Dear Sirs
Request for Information
I write further to your request FOI ID 21022 under the Freedom of Information Act 2000.
Following an investigation and search of our records I can confirm the following Kent and Medway NHS and Social Care Partnership Trust (KMPT) information:-
Please provide ECT information under the FOI act to the following questions for the Year 2019:
1. Please supply patient’s information ECT leaflet.
Please find attached Copy of ECT patient leaflet
2. Please supply patient ECT consent form.
Please find attached ECT Consent form
3. Please supply any ECT reports/investigations
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
4. How many ECT in 2019?
62
5. What proportion of patients were men/women?
|
Gender |
ECT Course Count |
ECT % course count |
|
Male |
16 |
26% |
|
Female |
46 |
74% |
|
Total |
62 |
100% |
6. How old were they?
|
Age |
ECT Course Count |
ECT % course count |
|
18-64 |
39 |
63% |
|
65 and Over |
23 |
37% |
|
Total |
62 |
100% |
7. What were the diagnoses and in what proportions?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
8. What proportion of patients were classified BAME?
|
Ethnicity |
ECT Course Count |
ECT % course count |
|
White |
58 |
94% |
|
Not Known |
4 |
6% |
|
Total |
62 |
100% |
9. How many were receiving ECT for the first time?
43 clients received ECT treatment for the first time during 2019
10. How many patients consented to ECT?
|
Consent Given |
ECT Course Count |
ECT % course count |
|
Yes |
36 |
45% |
|
N/A |
30 |
38% |
|
Not recorded |
14 |
18% |
|
Total |
80 |
100% |
11. How many ECT complaints were investigated outside the NHS and CCG?
There is no record of any complaints being raised to KMPT relating to ECT. We do not hold records for the CCGs and therefore would be unable to assist with this information.
12. How many patients died during or soon after ECT and what was the cause (whether or not ECT was considered the cause)?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
13. How many patients died a few months after ECT and what was the cause (whether or not ECT was considered the cause)?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
14. How many patients died by suicide within a few months of receiving ECT (whether or not ECT was considered the cause)?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
15. How many patients have suffered complications during and after ECT and what were those complications?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
16. Have there been any formal complaints from patients/relatives about ECT?
There is no record of any complaints being raised to KMPT relating to ECT.
17. If so, what was their concerns?
N/A
18. How many patients report memory loss/loss of cognitive function?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
19. What tests are used to assess memory loss/loss of cognitive function?
ACE-111
20. Have MRI or CT scans been used before and after ECT?
No as this is not a requirement by The Royal College of Psychiatry for ECT treatment.
21. If so what was the conclusion?
N/A
22. How does the Trust plan to prevent ECT in the future?
ECT is only being used within KMPT as a last resort for treatment.
Please provide SERIOUS INCIDENT information under the FOI act to the following questions for the Year 2019:
23. Please supply SERIOUS INCIDENT REPORTS patient’s information leaflet.
KMPT do not have a leaflet for patients relating to Serious Incidents.
24. Please supply patient SERIOUS INCIDENT REPORTS consent form.
KMPT do not have a consent form for patients. SI reports are a mandatory requirement for health care.
25. Please supply any serious incident reports/investigations
All information requested is not routinely collected outside normal record keeping of an incident investigation. The requested information is not held centrally and is contained within the individual investigation records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review investigation records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
