Please provide ECT information under the FOI act to the following questions: -
1. Please supply patient’s information ECT leaflet.
We also have access to other language information from the Electroconvulsive Therapy Accreditation Service (ECTAS). The CQC information leaflet is only given to detained patients.
2. Please supply patient ECT consent form.
Consent is detailed in the attached
3. Please supply any ECT reports/investigations
Not appropriate
4. How many ECT in 2019?
271
5. What proportion of patients were men/women? 50/50
6. How old were they? 19-64 years = 17, 65 Year + = 9
7. What were the diagnoses and in what proportions? Depression = 65%, Personality Disorder, Bipolar, Schizophrenia & Anxiety Disorder 35%
8. What proportion of patients were classified BAME? 4%
9. How many were receiving ECT for the first time? 54%
10. How many patients consented to ECT? 100%
11. How many ECT complaints were investigated outside the NHS and CCG?
12. How many patients died during or soon after ECT and what was the cause (whether or not ECT was considered the cause)? Zero
13. How many patients died a few months after ECT and what was the cause (whether or not ECT was considered the cause)? Zero
14. How many patients died by suicide within a few months of receiving ECT (whether or not ECT was considered the cause)? Zero
15. How many patients have suffered complications during and after ECT and what were those complications? This is clinical information that would require a full audit by a clinician.
16. Have there been any formal complaints from patients/relatives about ECT?
Zero
17. If so, what was their concerns?
N/A
18. How many patients report memory loss/loss of cognitive function? This is clinical information that would require a full audit by a clinician.
19. What tests are used to assess memory loss/loss of cognitive function? This is clinical information that would require a full audit by a clinician.
20. Have MRI or CT scans been used before and after ECT? Not relevant to our Trust
21. If so what was the conclusion? N/A
22. How does the Trust plan to prevent ECT in the future? N/A
Please provide SECLUSION information under the FOI act to the following questions: -
1. Please supply patient’s information SECLUSION leaflet.
We do not have a seclusion leaflet
2. Please supply patient SECLUSION consent form.
We do not have a consent to seclusion form
3. Please supply any SECLUSION reports/investigations
Not appropriate
4. How many SECLUSION in 2019? Not available in the time frame
5. What proportion of patients were men/women? Not available in the time frame
6. How old were they? Not available in the time frame
7. What were the diagnoses and in what proportions? Not available in the time frame
8. What proportion of patients were classified BAME? Not available in the time frame
9. How many were receiving SECLUSION for the first time? Not available in the time frame
10. How many patients consented to SECLUSION? Not available in the time frame
11. How many SECLUSIONS were investigated outside the NHS and CCG ? Zero
12. How many patients died during or soon after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)? zero
13. How many patients died a few months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)? zero
14. How many patients died by suicide within a few months of receiving SECLUSION (whether or not SECLUSION was considered the cause)? Manual trawl required
15. How many patients have suffered complications during and after SECLUSION and what were those complications? Manual trawl required
16. Have there been any formal complaints from patients/relatives about SECLUSION? Zero
17. If so, what was their concerns? N/A
18. How many patients report memory loss/loss of cognitive function? Not available in the time frame
19. What tests are used to assess memory loss/loss of cognitive function? Not available in the time frame
20. Have MRI or CT scans been used before and after SECLUSION?
21. If so what was the conclusion?
22. How does the Trust plan to prevent SECLUSION in the future?
Again through the work we are doing around restraint reduction and also reducing of restrictive practices we hope to reduce the number of seclusion incidents. We were in the process of having a rapid improvement event to gather data and work through Quality Improvement methodology but this is currently on hold due to Covid-19 pandemic.
Please provide RESTRAINTS information under the FOI act to the following questions: -
1. Please supply RESTRAINTS patient’s information leaflet. No leaflet exists on restraint we provide information on support in the aftermath of a restraint
2. Please supply patient RESTRAINTS consent form. No standardised consent form. If restraint was planned as part of an individuals care and treatment this would be discussed with the patient and documented in their patient records.
3. Please supply any Restraints/investigations
Not appropriate
4. How many RESTRAINTS in 2019?
788
5. What proportion of patients were men/women? Not available in the timeframe
6. How old were they? Not available in the timeframe
7. What were the diagnoses and in what proportions? Not available in the timeframe
8. What proportion of patients were classified BAME? Not available in the timeframe
9. How many were receiving RESTRAINTS for the first time? Not available in the timeframe
10. How many patients consented to RESTRAINTS? Not available in the timeframe
11. How many RESTRAINTS were investigated outside the NHS and CCG ? Not available in the timeframe
12. How many patients died during or soon after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)? Not available in the timeframe
13. How many patients died a few months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)? Not available in the timeframe
14. How many patients died by suicide within a few months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)? Not available in the timeframe
15. How many patients have suffered complications during and after RESTRAINTS and what were those complications? Not available in the timeframe
16. Have there been any formal complaints from patients/relatives about RESTRAINTS? Zero
17. If so, what was their concerns? N/A
18. How many patients report memory loss/loss of cognitive function? Not available in the timeframe
19. What tests are used to assess memory loss/loss of cognitive function? Not available in the timeframe
20. Have MRI or CT scans been used before and after RESTRAINTS? Not relevant to our Trust
21. If so what was the conclusion? N/A
22. How does the Trust plan to reduce restraints in the future?
Recently Berkshire Healthcare have re-written their violence reduction strategy this also encompasses a restrictive intervention workforce that are currently reviewing data and following Quality Improvement methodology to help reduce the number of restrictive interventions we use on a day to day basis
Berkshire Healthcare are also currently working towards the restraint reduction network certification, the PMVA (Prevention and Management of Violence and Aggression) team have spent a considerable amount of time making sure they follow these standards, with the emphasis on primary and secondary prevention.
