HERTFORD 2020

 Hertfordshire + Worcestershire Health + Care NHS trust

2 Kings Court
Charles Hastings Way
Worcester  
WR5 1JR
Email: WHCNHS.FOIrequest@nhs.net
Tel: 01905 681425  Our ref: HACW-2418
09 June 2021
By email
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 2021.
You requested the following information:
 
FOI request: ECT INFORMATION
  1. Please supply patient’s information ECT leaflet. 
  2. Please supply patient ECT consent form.
  3. Please supply any ECT reports/investigations
  4. How many ECT in 2020?
  5. What proportion of patients were men/women?
  6. How old were they?
  7. What proportion of patients were classified BAME?
  8. How many were receiving ECT for the first time?
  9. How many patients consented to ECT?
  10. How many ECT complaints were investigated outside the NHS and CCG?
  11. How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
  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?
  19. Have MRI or CT scans been used before and after ECT?
  20. If so what was the conclusion?
  21. How does the Trust plan to prevent ECT in the future? 
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 2020?
  3. What proportion of patients were men/women?
  4. How old were they?
  5. What proportion of patients were classified BAME?
  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)?
  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)?
  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)?
  10. How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?
  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 2020? 
3. What proportion of patients were men/women?
4. How old were they?
5. What proportion of patients were classified BAME?
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)?
8. How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
9. How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?
10. How many patients have suffered complications during and after RESTRAINTS and what were those complications?
11. Have there been any formal complaints from patients/relatives about RESTRAINTS?
12. If so, what was their concerns?
13. Are counts of forced injections available?
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 2020?
3. What proportion of patients were men/women?
4. How old were they?
5. What proportion of patients were classified 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 prevent SECLUSION 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 2020?
  3. What proportion of patients were men/women?
  4. How old were they?
  5. What proportion of patients were classified BAME?
  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)?
  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)?
  9. How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
  10. How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
  11. Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
  12. If so, what was their concerns?
  13. How does the Trust plan to prevent MEDICATION ERRORS in the future?
 
Trust response:

ECT

  1. Please find leaflets attached.
  2. As above
  3. There were NO reports or investigations in 2020
  4. 16 patients received ECT at the Grafton suite, Worcester which totalled 132 treatments of ECT.
  5. 2 Males, 14 female
  6. Ranging from 52 – 86 years. (aged 51-60, 3 patients. Aged 61-70, 2 patients. Aged 71-80, 8 patients. Aged 81-90, 3 patients).
  7. Zero
  8. -
  9. 9
  10. None
  11. None
  12. None
  13. None
  14. There were NO complications reported for patients during or after ECT at the Grafton Suite, Worcester.
  15. None
  16. N/A
  17. There have been no reports of memory loss / loss of cognitive function reported.
  18. Yes, where applicable both MRI and/or CT scans have been used before and after ECT.
  19. Where applicable MRI/CT scans have ruled out organic causes for mental disorder before commencing a course of ECT. Scans have also ruled out any injuries where a patient may have sustained a fall at any point before, during a course or after a course of ECT.
  20. N/A
  21. -

SERIOUS INCIDENTS

  1. –
  2. From January 1st to December 31st 2020, 57 serious incidents were reported on the STEIS system (national SI database)
  3. 23 Female, 28 Male, 6 N/A (as relate to ward closures due to COVID-19 outbreaks)
  4. 0-18 - 0 19-30 -6 31-40 - 5 41-50 - 8 51-60 - 3 61-70- 8 71-80 - 4 81-90 – 14 91-100 – 3
  5. –
  6. None
  7. –
  8. –
  9. –
  10. –
  11. –
  12. –
  13. –

Restraints

  1. –
  2. a total of 682 restraint incidents were reported in 2020
  3. Female 380 and Male 302
  4. ·0-18 -11 19-30 -216 31-40 - 74 41-50 - 69 51-60 - 73 61-70- 59 71-80 - 95   81-90 – 68 91-100 – 17
  5. 6% (43 patients)
  6. None
  7. –
  8. –
  9. –
  10. –
  11. –
  12. –
  13. –
  14. –
 

SECLUSION

1. NIL as the Trust does not use seclusion
 
MEDICATION ERRORS
  1. –
  2. –
  3. –
  4. None
  5. –
  6. –
  7. –
  8. –
  9. –
  10. –
  11. -- 
  12. --
  13. --
Please note the responses are not answered due to the following:
 
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.
 
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