These tables present a summary of the inpatient and community mental health and addiction services provided in New Zealand.
Qlik Sense Files
Data is sourced from the Programme for the Integration of Mental Health Data (PRIMHD). PRIMHD is the Ministry of Health’s national collection of mental health and addiction service activity and outcomes data. The data is collected from district health boards (DHBs) and non-governmental organisations (NGOs).
PRIMHD data is used to report on what services are being provided, who is providing the services, and what outcomes are being achieved for health consumers across New Zealand’s mental health sector. These reports enable better quality service planning and decision making by mental health and addiction service providers, at local, regional and national levels.
“Data is sourced from the Programme for the Integration of Mental Health Data (PRIMHD). PRIMHD is the Ministry of Health’s national collection of mental health and addiction service activity and outcomes data. The data is collected from district health boards (DHBs) and non-governmental organisations (NGOs).
PRIMHD data is used to report on what services are being provided, who is providing the services, and what outcomes are being achieved for health consumers across New Zealand’s mental health sector. These reports enable better quality service planning and decision making by mental health and addiction serivce providers, at local, regional and national levels.
In 2008, DHBs began reporting to PRIMHD. In addition, from this date an increasing number of NGOs began reporting to the PRIMHD database. Prior to 2008, national mental health data was collected in the MHINC collection. For more information see: www.health.govt.nz/nz-health-statistics/national-collections-and-surveys/collections/primhd-mental-health-data.
Because of both its recent introduction and the enormous complexities of creating and maintaining a national data collection, the following caveats need to be kept in mind when reviewing statistics generated using PRIMHD data.
• Shifts or patterns in the data after 2008 may reflect the gradual adaptation of service providers to the PRIMHD system, in addition to, or instead of, any trend in mental health service use or consumer outcomes.
• PRIMHD is a living data collection, which continues to be revised and updated as data reporting processes are improved. For this reason, previously published data may be liable to amendments.
• Statistical variance between services may reflect different models of practice and different consumer populations. However, inter-service variance may also result from differences in data entry processes and information management.
• To function as a national collection, PRIMHD requires integration with a wide range of person management systems across hundreds of unique service providers. As the services adjust to PRIMHD, it is expected that the quality of the data will improve.
• The quality and accuracy of statistical reporting relies on consistent, correct and timely data entry by the services that report to PRIMHD.
• The Ministry of Health is actively engaged in a continuing project to review and improve the data quality of PRIMHD. This project is considered a priority given the importance of mental health data in providing information about mental health consumption and outcomes, and in generating conversations and public debate about how to improve mental health care for New Zealanders.
Coding of team types
“There was notable change made to the coding of team types as part of the HISO review of the PRIMHD Codeset. This change was made on 1/7/2014 to all data in PRIMHD from 1/7/2008 onwards. Additionally the Ministry of Health has recently undertaken a review of all standard definitions used in our PRIMHD publications and reports. This has resulted in a slight change to some of the tables in this spreadsheet.
This means that data extracted before 1/7/2014, held in previous publications in this series, should not be compared to data tables containing team type variables. Furthermore caution should be used when comparing data extracted before 1/7/2014 to any of the other tables. The caveats under each table should be taken into consideration before any comparison is made. For further information or customised datasets please contact:”
Coding of activity types
Coding of activity types was previously inconsistent across service organisations. To assist with activity coding the Ministry of Health has published a guide entitled ‘Guide to PRIMHD Activity Collection and Use’. A high level description of each of the activity types can be found within the PRIMHD Codeset at entitled PRIMHD standards.
Completeness of NGO data
In 2008, DHB reporting to PRIMHD became mandatory. In addition, from this date an increasing number of NGOs began reporting to the PRIMHD database.
Both non-governmental (NGO) data and combined district health board (DHB) and NGO totals within these tables should be used with caution.
The reporting of NGO data to PRIMHD has been a phased process. The completeness of NGO data has improved since 1 July 2008. As shown in the figures below the number and crude rate of healthcare users seen by NGOs in 2012/13 was more than seven times that reported in 2008/09.
Despite this increase, NGO data is still incomplete as not all NGOs were reporting to PRIMHD when the data was extracted. Furthermore NGOs that were reporting did so inconsistently as not all NGOs supplied data for the full 2012/13 period.
For these reasons, the Ministry of Health recommends that ‘NGO totals’ and ‘combined DHB and NGO totals’ are not compared across time before 2012/13.
If caution is used, NGO data can be compared from 2012/13 onwards.
Number and rate of distinct healthcare users seen by NGOs, 2008/09 to 2012/13
Crude rate is per 100,000 population.
All organisations types apart from district health boards have been included in the non-governmental organisation category. This includes charitable trusts and a very small number of private hospitals.
Completeness of data for older people
Mental health and addiction services for older people are funded as mental health and addiction services in the Northern and Midland regions, but as disability support services in the Southern and Central Regions. PRIMHD mainly captures mental health and addiction services, and occasionally captures data on disability support services. This means data on healthcare users aged over 65 (including psychogeriatric services) is incomplete.