LEEDS + YORK 2023

Dear Mrs Micklewright,

Thank you for your correspondence received on 15^th April requesting information from our Trust.

Under the terms of the Freedom of Information Act 2000 we are able to provide you with the following information:

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

Please supply patient’s information ECT leaflet.

Our Trust, along with other Trusts, are currently using the RCPSYCH Leaflet – please see attached.

Please supply patient ECT consent form.

Please see attached.

Please supply any ECT reports/investigations. * Investigation by the Trust or an external investigation - for 2022.

No such investigations in relation to ECT.

How many ECT in 2023?

The number of patients receiving ECT treatments during 2023 was 29.

The number of electroconvulsive therapy (ECT) treatments carried out by our Trust in 2023 was 324.

*Please note that all figures provided include data for Bradford District Care Trust, as our Trust provides ECT treatment for them under a contract. Therefore, figures provided are inclusive of these treatments.

What proportion of patients were men/women?*

How old were they?*

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

How many people covered by the equality act received ECT? *

How many people were offered talking therapy prior to ECT? *

How many were receiving ECT for the first time?*

How many patients consented to ECT?*

*We can confirm that we have not treated anybody under 18. However, to calculate the ages of patients at the time of their ECT treatment, over a 12-month period, would take a manually labour intensive and time lengthy process; as would determining whether they were male or female, classified BAME, covered by the equality act, offered talking therapy prior, consented, or whether they were receiving ECT for the first time. To clarify; whilst personal data is recorded within a patient’s health care notes, this personal data, cannot be separately identified and reported from our electronic information system in a ‘numeric’ format. As such, we would need to physically search through the health care notes of each individual patient over a 12-month period to establish this information – a manually labour intensive and time lengthy process. Please refer to the footnote below on the "appropriate limit" on the amount of time that can be spent on locating and extracting the information required to answer a Freedom of Information request (Section 12 exemption).

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

None in relation to ECT.

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

We have had nobody die during the procedure of ECT or immediately after, however, it would require a manual task to go through all of the patients to find out if people had died up to one month after, regardless of cause. Please refer to the footnote on the "appropriate limit" on the amount of time that can be spent on locating and extracting the information required to answer a Freedom of Information request (Section 12 exemption).

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

Please see our response above.

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

Please see our response to question 13.

How many patients have suffered complications during and after ECT and what were those complications?

To establish whether patients had complications at the time of their treatment, or after treatment, we would need to physically search through the health care notes of every patient – a manually labour intensive and time lengthy process. Please refer to the footnote on the "appropriate limit" on the amount of time that can be spent on locating and extracting the information required to answer a Freedom of Information request (Section 12 exemption).

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

None in relation to ECT.

If so, what were their concerns?

Not applicable.

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

Again, such clinical data is recorded within a patient’s health care notes, and this detailed medical data, cannot be separately identified and reported from our electronic information system in an extractable ‘number’ format. As such, we would need to physically search through the health care notes of every patient – a manually labour intensive and time lengthy process. Please refer to the footnote on the "appropriate limit" on the amount of time that can be spent on locating and extracting the information required to answer a Freedom of Information request (Section 12 exemption).

What tests are used to assess memory loss/loss of cognitive function?

Our Memory Assessment Service (MAS) work alongside other professionals and multi-disciplinary teams (MDTs), such as our Psychology and Psychotherapy Service which includes psychotherapists, clinical psychologists, consultant psychiatrists in psychotherapy and highly experienced counsellors, who undertake a variety of cognitive and neuropsychological assessments.

Have MRI or CT scans been used before and after ECT?*See below.

If so what was the conclusion?*See below.

*As explained to you in our response dated 18^th August 2021, our response dated 7^th of June 2022, and also our response dated 10^th of May 2023, our Trust does not conduct MRI nor CT scans.

How does the Trust plan to prevent ECT in the future?

ECT is a medical treatment within mental health, therefore rules and legalities are at the forefront, and these must be adhered to.

We do not have plans to ‘prevent ECT’; however, we ensure that we work within set robust legal frameworks:

The Mental Health Act 2007.

The Mental Capacity Act, 2005.

