Devon Partnership NHS Trust
FREEDOM OF INFORMATION REQUEST
Ref: DPT 21/22/044
Date: 03/06/2021
Thank you for your request under the Freedom of Information Act.
Ref: DPT 21/22/044
Date: 03/06/2021
Thank you for your request under the Freedom of Information Act.
Please provide ECT information under the FOI act to the following questions: -
1. Please supply patient’s information ECT leaflet.
Attached new-ect-leaflet-554_02_18_2nd-proof
Attached PAGE12White(10PAGES) ROYALCOLLEGE
2. Please supply patient ECT consent form.
Attached Consent Form
3. Please supply any ECT reports/investigations
Devon Partnership NHS Trust holds this information. The information requested related to personal data. Under Section 40(2) Devon Partnership NHS Trust is not obliged to provide information where it would contravene any of the Data Protection Principles under Article 5 of the General Data Protection Regulation 2018. The information requested is sensitive personal data within the meaning of the first principle of the Data Protection Act as it is information from which an individual or individuals can be identified and relates to the physical or mental health of those individuals.
4. How many ECT in 2020?
Number of treatments in 2020 1st January to 31st December 710 treatments
5. What proportion of patients were men/women?
71.6% women, 28.4% men
6. How old were they?
Devon Partnership NHS Trust holds this information. However, it is estimated that this would take in excess of 18 hours to extract and collate, accordingly this information is exempt under s.12 of the Freedom of Information Act as we estimate that the cost of complying with the request would exceed the appropriate limit under the Act.
7. What proportion of patients were classified BAME?
None
8. How many were receiving ECT for the first time?
Devon Partnership NHS Trust holds this information. However, it is estimated that this would take in excess of 18 hours to extract and collate, accordingly this information is exempt under s.12 of the Freedom of Information Act as we estimate that the cost of complying with the request would exceed the appropriate limit under the Act.
9. How many patients consented to ECT?
44% consented
10. How many ECT complaints were investigated outside the NHS and CCG?
Devon Partnership NHS Trust holds this information. However, it is estimated that this would take in excess of 18 hours to extract and collate, accordingly this information is exempt under s.12 of the Freedom of Information Act as we estimate that the cost of complying with the request would exceed the appropriate limit under the Act
11. How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
Devon Partnership NHS Trust holds this information. However, it is estimated that this would take in excess of 18 hours to extract and collate, accordingly this information is exempt under s.12 of the Freedom of Information Act as we estimate that the cost of complying with the request would exceed the appropriate limit under the Act
12. How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
Devon Partnership NHS Trust holds this information. However, it is estimated that this would take in excess of 18 hours to extract and collate, accordingly this information is exempt under s.12 of the Freedom of Information Act as we estimate that the cost of complying with the request would exceed the appropriate limit under the Act
13. How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
Devon Partnership NHS Trust holds this information. However, it is estimated that this would take in excess of 18 hours to extract and collate, accordingly this information is exempt under s.12 of the Freedom of Information Act as we estimate that the cost of complying with the request would exceed the appropriate limit under the Act
14. How many patients have suffered complications during and after ECT and what were those complications? Requestor has confirmed up to 3 years after.
Devon Partnership NHS Trust has estimated that the time taken to identify, retrieve, assess and collate the information that falls within the scope of this question would be in excess of 18 hours.
Under the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004 [“Fees Regulations”] for the purposes of estimating the cost of compliance with a request for information the Trust may take into account the amount of time it takes to determine whether it holds the information, locate the information or a document which may contain the information, retrieve the information or a document which may contain the information and extract the information from a document containing it.
Based on a rate of £25 per hour, in accordance with the Fees Regulations, we estimate that it will cost in excess of £450 to locate, retrieve and extract the information you have requested. This sum exceeds the appropriate limit of £450 as defined in the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004. Under section 12 of the Freedom of Information Act 2000 the Trust is not obliged to comply with a request that exceeds the appropriate limit.
Under the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004 [“Fees Regulations”] for the purposes of estimating the cost of compliance with a request for information the Trust may take into account the amount of time it takes to determine whether it holds the information, locate the information or a document which may contain the information, retrieve the information or a document which may contain the information and extract the information from a document containing it.