26. How many SERIOUS INCIDENT REPORTS in 2019?
113 SI reports were completed in 2019
27. What proportion of patients were men/women?
|
Gender |
SI Reports |
SI Reports % |
|
Male |
76 |
67% |
|
Female |
37 |
33% |
|
Total |
113 |
100% |
28. How old were they?
|
Age |
SI Reports |
SI Reports % |
|
18-39 |
47 |
42% |
|
40-69 |
52 |
46% |
|
70+ |
14 |
12% |
|
Total |
113 |
100% |
29. What were the diagnoses and in what proportions?
All information requested is not routinely collected outside normal record keeping of an incident investigation. The requested information is not held centrally and is contained within the individual investigation records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review investigation records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
30. What proportion of patients were classified BAME?
|
Ethnicity |
SI Reports |
SI Reports % |
|
White |
107 |
95% |
|
Other |
6 |
5% |
|
Total |
113 |
100% |
31. How many were receiving SERIOUS INCIDENT REPORTS for the first time?
All information requested is not routinely collected outside normal record keeping of an incident investigation. The requested information is not held centrally and is contained within the individual investigation records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review investigation records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
32. How many patients consented to SERIOUS INCIDENT REPORTS?
N/A
33. How many SERIUOS INCIDENT REPORTS were investigated outside the NHS and CCG?
0
34. How many patients died during or soon after SERIOUS INCIDENT REPORTS and what was the cause (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?
All information requested is not routinely collected outside normal record keeping of an incident investigation. The requested information is not held centrally and is contained within the individual investigation records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review investigation records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
35. How many patients died a few months after SERIOUS INCIDENT REPORTS and what was the cause (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?
All information requested is not routinely collected outside normal record keeping of an incident investigation. The requested information is not held centrally and is contained within the individual investigation records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review investigation records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
36. How many patients died by suicide within a few months of receiving SERIOUS INCIDENT REPORTS (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?
All information requested is not routinely collected outside normal record keeping of an incident investigation. The requested information is not held centrally and is contained within the individual investigation records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review investigation records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
37. How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?
All information requested is not routinely collected outside normal record keeping of an incident investigation. The requested information is not held centrally and is contained within the individual investigation records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review investigation records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
38. Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?
There have been less than 5 complaints received by KMPT in relation to Serious Incident reports.
39. If so, what was their concerns?
Due to the low numbers involved in the response to your request I would like to confirm that we are unable to release the information. We are not obliged, under section 40 (2) FOIA to provide information that is personal information of another person if releasing would contravene any of the provisions of the Data Protection Act 2018. In this instance we believe that the figures are significantly low enough that identification of those involved could be made, and would therefore contravene the first Data Protection principle, therefore section 40 (2) is engaged.
The terms of this exemption in the freedom of information act mean that we do not have to consider whether or not it would be in the public interest for you to have the information
40. How many patients report memory loss/loss of cognitive function?
N/A
41. What tests are used to assess memory loss/loss of cognitive function?
Please see response to Q19
42. Have MRI or CT scans been used before and after SERIOUS INCIDENT REPORTS?
All information requested is not routinely collected outside normal record keeping of an incident investigation. The requested information is not held centrally and is contained within the individual investigation records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review investigation records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
43. If so what was the conclusion?
N/A
44. How does the Trust plan to prevent SERIOUS INCIDENTS in the future?
Serious Incidents are all investigated. When they occur, different aspects are looked at. Some issues relate to service delivery problems and relevant actions are put in place to prevent future incidents occurring. The actions are multifactorial and may relate to changes to process, policy, training, estates etc. Additionally some issues relate to human factors and these are also looked at to see what actions can be put in place to support staff making e.g. human error incidents. These may be around culture changes for individuals or teams, escalation, actions to try to help prevent human error such as checklists or highlighting issues on electronic systems. To give a definitive list is not possible, but this explains some of the types of changes made.
In addition, issues are reported externally so that national learning can be considered and put in place. New electronic processes are always being developed in the NHS which can support additional robust changes.
There is a new Kent-wide Community of Practice learning model for NHS and private organisations to share learning and learning tools which KMPT attends.
KMPT seek learning from other mental health Trusts.
We now have some human factors training and in-house root cause analysis training to help staff develop improved analysis when they investigate. We are also seeking structured judgement review training.
We work closely when a cross-organisational Serious Incident occurs which means we can then learn from each other.
