People with mental health problems need good, joined up physical and mental health care, both in hospital and the community.
Successful joined up care depends on GPs, community and acute mental health care teams and social care professionals all having access to timely information about a persons care and treatment. The PRSB has developed the mental health discharge summary standard to ensure that relevant information is shared, so professionals can provide continuity of care when an adult is discharged from mental health services. It includes information on patient history and social context, medications, the details of their hospital admission, as well as current and previous diagnoses.
The mental health discharge summary will improve professional communication between the patient's secondary care providers to their GP. It is very important to recognise the different nature of mental illness to physical illness and disease including the different methods of treatments and imperative follow-up care after discharge. The language used in the headings and in the clinical descriptions has been modified, where necessary, to be more inclusive and sympathetic to the nature of mental illness and processes of care. This project supports the NHS Digital and NHS England interoperability work
Version 2.1 - Standard update
This standard has now been updated to version 2.1. Detailed release notes are available outlining the changes. These can be found in the supporting documents link above. The standard has been updated in-line with new PRSB digital medications information assurance (published 2019).
Supporting documents for Mental health inpatient discharge standard
Information model - Mental health inpatient discharge
View the standard as a detailed mindmap.
Release Notes V2.1
The Mental health inpatient discharge has been updated to version 2.1 (Dec 17 2019). V2.1 includes an update to:
- structured dose direction cluster
- structured dose amount
- structured dose timing and dose direction duration.
Final report - Mental health inpatient discharge v1.3
The final report outlines the process taken to reach the final standard.
Safety case report
The combined Clinical Safety Case document sets out the work done to manage clinical safety risks associated with four PRSB transfer of care projects between hospital and general practice. These include the e-discharge summary, mental health discharge summary, emergency care (EC) discharge summary and outpatient letter standards.
Hazard log - excel file
The Hazard Log records both generic and specific implementation hazards identified during the transfer of care projects. It includes associated mitigations and actions as well as guidance for system developers and implementers.
Transfer of care FHIR specifications
The Mental health inpatient discharge standard has been endorsed by the following organisations:
- Royal College of Nursing
- Royal College of Psychiatrists
- Association of Directors of Adult Social Services
- Royal College of General Practitioners
- Royal College of Occupational Therapists
- Royal Pharmaceutical Society
- British Psychological Society
- Institute of Health Records and Information Management