Friendship group affiliated to HVN

11 June 2025

Reference number: FOI/00000472

SENT BY EMAIL

Dear Wendy Micklewright,

Thank you for your email requesting information under the Freedom of Information Act 2000. Please find our response provided below:  

Your Request


Please provide Electro Convulsive Treatment (ECT) information under the FOI act to the following questions: -
1.Please supply patient’s information ECT leaflet
2.Please supply patient ECT consent form
3.Please supply any ECT reports/investigations
4.How many ECT in 2024?
5.What proportion of patients were men/women?
6.How old were they?
7.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
8.How many people covered by the equality act - specific protected characteristics - excluding age + gender - received ECT ?
9.How many people were offered talking therapy prior to ECT ?
10.How many were receiving ECT for the first time?
11.How many patients consented to ECT?
12.How many ECT complaints were investigated outside the NHS ?
13.How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
14.How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
15.How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
16.How many patients have suffered complications during and after ECT and what were those complications?
17.Have there been any formal complaints from patients/relatives about ECT?
18.If so, what was their concerns?
19.How many patients report memory loss/loss of cognitive function?
20.What tests are used to assess memory loss/loss of cognitive function?
21.Have MRI or CT scans been used before and after ECT?
22.If so, what was the conclusion?
23.How does the Trust plan to prevent ECT in the future?

Our Response

Cambridgeshire and Peterborough NHS Foundation Trust does hold this information. Please see below for the information you requested.

1. Please see the attached leaflet for more information.

2. Please see the attached consent form for more information.

3. These reports contain personal information of our patients/services users, even if it is redacted there is direct identification within the reports, and it would contravene the Section 40 Personal Information of the Act. Therefore, we are unable to provide you with ECT reports/investigations.

4. 35 patients 405 treatments.

5. 10 men/25 women

6. Between 19 – 84

7. Five.

8. <5. Please note that the numbers lower than five are removed as it would help identify individuals concerned and are marked as <5 to comply with the Section 40 (2) Personal Information of the Act.

9. The electronic patient record (EPR) does not capture information relating talking therapy offered before ECT, to provide this information would be a wholly manual process which we calculate would take in excess of 75 hours. Please see the Section 12 Exemption where cost of compliance exceeds appropriate limit.

10. The electronic patient record (EPR) does not capture information relating to receiving ECT for the first time, to provide this information would be a wholly manual process which we calculate would take in excess of 75 hours. Please see the Section 12 Exemption where cost of compliance exceeds appropriate limit.

11. 26 had capacity and officially consented to their first session. Many other patients agree to have ECT when they are in the clinic but unable to provide further information as the electronic patient record (EPR) does not capture information relating to consent, to provide this information would be a wholly manual process which we calculate would take in excess of 75 hours. Please see the Section 12 Exemption where cost of compliance exceeds appropriate limit. The number would be much higher for patients once their treatment has started and they regain capacity.

12. None.

13. The electronic patient record (EPR) does not capture information relating to this question, to provide this information would be a wholly manual process which we calculate would take in excess of 75 hours. Please see the Section 12 Exemption where cost of compliance exceeds appropriate limit.

14. The electronic patient record (EPR) does not capture information relating to this question, to provide this information would be a wholly manual process which we calculate would take in excess of 75 hours. Please see the Section 12 Exemption where cost of compliance exceeds appropriate limit.

15. The electronic patient record (EPR) does not capture information relating to this question, to provide this information would be a wholly manual process which we calculate would take in excess of 75 hours. Please see the Section 12 Exemption where cost of compliance exceeds appropriate limit.

16. None.

17. No.

18. Not applicable.

19. The electronic patient record (EPR) does not capture information relating to this question, to provide this information would be a wholly manual process which we calculate would take in excess of 75 hours. Please see the Section 12 Exemption where cost of compliance exceeds appropriate limit.

20. Mini ACE / ACEiii / MMSE / CPRS

21. Not routinely.

22. Not applicable.

23. There is no plan to prevent ECT in future as it is a highly effective treatment.

16 June 2025

Reference number: FOI/00000473

SENT BY EMAIL

Dear Wendy Micklewright,

Thank you for your email requesting information under the Freedom of Information Act 2000. Please find our response provided below:  

Your Request


Please provide restraints information under the FOI act to the following questions: -
1.Please supply any Restraints/investigations
2.How many RESTRAINTS in 2024?
3.What proportion of patients were men/women?
4.How old were they?
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
6.How many people covered by the equality act - specific protected characteristics - excluding age + gender - were restrainted?
7.How many RESTRAINTS were investigated outside the NHS?
8.How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
9.How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
10.How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?
11.How many patients have suffered complications during and after RESTRAINTS and what were those complications?
12.Have there been any formal complaints from patients/relatives about RESTRAINTS?
13.If so, what was their concerns?
14.Are counts of forced injections available? if so how many people were forcible injected ?
15.How does the Trust plan to reduce restraints in the future?
16.How many of these restraints were face down restraints?

