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Please provide Electro Convulsive Treatment (ECT) information under the FOI act to the following questions |
1.Please supply patient’s information ECT leaflet |
To be sent within separate email |
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2.Please supply patient ECT consent form |
To be sent within separate email |
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3.Please supply any ECT reports/investigations |
all information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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4.How many ECT in 2023? |
476 |
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5.What proportion of patients were men/women? |
Male - 130 |
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6.How old were they? |
70+ - 174 |
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7.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")? |
9.05% |
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8.How many people covered by the equality act received ECT ? |
Everyone is covered under the Equality Act due to protected characteristics |
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9.How many people were offered talking therapy prior to ECT ? |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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10.How many were receiving ECT for the first time? |
192 |
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11.How many patients consented to ECT? |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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12.How many ECT complaints were investigated outside the NHS and CCG? |
0 |
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13.How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)? |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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14.How many patients died within 6 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 record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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15.How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)? |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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16.How many patients have suffered complications during and after ECT and what were those complications? |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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17.Have there been any formal complaints from patients/relatives about ECT? |
Yes |
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18.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, in full. 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 |
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19.How many patients report memory loss/loss of cognitive function? |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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20.What tests are used to assess memory loss/loss of cognitive function? |
The tests regarding cognition and memory loss are completed pre and post treatment and are the mini mental state exam and the Montgomery and Ashberg Depression Rating Scale (MADRS). |
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21.Have MRI or CT scans been used before and after ECT? |
No |
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22.If so, what was the conclusion? |
N/A |
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23.How does the Trust plan to prevent ECT in the future? |
ECT is only provided as and when the treatment is clinically indicated. There is a current business case submitted for the provision of rTMS and if successful this would provide an alternative and less invasive treatment. |
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Please provide restraints information under the FOI act to the following questions |
1.Please supply any Restraints/investigations |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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2.How many RESTRAINTS in 2023? |
966 |
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3.What proportion of patients were men/women? |
Male - 379 |
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4.How old were they? |
70+ - 54 |
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5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")? |
13.60% |
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6.How many people covered by the equality act were restrained? |
Everyone is covered under the Equality Act due to protected characteristics |
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7.How many RESTRAINTS were investigated outside the NHS and CCG? |
0 |
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8.How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)? |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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9.How many patients died within 6 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 record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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10.How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)? |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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11.How many patients have suffered complications during and after RESTRAINTS and what were those complications? |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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12.Have there been any formal complaints from patients/relatives about RESTRAINTS? |
Yes |
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13.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, in full. 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 |
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14.Are counts of forced injections available? |
No |
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15.How does the Trust plan to reduce restraints in the future? |
Our commitment to reduce incidents of challenging and harmful behaviours that occur within our services, including the use of restrictive and coercive practices is highlighted in our Trust-wide strategy 2023-26, our reducing restrictive practices plan 2023026, as well as policies and training programmes; all founded with a Human Rights and person-centred approach. We will continue to embed evidence-based preventative initiatives and strategies, work collaboratively with service users, carers and families and other stakeholders; learn from incidents and further develop a culture of recovery through open and therapeutic relationships. |
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Please provide SECLUSION information under the FOI act to the following questions |
1.Please supply any SECLUSION reports/investigations |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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2.How many SECLUSIONS in 2023? |
225 |
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3.What proportion of patients were men/women? |
Male - 183 |
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4.How old were they? |
70+ - 0 |
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5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")? |
21.70% |
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6.How many people covered by the Equality Act were secluded ? |
