BLACK COUNTRY 2019 DATA

 

Please provide ECT information under the FOI act to the following questions: -

 

1. Please supply patient’s information ECT leaflet 

BCPFT - See attachment, Electroconvulsive Therapy (ECT) Leaflet

DWMH - See copy provided

 

2. Please supply patient ECT consent form

BCPFT - See attachment, Consent Form BCP

DWMH - See copy provided Consent Form Apr 2020 -

 

3. Please supply any ECT reports/investigations

BCPFT - No investigation took place

DWMH - No investigations took place

 

4. How many ECT in 2019?

BCPFT - 22 Patient in total

DWMH - 24 Patients in total

 

5. What proportion of patients were men/women?

BCPFT – 5 male, 15 Female & 2 Not specified

DWMH - 4 male 20 female

 

6. How old were they?

BCPFT – Aged between 26-79

DWMH - Aged between 28-78

 

 

  1.  What were the diagnoses and in what proportions?

BCPFT - Severe Depression -17 (with or without catatonia) other/maintenance- 5 DWMH - Severe Depression (20), Catatonia (1) and Other/Maintenance (3)

 

  1.  What proportion of patients were classified BAME?  

BCPFT - <10 patients were classified BAME

DWMH - <10 Patients were classified BAME

 

Section 40 Personal Data Applied due to low numbers that could identify patients.

 

  1.  How many were receiving ECT for the first time? BCPFT - 15 patients first time treated with ECT

DWMH - 12 patients were first time treated with ECT

 

  1.  How many patients consented to ECT?

BCPFT - 10 patients

DWMH - 11 patients

 

11. How many ECT complaints were investigated outside the NHS and CCG?

BCPFT - No complaints received

DWMH - No complaints received

 

12. How many patients died during or soon after ECT and what was the cause (whether or not ECT was considered the cause)?

DWMH - None Reported

BCPFT - <10 patients died soon after ECT, the cause was

 

Section 40 Personal Data Applied due to low numbers that could identify patients.

 

13. How many patients died a few months after ECT and what was the cause, (whether or not ECT was considered the cause)? DWMH - None reported to the department

BCPFT – <10 patients died a few months after ECT, the cause was

 

Section 40 Personal Data Applied due to low numbers that could identify patients.

 

14. How many patients died by suicide within a few months of receiving ECT, (whether or not ECT was considered the cause)? DWMH - None that we are aware of

BCPFT – None that we are aware of

 

15. How many patients have suffered complications during and after ECT and what were those complications?

BCPFT - No patients suffered complications during and after ECT

DWMH - <10

 

Section 40 Personal Data Applied due to low numbers that could identify patients.

 

 

  1.  Have there been any formal complaints from patients/relatives about ECT? BCPFT - Received no complaint regarding ECT DWMH - No complaints received.

 

  1.  If so, what was their concerns?

BCPFT - Not applicable

DWMH - Not applicable

 

  1.  How many patients report memory loss/loss of cognitive function?

At BCPFT patients do report some memory loss of some degree but this can vary due to severity of illness, during and after treatment. Records are not kept in the department. DWMH - Patients report memory loss of varying degrees during and after treatment. We do not keep these records in the department.

 

 

  1.  What tests are used to assess memory loss/loss of cognitive function?

DWMH - HADS, MINI ACE, Patient experience, Subjective memory loss and Autobiographical memory interview

BCPFT - SMMSE, HADS, MINI ACE, Patient experience, Subjective memory loss and Autobiographical memory interview

 

  1.  Have MRI or CT scans been used before and after ECT?

BCPFT - Yes, there is no indication to carry out CT/MRI before the ECT as any such investigation is a clinical decision taken by the referring team. There is no indication to request scans after ECT as ECT is unlikely to cause any structural changes in the brain and there will not be any changes in scan.

DWMH - If clinically indicated to rule out any underlying cause for current mental health/ if patient is known to have neurological issues. We do not keep details in clinic

 

  1.  If so what was the conclusion?

DWMH - To ensure that the patient is treated appropriately

BCPFT – To ensure that the patient is treated appropriately

 

 

22. How does the Trust plan to prevent ECT in the future?

BCPFT - Not known by ECT team.

DWMH - Required MDT approach to support patients and provide input at earliest opportunities to be as responsive as possible for patient’s needs. Current referral process acknowledges alternatives to ECT be exhausted before ECT is accepted as a viable option.

