DEVON DATA 2021

FREEDOM OF INFORMATION REQUEST

Ref: DPT 22/23/3940414243

Date: 08/06/2022

Thank you for your request under the Freedom of Information Act.

QUESTIONS

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

Please supply patient’s information ECT leaflet.

Attached new-ect-leaflet-554_02_18_2^nd-proof

Attached PAGE12White(10PAGES) ROYALCOLLEGE

Please supply patient ECT consent form

Attached Consent Form

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.

How many ECT in 2021?

894 treatments

What proportion of patients were men/women?

34% were men

66% were women

How old were they?

AGE	NUMBER
0-10	NONE
10-20	Less than 5
20-30	Less than 5
30-40	6
40-50	Less than 5
50-60	10
60-70	13
70-80	35
80-90	10

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.

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

None

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.

How many patients consented to ECT?

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

None

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

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

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

How many patients have suffered complications during and after ECT 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.

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

If so, what was their concerns?

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

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.

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.

If so, what was the conclusion?

The ECT clinic does not hold this information

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: -

Please supply any serious incident reports/investigations?

How many SERIOUS INCIDENT REPORTS in 2021?

122

What proportion of patients were men/women?

Male (64)

Female (53)

Not stated (5)

How old were they?

U18 Less Than 5

18-65 103

Over 65 12

Not stated Less Than 5

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

How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG?

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)?

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)? Expected Deaths 0

Unexpected Deaths 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

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.

Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?

Yes

If so, what was their concerns?

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

Devon Partnership NHS Trust can advise you that the Freedom of

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

Please supply any Restraints/investigations?

How many RESTRAINTS in 2021?

997

What proportion of patients were men/women?

Male 111 patients (287 restraints)

Female 116 patients (692 restraints) Not stated 17 patients (18 restraints)

How old were they? u18 – Less Than 5

18-65 - 189 patients (904 restraints)

Over 65 - 45 patients (83 restraints)

Not stated - 7 patients (7 restraints)

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

9 patients (21 restraints)

How many RESTRAINTS were investigated outside the NHS and CCG?

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

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 patients have a date of death within 6 months of an incident of restraint. However, these deaths were not during an inpatient episode, so DPT does not hold any further records of these deaths beyond dates.

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

The above deaths were not during an inpatient episode, so DPT does not hold any further records of these deaths beyond dates. DPT does not have record of any patient deaths caused by suicide within 6 months of an incident of restraint.

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.

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

If so, what was their concerns?

N/A

Are counts of forced injections available?

DPT does not currently hold this data.

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

Devon Partnership NHS Trust can advise you that the Freedom of

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

Please supply any SECLUSION reports/investigations

How many SECLUSIONS in 2021?

553

What proportion of patients were men/women?

Male 118 patients (365 seclusions)

Female 64 patients (170 seclusions) Not stated 16 patients (18 seclusions)

How old were they?

u18 (0)

18-65 - 177 patients (522 seclusions)

Over 65 - 11 patients (22 seclusions)

Not stated - 9 patients (9 seclusions)

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

17 patients (28 seclusions)

How many SECLUSIONS were investigated outside the NHS and CCG?

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

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 patients have a date of death within 6 months of an incident of seclusion. However, the deaths was not during an inpatient episode, so DPT does not hold any further records of these deaths beyond date.

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

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.

Have there been any formal complaints from patients/relatives about

SECLUSION? No

If so, what was their concerns?

N/A

How does the Trust plan to reduce SECLUSIONS 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 MEDICATION ERRORS information under the FOI act to the following questions: -

Please supply any MEDICATION ERRORS reports/investigations

How many MEDICATION ERRORS in 2021? 1231
What proportion of patients were men/women? Male - 262 patients (504 med errors)

Female - 218 patients (340 med errors) Not stated - unknown patients (387 med errors)

How old were they? u18 – Less Than 5 patients (7 med errors) 18-65 - 346 patients (650 med errors)

Over 65 - 118 patients (169 med errors)

Not stated - 58 patients (62 med errors)

Not applicable - 0 patients (343 med errors)

What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")? 14 patients (19 med errors)
How many MEDICATION ERRORS were investigated outside the NHS and CCG?

None

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

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

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

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.

Have there been any formal complaints from patients/relatives about

MEDICATION ERRORS?

None

If so, what was their concerns?

N/A

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

Devon Partnership NHS Trust can advise you that the Freedom of

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.

The decision will be reviewed and a response provided within 20 working days. If you remain unsatisfied by the decision a complaint may be made in writing to the Complaints/Litigation Administrator at the above address for the matter to be dealt with in accordance with the Trust complaints policy.

Alternatively, you have the right to complain to the Information Commissioner at: Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF. Tel: 0303 123 1113. For further information please refer to www.ico.org.uk

We are monitoring how people making Freedom of Information requests are experiencing the process and would value your feedback in order to improve the service as necessary. If you wish to provide feedback please respond via the following link: https://www.surveymonkey.com/s/BC6QXBM