Cygnet Health Care
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: [email protected]
Page 1
Cygnet Health Care
Length of Stay Report Q2 FY 2015-16
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 FY 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 1st October 2014 to 30th
September 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)
In Quarter 2 the average length of a completed episode within the emergency admission
services was 0.9 months (based on 1940 service users).
Page 2
Cygnet Health Care
Length of Stay Report Q2 FY 2015-16
Year-to-date summary of the completed episodes for service users within Cygnet’s services are
shown below in graph format covering the quarters 1 & 2 FY 2015-16.
Q1 & Q2 FY15-16 Average Length of Completed Episodes of Care (Prescribed NHSE)
Page 3
Cygnet Health Care
Length of Stay Report Q2 FY 2015-16
Q1 & Q2 FY15-16 Average Length of Completed Episodes of Care (non-prescribed)
Page 4
Cygnet Health Care
Length of Stay Report Q2 FY 2015-16
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)
NHSE Funded Service Users
Q1 FY15-16
Q1
Ave. Length of
Stay (months)
NHSE Funded Service Users
Q2 FY15-16
Q2
Q1
No. of service
users
Ave. Length of
Stay (months)
No. of service
users
(Q2 01/10/14 – 30/09/15)
(01/07/1430/06/15)
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 Asperger’s/ASC
Services
24.1 (17.3)*
5 (4)*
27.2 (14.9)*
8 (6)*
14.3 (12.6)*
119 (115)*
13.8 (13.0)*
130 (124)*
AVERAGE/TOTAL
Table 1:
(01/10/1430/09/15)
Q2
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 1st June 2014 to
30th June 2015 and Q2 the period 1st October 2014 to 30th September 2015, specifically for the
following regions: NHSE CMid, NHSE E, NHSE London, NHSE SE, NHSE SW, and NHSE YH.
*Details of outliers available on request.
Table 2 below shows that the average length of a completed episode for NHS England service
users within the Child & Adolescent Mental Health Service is 2.6 months. This is based upon 93
service users.
Average Length of Stay Summary:
Completed Episodes for NHSE Funded
Service Users
(Q1 01/07/14 – 30/06/15)
NHSE Funded Service Users
Q1 FY15-16
Q1
Ave. Length of
Stay (months)
NHSE Funded Service Users
Q2 FY15-16
Q2
Q1
Q2
No. of service
users
Ave. Length of
Stay (months)
(01/10/1430/09/15)
No. of service
users
(Q2 01/10/14 – 30/09/15)
(01/07/1430/06/15)
Child & Adolescent Mental Health
Service (mixed)
2.3
96
2.6
93
2.3
96
2.6
93
AVERAGE/TOTAL
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.
Page 5
Cygnet Health Care
Length of Stay Report Q2 FY 2015-16
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.
ALL service users placed on longer stay services
Average Length of Stay Summary:
Completed Episodes for Longer Stay
Services
(Q1 01/07/14 – 30/06/15)
Q1
Ave. Length of
Stay (months)
(01/07/1430/06/15)
Locked Intensive Learning Disability service
(female)
Q1
Q2
Q2
No. of service
users
Ave. Length of
Stay (months)
(01/10/1430/09/15)
No. of service
users
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
8.6 (4.5)*
28 (24)*
3.8
30
3.7
1
-
-
12.7 (11.3)*
132 (125)*
11.6 (11.4)*
126 (125)*
(Q2 01/10/14 – 30/09/15)
Locked Older Males services
Locked Older Females service
AVERAGE/TOTAL
Table 3:
Average length of completed episodes for service users who were discharged from Cygnet nonprescribed longer stay services.
*Details of outliers available on request.
Average Length of Stay Summary:
Completed Episodes for Emergency
Admissions only
(Q1 01/07/14 – 30/06/15)
(Q2 01/10/14 – 30/09/15)
ALL service users placed on emergency admissions services
Q1
Ave. Length of
Stay (months)
(01/07/1430/06/15)
Q1
Q2
Q2
No. of service
users
Ave. Length of
Stay (months)
(01/10/1430/09/15)
No. of service
users
Acute services (male)
0.9
652
0.9
661
Acute services (female)
0.7
400
0.7
393
Enhanced Acute service (male)
1.4
117
1.2
132
Enhanced Acute service (female)
1.2
129
1.1
133
PICU services (male)
0.8
382
0.8
386
PICU services (female)
1.2
239
1.2
235
AVERAGE/TOTAL
0.9
1919
0.9
1940
Table 4:
Average length of completed episodes for service users within Cygnet non-prescribed emergency
admissions services.
Page 6