Please supply any RESTRAINTS/Investigations.

With regards your request to be provided with restraint investigation reports; having reviewed the matter against the Information Commissioners Office Anonymisation Code of Practice; available here:-

https://ico.org.uk/media/for-organisations/documents/1061/anonymisation-code.pdf

In essence, providing such detail has the potential that:-

The organisations party to the underlying data could conceivably re-identify individuals from the disclosed data set.
The staff member could also potentially identify themselves in the data set, by virtue of recognising themselves from the data disclosed.

In either scenario above, there would be a resultant data breach.

Therefore, under the terms of the Freedom of Information Act (2000), we would be unable to provide you with actual incident reports as they contain detail which relates to and has the potential to identify particular living individuals, therefore personal data which is exempt from disclosure under Section 40(2) of the Act by virtue of Section 40(3)(a)(i), as disclosure of such personal data would breach the data protection principles set out in the Data Protection Act (2018) and the EU General Data Protection Regulation.

How many RESTRAINTS in 2023?

Our Trust reported 3,809 restraint incidents in 2023 (total). (This could be anything from placing a hand on the back of a service users’ upper arm).

What proportion of patients were men/women? *

How old were they? *

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

6.How many people covered by the equality act were restrained? *

To calculate the ages of patients at the time of their restraint, whether they were male or female, classified POC/BAME, or covered by the equality act - over a 12-month period, would take a manually labour intensive and time lengthy process; To clarify; our restraint incident reporting system (DATIX) is purposely designed to record incident data. Details such as gender / ethnicity / age etc, are recorded within each individual service user’s health care notes. As such, we would need to cross reference each individual DATIX report, with a physical search of the records of each relevant service users health care notes - a manually labour intensive and time lengthy process. Please refer to the footnote on the "appropriate limit" on the amount of time that can be spent on locating and extracting the information required to answer a Freedom of Information request (Section 12 exemption).

How many RESTRAINTS were investigated outside the NHS and CCG?

None.

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

We have had nobody die during the process of restraint, and none that have died as an immediate result of restraint: however, to establish if people had died of other causes within months of a restraint incident would require a manual task as we would need to cross reference each individual DATIX report, with a physical search of the records of each relevant service users health care notes - a manually labour intensive and time lengthy process. Please refer to the footnote on the "appropriate limit" on the amount of time that can be spent on locating and extracting the information required to answer a Freedom of Information request (Section 12 exemption).

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

Please see our response above.

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

Please see our response to question 8.

How many patients have suffered complications during and after RESTRAINTS and what were those complications?

To establish whether patients had complications up to 12 months after their restraint, we would need to physically search through the health care notes of every patient over a 12-month period – a manually labour intensive and time lengthy process. Please refer to the footnote on the "appropriate limit" on the amount of time that can be spent on locating and extracting the information required to answer a Freedom of Information request (Section 12 exemption).

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

No.

If so, what was their concerns?

Not applicable.

Are counts of forced injections available?

All incidents of rapid tranquillisation are reported to Risk Management, and recorded on Datix, in line with Trust Incident Reporting procedures.

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

Our Trust plans to reduce incidents of restrictive practice through learning lessons and post incident reviews as per our; “Procedure for the positive and safe support for people who may present with behaviour that challenges, C-0021”, specifically the section on; 1.5.2 Physical Restraint. Please see attached.

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

Please supply any SECLUSION reports / investigations.

With regards your request to be provided with seclusion reports / investigations; having reviewed the matter against the Information Commissioners Office Anonymisation Code of Practice; available here:-

https://ico.org.uk/media/for-organisations/documents/1061/anonymisation-code.pdf

In essence, providing such detail has the potential that:-

The organisations party to the underlying data could conceivably re-identify individuals from the disclosed data set.
The staff member could also potentially identify themselves in the data set, by virtue of recognising themselves from the data disclosed.

In either scenario above, there would be a resultant data breach.

How many SECLUSIONS in 2023?

176.