Everyone is covered under the Equality Act due to protected characteristics |
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7.How many SECLUSIONS were investigated outside the NHS and CCG? |
0 |
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8.How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)? |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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9.How many patients died within 6 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 record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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10.How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)? |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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11.How many patients have suffered complications during and after SECLUSION and what were those complications? |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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12.Have there been any formal complaints from patients/relatives about SECLUSION? |
No |
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13.If so, what was their concerns? |
N/A |
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14.How does the Trust plan to reduce SECLUSIONS in the future? |
Our commitment to reduce incidents of challenging and harmful behaviours that occur within our services, including the use of restrictive and coercive practices is highlighted in our Trust-wide strategy 2023-26, our reducing restrictive practices plan 2023026, as well as policies and training programmes; all founded with a Human Rights and person-centred approach. We will continue to embed evidence-based preventative initiatives and strategies, work collaboratively with service users, carers and families and other stakeholders; learn from incidents and further develop a culture of recovery through open and therapeutic relationships. |
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Please provide MEDICATION ERRORS information under the FOI act to the following questions |
1.Please supply any MEDICATION ERRORS reports/investigations |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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2.How many MEDICATION ERRORS in 2023? |
634 |
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3.What proportion of patients were men/women? |
Male - 294 |
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4.How old were they? |
70+ - 63 |
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5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")? |
9.05% |
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6.How many people covered by the equality act endured medication errors ? |
Everyone is covered under the Equality Act due to protected characteristics |
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7.How many MEDICATION ERRORS were investigated outside the NHS and CCG? |
0 |
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8.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)? |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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9.How many patients died within 6 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 record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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10.How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)? |
All information requested is not routinely collected outside normal record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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11.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 record keeping of a clinical record. The requested information is not held centrally and is contained within the individual clinical records and archive systems which cannot 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 clinical 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. |
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12.Have there been any formal complaints from patients/relatives about MEDICATION ERRORS? |
Yes |
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13.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, in full. 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 |
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14.How does the Trust plan to prevent MEDICATION ERRORS in the future? |
The trust has a Medication Incidents Review Group meeting on a bi-monthly basis where all medication incidents are reviewed and themes investigated and learning put into place |
Dear Wendy,
Please find below copy of the wording for the ECT consent.
Kind regards,
APPENDIX J OUTPATIENT ECT
Patient Agreement for the Provision of ECT as an Outpatient: -
Patients Name__________________________ Date of birth________________________
Contact phone number__________________ NHS number________________________
You have agreed to have ECT as an outpatient. As you are aware this procedure involves a short general anaesthetic and for this to be conducted as safely as possible you must agree to the following conditions: -
More information is available in the booklet you have been given and you are free to ask any other questions you may have.
In accordance with this we would ask you to read, agree, sign and comply with the following:
- The evening before your treatment, please remember not to eat any food after midnight, and take fluids, tablets or medicines only as directed by your hospital doctor.
You will have been given information about “fasting prior to ECT”; if you have not received this then please ask a member of staff.
Any specific instructions given: ………………………………………………………………….……...
…………………………………………………………………………………………………………………..
- You can bring your tablets with you and give them to the nurse who will give them to you after your treatment.
- It is recommended that you wear light clothing and remove nail varnish and excessive jewellery
- Please do not bring items of value as Kent & Medway NHS & Social Care Partnership Trust cannot accept responsibility for their loss.
- You must refrain from drinking alcohol for 24 hours after your treatment.
- You must not sign any legal documents in the 24 hours following ECT.
- You must not drive a car or any form of machinery during the course of the treatment.
- You must not travel unaccompanied; your doctor will have arranged for your CPN or other person involved in your care to accompany you. You may also wish a member of your family or friend to accompany you.
- You must remain in the ECT department’s post recovery room for up to 4 hours following your treatment or until staff are satisfied that you have recovered sufficiently from your anaesthetic.
- You must not return to an empty house, you will need a responsible adult to escort you home and continuous responsible adult person with you in the house for 24 hours following treatment and access to a telephone.
Signed at time of Prescription of first treatment:
Name of Patient: ________________________________________________________________
Signature of Patient:____________________________ Date: ____________________________
Leanne McDougall PC.dp PC.foi CertHE-Law
Head of Information Governance and Records Management
Kent and Medway NHS and Social Care Partnership Trust
Information Governance and Records Management Department
First Floor, Magnitude House
New Hythe Lane
Aylesford
Kent, ME20 6WT
01795 514507
Twitter: kmptnhs
Facebook: kmpt.nhs