DEVON 2022

Hello Wendy

Please questions and responses in email format

As part of Devon partnership NHS Trust’s response to your Freedom of Information request, we have seen a continuation of a pattern of the repeat request coming in around the same time every year to the trust. The breadth of these request are very broad totalling 74 questions across multiple departments, which may be construed to be part of a campaign to disrupt the organisation. We will consider any future request in line with the ICO guidance on vexatious request as per section 14 of the act.

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

1.Please supply patient’s information ECT leaflet.

We use the Royal College of psychiatrists leaflet – please see attached

2.Please supply patient ECT consent form

Please see attached

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 2022?

Unable to answer as unclear from question if this mean number of people receiving ECT or number of treatments given

5.What proportion of patients were men/women?

Male 41.07%

Female 58.93 %

6.How old were they?

AGE	20-30	31-40	41-50	51-60	61-70	71-80	81-90
NO	Less Than 5	0	Less Than 5	9	9	23	8

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.

7.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?

ECT Clinic does not hold this information

8.How many were receiving ECT for the first time?

Within this trust 10 people but may have received ECT in other trusts

9.How many patients consented to ECT?

53.57% were consenting to ECT

10.How many ECT complaints were investigated outside the NHS and CCG?

Not known

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)?

13.How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?

14.How many patients have suffered complications during and after ECT and what were those complications?

15.Have there been any formal complaints from patients/relatives about ECT?

16.If so, what was their concerns?

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

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

Devon Partnership NHS Trust use the Mini ACE A, B, and C. These assessments are conducted at baseline and then after every 4 treatments until treatment is completed. They are conducted at the 4, 8 and 12 week follow up. We also conduct the CPRS 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?

Devon Partnership NHS Trust can advise you that the Freedom of Information Act gives you a legal right of access to any recorded information held by a public authority. We do not have to provide opinions or explanations, generate answers to questions or create/obtain information we do not hold

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?

71 People F 29, M 38,

Not Recorded less than 5

Non Person Incident less than 5

4.How old were they?

U18 3, 18-65 60

Over 65 5

Not Recorded less than 5

Non Person Incident less than 5

5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?

Black African - Black Or Black British less than 5

British - White 44

Other White – White less than 5

Not Stated 20

Non Person Incident less than 5

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)?

Asphyxia due to Strangulation

Drowning

Drug Toxicity

Drugs Overdose

Fall from Height

Hanging

Heart Blockage

Ingestion of a toxic substance

Multiple Injuries

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?

12.If so, what was their concerns?

13.How does the Trust plan to prevent SERIOUS INCIDENTS in the future?

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

1.Please supply any Restraints/investigations?

2.How many RESTRAINTS in 2022?

979

3.What proportion of patients were men/women?

226

F 106

M 107

Not Recorded 12

4.How old were they?

18-65 161

Over 65 42

Not Recorded 23

5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?

Black African - Black Or Black British 4

British - White 154

Chinese - Other Ethnic less than 5

Irish - White less than 5

Not Stated 50

Other Asian - Asian Or Asian British less than 5

Other Ethnic Category - Other Ethnic less than 5

Other Mixed - Mixed less than 5

Other White - White 8

White & Asian - Mixed less than 5

White & Black African - Mixed less than 5

White & Black Caribbean - Mixed less than 5

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

7.How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?

1 Expected Natural Death

8.How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?

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.

11.Have there been any formal complaints from patients/relatives about RESTRAINTS?

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?

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

1.Please supply any SECLUSION reports/investigations

2.How many SECLUSIONS in 2022?

641

3.What proportion of patients were men/women?

194

F 66

M 123

Not Recorded 5

4.How old were they?

18-65 164

Over 65 17

Not Recorded 14

5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?

Bangladeshi - Asian Or Asian British less than 5

Black African - Black Or Black British 7

British - White 141

Not Stated 30

Other Asian - Asian Or Asian British less than 5

Other Black - Black Or Black British less than 5

Other Ethnic Category - Other Ethnic less than 5

Other White - White 10

White & Black African - Mixed less than 5

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

7.How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?

8.How many patients died within 6 months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?

Less than 5

9.How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?

Less than 5

10.How many patients have suffered complications during and after SECLUSION 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.

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

12.If so, what was their concerns?

N/A

13.How does the Trust plan to reduce SECLUSIONS in the future?

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 2022?

1164 – Note these are medication incidents reported rather than errors

3.What proportion of patients were men/women?

455

F 187

M 227

Not Recorded 55

4.How old were they?

U18 9

18-65 296

Over 65 95

Not Recorded 55

5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?

Bangladeshi - Asian Or Asian British less than 5

Black African - Black Or Black British 5

Black Caribbean - Black Or Black British less than 5

British - White 298

Chinese - Other Ethnic less than 5

Irish - White less than 5

Not Stated 117

Other Asian - Asian Or Asian British less than 5

Other Black - Black Or Black British less than 5

Other Ethnic Category - Other Ethnic less than 5

Other Mixed - Mixed less than 5

Other White - White 20

White & Asian - Mixed, less than 5

6.How many MEDICATION ERRORS were investigated outside the NHS and CCG?

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)?

Less than 5

9.How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?

Less than 5

10.How many patients have suffered complications during and after MEDICATION ERRORS 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.

11.Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?

12.If so, what was their concerns?

N/A

13.How does the Trust plan to prevent MEDICATION ERRORS in the future?

appeals Procedure

Any appeal against this decision should be made in writing to:

Chief Information Officer,

Devon Partnership NHS Trust,

Prentice Building,

Langdon Hospital,

Dawlish,

EX7 0NR

Information Governance

Prentice, Langdon Hospital

Dawlish, EX7 0NR

Tel: 01392 675678