What proportion of patients were men/women? *

How old were they? *

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

6.How many people covered by the Equality Act were secluded? *

*To calculate the ages of patients at the time of their seclusion, whether they were male or female, classified POC/BAME, or covered by the equality act over a 12-month period, would take a manually labour intensive and time lengthy process. To clarify; details such as gender / ethnicity / age etc, are recorded within each individual service user’s health care notes. As such, this is not information that we hold in a reportable ‘numeric’ format as we would need to conduct a physical search of the records to establish this information - a manually labour intensive and time lengthy process. Please refer to the footnote on the "appropriate limit" on the amount of time that can be spent on locating and extracting the information required to answer a Freedom of Information request (Section 12 exemption).

How many SECLUSIONS were investigated outside the NHS and CCG?

None.

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

We have had nobody die during the process of seclusion, and none that have died as an immediate result of seclusion: however, to establish if people had died after an incident of seclusion, regardless of the cause, would require a manual task as we would need to conduct a physical search of the records of each relevant service users health care notes, for a 12-month period - a manually labour intensive and time lengthy process. Please refer to the footnote on the "appropriate limit" on the amount of time that can be spent on locating and extracting the information required to answer a Freedom of Information request (Section 12 exemption).

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

Please see our response above.

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

Please see our response to question 8.

How many patients have suffered complications during and after SECLUSION and what were those complications?

To establish whether patients had complications after their seclusion, we would need to physically search through the health care notes of every patient – a manually labour intensive and time lengthy process. Please refer to the footnote on the "appropriate limit" on the amount of time that can be spent on locating and extracting the information required to answer a Freedom of Information request (Section 12 exemption).

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

No.

If so, what was their concerns?

Not applicable.

How does the Trust plan to prevent SECLUSION in the future?

Our Trust plans to reduce incidents of seclusion through learning lessons and post incident reviews as per; “Procedure for the positive and safe support for people who may present with behaviour that challenges, C-0021.

Please supply any MEDICATION ERRORS reports/investigations

With regards your request to be provided with medication error investigation reports; having reviewed the matter against the Information Commissioners Office Anonymisation Code of Practice; available here:-

https://ico.org.uk/media/for-organisations/documents/1061/anonymisation-code.pdf

In essence, providing such detail has the potential that:-

The organisations party to the underlying data could conceivably re-identify individuals from the disclosed data set.
The staff member could also potentially identify themselves in the data set, by virtue of recognising themselves from the data disclosed.

In either scenario above, there would be a resultant data breach.

How many MEDICATION ERRORS in 2023?

There were 686 medication errors reported in 2023; this includes errors that were detected prior to administration of the medication (i.e. near misses) as our Trust encourages and supports a culture of reporting near misses so that we can learn and prevent future errors.

What proportion of patients were men/women? *

How old were they? *

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

6.How many people covered by the equality act endured medication errors? *

*To calculate the ages of patients at the time of a reported medication error (which includes a near miss), over a 12-month period, would take a manually labour intensive and time lengthy process; as would establishing whether they were male or female, classified POC/BAME, or covered by the equality act. To clarify; details such as gender / ethnicity / age etc, are recorded within each individual service user’s health care notes. As such, this is not information that we hold in a reportable ‘numeric’ format as we would need to conduct a physical search of their records to establish this information - a manually labour intensive and time lengthy process. Please refer to the footnote on the "appropriate limit" on the amount of time that can be spent on locating and extracting the information required to answer a Freedom of Information request (Section 12 exemption).

How many MEDICATION ERRORS were investigated outside the NHS and CCG?

None.

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

We have had nobody die as an immediate result of a medication error: however, to establish if people had died within a period of time after a medication error (or near miss), whether or not the medication error was considered the cause - would require a manual task as we would need to conduct a physical search of the records of each relevant service users health care notes, for a 12-month period, a manually labour intensive and time lengthy process. Please refer to the footnote on the "appropriate limit" on the amount of time that can be spent on locating and extracting the information required to answer a Freedom of Information request (Section 12 exemption).

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

Please see our response above.

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

Please see our response to question 8.

How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?

To establish whether patients had complications up to a period after their medication error, we would need to physically search through the health care notes of every patient over a 12-month period – a manually labour intensive and time lengthy process. Please refer to the footnote on the "appropriate limit" on the amount of time that can be spent on locating and extracting the information required to answer a Freedom of Information request (Section 12 exemption).