Based on a rate of £25 per hour, in accordance with the Fees Regulations, we estimate that it will cost in excess of £450 to locate, retrieve and extract the information you have requested. This sum exceeds the appropriate limit of £450 as defined in the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004. Under section 12 of the Freedom of Information Act 2000 the Trust is not obliged to comply with a request that exceeds the appropriate limit.
15. Have there been any formal complaints from patients/relatives about ECT?
Devon Partnership NHS Trust holds this information. However, it is estimated that this would take in excess of 18 hours to extract and collate, accordingly this information is exempt under s.12 of the Freedom of Information Act as we estimate that the cost of complying with the request would exceed the appropriate limit under the Act
16. If so, what was their concerns?
Devon Partnership NHS Trust holds this information. However, it is estimated that this would take in excess of 18 hours to extract and collate, accordingly this information is exempt under s.12 of the Freedom of Information Act as we estimate that the cost of complying with the request would exceed the appropriate limit under the Act
17 .How many patients report memory loss/loss of cognitive function?
Devon Partnership NHS Trust holds this information. However, it is estimated that this would take in excess of 18 hours to extract and collate, accordingly this information is exempt under s.12 of the Freedom of Information Act as we estimate that the cost of complying with the request would exceed the appropriate limit under the Act.
18. What tests are used to assess memory loss/loss of cognitive function?
The Montreal Cognitive assessment is conducted prior to first treatment, after every 4 treatments, 4 days after the final treatment and at the 4, 8 and 12 week follow up. We also use the CPRS on memory at every treatment.
19. Have MRI or CT scans been used before and after ECT?
MRI and CT scans are only requested as would be clinically indicated they are required.
20. If so what was the conclusion?
The ECT clinic does not hold this information
21. How does the Trust plan to prevent ECT in the future?
People are referred to the ECT Service as clinically indicated by NICE and the Royal College of Psychiatrists. It is an effective intervention for many people as currently we plan to continue to use ECT as clinically indicted to do so.
FREEDOM OF INFORMATION REQUEST
Ref: DPT 21/22/045
Date: 10/06/2021
Thank you for your request under the Freedom of Information Act.
Please provide SERIOUS INCIDENT information under the FOI act to the following questions: -
1. Please supply any serious incident reports/investigations
Devon Partnership NHS Trust holds this information. The information requested related to personal data. Under Section 40(2) Devon Partnership NHS Trust is not obliged to provide information where it would contravene any of the Data Protection Principles under Article 5 of the General Data Protection Regulation 2018. The information requested is sensitive personal data within the meaning of the first principle of the Data Protection Act as it is information from which an individual or individuals can be identified and relates to the physical or mental health of those individuals.
2. How many SERIOUS INCIDENT REPORTS in 2020?
95
3. What proportion of patients were men/women?
Male 95 54.7%
Female 43 45.3%
4. How old were they?
Under 18 Less than 5
18-65 80
Over 65 12
5. What proportion of patients were classified BAME?
Less Than 5
6. How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG?
0
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)?
Less Than 5
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)?
Less Than 5
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)?
Less Than 5
10. How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?
Devon Partnership NHS Trust has estimated that the time taken to identify, retrieve, assess and collate the information that falls within the scope of this question would be in excess of 18 hours.
Under the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004 [“Fees Regulations”] for the purposes of estimating the cost of compliance with a request for information the Trust may take into account the amount of time it takes to determine whether it holds the information, locate the information or a document which may contain the information, retrieve the information or a document which may contain the information and extract the information from a document containing it.
Based on a rate of £25 per hour, in accordance with the Fees Regulations, we estimate that it will cost in excess of £450 to locate, retrieve and extract the information you have requested. This sum exceeds the appropriate limit of £450 as defined in the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004. Under section 12 of the Freedom of Information Act 2000 the Trust is not obliged to comply with a request that exceeds the appropriate limit.
11. Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?
No formal complaints received
12. If so, what was their concerns?
N/A
13. How does the Trust plan to prevent SERIOUS INCIDENTS in the future?
Every patient has a personalised care plan tailored to their needs. All learning from serious investigations are discussed at the local and Trust wide learning from experience meetings.
Please note where numbers are low we have indicated “Less than 5” as we reasonably believe that release of precise figures or further information, could reasonably lead to identification of individuals in contravention of the Data Protection Act 2018 and the General Data Protection Regulation 2018.