Our Response

Cambridgeshire and Peterborough NHS Foundation Trust does hold this information. Please see below for the information you requested.

1. Due to patient confidentiality, individual investigations and reports related to restraint cannot be shared.

2. 1076

3. 61.7% Female and 38.3% Male

4. Mean age was 48.25 years, ranging from 8 to 90.

5. 18.9% of people with BAME flag = <5. Please note that the numbers lower than five are removed as it would help identify individuals concerned and are marked as <5 to comply with the Section 40 (2) Personal Information of the Act.

6. All people are covered by the Equality Act.

7. We do not hold this information.

8. It would be a wholly manual process to review all deaths reported via the Trust incident reporting system in 2024 against use of restraint, which we calculate would take in excess of 137 hours to complete. Please refer to the Section 12 Exemption where cost of compliance exceeds appropriate limit.

9. It would be a wholly manual process to review all deaths reported via the Trust incident reporting system in 2024 against use of restraint, which we calculate would take in excess of 137 hours to complete. Please refer to the Section 12 Exemption where cost of compliance exceeds appropriate limit.

10. It would be a wholly manual process to review all deaths reported via the Trust incident reporting system in 2024 against use of restraint, which we calculate would take in excess of 137 hours to complete. Please refer to the Section 12 Exemption where cost of compliance exceeds appropriate limit.

11. It would be a wholly manual process to review all complications reported via the Trust incident reporting system in 2024 against use of restraint, which we calculate would take in excess of 137 hours to complete. Please refer to the Section 12 Exemption where cost of compliance exceeds appropriate limit.

12. Yes, <5. Please note that the numbers lower than five are removed as it would help identify individuals concerned and are marked as <5 to comply with the Section 40 (2) Personal Information of the Act.

13. Due to patient confidentiality, individual investigations and concerns related to restraint cannot be shared.

14. 24

15. The Trust closely monitors all restraints through a clear governance structure. The violence and aggression restrictive practice reduction group meets on a monthly basis and reviews all restraints with the ability to act and respond accordingly. This group reports to the Patient Safety Executive which reports to the Quality & Safety Committee (sub board). Additionally we have just launched a 12 month QI Collaborative involving our inpatient mental health wards focused on the SafeWards interventions designed to reduce violence and aggression, this will run until May 2026.

16. 28

Section 12 Exemption where cost of compliance exceeds appropriate limit.
We have reviewed your request, and unfortunately, we are unable to provide the information you have requested. This is because this specific information is not held in a centralised incident reporting system/electronic patient record that could be extractable easily, and to locate the information you have requested will require us to conduct manual searches to determine and to identify and contact individual team managers who would need to search for this information, determine whether this information is held, and if held, extract this information manually from reporting systems. We believe that currently, to search for, locate and retrieve this information would be likely to exceed the time limits as set out under the Freedom of Information Act (18 hours of staff time).   
 

11 July 2025

Reference number: FOI/00000474

SENT BY EMAIL

Dear Wendy Micklewright,

Thank you for your email requesting information under the Freedom of Information Act 2000. Please find our response provided below:  

Your Request


Please provide SECLUSION information under the FOI act to the following questions: -
1.Please supply any SECLUSION reports/investigations
2.How many SECLUSIONS in 2024?
3.What proportion of patients were men/women?
4.How old were they?
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
6.How many people covered by the equality act - specific protected characteristics - excluding age + gender - were secluded ?
7.How many SECLUSIONS were investigated outside the NHS?
8.How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
9.How many patients died within 6 months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
10.How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?
11.How many patients have suffered complications during and after SECLUSION and what were those complications?
12.Have there been any formal complaints from patients/relatives about SECLUSION?
13.If so, what was their concerns?
14.How does the Trust plan to reduce SECLUSIONS in the future?

Our Response

Cambridgeshire and Peterborough NHS Foundation Trust does hold this information. Please see below for the information you requested.

1. Due to patient confidentiality, individual investigations and reports related to seclusion cannot be shared. This will contravene the Section 40 (2) Personal Information of the Act.