Please provide restraints information under the FOI Act to the following questions for the year 2019
45. Please supply RESTRAINTS patients information leaflet.
KMPT do not current have a Restraints patient leaflet
46. Please supply patient RESTRAIGHTS consent form.
KMPT do not currently have a restraints consent form
47. Please supply any Restraints/Investigations
All information requested is not routinely collected outside normal record keeping of an incident investigation. The requested information is not held centrally and is contained within the individual investigation records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review investigation records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
48. How many RESTRAINTS in 2019?
431 restraints were recorded within the year 2019
49. What proportion of patients were men/women?
|
Gender |
Restraints |
Restraints % |
|
Male |
228 |
53% |
|
Female |
203 |
47% |
|
Total |
431 |
100% |
50. How old were they?
|
Age |
Restraints |
Restraints % |
|
18-39 |
222 |
52% |
|
40-69 |
153 |
35% |
|
70+ |
56 |
13% |
|
Total |
431 |
100% |
51. What were the diagnoses and in what proportions?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
52. What proportion of patients were classified BAME?
|
Ethnicity |
Restraints |
Restraints % |
|
White |
376 |
87% |
|
Other |
55 |
13% |
|
Total |
431 |
100% |
53. How many were receiving RESTRAINTS for the first time?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
54. How many patients consented to RESTRAINTS?
N/A
55. How many RESTRAINTS were investigated outside the NHS and CCG ?
0
56. How many patients died during or soon after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
57. How many patients died a few months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
58. How many patients died by suicide within a few months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
59. How many patients have suffered complications during and after RESTRAINTS and what were those complications?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
60. Have there been any formal complaints from patients/relatives about RESTRAINTS?
Less than 5 formal complaints have been received into KMPT relating to Restraints
61. If so, what was their concerns?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
62. How many patients report memory loss/loss of cognitive function?
N/A
63. What tests are used to assess memory loss/loss of cognitive function?
Please see response to Q19
64. Have MRI or CT scans been used before and after RESTRAINTS?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
65. If so what was the conclusion?
N/A
66. How does the Trust plan to reduce restraints in the future?
The Trust has a 3-year strategy (2019- 2022) that sets how we aim to reduce distressed, aggressive and challenging behaviour and reduce the use of restrictive practices which focuses on primary prevention. The strategy is titled ‘Promoting Safe Services Strategy’
Please provide SECLUSION information under the FOI act to the following questions for the Year 2019:
67. Please supply patient’s information SECLUSION leaflet.
Please find attached Seclusion Policy which includes details for patients.
68. Please supply patient SECLUSION consent form.
KMPT do not have a Seclusion consent form
69. Please supply any SECLUSION reports/investigations
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
70. How many SECLUSION in 2019?
143 Seclusion incidents were reported in 2019.
71. What proportion of patients were men/women?
|
Gender |
Seclusion |
Seclusion % |
|
Male |
100 |
70% |
|
Female |
43 |
30% |
|
Total |
143 |
100% |
72. How old were they?
|
Age |
Seclusion |
Seclusion % |
|
18-39 |
107 |
75% |
|
40-69 |
32 |
22% |
|
70+ |
4 |
3% |
|
Total |
143 |
100% |
73. What were the diagnoses and in what proportions?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
74. What proportion of patients were classified BAME?
|
Ethnicity |
Seclusion |
Seclusion % |
|
White |
108 |
76% |
|
Other |
35 |
24% |
|
Total |
143 |
100% |
75. How many were receiving SECLUSION for the first time?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
76. How many patients consented to SECLUSION?
N/A
77. How many SECLUSIONS were investigated outside the NHS and CCG ?
0
78. How many patients died during or soon after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
0
79. How many patients died a few months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
80. How many patients died by suicide within a few months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
81. How many patients have suffered complications during and after SECLUSION and what were those complications?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
82. Have there been any formal complaints from patients/relatives about SECLUSION?
Less than 5 formal complaints have been received into KMPT relating to Seclusion
83. If so, what was their concerns?
Due to the low numbers involved in the response to your request I would like to confirm that we are unable to release the information. We are not obliged, under section 40 (2) FOIA to provide information that is personal information of another person if releasing would contravene any of the provisions of the Data Protection Act 2018. In this instance we believe that the figures are significantly low enough that identification of those involved could be made, and would therefore contravene the first Data Protection principle, therefore section 40 (2) is engaged.
