Birmingham and Solihull Mental Health NHS Foundation Trust
FOI023/2021 ECT Response
Please provide ECT information under the FOI act to the following questions: -
Please provide ECT information under the FOI act to the following questions: -
Please supply patient’s information ECT leaflet.
Please see attachment.
Please supply patient ECT consent form.
Please see attachment.
Please supply any ECT reports/investigations
The Trust is unable to provide a response to this question as obtaining the requested data will require exhaustive and manual measures which exceeds the threshold of carrying out this task.
The Trust therefore, rely on exemption Section 12 to refuse this aspect of your request.
How many ECT in 2020?
440
What proportion of patients were men/women?
Female 81%
Male 19%
How old were they?
| 20-29 y/o | 4% |
| 30-39 y/o | 13% |
| 40-49 y/o | 4% |
| 50-59 y/o | 19% |
| 60-69 y/o | 17% |
| 70-79 y/o | 30% |
| 80-89 y/o | 13% |
What proportion of patients were classified BAME?
26%
How many were receiving ECT for the first time?
36%
How many patients consented to ECT?
The Trust is unable to provide a response to this question as obtaining the requested data will require exhaustive and manual measures which exceeds the threshold of carrying out this task.
The Trust therefore, rely on exemption Section 12 to refuse this aspect of your request.
How many ECT complaints were investigated outside the NHS and CCG?
Not recorded on our system
How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
No data available.
How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
No data available.
How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
No data available.
How many patients have suffered complications during and after ECT and what were those complications?
No data available.
Have there been any formal complaints from patients/relatives about ECT?
The Trust is unable to provide a response to this question as obtaining the requested data will require exhaustive and manual measures which exceeds the threshold of carrying out this task.
The Trust therefore, rely on exemption Section 12 to refuse this aspect of your request.
If so, what was their concerns?
Please refer to our response in question 15.
How many patients report memory loss/loss of cognitive function?
No data available.
What tests are used to assess memory loss/loss of cognitive function?
Mini ACE and ACE-III are the usual memory tests used to indicate memory loss/loss of cognitive function.
Have MRI or CT scans been used before and after ECT?
MRI/ CT scans before and after ECT treatment is not a routine practice in the Trust.
If so what was the conclusion?
Please refer to response above.
How does the Trust plan to prevent ECT in the future?
Currently, there is no reason to consider this as an option at present.
FOI 026_2021 Seclusion Response
Please provide SECLUSION information under the FOI act to the following questions: -
Please supply any SECLUSION reports/investigations
The Trust is unable to provide a response to this question, this is because obtaining the requested information will require exhaustive measures which exceeds the threshold of carrying out this task.
The Trust therefore, rely on exemption Section 12 of the Freedom of Information Act 2000 to refuse this query.
The Trust therefore, rely on exemption Section 12 of the Freedom of Information Act 2000 to refuse this query.
How many SECLUSIONS in 2020?
733
What proportion of patients were men/women?
Men: 71%
Women: 29%
Women: 29%
How old were they?
| Age Group | Number of Service U | % of Service Users |
| Under 18 | 8 | 3% |
| 18-24 | 18 | 7% |
| 25-34 | 83 | 30% |
| 35-44 | 83 | 30% |
| 45-54 | 53 | 19% |
| 55-64 | 25 | 9% |
| 65-74 | 6 | 2% |
What proportion of patients were classified BAME?
51%
How many SECLUSIONS were investigated outside the NHS and CCG?
Not recorded on our system
How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
Nil (0)
How many patients died within 6 months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
One (1) Suspected Suicide
One (1) Confirmed Suicide
One (1) Natural Cause / Clinical Condition
One (1) Confirmed Suicide
One (1) Natural Cause / Clinical Condition
How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?
One (1)
How many patients have suffered complications during and after SECLUSION and what were those complications?
How many patients have suffered complications during and after SECLUSION and what were those complications?
Not recorded on our system
Have there been any formal complaints from patients/relatives about SECLUSION?
