Reference number: FOI 90174
Emailed to:Wendy Micklewright wmicklewright@yahoo.co.uk
Freedom of Information team
Suite 6, Carew House
Beacon Technology Park
Dunmere Road
Bodmin
Cornwall
PL31 2QN
Call 01208 834 496
cpn-tr.freedomofinformation@nhs.net
Date: 16 June 2023
To whom it may concern
Freedom of Information Act 2000
Thank you for your request for information as detailed below, together with our reply.
Your question and our response
We have received your request for information as detailed below:
Please provide ECT information under the FOI act to the following questions: -
1.Please supply patient’s information ECT leaflet.
Answer: The Trust provides the attached patient information leaflets.
2.Please supply patient ECT consent form
Answer: Cornwall Partnership NHS Foundation Trust uses an in-house consent form (attached).
3.Please supply any ECT reports/investigations
Answer: The Trust is exempt from providing the requested information in accordance with section 40 of the Freedom of Information Act as internal reports may contain information from which individuals may be identified. However, if you are aware of a certain report that you would like to receive please submit a further freedom of information request and the Trust will determine if it is able to provide it.
4.How many ECT in 2022?
Answer: 461 treatments in total
5.What proportion of patients were men/women?
Answer:
Male – 28%
Female – 72%
6.How old were they?
Answer:
Male – 50+
Females – 18+
7.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
Answer: 0 in 2022
8.How many were receiving ECT for the first time?
Answer: This information is not collected in a reportable format.
To collate the information requested would require the review of all the 461 treatment records of ECT Services during this time frame and cross reference with patient records which would be 30 minutes per record and exceed the appropriate time limit. The limit for this organisation is £450 calculated at a rate of £25 per hour to a maximum of 18 hours. The time to extract the information would exceed 18 hours and would, therefore, exceed the ‘appropriate limit’ as defined in The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulation 2004 SI 2004 No 3244.
9.How many patients consented to ECT?
Answer: Of the 461 treatments, 405 were given with consent. 56 treatments were given without consent of the 56, 41 treatments were given under a second opinion appointed doctor, (SOAD), process and 15 treatments were given under the Mental Capacity Act.
10.How many ECT complaints were investigated outside the NHS and CCG?
Answer: The Trust does not hold information on the number of complaints investigated outside of the NHS/CCG. Please note that clinical commissioning groups have been replaced by integrated care boards.
11.How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
Answer: To collate the information requested would require the review of all incidents and cross reference with patient records and inquest reports. during this time frame which would be 30 minutes per record and exceed the appropriate time limit. The limit for this organisation is £450 calculated at a rate of £25 per hour to a maximum of 18 hours. The time to extract the information would exceed 18 hours and would, therefore, exceed the ‘appropriate limit’ as defined in The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulation 2004 SI 2004 No 3244. The Trust is not always advised of the death of a patient and hence the information, if collected, may not provide the information requested.
12.How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
Answer: To collate the information requested would require the review of all incidents and cross reference with patient records and inquest reports. during this time frame which would be 30 minutes per record and exceed the appropriate time limit. The limit for this organisation is £450 calculated at a rate of £25 per hour to a maximum of 18 hours. The time to extract the information would exceed 18 hours and would, therefore, exceed the ‘appropriate limit’ as defined in The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulation 2004 SI 2004 No 3244. The Trust is not always advised of the death of a patient and hence the information, if collected, may not provide the information requested.
13.How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
Answer: The Coroner determines how an individual has died. The Trust is not always made aware of the outcome of an inquest.
14.How many patients have suffered complications during and after ECT and what were those complications?
Answer: Less than 10
The Trust is exempt from providing specific numbers in accordance with section 40 of the Freedom of Information Act (FOI) where to reveal the numbers less than 10 could constitute personal information more likely than not to make the individuals personally identifiable.
15.Have there been any formal complaints from patients/relatives about ECT?
Answer: No formal complaints have been recorded.
16.If so, what was their concerns?
Answer: Not Applicable
17.How many patients report memory loss/loss of cognitive function?
Answer: To collate the information requested would require the review of all incidents and cross reference with patient records and inquest reports. during this time frame which would be 30 minutes per record and exceed the appropriate time limit. The limit for this organisation is £450 calculated at a rate of £25 per hour to a maximum of 18 hours. The time to extract the information would exceed 18 hours and would, therefore, exceed the ‘appropriate limit’ as defined in The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulation 2004 SI 2004 No 3244. The Trust is not always advised of the death of a patient and hence the information, if collected, may not provide the information requested.
