Coventry + Warwickshire 2019

Coventry + Warwickshire partnership NHS trust

Our Ref: FOI - 1794 - ECT

Request & Trust Response

Question	Trust Response
1. Please supply patient’s information ECT leaflet.	Attached
2. Please supply patient ECT consent form.	Attached
3. Please supply any ECT reports/investigations	Attached
4. How many ECT in 2019?	539 treatment / 46 patients
5. What proportion of patients were men/women?	Men – 16 Women – 30
6. How old were they?	28 / 34 / 38 / 2 people 39 / 42 / 44 / 45 / 50 / 2 people 52 / 53 / 4 people 54 / 56 / 3 people 58 / 60 / 2 people 61 / 3 people 63 / 64 / 2 people 65 / 66 / 67 / 68 / 69 / 70 / 2 people 71 / 72 / 73 / 2 people 75 / 2 people 76 / 77 / 79 / 82 / 89
7. What were the diagnoses and in what proportions?	24 – Depression 11 – Severe depression 2 – Catatonia 5 – Bipolar 4 – Schizo Affective Disorder
8. What proportion of patients were classified BAME?	5
9. How many were receiving ECT for the first time?	44
10. How many patients consented to ECT?	35
11. How many ECT complaints were investigated outside the NHS and CCG?	None
12. How many patients died during or soon after ECT and what was the cause (whether or not ECT was considered the cause)?	None
13. How many patients died a few months after ECT and what was the cause (whether or not ECT was considered the cause)?	1 – Cancer
14. How many patients died by suicide within a few months of receiving ECT (whether or not ECT was considered the	None

cause)?
15. How many patients have suffered complications during and after ECT and what were those complications?	1 – Decreased saturations
16. Have there been any formal complaints from patients/relatives about ECT?	None
17. If so, what was their concerns?
18. How many patients report memory loss/loss of cognitive function?	None
19. What tests are used to assess memory loss/loss of cognitive function?	MMSE / CGI / HADS
20. Have MRI or CT scans been used before and after ECT?	No
21. If so what was the conclusion?
22. How does the Trust plan to prevent ECT in the future?	The Trust does not plan to prevent ECT in the future

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

Question	Trust Response
1. Please supply SERIOUS INCIDENT REPORTS patient’s information leaflet.	Section 12 applied*
2. Please supply patient SERIOUS INCIDENT REPORTS consent form.
3. Please supply any serious incident reports/investigations
4. How many SERIOUS INCIDENT REPORTS in 2019?
5. What proportion of patients were men/women?
6. How old were they?
7. What were the diagnoses and in what proportions?
8. What proportion of patients were classified BAME?
9. How many were receiving SERIOUS INCIDENT REPORTS for the first time?
10. How many patients consented to SERIOUS INCIDENT REPORTS?
11. How many SERIUOS INCIDENT REPORTS were investigated outside the NHS and CCG?
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)?
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)?
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)?
15. How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?
16. Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?
17. If so, what was their concerns?
18. How many patients report memory loss/loss of cognitive function?
19. What tests are used to assess memory loss/loss of cognitive function?
20. Have MRI or CT scans been used before and after SERIOUS INCIDENT REPORTS?
21. If so what was the conclusion?
22. How does the Trust plan to prevent SERIOUS INCIDENTS in the future?

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

Question	Trust Response
1. Please supply RESTRAINTS patient’s information leaflet.	Section 12 applied*
2. Please supply patient RESTRAINTS consent form.
3. Please supply any Restraints/investigations
4. How many RESTRAINTS in 2019?
5. What proportion of patients were men/women?
6. How old were they?
7. What were the diagnoses and in what proportions?
8. What proportion of patients were classified BAME?
9. How many were receiving RESTRAINTS for the first time?
10. How many patients consented to RESTRAINTS?
11. How many RESTRAINTS were investigated outside the NHS and CCG ?
12. How many patients died during or soon after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
13. How many patients died a few months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
14. How many patients died by suicide within a few months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?
How many patients have suffered complications during and after RESTRAINTS and what were those complications? Have there been any formal complaints from patients/relatives about RESTRAINTS?
17. If so, what was their concerns?
18. How many patients report memory loss/loss of cognitive function?
19. What tests are used to assess memory loss/loss of cognitive function?
20. Have MRI or CT scans been used before and after RESTRAINTS?