Ref: DPT 21/22/045
Date: 10/06/2021
Thank you for your request under the Freedom of Information Act.
Please provide SERIOUS INCIDENT information under the FOI act to the following questions: -
1. Please supply any serious incident reports/investigations
Devon Partnership NHS Trust holds this information. The information requested related to personal data. Under Section 40(2) Devon Partnership NHS Trust is not obliged to provide information where it would contravene any of the Data Protection Principles under Article 5 of the General Data Protection Regulation 2018. The information requested is sensitive personal data within the meaning of the first principle of the Data Protection Act as it is information from which an individual or individuals can be identified and relates to the physical or mental health of those individuals.
2. How many SERIOUS INCIDENT REPORTS in 2020?
95
3. What proportion of patients were men/women?
Male 95 54.7%
Female 43 45.3%
4. How old were they?
Under 18 Less than 5
18-65 80
Over 65 12
5. What proportion of patients were classified BAME?
Less Than 5
6. How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG?
0
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)?
Less Than 5
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)?
Less Than 5
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)?
Less Than 5
10. How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?
Devon Partnership NHS Trust has estimated that the time taken to identify, retrieve, assess and collate the information that falls within the scope of this question would be in excess of 18 hours.
Under the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004 [“Fees Regulations”] for the purposes of estimating the cost of compliance with a request for information the Trust may take into account the amount of time it takes to determine whether it holds the information, locate the information or a document which may contain the information, retrieve the information or a document which may contain the information and extract the information from a document containing it.
Based on a rate of £25 per hour, in accordance with the Fees Regulations, we estimate that it will cost in excess of £450 to locate, retrieve and extract the information you have requested. This sum exceeds the appropriate limit of £450 as defined in the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004. Under section 12 of the Freedom of Information Act 2000 the Trust is not obliged to comply with a request that exceeds the appropriate limit.
11. Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?
No formal complaints received
12. If so, what was their concerns?
N/A
13. How does the Trust plan to prevent SERIOUS INCIDENTS in the future?
Every patient has a personalised care plan tailored to their needs. All learning from serious investigations are discussed at the local and Trust wide learning from experience meetings.
Please note where numbers are low we have indicated “Less than 5” as we reasonably believe that release of precise figures or further information, could reasonably lead to identification of individuals in contravention of the Data Protection Act 2018 and the General Data Protection Regulation 2018.
FREEDOM OF INFORMATION REQUEST
Ref: DPT 21/22/046
Date: 10/06/2021
Thank you for your request under the Freedom of Information Act.
Ref: DPT 21/22/046
Date: 10/06/2021
Thank you for your request under the Freedom of Information Act.
Please provide restraints information under the FOI act to the following questions: -
1. Please supply any Restraints/investigations
Devon Partnership NHS Trust holds this information. The information requested related to personal data. Under Section 40(2) Devon Partnership NHS Trust is not obliged to provide information where it would contravene any of the Data Protection Principles under Article 5 of the General Data Protection Regulation 2018. The information requested is sensitive personal data within the meaning of the first principle of the Data Protection Act as it is information from which an individual or individuals can be identified and relates to the physical or mental health of those individuals.
2. How many RESTRAINTS in 2020?
1545
3. What proportion of patients were men/women?
| Male 158 patients | 549 restraints |
| Female 139 patients | 971 restraints |
| Not stated 25 patients | 25 restraints |
4. How old were they? u18 - Less Than 5
18-65 - 265 patients 1363 restraints
Over 65 - 56 patients 167 restraints
Over 65 - 56 patients 167 restraints
5. What proportion of patients were classified BAME?
11 patients (80 restraints)
6. How many RESTRAINTS were investigated outside the NHS and CCG?
None
7. How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
Less Than 5
8. How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
Expected Deaths Less Than 5
Unexpected Deaths Less Than 5
9. How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?
Less Than 5
10. How many patients have suffered complications during and after RESTRAINTS and what were those complications?
Devon Partnership NHS Trust has estimated that the time taken to identify, retrieve, assess and collate the information that falls within the scope of this question would be in excess of 18 hours.
Under the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004 [“Fees Regulations”] for the purposes of estimating the cost of compliance with a request for information the Trust may take into account the amount of time it takes to determine whether it holds the information, locate the information or a document which may contain the information, retrieve the information or a document which may contain the information and extract the information from a document containing it.
