FOI 026/2022 Request
Please provide ECT information under the FOI act to the following questions: -
1.Please supply patient’s information ECT leaflet.
Please see attached leaflet.
2.Please supply patient ECT consent form
Please see attachment.
3.Please supply any ECT reports/investigations
The Trust’s system does not hold this information.
The Trust therefore, rely on exemption Section 12 to refuse this aspect of your request.
4.How many ECT in 2021?
618
5.What proportion of patients were men/women?
|
No. of Distinct SU's |
Gender |
%/Proportion |
|
42 |
Female |
70% |
|
18 |
Male |
30 % |
|
60 |
|
|
6.How old were they?
|
No. of Distinct SU's |
Age Range |
%/Proportion |
|
1 |
10-19 |
2% |
|
4 |
20-29 |
7% |
|
6 |
30-39 |
10% |
|
4 |
40-49 |
7% |
|
13 |
50-59 |
22% |
|
9 |
60-69 |
15% |
|
17 |
70-79 |
28% |
|
6 |
80-89 |
10% |
|
60 |
7.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
|
No. of Distinct SU's |
No. BAME |
%/Proportion |
|
17 |
165 |
28% |
8.How many were receiving ECT for the first time?
|
No. of Distinct SU's |
%/Proportion |
|
35 |
58% |
9.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
10.How many ECT complaints were investigated outside the NHS and CCG?
Not recorded on our system
11.How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
|
Cause |
Count |
|
Suspected Natural Cause |
1 |
12.How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
|
Cause |
Count |
|
Natural Cause / Clinical Condition |
2 |
|
Suspected Natural Cause |
1 |
|
Unknown Cause |
1 |
Disclaimer: The table above lists the number of patients that have died within 6 months of an ECT in 2021. The figures include patient deaths listed in question 11.
Please note incidents involving ECT and deaths can be mutually exclusive.
13.How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
There were no patients who died by suicide within 6 months following an ECT in 2021.
14.How many patients have suffered complications during and after ECT and what were those complications?
The Trust’s system does not hold this information.
15.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.
16.If so, what was their concerns?
Please refer to our response in question 15.
17.How many patients report memory loss/loss of cognitive function?
No data available.
18.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 027/2022 Request
Please provide SERIOUS INCIDENT information under the FOI act to the following questions: -
1.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.
2.How many SERIOUS INCIDENT REPORTS in 2021?
85
Disclaimer: The above figure is the number of commissioner reportable serious incidents that were recorded at the Trust in 2021.
3.What proportion of patients were men/women?
|
Gender |
Serious Incidents |
|
F |
29 |
|
M |
74 |
|
Unknown/Not Recorded |
7 |
Disclaimer: A commissioner reportable serious incident can contain multiple patients, and some serious incidents may not list any patients.
4.How old were they?
|
Age Group |
Serious Incidents |
|
< 20 |
1 |
|
21 – 30 |
10 |
|
31 – 40 |
25 |
|
41 – 50 |
21 |
|
51 – 60 |
20 |
|
> 60 |
27 |
|
Unknown/Not Recorded |
6 |
Disclaimer: A commissioner reportable serious incident can contain multiple patients, and some serious incidents may not list any patients.
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
|
Ethnic Group |
Serious Incidents |
|
A - British – White |
57 |
|
B - Irish – White |
3 |
|
D - White & Black Caribbean – Mixed |
3 |
|
F - White & Asian – Mixed |
1 |
|
G - Other Mixed – Mixed |
1 |
|
H - Indian - Asian Or Asian British |
5 |
|
J - Pakistani - Asian Or Asian British |
7 |
|
K -Bangladeshi - Asian Or Asian British |
4 |
|
L - Other Asian - Asian Or Asian British |
3 |
|
M - Black Caribbean - Black Or Black British |
6 |
|
N - Black African - Black Or Black British |
4 |
|
P - Other Black - Black Or Black British |
2 |
|
S - Other Ethnic Category - Other Ethnic |
1 |
|
Z - Not Stated |
6 |
|
Z Unknown/Not Recorded |
7 |
Disclaimer: A commissioner reportable serious incident can contain multiple patients, and some serious incidents may not list any patients.
6.How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG?