Please provide SERIOUS INCIDENT information under the FOI act to the following questions: -
1. Please supply SERIOUS INCIDENT REPORTS patient’s information leaflet.
- BHFT does not have a patient information leaflets around Serious Incident Investigations. The investigation process is explained as part of Duty of Candour.
2. Please supply patient SERIOUS INCIDENT REPORTS consent form.
The Serious Incident investigation process is not one where consent is sought. We collaborate closely with patient and family when reviewing serious incidents and usual consent rules apply to relevant areas.
3. Please supply any serious incident reports/investigations
We do not share our serious incident reports in this way.
4. How many SERIOUS INCIDENT REPORTS in 2019?
There was a total of 62 Serious Incidents reported in the year 2019 across all BHFT Mental health and Community Health services
5. What proportion of patients were men/women?
58% Men and 42% Female
6. How old were they?
32% 1-35yrs, 53% 36-64yrs, 15% 65+
7. What were the diagnoses and in what proportions?
Depressive Disorders 23%, Schizoaffective Disorders 18%, Psychotic Disorder and Emotionally Unstable Personality Disorders 15%, Bipolar Affective Disorders 8%, Dementia Disorder and No diagnosis 6%, Learning Disability 5%, Substance Misuse and Post Traumatic Stress Disorders 1%
8. What proportion of patients were classified BAME?
12% of patients were classified as BAME
9. How many were receiving SERIOUS INCIDENT REPORTS for the first time?
All patients or family/carers were receiving Serious Incident reports for the first time.
10. How many patients consented to SERIOUS INCIDENT REPORTS?
No patients consented to the Serious Incident process as it is not a process that requires consent
11. How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG?
No Serious Incidents were investigated outside of the NHS and CCG.
12. How many patients died during or soon after SERIOUS INCIDENT REPORTS and what was the cause (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?
Not able to provide this information within the time frame
13. How many patients died a few months after SERIOUS INCIDENT REPORTS and what was the cause (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?
Not able to provide this information within the time frame
14. How many patients died by suicide within a few months of receiving SERIOUS INCIDENT REPORTS (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?
Serious incidents are often initiated following the unexpected death of a patient who was receiving or had received care in the months prior to death. Of the 42 Serious incidents undertaken following an unexpected death 15 were considered suspected suicides at the time of reporting. N.B. Suicide is not confirmed until Coroner Inquest.
15. How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?
Not able to provide this information in the time frames
16. Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?
There was 1 formal complaint that has been logged in the time frame
17. If so, what was their concerns?
The complaint related to the findings of the Serious Incident investigation.
18. How many patients report memory loss/loss of cognitive function?
Not able to provide this information within the time frame
19. What tests are used to assess memory loss/loss of cognitive function?
Not able to provide this information as above
20. Have MRI or CT scans been used before and after SERIOUS INCIDENT REPORTS?
Not able to provide this information as above
21. If so what was the conclusion?
As above
22. How does the Trust plan to prevent SERIOUS INCIDENTS in the future?
The Trust has a systematic approach to learning from serious incidents – we have created a positive culture where people, patients, carers and staff can share their experiences and concerns and we have a genuine commitment to learning and making improvements. We have robust mechanisms for monitoring and assurance.
To achieve this we ensure staff across the trust feel valued and we focus on doing what is best for people, both staff, patients and carers. We strive to work in an open and transparent way and our systems and process promote this
Please provide MEDICATION ERRORS information under the FOI act to the following questions: -
1. Please supply patient’s information MEDICATION ERRORS leaflet.
2. Please supply patient MEDICATION ERRORS consent form.
We do not have a medication errors consent form
3. Please supply any MEDICATION ERRORS reports/investigations
Not available in the timeframes
4. How many MEDICATION ERRORS in 2019?
172 (Mental Health only)
5. What proportion of patients were men/women?
Not available in the timeframes
6. How old were they?
Not available in the timeframes
7. What were the diagnoses and in what proportions?
Not available in the timeframes
8. What proportion of patients were classified BAME?
Not available in the timeframes
9. How many were receiving MEDICATION ERRORS for the first time?
Not available in the timeframes
10. How many patients consented to MEDICATION ERRORS?
Not available in the timeframes
11. How many MEDICATION ERRORS S were investigated outside the NHS and CCG?
Zero
12. How many patients died during or soon after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?
Medication error has not been a root cause in any serious incident
13. How many patients died a few months after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?
Not available in the time frame
14. How many patients died by suicide within a few months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
Not available in the time frame
15. How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
Not available in the time frame
16. Have there been any formal complaints from patients/relatives about MEDICATION ERRORS? Two
17. If so, what was their concerns?
- Ref 6852, concern was incorrect medication given
- Ref 6929, concern was failure to administer medication
18. How many patients report memory loss/loss of cognitive function?
Not available in the time frame
19. What tests are used to assess memory loss/loss of cognitive function?
Not available in the time frame
20. Have MRI or CT scans been used before and after MEDICATION ERRORS?
Not available in the time frame
21. If so what was the conclusion? N/A
22. How does the Trust plan to prevent MEDICATION ERRORS in the future?
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