Based on a rate of £25 per hour, in accordance with the Fees Regulations, we estimate that it will cost in excess of £450 to locate, retrieve and extract the information you have requested. This sum exceeds the appropriate limit of £450 as defined in the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004. Under section 12 of the Freedom of Information Act 2000 the Trust is not obliged to comply with a request that exceeds the appropriate limit.
11. Have there been any formal complaints from patients/relatives about RESTRAINTS?
No formal complaints received
12. If so, what was their concerns?
N/A
13. Are counts of forced injections available?
Yes
14. How does the Trust plan to reduce restraints in the future?
Every patient has a personalised care plan tailored to their needs. There is a regular restraints committee that meets to discuss best practice/learning from restraints, ongoing training for staff and restraint reduction standards.
Please note where numbers are low we have indicated “Less than 5” as we reasonably believe that release of precise figures or further information, could reasonably lead to identification of individuals in contravention of the Data Protection Act 2018 and the General Data Protection Regulation 2018
FREEDOM OF INFORMATION REQUEST
Ref: DPT 21/22/047
Date: 10/06/2021
Thank you for your request under the Freedom of Information Act
Please provide SECLUSION information under the FOI act to the following questions: -
1. Please supply any SECLUSION reports/investigations
Devon Partnership NHS Trust holds this information. The information requested related to personal data. Under Section 40(2) Devon Partnership NHS Trust is not obliged to provide information where it would contravene any of the Data Protection Principles under Article 5 of the General Data Protection Regulation 2018. The information requested is sensitive personal data within the meaning of the first principle of the Data Protection Act as it is information from which an individual or individuals can be identified and relates to the physical or mental health of those individuals.
2.How many SECLUSIONS in 2020?
253
Male 97 patients 162 seclusions
Female 50 patients 82 seclusions)
Not stated 8 patients 9 seclusions
u18 – 0 patients
18-65 - 144 patients 236 seclusions
Over 65 - 11 patients 17 seclusions
8 patients 28 restraints
6. How many SECLUSIONS were investigated outside the NHS and CCG?
None
7. How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
Less Than 5
Less Than 5
Less Than 5
Devon Partnership NHS Trust has estimated that the time taken to identify, retrieve, assess and collate the information that falls within the scope of this question would be in excess of 18 hours.
Under the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004 [“Fees Regulations”] for the purposes of estimating the cost of compliance with a request for information the Trust may take into account the amount of time it takes to determine whether it holds the information, locate the information or a document which may contain the information, retrieve the information or a document which may contain the information and extract the information from a document containing it.
Based on a rate of £25 per hour, in accordance with the Fees Regulations, we estimate that it will cost in excess of £450 to locate, retrieve and extract the information you have requested. This sum exceeds the appropriate limit of £450 as defined in the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004. Under section 12 of the Freedom of Information Act 2000 the Trust is not obliged to comply with a request that exceeds the appropriate limit.
11.Have there been any formal complaints from patients/relatives about SECLUSION?
No formal complaints received
N/A
Every patient has a personalised care plan tailored to their needs. There is a regular restraints committee that meets to discuss best practice/learning from restraints, ongoing training for staff and restraint reduction standards.
Please note where numbers are low we have indicated “Less than 5” as we reasonably believe that release of precise figures or further information, could reasonably lead to identification of individuals in contravention of the Data Protection Act 2018 and the General Data Protection Regulation 2018
1. Please supply any MEDICATION ERRORS reports/investigations
Devon Partnership NHS Trust holds this information. The information requested related to personal data. Under Section 40(2) Devon Partnership NHS Trust is not obliged to provide information where it would contravene any of the Data Protection Principles under Article 5 of the General Data Protection Regulation 2018. The information requested is sensitive personal data within the meaning of the first principle of the Data Protection Act as it is information from which an individual or individuals can be identified and relates to the physical or mental health of those individuals.
2. How many MEDICATION ERRORS in 2020?
5. What proportion of patients were classified BAME?
None
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)?
Less Than 5
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)?
