Hello Wendy
As requested please find the main letter text in email format:
Our ref: HWHCT 23/24-35
25 May 2023
By email
Wendy Micklewright
Dear Wendy,
Re: Request for information under Freedom of Information Act 2000
Thank you for your request under the Freedom of Information Act 2000, which was received on 25 April 2023. You requested the following information:
FOI request:
Please provide ECT information under the FOI act to the following questions: -
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1. Please supply patient’s information ECT leaflet
Response: See attached ECT leaflets |
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2. Please supply patient ECT consent form
Response: See attached ECT consent forms 1 and 4 |
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3. Please supply any ECT reports/investigations-
Response: There have been no reports or investigations within the Herefordshire and Worcester ECT service
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4. How many ECT in 2022?
Response:
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5. What proportion of patients were men/women?
Response:
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6. How old were they?
Response:
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7. What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
Response:
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8. How many were receiving ECT for the first time?
Response:
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9. How many patients consented to ECT?
Response:
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10. How many ECT complaints were investigated outside the NHS and CCG?
Response:
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11. How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
Response:
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12. How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
Response:
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13. How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
Response:
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14. How many patients have suffered complications during and after ECT and what were those complications?
Response:
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15. Have there been any formal complaints from patients/relatives about ECT?
Response:
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16. If so, what was their concerns?
Response:
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17. How many patients report memory loss/loss of cognitive function?
Response:
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18. What tests are used to assess memory loss/loss of cognitive function?
Response:
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19. Have MRI or CT scans been used before and after ECT?
Response: Yes, where clinically indicated
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20. If so, what was the conclusion?
Response: MRI/CT scan have been used to rule out any organic causes for mental health issues/ injuries of the brain whilst having ECT.
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21. How does the Trust plan to prevent ECT in the future?
Response: Please refer to Trust Board papers for reports relating to Trust future plans for all Trust services. Papers can be accessed via the following link: Board Papers - Herefordshire and Worcestershire Health and Care NHS Trust | Herefordshire and Worcestershire Health and Care NHS Trust (hacw.nhs.uk) |
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Please provide SERIOUS INCIDENT information under the FOI act to the following questions: -
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1. Please supply any serious incident reports/investigations?
Response: See below* Section 12 – Exemption where cost of compliance exceeds appropriate limit.
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2. How many SERIOUS INCIDENT REPORTS in 2022?
Response: Reports: In 2022, 120 serious incidents were reported on STEIS (SI national database) 45/120 related to Covid-19 outbreaks. For these SI’s, as multiple patients were impacted, we do not record any patient identifiable data on our reporting system. Therefore, we have excluded these SI’s from all further responses and analysis
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3. What proportion of patients were men/women?
Response:
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4. How old were they
Response:
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5. What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
Response: See below* Section 12 – Exemption where cost of compliance exceeds appropriate limit.
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6. How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG?
Response: None
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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)?
Response: See below* Section 12 – Exemption where cost of compliance exceeds appropriate limit.
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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)?
Response: See below* Section 12 – Exemption where cost of compliance exceeds appropriate limit.
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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)?
Response: See below* Section 12 – Exemption where cost of compliance exceeds appropriate limit.
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10. How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?
Response: See below* Section 12 – Exemption where cost of compliance exceeds appropriate limit.
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11. Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?
Response: None
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12. If so, what was their concerns?
Response: None
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13. How does the Trust plan to prevent SERIOUS INCIDENTS in the future?
Response: Please refer to Trust Board papers for reports relating to future plans for all Trust services. Papers can be accessed via the following link: Board Papers - Herefordshire and Worcestershire Health and Care NHS Trust | Herefordshire and Worcestershire Health and Care NHS Trust (hacw.nhs.uk)
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Please provide restraints information under the FOI act to the following questions: -
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1. Please supply any Restraints/investigations?
Response: See below* Section 12 – Exemption where cost of compliance exceeds appropriate limit.
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2. How many RESTRAINTS in 2022?
Response: 1242 Restraint Interventions
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3. What proportion of patients were men/women?
Response:
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4. How old were they?
Response:
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5. What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
Response: 6%
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6. How many RESTRAINTS were investigated outside the NHS and CCG?
Response: None
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7. How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
Response: See below* Section 12 – Exemption where cost of compliance exceeds appropriate limit.
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8. How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
Response: See below* Section 12 – Exemption where cost of compliance exceeds appropriate limit.
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9. How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?
Response: See below* Section 12 – Exemption where cost of compliance exceeds appropriate limit.
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10. How many patients have suffered complications during and after RESTRAINTS and what were those complications?
Response: See below* Section 12 – Exemption where cost of compliance exceeds appropriate limit.
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11. Have there been any formal complaints from patients/relatives about RESTRAINTS?
Response: Yes five.
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12. If so, what was their concerns?