Have there been any formal complaints from patients/relatives about MEDICATION ERRORS in 2023?

Yes. “Medication” is referenced in 23 complaints. However, it should be noted that these complaints are for a variety of reasons such as delay in prescribing, lack of information provided, concerns about taking the medication / side effects etc, all of which can be perceived as a medication error to the service user/carer.

If so, what was their concerns?

As above.

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

Our Trust adheres to Medicines Management processes and guidelines which ensure that medicines are managed and used appropriately and safely.

Medication errors have important implications for patient safety, and their identification is crucial in order to prevent adverse events. Medication safety reports are produced for the Medicine Optimisation Group (MOG) and Trust wide Clinical Governance (TWCG) by our Medication Safety Officer on behalf of the Medicines Safety Committee. These reports are intended to provide an overview of all recorded medication related incidents/errors recorded on Datix across the organisation.

We encourage the reporting of medication errors and near misses, to support learning and a better understanding of the root cause, so that we can develop policies and procedures to prevent further incidents.

* Please note: the Freedom of Information Act imposes a statutory limit, known as the "appropriate limit" on the amount that can be spent on locating and extracting the information required to answer a Freedom of Information request. This limit is currently set at £450, which the legislation deems to be equivalent to 18 hours of staff time.

Section 12 of the Freedom of Information Act 2000 makes provision for public authorities to refuse requests for information where the cost of dealing with them would exceed the appropriate limit.

Where we receive a request which is estimated to be above this appropriate limit, we can apply relevant fees and charges attributable to the processing of that request. In estimating whether a request will incur charges, we will take into account the retrieval process covering the entire request. In view of our outlining that compliance with parts of your request would involve a wholly manual / labour intensive and time lengthy process, it is our estimation that compliance with these parts of your request will exceed this appropriate set limit.

If you are not satisfied with our decision regarding your request, you have the right to appeal and should in the first instance write to our Freedom of Information Officer, who will escalate your appeal to the Executive Team FoIA Lead. Our maximum response time to conduct our review of your appeal will be 40 working days.

If you are still not satisfied you can contact the Information Commissioner’s Office, who oversees Freedom of Information and Data Protection in the UK.

Information Commissioner’s Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

If there is anything that you need further clarification on, please do not hesitate to contact us.