10
9. How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
Please note where numbers are low we have indicated “Less than 5” as we reasonably believe that release of precise figures or further information, could reasonably lead to identification of individuals in contravention of the Data Protection Act 2018 and the General Data Protection Regulation 2018
FREEDOM OF INFORMATION REQUEST
Ref: DPT 21/22/048
Date: 03/06/2021
Thank you for your request under the Freedom of Information Act.
Please provide MEDICATION ERRORS information under the FOI act to the following questions: -
Ref: DPT 21/22/048
Date: 03/06/2021
Thank you for your request under the Freedom of Information Act.
Please provide MEDICATION ERRORS information under the FOI act to the following questions: -
1. Please supply any MEDICATION ERRORS reports/investigations
Devon Partnership NHS Trust holds this information. The information requested related to personal data. Under Section 40(2) Devon Partnership NHS Trust is not obliged to provide information where it would contravene any of the Data Protection Principles under Article 5 of the General Data Protection Regulation 2018. The information requested is sensitive personal data within the meaning of the first principle of the Data Protection Act as it is information from which an individual or individuals can be identified and relates to the physical or mental health of those individuals.
1,233 (please note that this figure includes all incidents involving medication and are not necessarily medication errors)
3. What proportion of patients were men/women?
31.4% female
42.2% male
26.4% unknown
4. How old were they?
42.2% male
26.4% unknown
Unknown 430
| <18 | 16 |
| 20-29 | 146 |
| 30-39 | 164 |
| 40-49 | 128 |
| 50-59 | 122 |
| 60-69 | 91 |
| 70-79 | 88 |
| 80+ | 26 |
49 incidents where patient ethnicity recorded as BAME
6. How many MEDICATION ERRORS were investigated outside the NHS and CCG? None
Less Than 5
10
Unknown
10. How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications? Requestor has confirmed up to 3 years after.
Devon Partnership NHS Trust has estimated that the time taken to identify, retrieve, assess and collate the information that falls within the scope of this question would be in excess of 18 hours.
Under the Freedom of Information and Data Protection (Appropriate Limit and Fees)
Regulations 2004 [“Fees Regulations”] for the purposes of estimating the cost of compliance with a request for information the Trust may take into account the amount of time it takes to determine whether it holds the information, locate the information or a document which may contain the information, retrieve the information or a document which may contain the information and extract the information from a document containing it.
Based on a rate of £25 per hour, in accordance with the Fees Regulations, we estimate that it will cost in excess of £450 to locate, retrieve and extract the information you have requested. This sum exceeds the appropriate limit of £450 as defined in the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004. Under section 12 of the Freedom of Information Act 2000 the Trust is not obliged to comply with a request that exceeds the appropriate limit.
11. Have there been any formal complaints from patients/relatives about
Under the Freedom of Information and Data Protection (Appropriate Limit and Fees)
Regulations 2004 [“Fees Regulations”] for the purposes of estimating the cost of compliance with a request for information the Trust may take into account the amount of time it takes to determine whether it holds the information, locate the information or a document which may contain the information, retrieve the information or a document which may contain the information and extract the information from a document containing it.
Based on a rate of £25 per hour, in accordance with the Fees Regulations, we estimate that it will cost in excess of £450 to locate, retrieve and extract the information you have requested. This sum exceeds the appropriate limit of £450 as defined in the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004. Under section 12 of the Freedom of Information Act 2000 the Trust is not obliged to comply with a request that exceeds the appropriate limit.
11. Have there been any formal complaints from patients/relatives about
MEDICATION ERRORS?
None
12. If so, what was their concerns?
None
N/A
13. How does the Trust plan to prevent MEDICATION ERRORS in the future?
We have a comprehensive Medicines without harm Quality Improvement programme in place - this is actively managed and monitored through our executive led, multi professional, Medicines Safety Committee (MSC) –a sub group of our Quality Assurance Governance Committee (QGAC) and the Operations Board which report directly to the Board. Key drivers of this programme include; in-house clinical pharmacy team, strengthened, proactive sharing and learning from incidents through medicines incident groups, regular medicines safety briefings, exploring introduction of trigger tools within Medicines Reconciliation (MR) processes for critical / high risk medicines (at all transitions of care including discharge), comprehensive Medicines Optimisation scenario based training programme, procurement and implementation of electronic prescribing and medicines administration system, linked to SMART cabinet functions, improving patient and service user involvement through shared decision making, regular medication review and enhancing access to and use of all stages of self-medication.