The Trust is unable to provide a response to this question as obtaining the requested data will require exhaustive and manual measures which exceeds the threshold of carrying out this task.
The Trust therefore, rely on exemption Section 12 to refuse this aspect of your request
The Trust therefore, rely on exemption Section 12 to refuse this aspect of your request
If so,what was their concerns?
Please refer to response above.
How does the Trust plan to prevent SECLUSION in the future?
The Trust seeks to prevent seclusion through the launch of its Restraints and Restricted Practice Quality Improvement (RRP QI) collaborative, which looks at all aspects of restrictive practice as well as improving service user experience within seclusion.
FOI 024/2021 Serious Incident Response
Please provide SERIOUS INCIDENT information under the FOI act to the following questions: -
FOI 024/2021 Serious Incident Response
Please provide SERIOUS INCIDENT information under the FOI act to the following questions: -
Please supply any serious incident reports/investigations
The Trust is unable to provide any serious incident reports/investigations as it pertains to patient’s personal information.
How many SERIOUS INCIDENT REPORTS in 2020?
87
What proportion of patients were men/women?
| Gender | Serious Incidents |
| F | 31 |
| M | 55 |
Disclaimer: A serious incident (SI) can contain multiple patients, and some SI may not list any patients i.e in the case of a ward closure due to a Covid outbreak
How old were they?
| Age Group | Count |
| 21 - 30 | 5 |
| 31 - 40 | 23 |
| 41 - 50 | 23 |
| 51 - 60 | 14 |
| > 60 | 21 |
Disclaimer: A serious incident can contain multiple patients, and some SI may not list any patients i.e. in the case of a ward closure due to a covid outbreak.
What proportion of patients were classified BAME?
| Ethnic Group | Count |
| A - British – White | 58 |
| B - Irish – White | 4 |
| C - Other White – White | 4 |
| D - White & Black Caribbean - Mixed | 3 |
| H - Indian - Asian Or Asian British | 4 |
| J - Pakistani - Asian Or Asian British | 4 |
| M - Black Caribbean - Black Or Black British | 1 |
| N - Black African - Black Or Black British | 1 |
| P - Other Black - Black Or Black British | 2 |
| S - Other Ethnic Category - Other Ethnic | 2 |
| Z - Not Stated | 3 |
Disclaimer: A serious incident can contain multiple patients, and some SI may not list any patients in the case of a ward closure.
How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG?
Nil (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)?
| CAUSE_1 | Death Period | Count |
| Confirmed Suicide | Same day or before incident reported date | 31 |
| Known Cause | Same day or before incident reported date | 11 |
| Natural Cause / Clinical Condition | Same day or before incident reported date | 2 |
| Suspected Natural Cause (Earlier Than Expected) | Same day or before incident reported date | 1 |
| Suspected Suicide | Same day or before incident reported date | 7 |
| Unknown Cause | Same day or before incident reported date | 12 |
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)?
1 incident was reported where a patient died within 6 months following a serious incident.
How many patients died by suicide within 6 months of receiving SERIOUS INCIDENT REPORTS (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?
There was 1 confirmed patient suicide within 6 months following a serious incident.
How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications.
There have Nil (0) patients that have suffered complications during and after a serious incident report.
Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?
Nil (0)
If so, what was their concerns?
Please refer to response above.
How does the Trust plan to prevent SERIOUS INCIDENTS in the future?
There are a range of areas which we seek to improve with the aim of reducing suicides. The key ones are shown pictorially below:-
FOI 025_2021 Restraints Response
Please provide restraints information under the FOI act to the following questions: -
FOI 025_2021 Restraints Response
Please provide restraints information under the FOI act to the following questions: -
Please supply any Restraints/investigations
The Trust is unable to provide a response to this question, this is because obtaining the requested information will require exhaustive measures which exceeds the threshold of carrying out this task.
The Trust therefore, rely on exemption Section 12 of the Freedom of Information Act 2000 to refuse this query.
The Trust therefore, rely on exemption Section 12 of the Freedom of Information Act 2000 to refuse this query.
How many RESTRAINTS in 2020?
