LEICESTERSHIRE PARTNERSHIP NHS TRUST 2023

OUR REF: FOI/2425/SG15360

25TH OCTOBER 2024

WMICKLEWRIGHT@YAHOO.CO.UK

DEAR WENDY MICKLEWRIGHT,

REQUEST UNDER FREEDOM OF INFORMATION ACT 2000 – REF: FOI/2425/SG15360

THANK YOU FOR YOUR REQUEST FOR INFORMATION UNDER THE FREEDOM OF INFORMATION ACT 2000, RECEIVED ON 17 SEPTEMBER 2024. PLEASE FIND BELOW OUR RESPONSE TO YOUR REQUEST.

REQUEST: PLEASE PROVIDE ELECTRO CONVULSIVE TREATMENT (ECT) INFORMATION UNDER THE FOI ACT TO THE FOLLOWING QUESTIONS: -

1.PLEASE SUPPLY PATIENT’S INFORMATION ECT LEAFLET

OUR RESPONSE: PLEASE SEE ATTACHED.

2.PLEASE SUPPLY PATIENT ECT CONSENT FORM

OUR RESPONSE: PLEASE SEE ATTACHED.

3.PLEASE SUPPLY ANY ECT REPORTS/INVESTIGATIONS

OUR RESPONSE: I CAN CONFIRM THE TRUST HOLDS THE INFORMATION YOU HAVE REQUESTED. HOWEVER, 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. ALTHOUGH REPORTS AND INVESTIGATIONS DO NOT ALL CONTAIN NAMES OF INDIVIDUALS; PATIENTS AND STAFF COULD BE IDENTIFIED BY THE DESCRIPTION OF THE PARTICULAR INCIDENTS AND THE OUTCOME.

4.HOW MANY ECT IN 2023?

OUR RESPONSE: 71 PATIENTS.

5.WHAT PROPORTION OF PATIENTS WERE MEN/WOMEN?

OUR RESPONSE: 23 MEN AND 48 WOMEN.

6.HOW OLD WERE THEY?

OUR RESPONSE: AGE RANGE OF BETWEEN 29-87 YEARS OF AGE.

7.WHAT PROPORTION OF PATIENTS WERE CLASSIFIED PEOPLE OF THE GLOBAL MAJORITY OR RACIALISED COMMUNITIES ("POC / BAME")?

OUR RESPONSE: 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 WE DO NOT CENTRALLY RECORD THE INFORMATION BEING REQUESTED ABOVE AND THIS WOULD REQUIRE A MANUAL REVIEW OF INFORMATION TO DETERMINE.

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?

OUR RESPONSE: 29 PATIENTS.

11.HOW MANY PATIENTS CONSENTED TO ECT?

OUR RESPONSE: 34 PATIENTS.

12.HOW MANY ECT COMPLAINTS WERE INVESTIGATED OUTSIDE THE NHS AND CCG?

OUR RESPONSE: LEICESTERSHIRE PARTNERSHIP NHS TRUST DOES NOT HOLD THIS INFORMATION.

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?

OUR RESPONSE: 2 PATIENTS.

17.HAVE THERE BEEN ANY FORMAL COMPLAINTS FROM PATIENTS/RELATIVES ABOUT ECT?

OUR RESPONSE: NO.

18.IF SO, WHAT WAS THEIR CONCERNS?

19.HOW MANY PATIENTS REPORT MEMORY LOSS/LOSS OF COGNITIVE FUNCTION?

OUR RESPONSE: 17 PATIENTS.

20.WHAT TESTS ARE USED TO ASSESS MEMORY LOSS/LOSS OF COGNITIVE FUNCTION?

OUR RESPONSE: MONTREAL COGNITIVE ASSESSMENT TOOL (MOCA), BRIEF ORIENTATION TOOL, MEDICAL REVIEW ON EACH PRESCRIPTION FOR ECT.

21.HAVE MRI OR CT SCANS BEEN USED BEFORE AND AFTER ECT?

OUR RESPONSE: NO.

22.IF SO, WHAT WAS THE CONCLUSION?

OUR RESPONSE: NOT APPLICABLE.

23.HOW DOES THE TRUST PLAN TO PREVENT ECT IN THE FUTURE?

OUR RESPONSE: NOT APPLICABLE.

PLEASE PROVIDE RESTRAINTS INFORMATION UNDER THE FOI ACT TO THE FOLLOWING QUESTIONS: -

1.PLEASE SUPPLY ANY RESTRAINTS/INVESTIGATIONS

OUR RESPONSE: I CAN CONFIRM THE TRUST HOLDS THE INFORMATION YOU HAVE REQUESTED. HOWEVER, 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. ALTHOUGH INVESTIGATIONS DO NOT ALL CONTAIN NAMES OF INDIVIDUALS; PATIENTS AND STAFF COULD BE IDENTIFIED BY THE DESCRIPTION OF THE PARTICULAR INCIDENTS AND THE OUTCOME.

2.HOW MANY RESTRAINTS IN 2023?

