used to score Q40 (“Once you were due to leave hospital, was your discharge delayed for any reason?”) to show whether discharge from hospital was delayed by potentially avoidable reasons. The combined question is numbered in this report as Q40.

Q45 and Q46: Information collected from Q45 (“Have you been contacted by a member of the mental health team since you left the hospital?”) has been used to score Q46 (“About how long after you left hospital were you contacted?”) The combined question is numbered in this report as Q46.

Q9 and Q14: The results for Q9 (Were you able to get the specific diet that you needed from the
hospital?) and Q14 (Did you receive the help you needed from hospital staff with organising your
home situation?) are not shown in this report. This is because there were not enough trusts with
sufficient number of respondents to enable this data to be presented.

For further details, please see the ‘scored’ questionnaire on our website, which shows the scores
assigned to each question.

Further information:

Full details of the methodology of the survey:

More information on the programme of NHS patient surveys is available on the patient survey
section of the website at:

The 2009 survey of mental health acute inpatient services results, questionnaire and scoring can be found at:

The results for the 2008 survey, which focused on community mental health services, can be found at:

More information on the 2008/2009 Annual Health Check is available on the Care Quality
Commission’s website:


Mental health acute inpatient service users survey 2009
Birmingham and Solihull Mental Health NHS Foundation Trust


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