Dear Requester,
FOI10879
Thank you for your recent Freedom of Information request. We have completed our search for information and the details are as follows:
Please provide Electro Convulsive Treatment (ECT) information under the FOI act to the following questions: -
1.Please supply patient’s information ECT leaflet? Please see attached
2.Please supply patient ECT consent form? Please see attached
3.Please supply any ECT reports/investigations?
4.How many ECT in 2023? 179 instances (21 patients)
5.What proportion of patients were men/women? 38% male, 62% female
6.How old were they?
|
0-49 |
*<5 |
|
50-59 |
*<5 |
|
60-69 |
9 |
|
70-79 |
8 |
7.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")? None
8.How many people covered by the equality act received ECT ? Everyone is protected by the equality act.
9.How many people were offered talking therapy prior to ECT ? This is information was not previously captured, we have now updated our paperwork to ask the question but we are also asking if patients have had any psychological interventions.
10.How many were receiving ECT for the first time? 11 patients In 2023 for both Sandwell and Wolverhampton, Dudley and Walsall.(4 localities)
11.How many patients consented to ECT? 13 patients consented to ECT for the 4 localities
12.How many ECT complaints were investigated outside the NHS and CCG? We have not had any complaints.
13.How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)? None
14.How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)? None
15.How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)? *Section 12 (1) Cost/Time Exemption applied
16.How many patients have suffered complications during and after ECT and what were those complications? None for 2023 recorded
17.Have there been any formal complaints from patients/relatives about ECT? None for 2023 recorded
18.If so, what was their concerns? N/A
19.How many patients report memory loss/loss of cognitive function? None for 2023 recorded
20.What tests are used to assess memory loss/loss of cognitive function? Mini Ace, CGI, patients Memory diary
21.Have MRI or CT scans been used before and after ECT? Yes, when indicative
22.If so, what was the conclusion? Patient was safe to proceed with ECT treatment
23.How does the Trust plan to prevent ECT in the future? Not applicable at this time
Please provide restraints information under the FOI act to the following questions: -
1.Please supply any Restraints/investigations? Investigations are not completed for restraints therefore data not available.
2.How many RESTRAINTS in 2023? 2316
3.What proportion of patients were men/women? 39% men, 61% women
4.How old were they?
0-49 1441
50-59 110
60-69 145
70-79 423
80-89 193
90-99 *<5
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")? 18%
6.How many people covered by the equality act were restrained? Everyone is protected by the equality act.
7.How many RESTRAINTS were investigated outside the NHS and CCG? None
8.How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)? *Section 12 (1) Cost/Time Exemption applied
9.How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)? *Section 12 (1) Cost/Time Exemption applied
10.How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)? *Section 12 (1) Cost/Time Exemption applied
11.How many patients have suffered complications during and after RESTRAINTS and what were those complications? 0
12.Have there been any formal complaints from patients/relatives about RESTRAINTS? We do not have a category on our system specifically for restraints therefore we are unable to provide the information for this.
13.If so, what was their concerns?
14.Are counts of forced injections available? Where clinically necessary patients may require intramuscular injection of medication, and we do record when these administrations occur.
15.How does the Trust plan to reduce restraints in the future? N/A
Please provide SECLUSION information under the FOI act to the following questions: -
1.Please supply any SECLUSION reports/investigations? Investigations are not completed for restraints therefore data not available.
2.How many SECLUSIONS in 2023? 59
3.What proportion of patients were men/women? 100% men
4.How old were they?
0-49 49
50-59 7
60-69 <5*
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")? 42%
6.How many people covered by the Equality Act were secluded ? Everyone is protected by the equality act.
7.How many SECLUSIONS were investigated outside the NHS and CCG? None
8.How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)? *Section 12 (1) Cost/Time Exemption applied
9.How many patients died within 6 months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)? *Section 12 (1) Cost/Time Exemption applied
10.How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)? *Section 12 (1) Cost/Time Exemption applied
11.How many patients have suffered complications during and after SECLUSION and what were those complications? We do not have a category on our system specifically for seclusion therefore we are unable to provide the information for this.
12.Have there been any formal complaints from patients/relatives about SECLUSION? We do not have a category on our system specifically for seclusion therefore we are unable to provide the information for this.
13.If so, what was their concerns? We do not have a category on our system specifically for seclusion therefore we are unable to provide the information for this.
14.How does the Trust plan to reduce SECLUSIONS in the future? N/A
Please provide MEDICATION ERRORS information under the FOI act to the following questions: -
1.Please supply any MEDICATION ERRORS reports/investigations ? Investigations are not completed for medication errors therefore data not available.
2.How many MEDICATION ERRORS in 2023? 359
3.What proportion of patients were men/women? 52% men, 48% women
4.How old were they?
0-49 228
50-59 25
60-69 31
70-79 47
80-89 26
90-99 *<5
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")? 18%
6.How many people covered by the equality act endured medication errors ? Everyone is protected by the equality act.
7.How many MEDICATION ERRORS were investigated outside the NHS and CCG? None
8.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)? *Section 12 (1) Cost/Time Exemption applied
9.How many patients died within 6 months after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)? *Section 12 (1) Cost/Time Exemption applied
10.How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)? *Section 12 (1) Cost/Time Exemption applied
11.How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
12.Have there been any formal complaints from patients/relatives about MEDICATION ERRORS? There have been <5* Formal complaints made
13.If so, what was their concerns? Medication review
14.How does the Trust plan to prevent MEDICATION ERRORS in the future? Each medication error reported is investigated locally and if required this can be escalated through management for additional oversight. Individual learning needs / actions are taken where appropriate. Where patterns are found, additional spot teaching / process review can take place up to and including Trust wide policy review. EPMA is being brought into the Trust in 2025 to automate some medicines processes and to reduce some forms of human error and build in new safeguards. Training of clinical staff is a central part of the reduction of medication errors. We are currently reviewing the medication error policy and competency framework for clinical staff covering , prescribing, administration and dispensing/ supply errors. Medication errors and patterns/concerns are shared Trust wide at medicines management committee and Quality & Safety Steering Group as well as at Quality & Safety Committee (Trust wide) on a quarterly basis.
Exemptions Applied:
*<5 - Section 40 (2) Personal Data exemption applied - Due to small numbers involved within these responses we have indicated a value ‘less than’ 5 this is to ensure that individuals are not identified as other information that could be within the public domain may aid the identification of the individuals
*Section 12 (1) Cost/Time Exemption applied – The request is estimated to take longer than the provision of 18.5hours.
There are 1300 deaths case notes to review.
1300 deaths x 10minutes to review = 13000 = 216.6 hours.
The full Freedom of Information Act 2000 is available on the legislation website via the following link: http://www.legislation.gov.uk/ukpga/2000/36/contents. The Trust is regarding this response as a full and complete discharge of its responsibilities under the Freedom of Information Act 2000 in relation to this request. I trust it fulfils your requirements but should you have any concerns please do not hesitate to contact us and we will attempt to resolve your issues.
If you are unhappy with the outcome of your request our complaints process is available on our internet site; www.blackcountryhealthcare.nhs.uk. If you are not satisfied with the outcome of your complaint you can raise your concerns directly with the Information Commissioner, please be aware that the ICO cannot make a decision unless you have exhausted the complaints process provided by the Trust. The Information Commissioner can be contacted at: The Information Commissioners Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF or via their website www.ico.org.uk.
Yours sincerely,
Information Governance Team
Email: bchft.foi1@nhs.net
Tel: 01922 607000
Black Country Healthcare NHS Foundation Trust