Length of Stay Report FY 2015/16 - Quarter 2
(1st July 2015 to 30th September 2015)
Length of Stay Report provided by: Alice Jakubiak
Contact email: alicejakubiak@cygnethealth.co.uk
Cygnet is committed to providing high levels of care for its service users whilst maintaining patient safety. This enables service users to move to lower levels of security and the most appropriate least restrictive environment in a timely manner. Cygnet has an established care pathway which
facilitates service users moving to the level of security that is most appropriate for them, whilst ensuring continuity of care. Cygnet’s care pathway thereby helps minimise waiting times for its services and service user lengths of stay.
Headlines from our most recent lengths of stay results from Quarter 2 2015-16:
Male Low Secure Services length of stay falls by 19%
Female Low Secure Services length of stay falls by 5%
Mixed Eating Disorder Service length of stay falls by 14%
Female Low Secure Personality Disorder Service length of stay falls by 2%
Female Tier 4 Personality Disorder Services length of stay falls by 5%
Male Enhanced Acute Service length of stay falls by 14%
Female Locked Personality Disorder Services length of stay falls by 16%
Female Locked Rehabilitation Services length of stay falls by 3%
Male Locked Older Services length of stay falls by 56%
Year-to-date summary of the lengths of stay for service users within Cygnet’s services are shown below. For Quarter 2, the data covers the 12-month period between 1
stOctober 2014 to 30
thSeptember 2015.
Prescribed Services (prescribed)
In Quarter 2 the average length of a completed episode within prescribed services for NHSE funded service users was 13.8 months (based on 130 service users).
CAMHS Services (prescribed)
In Quarter 2 the average length of a completed episode within CAMHS services for NHSE funded service users was 2.6 months (based on 93 service users).
Longer Stay Services (non-prescribed)
In Quarter 2 the average length of a completed episode within the longer stay services was 11.6 months (based on 126 service users).
Emergency Admissions Services (non-prescribed)
Year-to-date summary of the completed episodes for service users within Cygnet’s services are shown below in graph format covering the 12-month period between 1st October 2014 to 30th September 2015.
Q1 & Q2 FY15-16 Average Length of Completed Episodes of Care (Prescribed NHSE)
Q1 & Q2 FY15-16 Average Length of Completed Episodes of Care (non-prescribed)
Table 1 below shows that the average length of a completed episode for NHS England service users is 13.8 months, showing a decrease from 14.3 months in Quarter 1. This is based upon 130 service users, as opposed to 119 service users at Quarter 1.
Average Length of Stay Summary:
Completed Episodes for NHSE Funded Service Users
(Q1 01/07/14 – 30/06/15) (Q2 01/10/14 – 30/09/15)
NHSE Funded Service Users
Q1 FY15-16 NHSE Funded Service Users Q1 FY15-16
Q1 Ave. Length of
Stay (months) (01/07/14-
30/06/15)
Q1 No. of service
users
Q2 Ave. Length of
Stay (months) (01/10/14-
30/09/15)
Q2 No. of service
users
Medium Secure Service (male) 4.0 17 6.0 (4.7)* 15 (13)*
Medium Secure Service (female) 4.0 3 10.1 (6.9)* 5 (3)*
Low Secure Services (male) 16.0 (12.8)* 40 (39)* 13.0 40
Low Secure Services (female) 17.9 20 17.0 21
Eating Disorders Unit (mixed) 15.8 (12.6)* 10 (8)* 13.6 11 Low Secure Personality Disorder
Service (female) 14.0 12 13.7 15
Tier 4 Personality Disorder Services
(female) 14.5 12 13.8 15
Male Low Secure Highly Specialised
Asperger’s/ASC Services 24.1 (17.3)* 5 (4)* 27.2 (14.9)* 8 (6)*
AVERAGE/TOTAL 14.3 (12.6)* 119 (115)* 13.8 (13.0)* 130 (124)*
Table 1:
Average length of stay (months) summary for NHS England patients who completed an episode of care within Cygnet’s prescribed services (excluding CAMHS) during Q1 the period 1
stJune 2014 to 30
thJune 2015 and Q2 the period 1
stOctober 2014 to 30
thSeptember 2015, specifically for the following regions: NHSE CMid, NHSE E, NHSE London, NHSE SE, NHSE SW, and NHSE YH.
*The figures in brackets show the LoS for these services/regions or number of service users, not including the exceptional lengths of stay, detailed in the embedded document below:
Cygnet_Table 1_Addendum.pdf
Average Length of Stay Summary:
Completed Episodes for NHSE Funded Service Users
(Q1 01/07/14 – 30/06/15) (Q2 01/10/14 – 30/09/15)
NHSE Funded Service Users
Q1 FY15-16 NHSE Funded Service Users Q1 FY15-16
Q1 Ave. Length of
Stay (months) (01/07/14-
30/06/15)
Q1 No. of service
users
Q2 Ave. Length of
Stay (months) (01/10/14-
30/09/15)
Q2 No. of service
users
Child & Adolescent Mental Health
Service (mixed) 2.3 96 2.6 93
AVERAGE/TOTAL 2.3 96 2.6 93
Table 2: Average length of completed episodes for service users who completed an episode of care within
Cygnet’s prescribed services (CAMHS) during Q1 the period 1st June 2014 to 30th June 2015 and Q2
the period 1st October 2014 to 30th September 2015.
Table 3 below shows that the average length of a completed episode for longer stay services at the end of Quarter 2 was 11.6 months showing a decrease from 12.7 months at Quarter 1 (a 9%
decrease). This is based upon 126 service users at Quarter 2, compared to 132 service users at Quarter 1.
Average Length of Stay Summary:
Completed Episodes for Longer Stay Services
(Q1 01/07/14 – 30/06/15) (Q2 01/10/14 – 30/09/15)
ALL service users placed on longer stay services Q1
Ave. Length of Stay (months)
(01/07/14- 30/06/15)
Q1 No. of service
users
Q2 Ave. Length of
Stay (months) (01/10/14-
30/09/15)
Q2 No. of service
users
Locked Intensive Learning Disability service
(female) 14.1 (11.3)* 10 (9)* 14.8 12
Personality Disorder services (female) 14.7 (11.1)* 19 (17)* 12.4 19 Asperger’s/ASC Rehabilitation service
(male) 9.8 4 16.5 (11.8)* 6 (5)*
Locked Rehabilitation services (male) 15.1 40 15.9 35
Locked Rehabilitation services (female) 12.3 30 11.9 24
Locked Older Males services 8.6 (4.5)* 28 (24)* 3.8 30
Locked Older Females service 3.7 1 - -
AVERAGE/TOTAL 12.7 (11.3)* 132 (125)* 11.6 (11.4)* 126 (125)*
Table 3:
Average length of completed episodes for service users who were discharged from Cygnet non- prescribed longer stay services.
*The figures in brackets show the LoS for these services/regions or number of service users, not including the exceptional lengths of stay, detailed in the embedded document below:
Cygnet_Table 3_Addendum.pdf