21. If so what was the conclusion?
22. How does the Trust plan to reduce restraints in the future?

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

Question	Trust Response
1. Please supply patient’s information SECLUSION leaflet.	Section 12 applied*
2. Please supply patient SECLUSION consent form.
3. Please supply any SECLUSION reports/investigations
4. How many SECLUSION in 2019?
5. What proportion of patients were men/women?
6. How old were they?
7. What were the diagnoses and in what proportions?
8. What proportion of patients were classified BAME?
9. How many were receiving SECLUSION for the first time?
10. How many patients consented to SECLUSION?
11. How many SECLUSIONS were investigated outside the NHS and CCG ?
12. How many patients died during or soon after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
13. How many patients died a few months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
14. How many patients died by suicide within a few months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?
15. How many patients have suffered complications during and after SECLUSION and what were those complications?
16. Have there been any formal complaints from patients/relatives about SECLUSION?
17. If so, what was their concerns?
18. How many patients report memory loss/loss of cognitive function?

19. What tests are used to assess memory loss/loss of cognitive function?
20. Have MRI or CT scans been used before and after SECLUSION?
21. If so what was the conclusion?
22. How does the Trust plan to prevent SECLUSION in the future?

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

Question	Trust Response
1. Please supply patient’s information MEDICATION ERRORS leaflet.	Section 12 applied*
2. Please supply patient MEDICATION ERRORS consent form.
3. Please supply any MEDICATION ERRORS reports/investigations
4. How many MEDICATION ERRORS in 2019?
5. What proportion of patients were men/women?
6. How old were they?
7. What were the diagnoses and in what proportions?
8. What proportion of patients were classified BAME?
9. How many were receiving MEDICATION ERRORS for the first time?
10. How many patients consented to MEDICATION ERRORS?
11. How many MEDICATION ERRORS S were investigated outside the NHS and CCG?
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)?
13. How many patients died a few months after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?
14. How many patients died by suicide within a few months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
15. How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
16. Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
17. If so, what was their concerns?
18. How many patients report memory loss/loss of cognitive function?


19. What tests are used to assess memory loss/loss of cognitive function?
20. Have MRI or CT scans been used before and after MEDICATION ERRORS?
21. If so what was the conclusion?
22. How does the Trust plan to prevent MEDICATION ERRORS in the future?

* Following careful consideration, the Trust has estimated that the cost of complying with this part of your request would exceed the appropriate limit costs under Section 12 of the Freedom of Information Act 2000 and, therefore, the Trust is not obliged to comply with your request. The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004 currently sets the appropriate costs limit at £450. This represents the estimated cost of one person spending 2½ (18 hours) working days in determining whether the Department holds the information and locating, retrieving and extracting the information. Under Section 12 of the Freedom of Information Act, the Trust is not obliged to comply with your request if this appropriate limit is exceeded.

Therefore, in accordance with Section 17 of the Freedom of Information Act 2000, please treat this response as a Refusal Notice in respect of the information that you have asked for in this question.

If you can narrow down your request the Trust will look into the matter again.

Jagtar Singh OBE – Chair

Simon Gilby – Chief Executive

Our Ref: FOI - 1848 - FOI 1794 - APPEAL

Request & Trust Response

Question	Trust Response
1. Please supply patient’s information ECT leaflet.	Previously disclosed in response to FOI - 1794 – ECT.
2. Please supply patient ECT consent form.
3. Please supply any ECT reports/investigations
4. How many ECT in 2019?
5. What proportion of patients were men/women?
6. How old were they?
7. What were the diagnoses and in what proportions?
8. What proportion of patients were classified BAME?
9. How many were receiving ECT for the first time?
10. How many patients consented to ECT?
11. How many ECT complaints were investigated outside the NHS and CCG?
12. How many patients died during or soon after ECT and what was the cause (whether or not ECT was considered the cause)?
13. How many patients died a few months after ECT and what was the cause (whether or not ECT was considered the cause)?
14. How many patients died by suicide within a few months of receiving ECT (whether or not ECT was considered the cause)?
15. How many patients have suffered complications during and after ECT and what were those complications?
16. Have there been any formal complaints from patients/relatives about ECT?
17. If so, what was their concerns?
18. How many patients report memory loss/loss of cognitive function?
19. What tests are used to assess memory loss/loss of cognitive function?
20. Have MRI or CT scans been used before and after ECT?
21. If so what was the conclusion?
22. How does the Trust plan to prevent ECT in the future?