OUR RESPONSE: 1302 OCCURRENCES.

3.WHAT PROPORTION OF PATIENTS WERE MEN/WOMEN?

OUR RESPONSE: 383 OCCURRENCES FOR MEN AND 919 OCCURRENCES FOR WOMEN.

4.HOW OLD WERE THEY?

OUR RESPONSE: AGE RANGE FROM 12 YEARS TO OVER 85.

5.WHAT PROPORTION OF PATIENTS WERE CLASSIFIED PEOPLE OF THE GLOBAL MAJORITY OR RACIALISED COMMUNITIES ("POC / BAME")?

OUR RESPONSE: PLEASE SEE TABLE BELOW FOR RECORDED ETHNICITY CATEGORIES:

Category	Number of Patients
Not Mapped	≤10
Not Known	≤10
White - British	145
White - Irish	≤10
White - Any other White background	≤10
Mixed - White and Black Caribbean	≤10
Mixed - White and Black African	≤10
Mixed - White and Asian	≤10
Mixed - Any other mixed background	≤10
Asian or Asian British - Indian	20
Asian or Asian British - Pakistani	≤10
Asian or Asian British - Bangladeshi	≤10
Asian or Asian British - Any other Asian background	≤10
Black or Black British - Caribbean	≤10
Black or Black British - African	≤10
Black or Black British - Any other Black background	≤10
Other Ethnic Groups - Chinese	≤10
Other Ethnic Groups - Any other ethnic group	≤10
Not Stated	17

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

OUR RESPONSE: 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 we do not centrally record the information being requested above and this would require a manual review of information to determine.

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

OUR RESPONSE: Leicestershire Partnership NHS Trust does not hold this information.

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

OUR RESPONSE: 1.

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

OUR RESPONSE: 8 (including the patient above).

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?

OUR RESPONSE: 1.

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?

OUR RESPONSE: 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 in services and at the Trust Least Restrictive Practice Group.

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

1.Please supply any SECLUSION reports/investigations

OUR RESPONSE: I can confirm the Trust holds the information you have requested. However, 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. Although investigations do not all contain names of individuals; patients and staff could be identified by the description of the particular incidents and the outcome.

2.How many SECLUSIONS in 2023?

OUR RESPONSE: 197 occurrences.

3.What proportion of patients were men/women?

OUR RESPONSE: 148 occurrences for men and 49 occurrences for women.

4.How old were they?

OUR RESPONSE: Age range from 16 to 64 years.

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

OUR RESPONSE: Please see table below for recorded ethnicity categories:

Category	Number of Patients
Not Known	≤10
White - British	43
White - Any other White background	≤10
Mixed - White and Black African	≤10
Mixed - Any other mixed background	≤10
Asian or Asian British - Indian	20
Asian or Asian British - Pakistani	≤10
Asian or Asian British - Bangladeshi	≤10
Asian or Asian British - Any other Asian background	≤10
Black or Black British - Caribbean	≤10
Black or Black British - African	12
Other Ethnic Groups - Any other ethnic group	≤10
Not Stated	8

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

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

OUR RESPONSE: 0.

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

OUR RESPONSE: 0.

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

OUR RESPONSE: 0.

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?

OUR RESPONSE: No.

13.If so, what was their concerns?

OUR RESPONSE: Not applicable.

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 OUR RESPONSE: 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. This is because to locate, retrieve and extract the information you have requested would take more than 18 hours.

2.How many MEDICATION ERRORS in 2023? OUR RESPONSE: 905 Medication Errors / 573 Prescribing Errors.

3.What proportion of patients were men/women? OUR RESPONSE: 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 we do not centrally record the information being requested and this would require a manual review to determine.

4.How old were they? OUR RESPONSE: Please see response to 3 above.

5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")? OUR RESPONSE: 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 we do not centrally record the information being requested and this would require a manual review to determine.

6.How many people covered by the equality act endured medication errors ? OUR RESPONSE: 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 we do not centrally record the information being requested and this would require a manual review to determine.

7.How many MEDICATION ERRORS were investigated outside the NHS and CCG? OUR RESPONSE: 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 we do not centrally record the information being requested and this would require a manual review to determine.

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)? OUR RESPONSE: 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 we do not centrally record the information being requested and this would require a manual review to determine.

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)? OUR RESPONSE: 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 we do not centrally record the information being requested and this would require a manual review to determine.

10.How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)? OUR RESPONSE: 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 we do not centrally record the information being requested and this would require a manual review to determine.

11.How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications? OUR RESPONSE: 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 we do not centrally record the information being requested and this would require a manual review to determine.

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

OUR RESPONSE: 1.

13.If so, what was their concerns? OUR RESPONSE: I can confirm the Trust holds the information you have requested. However, 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.

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

OUR RESPONSE: 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 we do not centrally record the information being requested and this would require a manual review to determine.

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: Data Protection Officer, Data Privacy Team, Room 500, Rutland Building, County Hall, Leicester Road, Glenfield, Leicestershire, LE3 8RA.

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.