ECT
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.
Please supply patient ECT consent form
supplied
Please supply any ECT reports/investigations
Please be advised the Trust does not release details where patients can be identified in line with UK GDPR, and we are withholding this information under Section 40 (1) (Personal Data) of the Act. Section 40(1) is an Absolute Exemption and is therefore not subject to the public interest test.
How many ECT in 2022?
There were 282 ECT sessions.
What proportion of patients were men/women?
Out of the 24 total patients:
Male: 6
Female: 18
How old were they?
19-64 years: 8
65+ years = 16
What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
BAME: <5
White: 18
Other: <5
We are unable to provide all of this information as we are dealing with very small numbers of cases (<5) and we believe that providing this information could lead to the identification of individuals as patients of our service and so we are withholding this information under Section 40(2) of the FOI Act.
How many were receiving ECT for the first time?
There were 16 patients who received ECT for the first time.
How many patients consented to ECT?
100%
How many ECT complaints were investigated outside the NHS and CCG?
0.
How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
0.
How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
1 patient died within 6 months of last ECT treatment, we do not hold records on their cause of death.
How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
0.
How many patients have suffered complications during and after ECT and what were those complications?
0.
Have there been any formal complaints from patients/relatives about ECT?
0.
If so, what was their concerns?
N/A.
How many patients report memory loss/loss of cognitive function?
This is addressed individually and would require a manual search through individual patient records.
What tests are used to assess memory loss/loss of cognitive function?
Six Item Cognitive Impairment Test (6CIT).
Have MRI or CT scans been used before and after ECT?
No.
If so, what was the conclusion?
N/A.
How does the Trust plan to prevent ECT in the future?
N/A.
Medication Errors
Please supply any MEDICATION ERRORS reports/investigationsPlease be advised the Trust does not release details where patients can be identified in line with UK GDPR, and we are withholding this information under Section 40 (1) (Personal Data) of the Act. Section 40(1) is an Absolute Exemption and is therefore not subject to the public interest test.
How many MEDICATION ERRORS in 2022?
There were 69 medication errors reported across the Trust.
What proportion of patients were men/women?
Female: 28
Male: 40
Please note, there are some incident reports which do not have the patients gender listed. Therefore, we are not able to provide a breakdown for these patients without completing a manual search through individual patient records.
How old were they?
13-20 years: 8
21-30 years: 5
31-40 years: 10
41-50 years: 5
51-60 years: 22
61-70 years: 11
71+ years: 8
What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
White: 48
BAME: 15
Not stated/ unknown: 5
Please note, there are some incident reports which do not have the patients ethnicity listed. Therefore, we are not able to provide a breakdown for these patients without completing a manual search through individual patient records.
How many MEDICATION ERRORS were investigated outside the NHS and CCG?
0.
How many patients died during or 1 month after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?
This information would require a manual search through individual patient records.
How many patients died within 6 months after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?
This information would require a manual search through individual patient records.
How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
This information would require a manual search through individual patient records.
How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
This information would require a manual search through individual patient records.
Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
0.
If so, what was their concerns?
N/A.
How does the Trust plan to prevent MEDICATION ERRORS in the future?
The Trust will continue to reduce medication errors by:
Encourage more reporting of errors and more importantly near misses
Promote a just culture
Continue to invest in multidisciplinary Medication Safety Officers who review reported errors and disseminate relevant learning from local, national and international sources.
Continue to support the Medication Safety Group who monitor for trends and patterns and review action plans from reported medication errors.
Continue to promote local learning from using learning from medication errors and associated learning materials.
Continue to promote standardisation and simplification of medication processes.
The Patient Safety Team will be moving towards implementing PSIRF later in the year to focus on opportunity for system learning and not severity of incidents to investigate. In Medication Safety we do this informally already due to the rarity of severe events within capacity.
Restraints
Please supply any Restraints/investigations?Please be advised the Trust does not release details where patients can be identified in line with UK GDPR, and we are withholding this information under Section 40 (1) (Personal Data) of the Act. Section 40(1) is an Absolute Exemption and is therefore not subject to the public interest test.
How many RESTRAINTS in 2022?
Within our mental health inpatient division, we recorded 913 restraints. This includes mental health inpatients and learning disabilities inpatients. Please note this data includes a range of interventions ranging from guiding a patient using minimal force to another area of a ward, to full restraint.
What proportion of patients were men/women?
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How old were they?
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What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
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How many RESTRAINTS were investigated outside the NHS and CCG?
0.
How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
This information would require a manual search through individual patient records.
How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
This information would require a manual search through individual patient records.
How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?
This information would require a manual search through individual patient records.
How many patients have suffered complications during and after RESTRAINTS and what were those complications?
This information would require a manual search through individual patient records.
Have there been any formal complaints from patients/relatives about RESTRAINTS?
4.
If so, what was their concerns?