Yours sincerely,

Anne-Marie Wilson

Information Governance Support Officer

Leeds and York Partnership NHS Foundation Trust

1^st Floor, North Wing, St Mary's House

St Martins View, Leeds, LS7 3LA

Tel: 07717941888

amwilson@nhs.net

From: mrs.wendy.micklewright <mrs.wendy.micklewright@proton.me>
Sent: Sunday, April 14, 2024 9:38 AM
To: FREEDOMOFINFORMATION (AVON AND WILTSHIRE MENTAL HEALTH PARTNERSHIP NHS TRUST) <awp.freedomofinformation@nhs.net>; foi@beh-mht.nhs.uk; foi.bht@berkshire.nhs.uk; FOIOFFICE (BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST) <bsmhft.foioffice@nhs.net>; bcpft.foi@nhs.net; foi.requests@bdct.nhs.uk; foi@cpft.nhs.uk; foi@candi.nhs.uk; CNWL, Freedomofinformation (CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST) <freedomofinformation.cnwl@nhs.net>; FOI (CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUST) <cwp.foi@nhs.net>; FREEDOMOFINFORMATION (CORNWALL PARTNERSHIP NHS FOUNDATION TRUST - RJ8) <cpn-tr.FreedomOfInformation@nhs.net>; freedomofinformation@covwarkpt.nhs.uk; foi@cntw.nhs.uk; FREEDOMOFINFORMATION (DERBYSHIRE COMMUNITY HEALTH SERVICES NHS FOUNDATION TRUST) <DCHST.FreedomofInformation@nhs.net>; ig.dpt@nhs.net; foi.enquiries@dhuft.nhs.uk; FOI (EAST LONDON NHS FOUNDATION TRUST) <elft.foi@nhs.net>; FOI (ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST) <epunft.foi@nhs.net>; FOI@gmmh.nhs.uk; foi@hpft.nhs.uk; HFTFOI (HUMBER TEACHING NHS FOUNDATION TRUST) <hnf-tr.hftfoi@nhs.net>; foi@kmpt.nhs.uk; Freedom.OfInformationRequests@lscft.nhs.uk; LYPFT, Foi (LEEDS AND YORK PARTNERSHIP NHS FOUNDATION TRUST) <foi.lypft@nhs.net>; FOIrequests@leicspart.nhs.uk; FOIrequest@lpft.nhs.uk; freedomofinformation@merseycare.nhs.uk; foi@mpft.nhs.uk; foi@nsft.nhs.uk; foi@nelft.nhs.uk; trustboardinfo@northstaffs.nhs.uk; foi@nwbh.nhs.uk; FOI@nhft.nhs.uk; foi@nottshc.nhs.uk; foiarfi@oxfordhealth.nhs.uk; FOI@oxleas.nhs.uk; PENNINECARE, Foi (PENNINE CARE NHS FOUNDATION TRUST) <foi.penninecare@nhs.net>; freedomofinformation@rothgen.nhs.uk; foi@shsc.nhs.uk; FreedomOfInformation@solent.nhs.uk; FOI@sompar.nhs.uk; foi@slam.nhs.uk; foi@swlstg-tr.nhs.uk; enquiries@swyt.nhs.uk; freedom.information@southernhealth.nhs.uk; igteam@sabp.nhs.uk; foi@sussexpartnership.nhs.uk; foi@tavi-port.nhs.uk; MEMBERSHIP, Ft (TEES, ESK AND WEAR VALLEYS NHS FOUNDATION TRUST) <tewv.ftmembership@nhs.net>; foi@wlmht.nhs.uk; FOIREQUEST (HEREFORDSHIRE AND WORCESTERSHIRE HEALTH AND CARE NHS TRUST) <WHCNHS.FOIrequest@nhs.net>; FreedomofInformation@ghc.nhs.uk
Subject: Freedom of information request

Hello

Hope you are good + thank you for all you do ...

Please could you answer the questions detailed below as per the Freedom of information act (FOI)

Hope we have good week

In love + solidarity

Wendy Micklewright

Please provide Electro Convulsive Treatment (ECT) information under the FOI act to the following questions: -

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 2023?

5.What proportion of patients were men/women?

6.How old were they?

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

8.How many people covered by the equality act received ECT ?

9.How many people were offered talking therapy prior to ECT ?

10.How many were receiving ECT for the first time?

11.How many patients consented to ECT?

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

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

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

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

16.How many patients have suffered complications during and after ECT and what were those complications?

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

18.If so, what was their concerns?

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

20.What tests are used to assess memory loss/loss of cognitive function?

21.Have MRI or CT scans been used before and after ECT?

22.If so, what was the conclusion?

23.How does the Trust plan to prevent ECT 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 2023?

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 people covered by the equality act were restrained?

7.How many RESTRAINTS were investigated outside the NHS and CCG?

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

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

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

11.How many patients have suffered complications during and after RESTRAINTS and what were those complications?

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

13.If so, what was their concerns?

14.Are counts of forced injections available?

15.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 2023?

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 people covered by the Equality Act were secluded ?

7.How many SECLUSIONS were investigated outside the NHS and CCG?

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

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

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

11.How many patients have suffered complications during and after SECLUSION and what were those complications?

12.Have there been any formal complaints from patients/relatives about SECLUSION?

13.If so, what was their concerns?

14.How does the Trust plan to reduce SECLUSIONS 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 2023?

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 people covered by the equality act endured medication errors ?

7.How many MEDICATION ERRORS were investigated outside the NHS and CCG?

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)?

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)?

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

11.How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?

12.Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?

13.If so, what was their concerns?

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

From Paternalism to Human rights

The way forward

Citizen assemblies - community land trusts - community commissioning - participatory budgeting - wellbeing economy

YOUTUBE

Friendship group website

Information about Electro Convulsive treatment ban in Australia

PETITION

UN + WHO call for an end to coercive practises in Mental Health system globally