Dear Wendy Micklewright
Please see below, as requested:
Request under Freedom of Information Act 2000 – Ref: FOI/2324/SG13093
Thank you for your request for information under the Freedom of Information Act 2000, received on 25th April 2023. Please find below our response to your request:
REQUEST & OUR RESPONSE
In terms of any reports or investigations held, we are withholding this information since we consider the exemption under Section 40(2) of the Freedom of Information Act 2000 applies to it, as it constitutes the personal data of the individuals concerned.
In addition, from our preliminary assessment, we estimate that compliance with your request would exceed the appropriate costs limit under section 12 of the Freedom of information Act 2000, currently £450, as much of the information is not centrally recorded and we would need to check multiple sets of records. However, in an attempt to be helpful, we are able to provide the following information:
Please provide ECT information under the FOI act to the following questions: -
1.Please supply patient’s information ECT leaflet - See attached
2.Please supply patient ECT consent form - See attached
3.Please supply any ECT reports/investigations exemption
4.How many ECT in 2022? - 62
5.What proportion of patients were men/women? 17 men and 45 women
6.How old were they? Age range of 24-86 years of age
7.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
Asian = 11
Mixed = 1
Not known = 2
Not Stated = 7
White = 41
8.How many were receiving ECT for the first time? 24 received ECT for first time
9.How many patients consented to ECT? 28 had capacity to consent
10.How many ECT complaints were investigated outside the NHS and CCG?
None
11.How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)? 1
12.How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)? unknown
13.How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)? 2 known
14.How many patients have suffered complications during and after ECT and what were those complications? Tachycardia, Low saturations, prolonged seizures. 15 from Jan 22 to date.
15.Have there been any formal complaints from patients/relatives about ECT? No
16.If so, what was their concerns? N/A
17.How many patients report memory loss/loss of cognitive function? 2 known
18.What tests are used to assess memory loss/loss of cognitive function? Montreal Cognitive assessment tool (MOCA), Brief orientation tool, Medical review on each prescription for ECT.
19.Have MRI or CT scans been used before and after ECT? No
20.If so, what was the conclusion? N/A
21.How does the Trust plan to prevent ECT in the future? N/A
Please provide SERIOUS INCIDENT information under the FOI act to the following questions: -
1.Please supply any serious incident reports/investigations? N/A
2.How many SERIOUS INCIDENT REPORTS in 2022? 93
3.What proportion of patients were men/women? Not Held
4.How old were they? Not Held
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")? Not Held
6.How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG? 3
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)? Not recorded electronically
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)? Not recorded electronically
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)? Not recorded electronically
10.How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications? Not recorded electronically
11.Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS? Not held
12.If so, what was their concerns? N/A
13.How does the Trust plan to prevent SERIOUS INCIDENTS in the future? The Trust reviews previous serious incidents and learns from those which allows for new process, procedures, staff training. Working on targeted pieces of work allows the Trust to focus on areas needed. In addition, working on quality improvement plans tightens processes and delivers better quality of care and service.
Please provide restraints information under the FOI act to the following questions: -
1.Please supply any Restraints/investigations? N/A
2.How many RESTRAINTS in 2022? 1808
3.What proportion of patients were men/women?
Female: 1522
Male: 286
4.How old were they?
12-15 =80
16-17 = 91
18-24 = 979
25-34 = 200
35-44 = 123
45-54 = 39
55-64 = 200
65-74 = 54
75-84 = 37
85+ = 5
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
Asian = 79
Black = 89
Mixed = 88
Not Known = 21
Not Stated = 63
Other Ethnic Group = 49
White = 1419
6.How many RESTRAINTS were investigated outside the NHS and CCG? 0
7.How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)? Not recorded electronically
8.How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)? Not recorded electronically
9.How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)? Not recorded electronically
10.How many patients have suffered complications during and after RESTRAINTS and what were those complications? Not recorded electronically
11.Have there been any formal complaints from patients/relatives about RESTRAINTS? No
12.If so, what was their concerns? N/A
13.Are counts of forced injections available? Not recorded electronically
14.How does the Trust plan to reduce restraints in the future? The trust has a least restrictive practice plan that is reviewed yearly aimed at supporting the reduction in the use of restraint and seclusion. The trust train clinical staff in preventing the use of restraint and seclusion by alternative methods utilising Safewards and Positive Behaviour Support approaches and if restraint is required it is done by trained staff using Safety Interventions training. All restraint and seclusion incidents are monitored monthly at the trust least restrictive practice group.
Please provide SECLUSION information under the FOI act to the following questions: - Patient Safety Team
1.Please supply any SECLUSION reports/investigations N/A
2.How many SECLUSIONS in 2022? 214
3.What proportion of patients were men/women?
Female = 119
Male = 95
4.How old were they?
12-15 = 25
16-17 = 9
18-24 = 61
25-34 = 45
35-44 = 35
45-54 = 11
55-64 = 27
75-84 – 1
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
Asian = 29
Black = 16
Mixed = 16
Not Known = 14
Not Stated = 22
Other Ethnic Group = 5
White = 112
6.How many SECLUSIONS were investigated outside the NHS and CCG? 0
7.How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)? Not recorded electronically
8.How many patients died within 6 months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)? Not recorded electronically
9.How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)? Not recorded electronically
10.How many patients have suffered complications during and after SECLUSION and what were those complications? Not recorded electronically
11.Have there been any formal complaints from patients/relatives about SECLUSION? No
12.If so, what was their concerns? N/A
13.How does the Trust plan to reduce SECLUSIONS in the future? The trust has a least restrictive practice plan that is reviewed yearly aimed at supporting the reduction in the use of restraint and seclusion. The trust train clinical staff in preventing the use of restraint and seclusion by alternative methods utilising Safewards and Positive Behaviour Support approaches and if restraint is required it is done by trained staff using Safety Interventions training. All restraint and seclusion incidents are monitored monthly at the trust least
Please provide MEDICATION ERRORS information under the FOI act to the following questions: - Anthony
1.Please supply any MEDICATION ERRORS reports/investigations N/A
2.How many MEDICATION ERRORS in 2022? 804
3.What proportion of patients were men/women? Not recorded electronically
4.How old were they? Not recorded electronically
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")? Not recorded electronically
6.How many MEDICATION ERRORS were investigated outside the NHS and CCG? Not recorded electronically
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)? Not recorded electronically
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)? Not recorded electronically
9.How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)? Not recorded electronically
10.How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications? Not recorded electronically
11.Have there been any formal complaints from patients/relatives about MEDICATION ERRORS? Not recorded electronically
12.If so, what was their concerns? N/A
13.How does the Trust plan to prevent MEDICATION ERRORS in the future?
All medicines incidents are reviewed by the Trust medication risk reduction group with the aim of identifying causes and preventing recurrence. This will often include process or system change but occasionally will involve identification of poor practice by individual employees which will be handled through the appropriate HR process.
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: Hannah Plowright, Deputy 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
Data Privacy Team
Regards
Data Privacy Team
Leicestershire Partnership NHS Trust