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Publication - Statistics

Mental Health Inpatient Census 2025 Part 3 - HBCCC and Long stay

Published
23 June 2026
From
Minister for Mental Wellbeing, Public Health, Sport, Alcohol and Drugs
Directorate
Population Health Directorate
Topic
Health and social care

Results from the Hospital Based Complex Clinical Care (HBCCC) and Long Stay Census, carried out in April 2025. The data was collected as part of the Inpatient Census.

Part of

Supporting documents

Key points

This report presents results from the Hospital Based Complex Clinical Care (HBCCC) & Long Stay Census. It was conducted by the Scottish Government and NHS Boards on April 9, 2025. Data was collected as part of the Inpatient Census and covers all HBCCC and Long Stay patients from all three parts of the Census. This includes patients within NHS Scotland facilities including general hospitals, community hospitals, and psychiatric hospitals. It also covers patients funded by NHS Scotland but treated outwith NHS Scotland facilities, such as private hospitals or NHS England.

Figure 1: Data for the vast majority of HBCCC and Long Stay patients was collected through the Mental Health Bed Census

HBCCC and Long Stay patients by Inpatient Census Part, Mental Health Inpatient Census and HBCCC Census, Scotland, 2025

There were 923 inpatients in mental health beds within NHS Scotland, 97 in mental health beds outwith NHS Scotland, and 64 inpatients in general hospital beds within NHS Scotland.

  • In the 2025 census, there were 1,084 patients in Hospital-based complex clinical care (HBCCC) or long-stay.
  • 37% of these patients were from the 40-64 years age group. 20 (2%) patients were under 18 years old, while 383 (35%) were aged 65 or older.
  • The majority of patients in the Census (66%) identified as White Scottish.
  • 64% of patients were male and 36% female. Less than 1% were non-binary.

Key findings: Patients in receipt of Hospital Based Complex Clinical Care (HBCCC)

  • In the 2025 census, 379 patients were receiving Hospital Based Complex Clinical Care.
  • 353 (93%) HBCCC patients were in a Mental Health & Learning Disability Inpatient Bed within an NHS Scotland facility on the Census date.
  • 10 (3%) patients were in a General Acute / Community Hospital NHS Scotland facility.
  • There were 16 (4%) patients treated outwith NHS Scotland.
  • 236 (62%) HBCCC patients were male, and 142 (37%) were female. Less than 1% were non-binary.
  • 188 (50%) HBCCC patients were under the care of a consultant specialising in Psychiatry of Old Age.
  • 91 (24%) HBCCC patients had been in the hospital for less than 6 months at the Census date.

Key findings: Long Stay patients (who are not in receipt of HBCCC)

  • In the 2025 census, there were 705 Long Stay patients who were not receiving HBCCC.
  • Among these patients, 570 (81%) were in a Mental Health, Learning Disability, or Addiction Inpatient Bed within an NHS Scotland facility on the Census date.
  • 54 (8%) patients were in a General Acute / Community Hospital NHS Scotland facility, while 81 (11%) patients were treated outwith NHS Scotland.
  • 461 (65%) Long Stay patients were male, and (243) 34% were female. Less than 1% were non-binary.
  • 270 (38%) Long Stay Patients were under the care of a consultant specialising in General Psychiatry.
  • 128 (18%) Long Stay Patients had been in the hospital for at least 5 years.
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