2. There were 220 seclusions in the year 2024.

3. 52.27% Male 47.73 Female

4.  

5. BAME -32.27%, non-BAME 67.73%

6. The Equality Act 2010 covers all people.

7. No instances of seclusion reported via our incident reporting system during the requested timeframe were investigated outside of CPFT.

8. There were no deaths recorded relating to patients who were reported via our incident reporting system to have been secluded in 2024. However, as the Trust reporting system does not capture all instances of seclusion, it would be a wholly manual process to review all deaths reported via the Trust incident reporting system in 2024 against use of seclusion, which we calculate would take in excess of 137 hours to complete. Please see Section 12 Exemption where cost of compliance exceeds appropriate limit for more information.

9. There were no deaths recorded relating to patients who were reported via our incident reporting system to have been secluded in 2024. However, as the Trust reporting system does not capture all instances of seclusion, it would be a wholly manual process to review all deaths reported via the Trust incident reporting system in 2024 against use of seclusion, which we calculate would take in excess of 137 hours to complete. Please see Section 12 Exemption where cost of compliance exceeds appropriate limit for more information.

10. There were no deaths recorded relating to patients who were reported via our incident reporting system to have been secluded in 2024. However, as the Trust reporting system does not capture all instances of seclusion, it would be a wholly manual process to review all deaths reported via the Trust incident reporting system in 2024 against use of seclusion and any coroner’s conclusions received, which we calculate would take in excess of 137 hours to complete. Please see Section 12 Exemption where cost of compliance exceeds appropriate limit for more information.

Please note, CPFT’s definition of a confirmed suicide is where a coroner’s inquest states the verdict as suicide either by a short form conclusion or a narrative verdict where the coroner considered there was a clear attempt to end life.

11. Clarification

Thank you for your enquiry reference FOI/00000474.
In order to try and identify and locate the information that you have asked for the Trust reasonably requires some clarification of your request. I will need this information before we can take this matter further.

In particular, please you could confirm whether,

What is meant by complications and provide a definitive guidance on complications.

Please send your clarification by responding to this email. Please do not amend the Subject line.

Clarification Received
To answer your question regarding complications - this would be something unexpected or concerning for the people involved
So, if people started crying or shouting when they are restrained ...

We anticipate that to answer this query would be a wholly manual process to review all suffered complications before and after seclusion and would take in excess of 137 hours to complete. Please see Section 12 Exemption where cost of compliance exceeds appropriate limit for more information.

12. There have not been any complaints from patients/relatives about seclusions.

13. Not applicable

14. • CPFT, as a part of its governance structure has reviewed and implemented a violence and aggression restrictive practice reduction group (VARP). This group utilises business intelligence to gather data around current episodes of violence and aggression and episodes of the use of restrictive practice including seclusion. The group has the ability/authority to take action and make recommendations and is chaired by the deputy chief nurse. This group feeds into the patient safety executive which in turn reports to the quality and safety committee. VARP will also focus/make reference to the work under PCREF. • One of the quality priorities for the organisation 25/26 is the re-introduction of the ‘safe wards’ initiative. This initiative was launched may this year and will run for 12 months. It includes all our relevant mental health wards and is a QI collaborative which is implementing the 10 interventions to reduce violence and aggression on our wards. • CPFT are also an active participant in the National ‘culture of care programme’. It has four participating wards all of which are utilising Qi methodology to bring cultural change to their environments. A key component of culture of care is around being an anti-racist organisation, considering the 12 key core commitments outlined within its principles. • CPFT is currently developing personalised approaches to risk training (PAR). This approach will see the latest NHSE, NCISH, MHLDA programme guidance around risk assessment and formulation which will include risks associated with violence and aggression. We are in the process of developing this package to deliver to all of our staff. We anticipate this to have a positive impact on the reduction of incidences and therefore the use of restrictive practise such as seclusion.

20 June 2025

Reference number: FOI/00000475

SENT BY EMAIL

Dear Wendy Micklewright,

Thank you for your email requesting information under the Freedom of Information Act 2000. Please find our response provided below:  

Your Request


Please provide MEDICATION ERRORS information under the FOI act to the following questions: -
1.Please supply any MEDICATION ERRORS reports/investigations
2.How many MEDICATION ERRORS in 2024?
3.What proportion of patients were men/women?
4.How old were they?
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
6.How many people covered by the equality act - specific protected characteristics - excluding age + gender - endured medication errors ?
7.How many MEDICATION ERRORS were investigated outside the NHS ?
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)?
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)?
10.How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
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?
13.If so, what was their concerns?
14.How does the Trust plan to prevent MEDICATION ERRORS in the future?