18.What tests are used to assess memory loss/loss of cognitive function?
Answer: Mini Ace and Part 17 of the Comprehensive Psychopathological Rating Scale (CPRS).
19.Have MRI or CT scans been used before and after ECT?
Answer: MRI or CT scans would only be requested, before treatment, if a history of neurological/physiological problems had been identified. MRI and CT scans are not usually required following a course of treatment.
20.If so, what was the conclusion?
Answer: Not Applicable
21.How does the Trust plan to prevent ECT in the future?
Answer: Cornwall Partnership NHS Foundation Trust does not plan to prevent ECT.
Reference number: FOI 90175
Emailed to: Wendy Micklewright wmicklewright@yahoo.co.uk
Freedom of Information team
Suite 6, Carew House
Beacon Technology Park
Dunmere Road
Bodmin
Cornwall
PL31 2QN
Call 01208 834 496
cpn-tr.freedomofinformation@nhs.net
Date: 16 June 2023
To whom it may concern
Freedom of Information Act 2000
Thank you for your request for information as detailed below, together with our reply.
Your question and our response
Please provide SERIOUS INCIDENT information under the FOI act to the following questions: -
1.Please supply any serious incident reports/investigations?
2.How many SERIOUS INCIDENT REPORTS in 2022?
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 SERIOUS INCIDENT REPORTS 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)?
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)?
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)?
10.How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?
11.Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?
12.If so, what was their concerns?
13.How does the Trust plan to prevent SERIOUS INCIDENTS in the future?
Answer: The Trust is no longer required to report serious incidents, having transitioned to the national patient safety incident response framework in October 2021. The framework requires the Trust to respond, and learn from, incidents through a new approach
Reference number:FOI 90176
Emailed to: Wendy Micklewright wmicklewright@yahoo.co.uk
Freedom of Information team
Suite 6, Carew House
Beacon Technology Park
Dunmere Road
Bodmin
Cornwall
PL31 2QN
Call 01208 834 496
cpn-tr.freedomofinformation@nhs.net
Date: 16 June 2023
To whom it may concern
Freedom of Information Act 2000
Thank you for your request for information as detailed below, together with our reply.
Your question and our response
1. Please supply any Restraints/investigations?
Answer: The Trust is exempt from disclosure under Section 40 of the Freedom of Information Act 2000, as releasing any internal investigation reports will contain information that constitutes personal information and may make individuals personally identifiable.
2. How many RESTRAINTS in 2022?
Answer: There were 932 Restraints between Jan 2022 to Dec 2022.
3. What proportion of patients were men/women?
Answer: Female 67% Male 33%
4. How old were they?
Answer: Average age 47
5. What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
Answer: White British/White Other 90.2% BAME 9.8%
6. How many RESTRAINTS were investigated outside the NHS and CCG?
Answer: The Trust is not aware of any data pertaining to this question. The Trust can confirm that it has not referred any seclusion incidents for external investigation.
7. How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
Answer: The Trust does not collate this information in a reportable format.
8. How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
Answer: Please see the answer provided for question 7.
9. How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?
Answer: Please see the answer provided for question 7.
10.How many patients have suffered complications during and after RESTRAINTS and what were those complications?
Answer: Please see the answer provided for question 7.
11.Have there been any formal complaints from patients/relatives about RESTRAINTS?
Answer: Please see the answer provided for question 7.
12.If so, what was their concerns?
Answer: Please see the answer provided for question 7.
13.Are counts of forced injections available?
Answer: Rapid tranquilisation is reported through the incident system, the incident system does not differentiate between planned or emergency use. Rapid tranquilisation was used in 84 of the 932 cases.
14.How does the Trust plan to reduce restraints in the future?