 

 

Please provide SERIOUS INCIDENT information under the FOI act to the following questions: - 1. Please supply SERIOUS INCIDENT REPORTS patient’s information leaflet. BCPFT – We do not have information leaflets for Serious Incidents

DWMH - We don’t have an information leaflet for Serious Incidents

 

 

  1.  Please supply patient SERIOUS INCIDENT REPORTS consent form. BCPFT – We do not have a consent form for serious incidents

DWMH - We don’t have a consent for serious incidents

 

  1.  Please supply any serious incident reports/investigations

BCPFT - It’s my belief that that these would contain sensitive information pertinent to the individuals involved in each serious incident - Exemption Applied Section 40 Personal Information

 

DWMH - It’s my belief that that these would contain sensitive information pertinent to the individuals involved in each serious incident – Exemption Applied Section 40 Personal Information

 

  1.  How many SERIOUS INCIDENT REPORTS in 2019?

BCPFT – The Trust reported 45 serious incidents on STEIS during 2019 DWMH - The Trust logged 45 serious incidents on STEIS during 2019

 

  1.  What proportion of patients were men/women?

BCPFT – 23 were Male, 21 were Female and we had an Outbreak on one of our Female Inpatient Wards of Norovirus which affected <10 Females

DWMH - 24 were male and 21 were female

 

Section 40 Personal Data Applied due to low numbers that could identify patients.

 

 

  1.  How old were they?

BCPFT – Section 40 Personal Data Applied due to low numbers that could identify patients.

 

DWMH - They are mostly within an age range of 30-50

 

  1.  What were the diagnoses and in what proportions?

BCPFT – This information is not captured on the incident reporting system DWMH - This information is not captured on the incident reporting system

 

  1.  What proportion of patients were classified BAME?

BCPFT - Some of this information is not captured on the incident reporting system; however ethnicity data is a partially complete data set so is unlikely to be complete or accurate

DWMH - Some of this information is not captured on the incident reporting system; however ethnicity data is a partially complete data set so is unlikely to be complete or accurate

 

  1.  How many were receiving SERIOUS INCIDENT REPORTS for the first time? BCPFT – Serious Incident Reports are investigations into an incident which has occurred involving a patient accessing our care. This is not a type of treatment. DWMH - A Serious Incident report is not a type of treatment.

 

  1.  How many patients consented to SERIOUS INCIDENT REPORTS?

BCPFT - This isn’t something which you consent to. It isn’t a form of treatment DWMH - This isn’t something which you consent to. It isn’t a form of treatment

 

11. How many SERIUOS INCIDENT REPORTS were investigated outside the NHS and CCG?

BCPFT - Nil

DWMH - <10

 

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)?

BCPFT – We believe none

DWMH - We believe the answer is 0

 

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)?

BCPFT – An investigation into an incident is unlikely to be considered as a cause of death. If an investigation is completed and it is deemed that sharing the report would be detrimental to their wellbeing then this would be kept and shared at a later date. There for the answer to your question is none.

DWMH - This isn’t data we would normally collect and would require us to review the notes of each patient involved in a serious incident investigation. As there is 45 cases, that would be perhaps 5 mins per case 5x45 = 225 mins or 3hrs 45

 

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)?

BCPFT – An investigation into an incident is unlikely to be considered as a cause of death. If an investigation is completed and it is deemed that sharing the report would be detrimental to their wellbeing then this would be kept and shared at a later date. There for the answer to your question is none.

DWMH - This isn’t data we would normally collect and would require us to review the notes of each patient involved in a serious incident investigation. As there is 45 cases, that would be perhaps 5 mins per case = 5x45 = 225 mins or 3hrs 45

 

  1.  How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?

BCPFT – Serious Incident report is not a treatment in which someone could suffer complications.

DWMH - A Serious Incident report is not a type of treatment?

 

  1.  Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?

DWMH - No complaints have been any complaints about the SI process BCPFT - We have received no formal complaints regarding SI reports

 

17. If so, what was their concerns?

DWMH - Not applicable

BCPFT - Not applicable

 

  1.  How many patients report memory loss/loss of cognitive function? BCPFT – This isn’t captured

 

  1.  What tests are used to assess memory loss/loss of cognitive function?

BCPFT – This isn’t captured

DWMH - Isn’t captured 

 

 

20. Have MRI or CT scans been used before and after SERIOUS INCIDENT REPORTS?

BCPFT – No as this would not be a requirement for an SI Report

DWMH - Isn’t captured

 

  1.  If so what was the conclusion?

 

  1.  How does the Trust plan to prevent SERIOUS INCIDENTS in the future?

BCPFT - Through sustained learning and embedding of recommendations from Serious Incident Investigations.