No serious incidents were investigated outside the NHS and CCG
7.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 |
Count |
|
Natural Cause / Clinical Condition |
1 |
Disclaimer: The table above lists the number of patients that have died within 1 month of a serious incident. Please note incidents involving a serious incident and death can be mutually exclusive.
8.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)?
|
Cause |
Count |
|
Known Cause |
1 |
|
Natural Cause / Clinical Condition |
3 |
Disclaimer: The table above lists the number of patients that have died within 6 months of a serious incident. These figures also include deaths from Q7.
Please note incidents involving a serious incident and death can be mutually exclusive.
9.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 were no incidents reported where a patient died of suicide within 6 months following a commissioner reportable serious incident.
10.How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?
We are not aware of patients experiencing further complications during and after the serious incident report
11.Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?
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.
12.If so, what was their concerns?
Please refer to our response in question 11.
13.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 028_2021 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.
- How many RESTRAINTS in 2021?
In 2021 the Trust recorded 3582 incidents of restraint
(Physical, Mechanical, Chemical (Rapid Tranquilisation)
- What proportion of patients were men/women?
|
Gender |
Count |
|
Female |
1920 |
|
Male |
1660 |
|
Unknown / Not Recorded |
2 |
- How old were they?
|
Age Group |
Count |
|
< 20 |
372 |
|
21 - 30 |
881 |
|
31 - 40 |
488 |
|
41 - 50 |
502 |
|
51 - 60 |
863 |
|
> 60 |
474 |
|
Unknown / Not Recorded |
2 |
- What proportion of patients were classified BAME?
|
Ethnicity |
Count |
|
A - British - White |
2196 |
|
B - Irish - White |
27 |
|
C - Other White - White |
77 |
|
D - White & Black Caribbean - Mixed |
74 |
|
E - White & Black African - Mixed |
79 |
|
F - White & Asian - Mixed |
39 |
|
G - Other Mixed - Mixed |
34 |
|
H - Indian - Asian Or Asian British |
72 |
|
J - Pakistani - Asian Or Asian British |
192 |
|
K -Bangladeshi - Asian Or Asian British |
46 |
|
L - Other Asian - Asian Or Asian British |
93 |
|
M - Black Caribbean - Black Or Black British |
233 |
|
N - Black African - Black Or Black British |
188 |
|
P - Other Black - Black Or Black British |
55 |
|
R - Chinese - Other Ethnic |
11 |
|
S - Other Ethnic Category - Other Ethnic |
106 |
|
T - White - Gypsy Or Irish Traveller |
10 |
|
U – Arab |
17 |
|
Unknown / Not Recorded |
33 |
- 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 |
2 |
|
Known Cause |
1 |
|
Unknown Cause |
3 |
|
Suspected Suicide |
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 |
7 |
|
Known Cause |
1 |
|
Suspected Suicide |
2 |
|
Suspected Natural Cause (Earlier Than Expected) |
2 |
|
Unknown Cause |
6 |
Disclaimer: The table above lists the number of patients that have died within 6 months of a restraint. These figures also include deaths from Q7.
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 no patients who died by suicide within 6 months following an incident involving restraint (note, Trust suicides are determined by the coroner).
Of the 2 incidents reported as a suspected suicide, 1 case is still awaiting a determination from the coroner and is subject to change.
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.
11.Have there been any formal complaints from patients/relatives about RESTRAINTS?
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.
12.If so, what was their concerns?
Please refer to our response in question 11.
- Are counts of forced injections available?
In 2021 the Trust recorded 1172 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.
- 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.
Results from the first year of the QI collaborative show reductions in restraint, prone restraint, and rapid tranquilisation in collaborative areas.
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 gained formal accreditation for its reducing restrictive practice and safer holding training through the BILD ACT (British Institute for Learning Disabilities, Association of Certified Training) and UKAS (United Kingdom Accreditation Service).
FOI 029/2022 Response
Please provide SECLUSION information under the FOI act to the following questions: -
1.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.
2.How many SECLUSIONS in 2021?