In 2020 the Trust recorded 3953 incidents of restraint (Physical, Mechanical, Chemical (Rapid Tranquilisation) ).
What proportion of patients were men/women?
| Gender | Count |
| Female | 2389 |
| Male | 1552 |
| Other | 12 |
How old were they?
| Age Group | Count |
| < 20 | 290 |
| 21 - 30 | 951 |
| 31 - 40 | 781 |
| 41 - 50 | 581 |
| 51 - 60 | 737 |
| > 60 | 613 |
What proportion of patients were classified BAME?
| Ethnicity | Count |
| A - British - White | 2366 |
| B - Irish - White | 40 |
| C - Other White - White | 67 |
| D - White & Black Caribbean - Mixed | 49 |
| E - White & Black African - Mixed | 28 |
| F - White & Asian - Mixed | 149 |
| G - Other Mixed - Mixed | 21 |
| H - Indian - Asian Or Asian British | 104 |
| J - Pakistani - Asian Or Asian British | 203 |
| K -Bangladeshi - Asian Or Asian British | 30 |
| L - Other Asian - Asian Or Asian British | 76 |
| M - Black Caribbean - Black Or Black British | 371 |
| N - Black African - Black Or Black British | 129 |
| P - Other Black - Black Or Black British | 40 |
| R - Chinese - Other Ethnic | 3 |
| S - Other Ethnic Category - Other Ethnic | 190 |
| U - Arab | 3 |
| Z - Not Stated | 84 |
How many RESTRAINTS were investigated outside the NHS and CCG?
Not recorded on our system.
How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
| Cause | Count |
| Natural Cause / Clinical Condition | 1 |
| Suspected Homicide Of Pt By 3rd Party | 1 |
| Unknown Cause | 1 |
Disclaimer: The table above lists the number of patients that have died within 1 month of a restraint. Please note incidents involving restraints and deaths can be mutually exclusive.
How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
| Cause | Count |
| Natural Cause / Clinical Condition | 10 |
| Confirmed Suicide | 2 |
| Suspected Suicide | 1 |
| Known Cause | 1 |
| Unknown Cause | 3 |
Disclaimer: The table above lists the number of patients that have died within 6 months of a restraint. The figures exclude patient deaths listed in question 7.
Please note incidents involving restraints and deaths can be mutually exclusive.
How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?
There were 2 patients who died by suicide within 6 months following an incident involving restraint.
There is also 1 additional suspected suicide incident which is still awaiting a determination from the coroner.
Please note incidents involving restraints and deaths can be mutually exclusive.
There is also 1 additional suspected suicide incident which is still awaiting a determination from the coroner.
Please note incidents involving restraints and deaths can be mutually exclusive.
How many patients have suffered complications during and after RESTRAINTS and what were those complications?
Not recorded on the Incident Reporting System
Have there been any formal complaints from patients/relatives about RESTRAINTS?
No
If so, what was their concerns?
Please refer to the response provided above.
Are counts of forced injections available?
In 2020 the Trust recorded 1099 incidents of restraint by Rapid Tranquilisation.
Disclaimer: note an instance of restraint can involve multiple types of restrictive interventions. Therefore the restraint figures listed in Q2 and Q13 will not always be mutually exclusive.
Disclaimer: note an instance of restraint can involve multiple types of restrictive interventions. Therefore the restraint figures listed in Q2 and Q13 will not always be mutually exclusive.
How does the Trust plan to reduce restraints in the future?
The Trust has recently refreshed its 5-year quality strategy and has launched a reducing restrictive practice Quality Improvement collaborative that has a specific aim to reduce the incidents of restraint and seclusion.
The Trust has formally submitted a pledge to the Restraint Reduction Network (RRN) which has been published on their website.
In addition to this the Trust has formally started the process of accrediting the physical intervention training through the BILD ACT and UKAS.
FOI 027_2021 Medication Error Response
Please provide MEDICATION ERRORS information under the FOI act to the following questions: - 1. Please supply any MEDICATION ERRORS reports/investigations
The Trust is unable to provide a response to this question as obtaining the requested data will require exhaustive and manual measures which exceeds the threshold of carrying out this task.
