Please provide 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 2020?
5. What proportion of patients were men/women?
6. How old were they?
7. What proportion of patients were classified BAME?
8. How many were receiving ECT for the first time?
9. How many patients consented to ECT?
10. How many ECT complaints were investigated outside the NHS and CCG?
11. How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
12. How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
13. How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
14. How many patients have suffered complications during and after ECT and what were those complications?
15. Have there been any formal complaints from patients/relatives about ECT?
16. If so, what was their concerns?
17. How many patients report memory loss/loss of cognitive function?
18. What tests are used to assess memory loss/loss of cognitive function?
19. Have MRI or CT scans been used before and after ECT?
20. If so what was the conclusion?
21. How does the Trust plan to prevent ECT in the future?

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

1. Please supply any serious incident reports/investigations
2. How many SERIOUS INCIDENT REPORTS in 2020?
3. What proportion of patients were men/women?
4. How old were they?
5. What proportion of patients were classified BAME?
6. How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG?
7. How many patients died during or 1 month after SERIOUS INCIDENT REPORTS and what was the cause (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?
8. How many patients died within 6 months after SERIOUS INCIDENT REPORTS and what was the cause (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?
9. How many patients died by suicide within 6 months of receiving SERIOUS INCIDENT REPORTS (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?  
10. How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?
11. Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?
12. If so, what was their concerns?
13. How does the Trust plan to prevent SERIOUS INCIDENTS in the future?

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

1. Please supply any Restraints/investigations
2. How many RESTRAINTS in 2020?
3. What proportion of patients were men/women?
4. How old were they?
5. What proportion of patients were classified BAME?
6. How many RESTRAINTS were investigated outside the NHS and CCG?
7. How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
8. How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
9. How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?
10. How many patients have suffered complications during and after RESTRAINTS and what were those complications?
11. Have there been any formal complaints from patients/relatives about RESTRAINTS?
12. If so, what was their concerns?
13. Are counts of forced injections available?
14. How does the Trust plan to reduce restraints in the future?

1. Please supply any SECLUSION reports/investigations
2. How many SECLUSIONS in 2020?
3. What proportion of patients were men/women?
4. How old were they?
5. What proportion of patients were classified BAME?
6. How many SECLUSIONS were investigated outside the NHS and CCG?
7. How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
8. How many patients died within 6 months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
9. How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?
10. How many patients have suffered complications during and after SECLUSION and what were those complications?
11. Have there been any formal complaints from patients/relatives about SECLUSION?
12. If so, what was their concerns?
13. How does the Trust plan to prevent SECLUSION in the future?

1. Please supply any MEDICATION ERRORS reports/investigations
2. How many MEDICATION ERRORS in 2020?
3. What proportion of patients were men/women?
4. How old were they?
5. What proportion of patients were classified BAME?
6. How many MEDICATION ERRORS were investigated outside the NHS and CCG?
7. How many patients died during or 1 month after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?
8. How many patients died within 6 months after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?
9. How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
10. How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
11. Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
12. If so, what was their concerns?
13. How does the Trust plan to prevent MEDICATION ERRORS in the future?           

1. Please see attached leaflets.
2. Please see attached ECT consent form.
3. Patient has full anaesthetic work-up and has to meet the NICE guidance on use of ECT. Any investigations will be done if required.
4. 42.
5. 53 Women and 21 Men.
6. Age range of 22 to 87 years old.
7. 14.
8. This information is not centrally recorded.
9. This information is not centrally recorded.
10. 0.
11. This information is not centrally recorded.
12. This information is not centrally recorded.
13. This information is not centrally recorded.
14. One patient suffered an asystole event and had further investigations prior to any further ECT to ensure it was safe to continue (which it was).
15. Yes one complaint.
16. One patient needed to be treated in theatres and our Acute Hospital Trust were unable to offer a theatre slot in a timely manner, patient was waiting for treatment. The family were not happy.
17. No patients have had a referral to a specialist memory/cognitive assessment post completionof ECT for memory loss or cognition loss.
18. Montreal Cognitive Assessment Tool (MOCA) and also 5 orientation questions pre- treatment and post treatment.
19. No
20. ECT given as a last resort, urgent treatment option so no plans to prevent future ECT.However other options are being considered such as RTMS and VNS.

 
Serious Incidents, Restraints and Seclusion

Please find attached a copy of our Incident/Serious Incident Reporting Policy and our Seclusion and Long Term Segregation Policy. 

Medication Errors 

We can inform you that 772 medication errors were recorded for 2020. 

Please find attached a copy of our Medication Errors policy.

I trust this response is helpful to you.  However, if you are dissatisfied with the handling of your request, you have the right to ask for an internal review. Requests for an internal review should be submitted within two months of the date of receipt of the response to your original request and should be addressed to:  Mrs. Sam Kirkland, Head of Data Privacy/Data Protection Officer, Unit 2, Bridge Park Plaza, Thurmaston, Leicester LE4 8BL
If you remain dissatisfied with the handling of your request, you have a right of appeal to the
Information Commissioner at: The Information Commissioner's Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF. Phone: 0303 123 1113. Website: www.ico.gov.uk  . 

There is no charge for making an appeal. 

If you require any further assistance, please do not hesitate to contact me.

Please remember to quote the reference number above in any communications.
 
Yours sincerely
 
Claire Mott
Data Privacy Team.