Format/length:	n3
HES item:
National Codes:
Default Codes:

Notes:
BED DAYS (MENTAL HEALTH MEDIUM SECURE) is optional in the Mental Health Minimum Dataset (MHMD) collection record. It should only be present if:

a.	one or more CONSULTANT EPISODE (HOSPITAL PROVIDER) within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b.	where the main TREATMENT FUNCTION of the CONSULTANT is for an adult or mental illness MAIN SPECIALTY. The adult or mental illness MAIN SPECIALTIES being 700, 710,712, 713 and 715.
and
c.	where the PATIENT was admitted to an ORGANISATION SITE, SERVICE POINT or WARD with a SECURE ACCOMMODATION TYPE classification b. 'Medium secure accommodation, a secure facility providing care at a regional level under the care of a forensic psychiatrist. This excludes high security accommodation in HOSPITAL SITE approved to provide high security psychiatric services'.

It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a CONSULTANT EPISODE (HOSPITAL PROVIDER) within a HOSPITAL PROVIDER SPELL and there may be more than one such episode or stay during the course of a MENTAL HEALTH CARE SPELL. This excludes any admissions to HOSPITAL PROVIDER SPELLS where the PATIENT CLASSIFICATION is National Code 2 'Day case admission'. This includes both HOSPITAL STAYS and CARE HOME STAY (CONSULTANT CARE) within the HOSPITAL PROVIDER SPELL.

There is a START DATE and END DATE for each CONSULTANT EPISODE (HOSPITAL PROVIDER) and the calculation is based upon those bed days which have occurred during the REPORTING PERIOD adjusted for where periods of bed days overlap the START DATE and/or END DATE of the REPORTING PERIOD (this includes where the period of bed days has not yet ended). Where such overlaps occur the START DATE and/or END DATE of the REPORTING PERIOD should be used instead of that of the CONSULTANT EPISODE (HOSPITAL PROVIDER).

BED DAYS (MENTAL HEALTH MEDIUM SECURE) is the sum of the calculated periods of bed days and should be recorded left justified with leading zeros. The calculation should be adjusted for any periods of LEAVE OF ABSENCE or ABSENCE WITHOUT LEAVE of 28 days or less.

A PATIENT going on HOME LEAVE, or LEAVE OF ABSENCE for 28 days or less, or who has a current period of ABSENCE WITHOUT LEAVE of 28 days or less, does not interrupt the CONSULTANT EPISODE (HOSPITAL PROVIDER) but are not using a bed during their period of absence.

 

This data element is also known by these names:

Context	Alias
plural	BED DAYS (MENTAL HEALTH MEDIUM SECURE)