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

Question	Trust Response
1. Please supply SERIOUS INCIDENT REPORTS patient’s information leaflet.	The Trust has been working on a draft leaflet; however this has not yet been approved and therefore is not currently in use.
2. Please supply patient SERIOUS INCIDENT REPORTS consent form.	The Trust does not have one. Serious Incident investigations do not require consent.
3. Please supply any serious incident reports/investigations	The requested information is withheld from disclosure because the Trust considers section 41 (Information Provided in Confidence) applies as duty of confidence survives the death of an individual. In addition, the reports contain information about living individuals (e.g. family members). Thus, the Trust considers that section 40 (2) (Third Party Personal Data) also applies as under the Data Protection Act 2018 we have a duty to protect such information.
4. How many SERIOUS INCIDENT REPORTS in 2019?	66
5. What proportion of patients were men/women?
		Description of gender	Number of SIRI
		Female	24
		Male	39
		Staff incident	2
		Transgender	1
		Grand Total	66
6. How old were they?
		Age bracket	Number of SIRI
		Under 21	7
		21 - 39	20
		40 - 64	23
		65+	14
		Staff incident	2
		Grand Total 66

7. What were the diagnoses and in what proportions?		Diagnosis information	Number of SIRI
		Clients within Learning Disability services	3
		Clients within Mental Health Services	52
		Clients within physical health services	9
		Staff incident	2
		Grand Total	66
8. What proportion of patients were classified BAME?	6 of 64 SIRIs where proportion of patients were classified as BAME. (The other 2 SIRI were staff incidents).
9. How many were receiving SERIOUS INCIDENT REPORTS for the first time?	63 patients of the 64 SIRIs (excluding staff incidents) were involved in and investigated as a Serious Incident investigation for the first time.
10. How many patients consented to SERIOUS INCIDENT REPORTS?	Serious Incident investigations do not require consent.
11. How many SERIUOS INCIDENT REPORTS were investigated outside the NHS and CCG?	0
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)?	0 Please note that the Trust has interpreted soon to be 30 days after the death of the individual.
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)?	1 death – not connected to the Serious Incident
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)?	0
15. How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?	0 Please note that the Trust has provided this response in the absence of a definition of “complication”.
16. Have there been any formal complaints from patients/relatives about	^Yes
SERIOUS INCIDENT REPORTS?
17. If so, what was their concerns?	Delay in receiving report. Poor communication from the Trust to the family during the SIRI investigation.
18. How many patients report memory loss/loss of cognitive function?	Section 12 applied (see below)*
19. What tests are used to assess memory loss/loss of cognitive function?	Mental Health assessment led by trained clinicians.
20. Have MRI or CT scans been used before and after SERIOUS INCIDENT REPORTS?	Section 12 applied (see below)*
21. If so what was the conclusion?	Section 12 applied (see below)*
22. How does the Trust plan to prevent SERIOUS INCIDENTS in the future?	The Trust takes action, where identified, to prevent future serious incidents occurring. Action taken is reported through the Trust’s governance structure.

In summary, there are 64 clients = review carenotes = 30 mins each = 32 hours (1 x client record review 30 mins to go back through whole case note).

Therefore, in accordance with Section 17 of the Freedom of Information Act 2000, please treat this response as a Refusal Notice in respect of the information that you have asked for in this question.

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

Question

Trust Response

1. Please supply

RESTRAINTS patient’s information leaflet.

The Trust does not have one. Thus, it has been established that the Trust does not hold the requested information.

Consequently, the Trust is unable to provide the requested information, and is informing you of this as required under Section 1(1) (a) of the Act.

"Any person making a request for information to a public authority is entitled to be informed in writing by the public authority whether it holds information of the description specified in the request".

2. Please supply patient RESTRAINTS consent form.

The Trust does not have one. Restraint does not require consent.

3. Please supply any

Restraints/investigations

The Trust is not clear what is being requested. The Trust is therefore unable to provide a response.

4. How many RESTRAINTS in 2019?

1927

5. What proportion of patients were men/women?

Gender description

Number of restraints

Female

983

Male

927

Not Stated

Grand Total

1927

6. How old were they?

Age Bracket

Number of restraints

Under 21

650

21 - 39

683

40 - 64

449

65+

Not Stated

Grand Total

1927

7. What were the diagnoses and in what proportions?

Diagnosis Information	Number of restraints
Clients within Learning Disability Services		1134
Clients within Mental Health Services		793
Grand Total		1927

8. What proportion of patients were classified BAME?

Ethnicity	Number of restraints
BAME		238
Not Stated		453
White		1236
Total		1927

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

Section 12 applied (see below)**

10. How many patients consented to RESTRAINTS?

Restraint does not require consent.

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

12. How many patients died during or soon after

RESTRAINTS and what was

the cause (whether or not RESTRAINTS was considered the cause)?