Our Response

Cambridgeshire and Peterborough NHS Foundation Trust does hold this information. Please see below for the information you requested.

Due to patient confidentiality, individual investigations and reports related to medication errors cannot be shared. This would contravene the Section 40 Personal Information of the Act.

1002 incidents relating to medication were reported via the Trusts incident reporting system in 2024, these are broken down into categories as follows:

The incident reporting system does not capture information relating to the sex of patients, to provide this information would be a wholly manual process which we calculate would take in excess of 85 hours. Please see the Section 12 Exemption where cost of compliance exceeds appropriate limit.

We cannot provide specific information relating to the age of each patient; however, we have shown the age ranges of patients for which medication incidents were reported.

The incident reporting system does not capture information relating to the ethnicity of patients, to provide this information would be a wholly manual process which we calculate would take in excess of 85 hours. Please see the Section 12 Exemption where cost of compliance exceeds appropriate limit.

It would be a wholly manual process to review all incidents reported in 2024 relating to medication errors to determine if they met the requirements of cover under the equality act, which we calculate would take in excess of 85 hours to complete. Please see the Section 12 Exemption where cost of compliance exceeds appropriate limit.

Clarification

Thank you for your enquiry reference FOI/00000475.  In order to try and identify and locate the information that you have asked for the Trust reasonably requires some clarification of your request. I will need this information before we can take this matter further.

In particular, please you could confirm and clarify what is meant by medication error. We would also appreciate clarity with what is meant by investigation outside the NHS
Please send your clarification by responding to this email. Please do not amend the Subject line.

Clarification received

Regarding investigates outside the NHS - this question is designed to reflect on what becomes acceptable medically but is not acceptable by society ....
For example, homosexuality was considered an illness within living memory ....
So, if complaints or restraint practises are only considered internally - the need to change coercive practises may not be achieved as recommended by the UN + WHO as detailed below.
We would not be able to provide a response to this question, as we do not hold this information.

It would be a wholly manual process to review all deaths reported via the Trust incident reporting system in 2024 against medication errors, which we calculate would take in excess of 79 hours to complete. Please see the Section 12 Exemption where cost of compliance exceeds appropriate limit.

It would be a wholly manual process to review all deaths reported via the Trust incident reporting system in 2024 against medication errors, which we calculate would take in excess of 79 hours to complete. Please see the Section 12 Exemption where cost of compliance exceeds appropriate limit.

It would be a wholly manual process to review all suicides reported via the Trust incident reporting system in 2024 against medication errors, which we calculate would take in excess of 79 hours to complete. Please see the Section 12 Exemption where cost of compliance exceeds appropriate limit.

It would be a wholly manual process to review all incidents reported in 2024 relating to medication errors to determine if there were complications, which we calculate would take in excess of 85 hours to complete. Please see the Section 12 Exemption where cost of compliance exceeds appropriate limit.

10.

Due to patient confidentiality, individual investigations and reports related to medication errors cannot be shared. This would contravene the Section 40 Personal Information of the Act.

Each medication error incident report is reviewed for learning within individual teams. Directorates review their reports, and all medication error incident reports are collated into a quarterly medication safety report that identifies themes and specific actions for improvement to prevent further errors. We also learn proactively by implementing national and regional medication safety alerts to improve patient safety.

Section 12 Exemption where cost of compliance exceeds appropriate limit.

We have reviewed your request, and unfortunately, we are unable to provide the information you have requested for some of the questions above. This is because this specific information is not held in a centralised incident reporting system or electronic patient record, and to locate the information you have requested will require us to conduct manual searches to determine and to identify and contact individual team managers who would need to search for this information, determine whether this information is held, and if held, extract this information manually from reporting systems. We believe that currently, to search for, locate and retrieve this information would be likely to exceed the time limits as set out under the Freedom of Information Act (18 hours of staff time).   
 
Section 12 of the FOIA allows a public authority to refuse a request where it estimates that it would exceed the appropriate limit to comply with the request.

The relevant section states:

12. (1) - Section 1(1) does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit where the appropriate limit is equal to 18 hours of staff time as set by the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulation 2004.

However, when we apply Section 12, we are required to provide advice and assistance (if possible) under Section 16 to help modify your request to an answerable standard.

Advice and Assistance provided under Section 16 of the FOIA

After careful consideration, we are unable to provide any further advice or assistance which would enable you to modify your request to an answerable standard.

Yours sincerely,


Rachel Gomm
Chief Nurse