The Trust therefore, rely on exemption Section 12 to refuse this aspect of your request.
How many MEDICATION ERRORS in 2020?
The Trust has formally submitted a pledge to the Restraint Reduction Network (RRN) which has been published on their website.
In addition to this the Trust has formally started the process of accrediting the physical intervention training through the BILD ACT and UKAS.
FOI 027_2021 Medication Error Response
Please provide MEDICATION ERRORS information under the FOI act to the following questions: - 1. Please supply any MEDICATION ERRORS reports/investigations
The Trust is unable to provide a response to this question as obtaining the requested data will require exhaustive and manual measures which exceeds the threshold of carrying out this task.
The Trust therefore, rely on exemption Section 12 to refuse this aspect of your request.
How many MEDICATION ERRORS in 2020?
354
The number above is pertaining to the number of patients mentioned in an incident report where medication administration was cited as the cause.
The number above is pertaining to the number of patients mentioned in an incident report where medication administration was cited as the cause.
What proportion of patients were men/women?
| Gender | Count |
| F | 132 |
| M | 162 |
| Unknown | 60 |
How old were they?
| Age Group | Count |
| < 20 | 21 |
| 21 - 30 | 60 |
| 31 - 40 | 59 |
| 41 - 50 | 60 |
| 51 - 60 | 56 |
| > 60 | 38 |
| Unknown | 60 |
What proportion of patients were classified BAME?
| Ethnicity Count | |
| A - British - White | 152 |
| B - Irish - White | 7 |
| C - Other White - White | 3 |
| D - White & Black Caribbean - Mixed | 12 |
| E - White & Black African - Mixed | 3 |
| F - White & Asian - Mixed | 3 |
| G - Other Mixed - Mixed | 2 |
| H - Indian - Asian Or Asian British | 10 |
| J - Pakistani - Asian Or Asian British | 24 |
| K -Bangladeshi - Asian Or Asian British | 3 |
| L - Other Asian - Asian Or Asian British | 7 |
| M - Black Caribbean - Black Or Black British | 36 |
| N - Black African - Black Or Black British | 8 |
| P - Other Black - Black Or Black British | 9 |
| R - Chinese - Other Ethnic | 1 |
| S - Other Ethnic Category - Other Ethnic | 4 |
| Z - Not Stated | 10 |
| Unknown | 60 |
How many MEDICATION ERRORS were investigated outside the NHS and CCG?
Not recorded on our system
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)?
0.
No patients died in 2020 1 month after medication administration related incident.
No patients died in 2020 1 month after medication administration related incident.
How many patients died within 6 months after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?
| Cause | Count |
| Confirmed Suicide | 2 |
| Natural Cause / Clinical Condition | 1 |
| Suspected Natural Cause (Earlier Than Expected) | 1 |
| Suspected Suicide | 1 |
The table above represents the number of patients who died within 6 months of following a medication administration related incident.
Note the incident involving a medication error and a death can be mutually exclusive.
How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
There were 2 patients who died by suicide within 6 months following an incident involving a
medication error. There is also 1 additional suspected suicide incident which is still awaiting a determination from the coroner.
Note the incident involving a medication error and the death can be mutually exclusive.
medication error. There is also 1 additional suspected suicide incident which is still awaiting a determination from the coroner.
Note the incident involving a medication error and the death can be mutually exclusive.
How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
Not recorded on the Incident Reporting System
Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
During 2020 there was 1 formal complaint from a patient / relative regarding medication errors.
If so, what was their concerns?
Please refer to response above.
The concern raised was of Incorrect prescriptions due to miscommunication between teams.
The concern raised was of Incorrect prescriptions due to miscommunication between teams.
How does the Trust plan to prevent MEDICATION ERRORS in the future?
Please refer to the attachments, and note that an exemption Section 40 has been applied to the documents.
This therefore means that personal information such as staff members names have been redacted from the attachments.
This therefore means that personal information such as staff members names have been redacted from the attachments.