Please note that the Trust has interpreted soon to be 30 days after the death of the individual.

13. How many patients died a few months after

RESTRAINTS and what was

the cause (whether or not RESTRAINTS was considered the cause)?

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

15. How many patients have suffered complications during and after

RESTRAINTS and what were those complications?

Please note that the Trust has provided this response in the absence of a definition of “complication”.

16. Have there been any formal complaints from patients/relatives about

RESTRAINTS?

17. If so, what was their concerns?

N/A

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

Section 12 applied (see below)***

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

Mental Health assessment led by trained clinicians.

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

Section 12 applied (see below)***

21. If so what was the conclusion?

N/A

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

Continuing to work with patients as part of their individual care pathway. The Trust is also taking forward its Positive Behavioural Support work.

** Following careful consideration, the Trust has estimated that the cost of complying with this part of your request would exceed the appropriate limit costs under Section 12 of the Freedom of Information Act 2000 and, therefore, the Trust is not obliged to comply with your request. The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004 currently sets the appropriate costs limit at £450. This represents the estimated cost of one person spending 2½ (18 hours) working days in determining whether the Department holds the information and locating, retrieving and extracting the information. Under Section 12 of the Freedom of Information Act, the Trust is not obliged to comply with your request if this appropriate limit is exceeded.

In summary, there are 7pprox. 206 clients that were restrained for the first time in 2019 (1 x client record review 30 mins to go back through whole case note).

Therefore, in accordance with Section 17 of the Freedom of Information Act 2000, please treat this response as a Refusal Notice in respect of the information that you have asked for in this question.

*** Following careful consideration, the Trust has estimated that the cost of complying with this part of your request would exceed the appropriate limit costs under Section 12 of the Freedom of Information Act 2000 and, therefore, the Trust is not obliged to comply with your request. The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004 currently sets the appropriate costs limit at £450. This represents the estimated cost of one person spending 2½ (18 hours) working days in determining whether the Department holds the information and locating, retrieving and extracting the information. Under Section 12 of the Freedom of Information Act, the Trust is not obliged to comply with your request if this appropriate limit is exceeded.

In summary, there are 312 – review carenotes – 30 mins each = 156 hours (1 x client record review 30 mins to go back through whole case note)

Therefore, in accordance with Section 17 of the Freedom of Information Act 2000, please treat this response as a Refusal Notice in respect of the information that you have asked for

in this question.

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

Question

Trust Response

1. Please supply patient’s information SECLUSION leaflet.

The Trust does not have one. Thus, it has been established that the Trust does not hold the requested information.

Consequently, the Trust is unable to provide the requested information, and is informing you of this as required under Section 1(1) (a) of the Act.

2. Please supply patient SECLUSION consent form.

The Trust does not have one. Seclusion does not require consent.

3. Please supply any SECLUSION reports/investigations

The Trust is not clear what is being requested. The Trust is therefore unable to provide a response.

4. How many SECLUSION in 2019?

311

5. What proportion of patients were men/women?

Gender description

number of seclusions

Female

Male

229

Grand Total

311

6. How old were they?

Age Bracket

number of seclusions

Under 21

21 - 39

184

40 - 64

Not Stated

Grand Total

311

7. What were the diagnoses and in what proportions?

Diagnosis Information	number of seclusions
Clients within Learning Disability Services		211
Clients within Mental Health Services		100
Grand Total		311

8. What proportion of patients were classified BAME?

Ethnicity	number of seclusions
BAME	24
Not Stated	114
White	151
Total	311

9. How many were receiving

SECLUSION for the first time?

43 clients were secluded in 2019 who were not recorded as secluded prior to 2019.

10. How many patients consented to SECLUSION?

The Trust is not clear what is being requested. The Trust is therefore unable to provide a response.

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

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

Please note that the Trust has interpreted soon to be 30 days after the death of the individual.

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

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

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

Section 12 applied (see below)****

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

17. If so, what was their concerns?

N/A

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

Section 12 applied (see below)*****

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

Mental Health assessment led by trained clinicians.

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

Section 12 applied (see below)****

21. If so what was the conclusion?

N/A

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

Continuing to work with patients as part of their individual care pathway. The Trust is also taking forward its Positive Behavioural Support work.

**** Following careful consideration, the Trust has estimated that the cost of complying with this part of your request would exceed the appropriate limit costs under Section 12 of the Freedom of Information Act 2000 and, therefore, the Trust is not obliged to comply with your request. The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004 currently sets the appropriate costs limit at £450. This represents the estimated cost of one person spending 2½ (18 hours) working days in determining whether the Department holds the information and locating, retrieving and extracting the information. Under Section 12 of the Freedom of Information Act, the Trust is not obliged to comply with your request if this appropriate limit is exceeded.