DWMH - Through sustained learning and embedding of recommendations from Serious Incident Investigations.

 


Please provide restraints information under the FOI act to the following questions: - 1. Please supply RESTRAINTS patient’s information leaflet.

There is no separate Restraint policy for the ECT department however there are restraint policies for each of the former Trusts;

DWMH - See attached Management of Actual and Potential Aggression (MAPA) Policy BCPFT - See attached Restrictive Physical Intervention Policy

 

  1.  Please supply patient RESTRAINTS consent form.

There is no Restraint consent form for the ECT department however there are restraint policies for each of the former Trusts;

DWMH - See attached Management of Actual and Potential Aggression (MAPA) Policy BCPFT - See attached Restrictive Physical Intervention Policy

 

 

  1.  Please supply any Restraints/investigations

BCPFT - Nil

DWMH - There were no Serious Incident investigations where restraint was the focus 

 

4. How many RESTRAINTS in 2019?

BCPFT - 860

DWMH - 1361

 

5. What proportion of patients were men/women? BCPFT - Female 408 / Male 391 

DWMH - There doesn’t appear to be an easy way to do this for restraints. We would therefore have to review each restraint manually. 1361 restraints, perhaps 2 mins per restraint to access and record the gender. 2722 mins. Total 45 hours and 22 mins – Exemption applied Section 12 (1) cost/time exceeds 18.5hours

 

  1.  How old were they?

BCPFT - Section 40 Personal Data Applied due to low numbers that could identify patients.

 

DWMH - Section 40 Personal Data Applied due to low numbers that could identify patients.

 

 

  1.  What were the diagnoses and in what proportions?

DWMH - Not recorded

 

  1.  What proportion of patients were classified BAME?

DWMH - See above calculation

BCPFT - 29.76%

 

  1.  How many were receiving RESTRAINTS for the first time?

BCPFT - Not captured on Datix, clinical

 

  1.  How many patients consented to RESTRAINTS?

BCPFT - Patients are only restrained for their best interest – no consent requested DWMH - See above about best interests

 

11. How many RESTRAINTS were investigated outside the NHS and CCG? BCPFT - NIL

DWMH No complaints received

12. How many patients died during or soon after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?

BCPFT - NIL

DWMH - Nil

 

13. How many patients died a few months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?

BCPFT - NIL

DWMH - We aren’t aware of any; however this isn’t something we capture

 

14. How many patients died by suicide within a few months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?

BCPFT - NIL

DWMH - We aren’t aware of any; however this isn’t something we capture

 

  1.  How many patients have suffered complications during and after RESTRAINTS and what were those complications? BCPFT - NIL

DWMH - We aren’t aware of any; however this isn’t something we capture

 

  1.  Have there been any formal complaints from patients/relatives about RESTRAINTS?

BCPFT - The Trust received during 2019 - <10

DWMH - <10 formal complaints received. <10 Informal Concerns.

 

Section 40 Personal Data Applied due to low numbers that could identify patients.

 

  1.  If so, what was their concerns?

BCPFT - Section 40 Personal Data Applied due to low numbers that could identify patients.

 

DWMH – Section 40 Personal Data Applied due to low numbers that could identify patients.

 

  1.  How many patients report memory loss/loss of cognitive function?

BCPFT - Most patients will experience memory problems after ECT which may be transient in most cases. The evidence is not very clear ECT causes long term memory problems due to various factors. There have been many research into this globally.

 

  1.  What tests are used to assess memory loss/loss of cognitive function?

 

  1.  Have MRI or CT scans been used before and after RESTRAINTS?

BCPFT - There is no need to request routine CT/MRI scans after using restraint unless there is a head injury which is unlikely due to restraint. Head injury, witnessed or witnessed, management policy is available in the intranet.

 

 

  1.  If so what was the conclusion?

 

 

  1.  How does the Trust plan to reduce restraints in the future?

DWMH - Yes the Trust has a restraint reduction plan

 

 

Please provide SECLUSION information under the FOI act to the following questions: -

  1.  Please supply patient’s information SECLUSION leaflet.

BCPFT - There is no seclusion facility in ECT suite. There is no separate Restraint and Seclusion policies for ECT department and Trust seclusion and restraint policies are available in the Intranet.