640
3.What proportion of patients were men/women?
|
Men |
67% |
|
Women |
33% |
4.How old were they?
|
Age group |
No. of Service Users |
% of Service Users |
|
Under 18 |
6 |
2% |
|
18-24 |
27 |
9% |
|
25-34 |
113 |
40% |
|
35-44 |
64 |
22% |
|
45-54 |
58 |
20% |
|
55-64 |
17 |
6% |
|
65-74 |
1 |
0% |
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
53%
6.How many SECLUSIONS were investigated outside the NHS and CCG?
Not recorded on our system.
7.How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
|
Cause |
Count |
|
Known Cause |
1 |
|
Suspected Suicide |
1 |
Disclaimer: The table above lists the number of patients that have died within 1 month of a seclusion episode in 2021. Please note incidents involving seclusion and deaths can be mutually exclusive.
8.How many patients died within 6 months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
|
Cause |
Count |
|
Unknown Cause |
2 |
|
Suspected Suicide |
2 |
Disclaimer: The table above lists the number of patients that have died within 6 months of a seclusion episode in 2021. The figures exclude patient deaths listed in question 7.
Please note incidents involving seclusion and deaths can be mutually exclusive.
9.How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?
At present there are no patients who died by suicide within 6 months following a seclusion episode in 2021.
3 cases have been recorded as a suspected suicide (1 of which is still awaiting a determination from the coroner and 2 were given a narrative verdict).
Please note, incidents involving seclusion and deaths can be mutually exclusive.
10.How many patients have suffered complications during and after SECLUSION and what were those complications?
Not recorded on our system.
11.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.
12.If so, what was their concerns?
Please refer to response above.
13.How does the Trust plan to reduce SECLUSIONS 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.
The Trust also plans to look at reducing seclusion incidents in more detail over the next 18months as per pledge to The Restraint Reduction (RRN).
FOI 030/2022 Request
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.
2.How many MEDICATION ERRORS in 2021?
324
The number above is pertaining to the number of patients mentioned in an incident report where medication administration was cited as the cause.
3.What proportion of patients were men/women?
|
Gender |
Incidents |
|
F |
133 |
|
M |
145 |
|
Unknown |
46 |
4.How old were they?
|
Age Group |
Incidents |
|
< 20 |
19 |
|
21 - 30 |
47 |
|
31 - 40 |
72 |
|
41 - 50 |
60 |
|
51 - 60 |
37 |
|
> 60 |
43 |
|
Unknown/Not Recorded |
46 |
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
|
Ethnicity |
Incidents |
|
A - British - White |
151 |
|
B - Irish – White |
8 |
|
C - Other White - White |
6 |
|
D - White & Black Caribbean - Mixed |
13 |
|
E - White & Black African - Mixed |
3 |
|
F - White & Asian - Mixed |
1 |
|
G - Other Mixed - Mixed |
2 |
|
H - Indian - Asian Or Asian British |
8 |
|
J - Pakistani - Asian Or Asian British |
17 |
|
K -Bangladeshi - Asian Or Asian British |
7 |
|
L - Other Asian - Asian Or Asian British |
14 |
|
M - Black Caribbean - Black Or Black British |
25 |
|
N - Black African - Black Or Black British |
9 |
|
P - Other Black - Black Or Black British |
1 |
|
R - Chinese - Other Ethnic |
1 |
|
S - Other Ethnic Category - Other Ethnic |
4 |
|
U – Arab |
1 |
|
Not Stated/Not Recorded |
53 |
6.How many MEDICATION ERRORS were investigated outside the NHS and CCG?
Requested information is not captured within our system.
7.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)?
1 patient died of a suspected suicide in 2021 1 month after a medication administration related incident (whether or not the medication error was considered the cause).
8.How many patients died within 6 months after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)? or not MEDICATION ERRORS was considered the cause)?
|
Cause of Death |
Count |
|
Natural Cause / Clinical Condition |
2 |
|
Suspected Suicide |
1 |
|
Unknown Cause |
2 |
Number of patients who died within 6 months of following a medication administration related incident. This table also includes deaths from question 7.
Note the incident involving a medication error and a death can be mutually exclusive.
9.How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
No patients died by suicide in 2021, 6 months after a medication administration related incident. The 1 incident where a patient death was marked as a suspected suicide was given a narrative verdict by the coroner.
10.How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
Requested information is not captured within our system.
11.Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
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.
12.If so, what was their concerns?
Please refer to our response in question 11.
13.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.