Answer: The Trust is part of the National Patient Safety Improvement programme for Reducing the incidence of restrictive practice in inpatient mental health and learning disability services by 50% by March 2024. Further information about the programme is available via this link https://www.england.nhs.uk/patient-safety/patient-safety-improvement-programmes/#MHSIP
Reference number:FOI 90177
Emailed to: Wendy Micklewright
micklewright@yahoo.co.uk
Freedom of Information team
Suite 6, Carew House
Beacon Technology Park
Dunmere Road
Bodmin
Cornwall
PL31 2QN
Call 01208 834 496
cpn-tr.freedomofinformation@nhs.net
Date: 16 June 2023
To whom it may concern
Freedom of Information Act 2000
Thank you for your request for information as detailed below, together with our reply.
Your question and our response
1.Please supply any SECLUSION reports/investigations
Answer: The Trust is exempt from disclosure under Section 40 of the Freedom of Information Act 2000, as releasing any internal investigation reports will contain information that constitutes personal information and may make individuals personally identifiable.
2.How many SECLUSIONS in 2022?
Answer: 41 Seclusions Jan 22 to Dec 22.
3.What proportion of patients were men/women?
Answer: Female 63.4% Male 36.6%.
4.How old were they?
Answer: Average age 34.
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
Answer: White British/White other 87.5 % BAME 12.5%.
6.How many SECLUSIONS were investigated outside the NHS and CCG?
Answer: The Trust is not aware of any data pertaining to this question. The Trust can confirm that it has not referred any seclusion incidents for external investigation.
7.How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
Answer: The Trust does not collate this information in a reportable format.
8.How many patients died within 6 months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
Answer: Please see the answer provided for question 7.
9.How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?
Answer: Please see the answer provided for question 7.
10.How many patients have suffered complications during and after SECLUSION and what were those complications?
Answer: Please see the answer provided for question 7.
11.Have there been any formal complaints from patients/relatives about SECLUSION?
Answer: The Trust does not record seclusion as a category from which it can report.
12.If so, what was their concerns?
Answer: Please see the answer provided for question 11.
13.How does the Trust plan to reduce SECLUSIONS in the future?
Answer: The Trust is part of the National Patient Safety Improvement programme for reducing the incidence of restrictive practice in inpatient mental health and learning disability services by 50% by March 2024.Further information about the programme is available via this link https://www.england.nhs.uk/patient-safety/patient-safety-improvement-programmes/#MHSIP
Reference number: FOI 90178
Emailed to: Wendy Micklewright
wmicklewright@yahoo.co.uk
Freedom of Information team
Suite 6, Carew House
Beacon Technology Park
Dunmere Road
Bodmin
Cornwall
PL31 2QN
Call 01208 834 496
cpn-tr.freedomofinformation@nhs.net
Date: 16 June 2023
To whom it may concern
Freedom of Information Act 2000
Thank you for your request for information as detailed below, together with our reply.
Your question and our response
Please provide MEDICATION ERRORS information under the FOI act to the following questions: -
1.Please supply any MEDICATION ERRORS reports/investigations
Answer: The Trust is exempt from disclosure under Section 40 of the Freedom of Information Act 2000. Internal investigation reports will contain information that constitutes personal information and may make individuals personally identifiable.
2.How many MEDICATION ERRORS in 2022?
Answer: 1079
3.What proportion of patients were men/women?
Answer: Female 51.3% Male 47.2% Unknown/other 1.5%
4.How old were they?
Answer:
0 - 4 19
5 – 9 12
10 – 14 12
15 - 19 23
20 - 24 33
25 - 29 24
30 - 34 27
35 - 39 51
40 - 44 53
45 - 49 43
50 - 54 38
55 - 59 37
55 - 59 37
60 - 64 54
65 - 69 48
70 - 74 70
75 - 79 80
80 - 84 81
85 - 89 90
90 - 94 48
95 - 99 18
100 + The Trust is exempt from providing this information in accordance with section 40 of the Freedom of Information Act (FOI) where to reveal low numbers could constitute personal information more likely than not to make the individuals personally identifiable.
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
Answer:
Unknown 56
Black Caribbean - Black Or Black British Less than 5
British – White 646
Chinese - Other Ethnic 5
Indian - Asian Or Asian British Less than 5
Irish – White Less than 5
Other Black - Black Or Black British Less than 5
Other White – White 12
White & Asian – Mixed Less than 5
Not Stated 131
The Trust is exempt from providing this information in accordance with section 40 of the Freedom of Information Act (FOI) where to reveal low numbers could constitute personal information more likely than not to make the individuals personally identifiable.
6.How many MEDICATION ERRORS were investigated outside the NHS and CCG?