 

  1.  Please supply patient SECLUSION consent form.

 

 

  1.  Please supply any SECLUSION reports/investigations

BCPFT - NIL

 

  1.  How many SECLUSION in 2019?

BCPFT - 86

 

  1.  What proportion of patients were men/women?

BCPFT - Female 18 / Male 72

 

  1.  How old were they?

BCPFT - Section 40 Personal Data Applied due to low numbers that could identify patients.

 

 

  1.  What were the diagnoses and in what proportions?

 

  1.  What proportion of patients were classified BAME?

BCPFT - 46.4%

 

  1.  How many were receiving SECLUSION for the first time?

 

  1.  How many patients consented to SECLUSION?

 

  1.  How many SECLUSIONS were investigated outside the NHS and CCG? BCPFT- NIL

 

  1.  How many patients died during or soon after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?

BCPFT - NIL

 

13. How many patients died a few months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?

BCPFT - NIL

 

 

14. How many patients died by suicide within a few months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?

BCPFT - NIL

 

  1.  How many patients have suffered complications during and after SECLUSION and what were those complications?

 

  1.  Have there been any formal complaints from patients/relatives about SECLUSION?

BCPFT - Received No complaints relating to Seclusion

DWMH Received No complaints relating to Seclusion

17. If so, what was their concerns?

BCPFT - Not applicable

DWMH - Not applicable

 

  1.  How many patients report memory loss/loss of cognitive function?

 

  1.  What tests are used to assess memory loss/loss of cognitive function?

 

  1.  Have MRI or CT scans been used before and after SECLUSION?

 

  1.  If so what was the conclusion?

 

 

  1.  How does the Trust plan to prevent SECLUSION in the future?

 

Please provide MEDICATION ERRORS information under the FOI act to the following questions: - 1. Please supply patient’s information MEDICATION ERRORS leaflet.

BCPFT -  

DWMH - We do not have a Medication Errors patient information leaflet.

 

  1.  Please supply patient MEDICATION ERRORS consent form.

DWMH - We do not have a Consent form for medication errors

 

  1.  Please supply any MEDICATION ERRORS reports/investigations

BCPFT - NIL

DWMH - There were no SIs which related to medication Errors

 

4. How many MEDICATION ERRORS in 2019?

BCPFT - 63

DWMH - There were 141 incidents relating to medication  

 

5. What proportion of patients were men/women?

BCPFT - Female 25 / Male 39

DWMH - Would require us to manually review all 141

 

  1.  How old were they?

BCPFT - Section 40 Personal Data Applied due to low numbers that could identify patients.

DWMH - Would require us to manually review all 141  

 

  1.  What were the diagnoses and in what proportions?

DWMH - This isn’t captured via the Trusts incident reporting system

 

 

8. What proportion of patients were classified BAME? BCPFT - 39.3%

DWMH - Again isn’t captured

 

  1.  How many were receiving MEDICATION ERRORS for the first time? DWMH - Isn’t captured

 

  1.  How many patients consented to MEDICATION ERRORS? DWMH - This isn’t something you generally consent to

 

  1.  How many MEDICATION ERRORS S were investigated outside the NHS and CCG? BCPFT - NIL

DWMH - Nil

 

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)?

BCPFT - NIL

  1.  How many patients died a few months after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)? BCPFT - NIL

 

  1.  How many patients died by suicide within a few months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
    1.  How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?

BCPFT NIL

 

  1.  Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?

BCPFT - Received <10 complaints relating to medication errors.

DWMH - Received <10 formal complaints: and <10 informal concerns, relating to medication errors.

 

  1.  If so, what was their concerns?

BCPFT - Timeliness of injection.

 

DWMH - Section 40 Personal Data Applied due to low numbers that could identify patients.

 

 

DWMH - Informal Concerns 

Section 40 Personal Data Applied due to low numbers that could identify patients.

 

18. How many patients report memory loss/loss of cognitive function? DWMH - We aren’t aware of any; however this isn’t something we capture

 

  1.  What tests are used to assess memory loss/loss of cognitive function?

 

  1.  Have MRI or CT scans been used before and after MEDICATION ERRORS? DWMH - We aren’t aware of any; however this isn’t something we capture

 

  1.  If so what was the conclusion?

 

  1.  How does the Trust plan to prevent MEDICATION ERRORS in the future?