Use of NHS mental health, learning disability and autism services

Published

1. Main facts and figures

  • in the year to March 2020, almost 4,200 people per 100,000 in the population of England used secondary mental health, learning disabilities and autism services
  • out of all 16 ethnic groups (excluding groups labelled ‘Other’), Black Caribbean people were most likely to use the services – people from the Chinese ethnic group were least likely
  • people in the Any Other, Mixed Other and Black Other ethnic groups had the highest rates for using the services – but these rates are considered to be overestimates because ‘Other’ categories may have been used for people whose specific ethnicity wasn’t known
  • the Chinese, Indian, and Mixed White and Asian ethnic groups were the 3 ethnic groups with the lowest rate of people using the services in the 3 years to March 2020

2. Things you need to know

What the data measures

The data measures the number of people using NHS-funded secondary mental health, learning disabilities and autism services in the financial year to March 2020.

Secondary care includes specialist treatment or therapy for a mental health problem provided by hospital or community mental health teams. It does not include people who are being treated for a mental health problem only within primary care settings such as prescribed medication or less specialised interventions for a mental health problem by their GP.

Figures on this page have been rounded to the nearest whole number.

How rates are calculated

The number is shown as a rate per 100,000 people in each ethnic group. People who had more than one period of care are counted once.

The ethnic groups used in the data

Data is shown for the 16 ethnic groups used in the 2001 Census.

Data is also shown for 5 aggregated ethnic groups:

  • Asian
  • Black
  • Mixed
  • White
  • Other

Estimates are shown for these aggregated groups as a whole. Rates for people in the disaggregated groups named ‘other’ (including Asian Other and Black Other) are thought to be overestimated, as they may have been used for people whose specific ethnicity was not known. The aggregated figures are therefore considered more reliable.

Methodology

Read the detailed methodology document for the data on this page.

Rates per 100,000 people are worked out using population data from the 2011 Census. You can read more about how we use Census data and some of the problems involved.

Data is shown for the ethnic groups used in the 2001 Census. The main differences between the 2001 and 2011 Census ethnic groups are:

  • the Chinese ethnic group moved from the ‘Other’ ethnic group (in 2001) to the ‘Asian’ ethnic group (in 2011)
  • there were no ‘Gypsy or Irish Traveller’ or ‘Arab’ groups listed in 2001

In this data, some people who would have identified themselves as ‘Arab' may not be included in the rate for the aggregated Other ethnic group. Some people who would have identified as ‘Gypsy or Irish Traveller’ may not be included in the rate for the aggregated White ethnic group. This could affect the rate for these aggregated groups.

In the data file

See Download the data for:

  • the unweighted number of people surveyed
  • figures rounded to 1 decimal place
  • confidence intervals for each ethnic group – find out more about how we use confidence intervals to judge the reliability of estimates

3. By ethnicity (5 groups)

Number of people per 100,000 using NHS mental health, learning disability and autism services, by aggregated ethnic group
Ethnicity 2017/18 2018/19 2019/20
Number per 100,000 Number per 100,000 Number per 100,000
Asian 3,193 3,458 3,636
Black 4,555 4,832 5,098
Mixed 4,800 7,950 7,147
White 3,704 4,010 4,180
Other 7,380 7,327 7,402

Download table data for ‘By ethnicity (5 groups)’ (CSV) Source data for ‘By ethnicity (5 groups)’ (CSV)

Summary of Use of NHS mental health, learning disability and autism services By ethnicity (5 groups) Summary

The data shows that:

  • out of the 5 aggregated ethnic groups, people from the Other ethnic group were the most likely to use NHS mental health, learning disability and autism services (7,402 people per 100,000) in the year to March 2020
  • people from the Other and Mixed ethnic group were around twice as likely to use the services as Asian people – 7,402 and 7,147 people per 100,000 compared with 3,636 people per 100,000 in the year to March 2020
  • use of the services increased in the Asian, Black, Mixed and White ethnic groups between April 2017 and March 2020

4. By ethnicity (16 groups)

Number of people per 100,000 using NHS mental health, learning disability and autism services, by specific ethnic group
Ethnicity 2017/18 2018/19 2019/20
Number per 100,000 Number per 100,000 Number per 100,000
All 3,699 4,013 4,173
Asian 3,193 3,458 3,636
Bangladeshi 3,887 4,234 4,668
Indian 2,369 2,544 2,702
Pakistani 3,825 4,268 4,459
Asian other 3,936 4,146 4,236
Black 4,555 4,832 5,098
Black African 3,002 3,261 3,485
Black Caribbean 4,669 4,891 5,099
Black other 10,843 11,580 12,440
Mixed 4,800 7,950 7,147
Mixed White/Asian 2,682 3,145 3,483
Mixed White/Black African 4,011 4,602 5,098
Mixed White/Black Caribbean 4,120 4,601 5,013
Mixed other 8,329 18,758 14,836
White 3,704 4,010 4,180
White British 3,709 4,013 4,166
White Irish 3,250 3,620 3,904
White other 5,118 5,621 6,361
Other including Chinese 7,380 7,327 7,402
Chinese 1,430 1,612 1,691
Any other 18,240 17,966 18,098

Download table data for ‘By ethnicity (16 groups)’ (CSV) Source data for ‘By ethnicity (16 groups)’ (CSV)

Summary of Use of NHS mental health, learning disability and autism services By ethnicity (16 groups) Summary

The data shows that:

  • out of all 16 ethnic groups, people in the Any Other, Mixed Other and Black Other ethnic groups had the highest rates for using the services – however, these rates are considered to be overestimates because ‘Other’ categories may have been used for people whose specific ethnicity was not known
  • excluding the ‘Other’ groups, the Black Caribbean group had the highest rate of people using NHS mental health, learning disabilities and autism services (5,099 people per 100,000)
  • people from the Chinese ethnic group were the least likely to use the services (1,691 people per 100,000)
  • in each of the 3 years from April 2017 to March 2020, the Black Caribbean, Mixed White and Black African, and Mixed White and Black Caribbean groups were the 3 ethnic groups with the highest rate of people using the services
  • the Chinese, Indian and Mixed White, and Asian ethnic groups were the 3 ethnic groups with the lowest rate of people using the services

5. Data sources

Source

Type of data

Administrative data

Type of statistic

Official statistics

Publisher

NHS Digital

Publication frequency

Yearly

Purpose of data source

The Mental Health Services Data Set (MHSDS) has information about people who are in contact with mental health, learning disabilities and autism services. It uses clinical and operational data for purposes other than direct patient care.

Secondary source

Type of data

Survey data

Type of statistic

National Statistics

Publisher

Office for National Statistics

Publication frequency

Every 10 years

Purpose of data source

The Census is carried out every 10 years. Data from the March 2021 Census will not be available until 2022, so 2011 Census data is used instead.

Census data gives the government the information it needs to plan and run public services. It is also used as a benchmark for other statistical estimates, and it can help illustrate differences between various groups in the population.

6. Download the data

Use NHS mental health, learning disability and autism services - Spreadsheet (csv) 13 KB

This file contains the following: ethnicity, time, geography, value (standardised rate per 100,000 population), confidence intervals, numerator, denominator