Answer: The Trust is not aware of any data pertaining to this question. The Trust can confirm that it has not referred any seclusion incidents for external investigation.
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)?
Answer: To collate the information requested would require the review of all incidents and cross reference with patient records and inquest reports. during this time frame which would be 30 minutes per record and exceed the appropriate time limit. The limit for this organisation is £450 calculated at a rate of £25 per hour to a maximum of 18 hours. The time to extract the information would exceed 18 hours and would, therefore, exceed the ‘appropriate limit’ as defined in The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulation 2004 SI 2004 No 3244. The Trust is not always advised of the death of a patient and hence the information, if collected, may not provide the information requested.
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)?
Answer: To collate the information requested would require the review of all incidents and cross reference with patient records and inquest reports. during this time frame which would be 30 minutes per record and exceed the appropriate time limit. The limit for this organisation is £450 calculated at a rate of £25 per hour to a maximum of 18 hours. The time to extract the information would exceed 18 hours and would, therefore, exceed the ‘appropriate limit’ as defined in The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulation 2004 SI 2004 No 3244. The Trust is not always advised of the death of a patient and hence the information, if collected, may not provide the information requested.
9.How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
Answer: To collate the information requested would require the review of all incidents and cross reference with patient records and inquest reports. during this time frame which would be 30 minutes per record and exceed the appropriate time limit. The limit for this organisation is £450 calculated at a rate of £25 per hour to a maximum of 18 hours. The time to extract the information would exceed 18 hours and would, therefore, exceed the ‘appropriate limit’ as defined in The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulation 2004 SI 2004 No 3244. The Trust is not always advised of the death of a patient and hence the information, if collected, may not provide the information requested.
10.How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
Answer: To collate the information requested would require the review of all incidents and cross reference with patient records and inquest reports. during this time frame which would be 30 minutes per record and exceed the appropriate time limit. The limit for this organisation is £450 calculated at a rate of £25 per hour to a maximum of 18 hours. The time to extract the information would exceed 18 hours and would, therefore, exceed the ‘appropriate limit’ as defined in The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulation 2004 SI 2004 No 3244.
11.Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
Answer: Less than 5. The Trust is exempt from providing specific information in accordance with section 40 of the Freedom of Information Act (FOI) where to reveal the numbers less than 10 could constitute personal information more likely than not to make the individuals personally identifiable.
12.If so, what was their concerns?
Answer: Overprescribed medication
13.How does the Trust plan to prevent MEDICATION ERRORS in the future?
Answer: The Trust has moved to Electronic Medications Prescribing.
Medication incidents are identified as a local priority within the Trust’s 2023/24 patient safety incident response plan. The Trust has a medications safety officer who works within the pharmacy team to review safety concerns.
If you have any further queries, please contact me.
The information supplied to you continues to be protected by the Copyright, Designs and Patents Act 1988. You are free to use it for your own purposes, including any non-commercial research you are doing and for the purposes of news reporting. Any other re-use, for example commercial publication, would require the permission of the copyright holder. Most documents supplied by Cornwall Partnership NHS Foundation Trust will have been produced by local officials and will be our copyright. Information you receive which is not subject to our copyright continues to be protected by the copyright of the person, or organisation, from which the information originated. You must ensure that you gain their permission before reproducing any third-party information.
If you are not satisfied with the response to your request, you have the right to an internal review. The handling of your request will be looked at by someone who was not responsible for the original case, and they will decide as to whether your request was managed correctly.
If you would like to request a review, please write to:
Head of Information Governance, Cornwall Partnership NHS Foundation Trust
Suite 6, Carew House, Beacon Technology Park, Dunmere Road, Bodmin, PL31 2QN
If you remain dissatisfied, after an internal review decision, you have the right to apply to the Information Commissioner’s Office. The commissioner is an independent regulator who has the power to direct the Trust to respond to your request differently, if it is considered that your request was handled incorrectly.
You can contact the Information Commissioners Office at the following address:
Information Commissioners Office
Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF
The Trust continually strives to provide the best possible service to people who request information using the Freedom of Information Act 2000 legislation. To help achieve this, the Trust would be most grateful if you would complete, and return, the attached applicant satisfaction survey form.
Yours sincerely
Sarah James
Executive Director of Integrated Governance and Performance