Mental Health Inpatient Census Part 3: Hospital-Based Complex Clinical Care and Long Stay

Key Points

• In the 2024 census, there were 1,313 patients in Hospital-based complex clinical care (HBCCC) or long-stay.
• These patients were primarily from older age groups: only 22 (2%) patients were under 18 years old, while 538 (40%) were aged 65 or older.
• The majority of patients (78%) in the census identified as White Scottish.

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

• In the 2024 Census, 542 patients were receiving HBCCC.

• 447 (82%) HBCCC patients were in a Mental Health & Learning Disability Inpatient Bed within an NHS Scotland facility.

• 25 (5%) HBCCC patients were in a General Acute / Community Hospital NHS Scotland facility.
• 70 (13%) HBCCC patients were treated outwith NHS Scotland.
• 59% of HBCCC patients were male and 41% were female.
• 263 (49%) HBCCC patients were under the care of a consultant specialising in Psychiatry of Old Age.
• 156 (29%) 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 2024 Census, there were 771 Long Stay patients who were not receiving HBCCC.
• 637 (83%) Long Stay patients were in a Mental Health, Learning Disability, or Addiction Inpatient Bed within an NHS Scotland facility.
• 73 (9%) patients were in a General Acute / Community Hospital NHS Scotland facility, while 61 (8%) patients were treated outwith NHS Scotland.
• 63% of Long Stay patients were male and 37% were female.
• 303 (39%) Long Stay patients were under the care of a consultant specialising in General Psychiatry.
• 143 (19%) Long Stay patients had been in the hospital for at least 5 years.