The terms of this exemption in the freedom of information act mean that we do not have to consider whether or not it would be in the public interest for you to have the information
84. How many patients report memory loss/loss of cognitive function?
N/A
85. What tests are used to assess memory loss/loss of cognitive function?
Please see response to Q19
86. Have MRI or CT scans been used before and after SECLUSION?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
87. If so what was the conclusion?
N/A
88. How does the Trust plan to prevent SECLUSION in the future?
Work to reduce the use of restrictive practices, including seclusion has been underway in line with the Promoting Safe Services strategy 2019-2021. This includes the implementation of Safewards, Positive Behaviour Support plans, Safety Huddles and piloting the Broset Violence Checklist – a risk identification tool that allows early identification and therefore therapeutic input to be increased.
Please provide MEDICATION ERRORS information under the FOI act to the following questions for the year 2019:
89. Please supply patients information MEDICATION ERRORS leaflet.
KMPT do not have a Medication Error leaflet
90. Please supply patient MEDICATION ERRORS consent form
N/A
91. Please supply any MEDICATION ERRORS reports/investigations
All information requested is not routinely collected outside normal record keeping of an incident investigation. The requested information is not held centrally and is contained within the individual investigation records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review investigation records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
92. How many MEDICATION ERRORS in 2019?
357 medication errors were reported in the year 2019.
93. What proportion of patients were men/women?
|
Gender |
Medication Error |
Medication Error % |
|
Male |
195 |
55% |
|
Female |
162 |
45% |
|
Total |
357 |
100% |
94. How old were they?
|
Age |
Medication Error |
Medication Error % |
|
18-39 |
121 |
34% |
|
40-69 |
167 |
47% |
|
70+ |
69 |
19% |
|
Total |
357 |
100% |
95. What were the diagnoses and in what proportions?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
96. What proportion of patients were classified BAME?
|
Ethnicity |
Medication Error |
Medication Error % |
|
White |
303 |
85% |
|
Other |
54 |
15% |
|
Total |
357 |
100% |
97. How many were receiving MEDICATION ERRORS for the first time?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
98. How many patients consented to MEDICATION ERRORS?
N/A
99. How many MEDICATION ERRORS S were investigated outside the NHS and CCG?
0
100. How many patients died during or soon after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
101. How many patients died a few months after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
102. How many patients died by suicide within a few months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
103. How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
104. Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
Less than 5 formal complaints have been received into KMPT relating to Medication errors.
105. If so, what was their concerns?
Due to the low numbers involved in the response to your request I would like to confirm that we are unable to release the information. We are not obliged, under section 40 (2) FOIA to provide information that is personal information of another person if releasing would contravene any of the provisions of the Data Protection Act 2018. In this instance we believe that the figures are significantly low enough that identification of those involved could be made, and would therefore contravene the first Data Protection principle, therefore section 40 (2) is engaged.
The terms of this exemption in the freedom of information act mean that we do not have to consider whether or not it would be in the public interest for you to have the information
106. How many patients report memory loss/loss of cognitive function?
N/A
107. What tests are used to assess memory loss/loss of cognitive function?
Please see response to Q19
108. Have MRI or CT scans been used before and after MEDICATION ERRORS?
All information requested is not routinely collected outside normal medical record keeping. The requested information is not held centrally and is contained within the individual medical records and archive systems which can not be extracted as a stand alone piece of data. In order to extract the requested information and collate the results would require a manual exercise to identify and review medical records and would exceed the appropriate time limits, as per the Freedom of Information Act 2000 section 12(1) which does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
109. If so what was the conclusion?
N/A
110. How does the Trust plan to prevent MEDICATION ERRORS in the future?
The Trust currently implementing an electronic prescribing and medicines administration system in order to assist with these errors. In addition we are always keen to learn lessons and improve staff training and awareness.
I confirm that the information above/attached completes your request under the Freedom of Information Act 2000. I am also pleased to confirm that no charge will be made for this request.
If you have any queries about this response please contact me. Please remember to quote the reference number above in any future communication.
Yours Sincerely
Leanne McDougall PC.dp PC.foi CertHE-Law
Head of Information Governance
Kent and Medway NHS and Social Care Partnership Trust
Information Governance Department
St Michaels House
St Michaels Road
Sittingbourne
Kent, ME10 3DW
01795 514507
07468 763793