Response: 4 were relating to medication being administered under restraint and 1 relating to the search of a patient under restraint.
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13. Are counts of forced injections available?
Response: 510 incidents where rapid tranquilisation was used
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14. How does the Trust plan to reduce restraints in the future?
Response: Please refer to Trust Board papers for reports relating to future plans for all Trust services. Papers can be accessed via the following link: Board Papers - Herefordshire and Worcestershire Health and Care NHS Trust | Herefordshire and Worcestershire Health and Care NHS Trust (hacw.nhs.uk) |
Please provide SECLUSION information under the FOI act to the following questions: -
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1. Please supply any SECLUSION reports/investigations 2. How many SECLUSIONS 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 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)? 9. How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)? 10. How many patients have suffered complications during and after SECLUSION and what were those complications? 11. Have there been any formal complaints from patients/relatives about SECLUSION? 12. If so, what was their concerns? 13. How does the Trust plan to reduce SECLUSIONS in the future?
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Trust Response: For questions 1-13 the response is NIL as the Trust does not use seclusion.
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Please provide MEDICATION ERRORS information under the FOI act to the following questions: -
Please note the supplied response data relates to Patient Safety Incident (PSI) Medication Errors only
Response: 795 |
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Response: 795 |
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3. What proportion of patients were men/women? Response:
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4. How old were they?
Response:
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5. What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
Response: 3%
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6. How many MEDICATION ERRORS were investigated outside the NHS and CCG?
Response: None
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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)?
Response: See below* Section 12 – Exemption where cost of compliance exceeds appropriate limit.
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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)?
Response: See below* Section 12 – Exemption where cost of compliance exceeds appropriate limit.
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9. How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
Response: See below* Section 12 – Exemption where cost of compliance exceeds appropriate limit.
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10. How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
Response: See below* Section 12 – Exemption where cost of compliance exceeds appropriate limit.
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11. Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
Response: 2
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12. If so, what was their concerns?
Response: 1 was related to medication not being documented in the clinical records, and 1 related to a patient being given the incorrect dose of medication.
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13. How does the Trust plan to prevent MEDICATION ERRORS in the future?
Response: Please refer to Trust Board papers for reports relating to future plans for all Trust services. Papers can be accessed via the following link: Board Papers - Herefordshire and Worcestershire Health and Care NHS Trust | Herefordshire and Worcestershire Health and Care NHS Trust (hacw.nhs.uk)
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*Section 12 – Exemption where cost of compliance exceeds appropriate limit. Section 12 of the Act makes provision for public authorities to refuse requests for information where the cost of dealing with them would exceed the appropriate limit, which for local authorities is set at £450. This represents the estimated cost of one person spending 2.5 working days in determining whether the department holds the information, locating, retrieving and extracting the information. We estimate that it will take us in excess of 2.5 working days to determine appropriate material and locate, retrieve and extract the information in reference to your request. Therefore, your request will not be processed further.
Please be aware that although this information is accurate at the time it is provided, it may not be in the future and should not be relied upon
In line with the Information Commissioner’s directive on the disclosure of information under the Freedom of Information Act 2000, your request will form part of our disclosure log within our Publication Scheme. Therefore, a version of our response, which will protect your identity, will be posted on the Herefordshire and Worcestershire Health and Care Trust website.
Please note that any information we provide following your request under the Freedom of Information Act will not confer an automatic right for you to re-use that information, for example to publish it. If you wish to re-use the information you have requested, in whole or in part, please write to me stating the purpose(s) you wish to re-use the information for. We will respond within 20 working days of receiving your request with any conditions or charges that relate to the re-use of the information. These will be determined in line with the Re-use of Public Sector Information Regulations.
I trust this matter has been dealt with to your satisfaction but if there is anything on which you need further clarification, please do not hesitate to contact us at the email address above. Please remember to quote the reference number above in any future communications.
If you are unhappy with the service you have received in relation to your request and wish to make a complaint or request a review of our decision, you should write to: Head of Information Governance, Herefordshire and Worcestershire Health and Care NHS Trust, 2 Kings Court, Charles Hastings Way, Worcester, WR5 1JR. Any request for an internal review should be made within 40 working days of the initial response. The Trust is not obliged to provide a review if it is requested after more than 40 days.
If you are still unhappy following an internal review, you may take your complaint to the Information Commissioner under the provisions of Section 50 of the Freedom of Information Act. Please note that the Information Commissioner will not investigate your case until the Trust’s internal review process has been completed. Further details of the role and powers of Information Commissioner can be found on the Commissioner’s website, www.informationcommissioner.gov.uk.
The Information Commissioner’s address is: Information Commissioner's Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF
Yours sincerely
FOI Team
FOI Team
Herefordshire and Worcestershire Health and Care NHS Trust
Many Thanks
Shaun
Shaun Tudge
Head of Information Governance / Data Protection Officer