In summary, there are 311 seclusions – review carenotes – 30 mins each = 155 hours 30 mins (1 x client record review 30 mins to go back through whole case note)

Therefore, in accordance with Section 17 of the Freedom of Information Act 2000, please treat this response as a Refusal Notice in respect of the information that you have asked for in this question.

***** Following careful consideration, the Trust has estimated that the cost of complying with this part of your request would exceed the appropriate limit costs under Section 12 of the Freedom of Information Act 2000 and, therefore, the Trust is not obliged to comply with your request. The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004 currently sets the appropriate costs limit at £450. This represents the estimated cost of one person spending 2½ (18 hours) working days in determining whether the Department holds the information and locating, retrieving and extracting the information. Under Section 12 of the Freedom of Information Act, the Trust is not obliged to comply with your request if this appropriate limit is exceeded.

In summary, there are 61 clients secluded = review carenotes = 30 mins each = 30 hours (1 x client record review 30 mins to go back through whole case note).

Therefore, in accordance with Section 17 of the Freedom of Information Act 2000, please treat this response as a Refusal Notice in respect of the information that you have asked for in this question.

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

Question

Trust Response

1. Please supply patient’s information MEDICATION ERRORS leaflet.

The Trust does not have one. Thus, it has been established that the Trust does not hold the requested information.

Consequently, the Trust is unable to provide the requested information, and is informing you of this as required under Section 1(1) (a) of the Act.

2. Please supply patient MEDICATION ERRORS consent form.

Medication error does not require consent.

3. Please supply any MEDICATION

ERRORS reports/investigations

The Trust is not clear what is being requested. The Trust is therefore unable to provide a response.

4. How many MEDICATION ERRORS in 2019?

345

5. What proportion of patients were men/women?

Gender Description	Number of incidents
Female		145
Male		161
not stated / not patient related		39
Grand Total		345

6. How old were they?

Age bracket	Number of incidents
Under 21		48
21 - 39		76
40 - 64		67
65+		74
not stated/ not patient related		80
Grand Total		345

7. What were the diagnoses and in what proportions?
		Diagnosis Information		number of incidents
		Clients within Learning Disability Services		95
		Clients within Mental Health Services		163
		Clients within Physical Health Services		87
		Grand Total		345
8. What proportion of patients were classified BAME?
		Ethnicity	Number
		BAME	42
		White	221
		Not stated / not patient related	82
		Total	345
9. How many were receiving MEDICATION ERRORS for the first time?	196
10. How many patients consented to MEDICATION ERRORS?	Medication error does not require consent.
11. How many MEDICATION ERRORS S were investigated outside the NHS and CCG?	0
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)?	0 Please note that the Trust has interpreted soon to be 30 days after the death of the individual.
13. How many patients died a few months after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?	6 – natural causes
14. How many patients died by suicide within a few months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?	None reported
15. How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?	Section 12 applied (see below)******
16. Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?	No
17. If so, what was their concerns?	N/A
18. How many patients report memory loss/loss of cognitive function?	Section 12 applied (see below)******
19. What tests are used to assess memory loss/loss of cognitive function?	The Trust is not clear what is being requested. The Trust is therefore unable to provide a response.
20. Have MRI or CT scans been used before and after MEDICATION ERRORS?	Section 12 applied (see below)******
21. If so what was the conclusion?	N/A
22. How does the Trust plan to prevent MEDICATION ERRORS in the future?	Working with staff as part of their training and supervision.

****** Following careful consideration, the Trust has estimated that the cost of complying with this part of your request would exceed the appropriate limit costs under Section 12 of the Freedom of Information Act 2000 and, therefore, the Trust is not obliged to comply with your request. The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004 currently sets the appropriate costs limit at £450. This represents the estimated cost of one person spending 2½ (18 hours) working days in determining whether the Department holds the information and locating, retrieving and extracting the information. Under Section 12 of the Freedom of Information Act, the Trust is not obliged to comply with your request if this appropriate limit is exceeded.

In summary, there are 306 medication errors where reference a patient – review of carenotes = 306 * 30 minutes = 153 hours (1 x client record review 30 mins to go back through whole case note)

Therefore, in accordance with Section 17 of the Freedom of Information Act 2000, please treat this response as a Refusal Notice in respect of the information that you have asked for in this question.

Simon Gilby – Chief Executive

Jagtar Singh OBE – Chair