Allegation of unreasonable force during restraint
Allegation of patient sustaining extensive bruising during restraint
Unhappy with being restrained
Unhappy with being restrained
Are counts of forced injections available?
There were 397 intramuscular (IM) injections reported. Please note, this does not mean they were all forced injections, as some patients prefer IM or even request IM.
How does the Trust plan to reduce restraints in the future?
We are continuing our work in this area.
We have also joined the Academic Health Science Network so we can share and learn from other organisations. We are refreshing our safe wards interventions and continue to see a reduction in restraint.
We have a dedicated Operational Reducing Restrictive Practice Group. The aim of this group is to ensure we are focusing on prevention and have robust systems for monitoring and learning in real time. The group are currently reviewing patient feedback from advocacy, incidents and complaints/compliments to inform future focus.
Seclusion
Please supply any SECLUSION reports/investigationsPlease be advised the Trust does not release details where patients can be identified in line with UK GDPR, and we are withholding this information under Section 40 (1) (Personal Data) of the Act. Section 40(1) is an Absolute Exemption and is therefore not subject to the public interest test.
How many SECLUSIONS in 2022?
Within our mental health inpatient division (including learning disabilities inpatients), we recorded 167 seclusions.
What proportion of patients were men/women?
Female: 34
Male: 79
Other / not known: <5
Please note, there are some incident reports which do not have the patients gender listed. Therefore, we are not able to provide a breakdown for these patients without completing a manual search through individual patient records.
We are unable to provide all of this information as we are dealing with very small numbers of patients and we believe that providing this information could lead to the identification of individuals as patients of our service and so we are withholding this information under section 40(2) of the FOI Act.
How old were they?
10-20 years: 18
21-30 years: 26
31-40 v: 37
41-50 years: 13
50+ years: 19
Please note, there are some incident reports which do not have the patients age listed. Therefore, we are not able to provide a breakdown for these patients without completing a manual search through individual patient records.
What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
White: 56
BAME: = 54
Not stated / unknown: = 6
Please note, there are some incident reports which do not have the patients ethnicity listed. Therefore, we are not able to provide a breakdown for these patients without completing a manual search through individual patient records.
How many SECLUSIONS were investigated outside the NHS and CCG?
0.
How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
This information would require a manual search through individual patient records.
How many patients died within 6 months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
This information would require a manual search through individual patient records.
How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?
This information would require a manual search through individual patient records.
How many patients have suffered complications during and after SECLUSION and what were those complications?
This information would require a manual search through individual patient records.
Have there been any formal complaints from patients/relatives about SECLUSION?
2.
If so, what was their concerns?
Unhappy at being placed in seclusion and not enough contact with Dr
Allegation that patient was injured whilst being put in seclusion
How does the Trust plan to reduce SECLUSIONS in the future?
Along with our work on reducing restraints, we are also working on reducing seclusions as we have a specific focus on reducing all restrictive interventions.
This also includes ensuring the way we report restrictive interventions is accurate. We have appointed a new Consultant Practitioner who will be helping to lead this work.
Serious Incidents
Please supply any serious incident reports/investigations?Please be advised the Trust does not release details where patients can be identified in line with UK GDPR, and we are withholding this information under Section 40 (1) (Personal Data) of the Act. Section 40(1) is an Absolute Exemption and is therefore not subject to the public interest test.
How many SERIOUS INCIDENT REPORTS in 2022?
Total of 67, of which 5 were downgraded.
What proportion of patients were men/women?
Female: 39%
Male: 61%
How old were they?
1-35 years: 36%
36-64 years: 33%
65+ years: 31%
What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
BAME: 7
White: 53
Unknown: 7
How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG?
0.
How many patients died during or 1 month after SERIOUS INCIDENT REPORTS and what was the cause (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?
1.
Their primary cause of death was Hospital acquired pneumonia, with the secondary cause of death being frailty (subdural haemorrhage). This does not include deaths where the trigger for undertaking the serious incident investigation was due to an unexpected/ unnatural death occurring.
How many patients died within 6 months after SERIOUS INCIDENT REPORTS and what was the cause (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?
No further patients died within 6 months after the Serious Incident Report other than the 1 noted in Q7.
How many patients died by suicide within 6 months of receiving SERIOUS INCIDENT REPORTS (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?
This information would require a manual search through individual patient records.
How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?
This information would require a manual search through individual patient records.
Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?
0.
If so, what was their concerns?
N/A.
How does the Trust plan to prevent SERIOUS INCIDENTS in the future?
An output from each SI is an action plan which seeks to reduce the risk of future reoccurrence of similar incidents. We also have a Quality Improvement Programme which uses intelligence from Serious Incidents to inform our priorities.
Claudia Adlam (she/her/hers)
Executive Administrator
Berkshire Healthcare NHS Foundation Trust
claudia.adlam@berkshire.nhs.uk | 01189 046510
London House, London Road, Bracknell, RG12 2UT