Please provide ECT information under the FOI act to the following questions: -
1.Please supply patient’s information ECT leaflet.
In ECT Policy On trust website
2.Please supply patient ECT consent form
In ECT Policy On trust website
3.Please supply any ECT reports/investigations
In ECT Policy On trust website
4.How many ECT in 2022?
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")?
8How 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 mny 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?
In ECT Policy On trust website
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? I do not believe we can submit any SI report to the public?
2.How many SERIOUS INCIDENT REPORTS in 2022? 47
3.What proportion of patients were men/women? 23 Male & 24 Female
4.How old were they? Q4&5 - Currently the way we capture data around this does not make providing this information easily. We anticipate this will take 1-4 hours, depending on how the systems interact.
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")? Q4&5 - Currently the way we capture data around this does not make providing this information easily. We anticipate this will take 1-4 hours, depending on how the systems interact.
6.How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG? Zero for 2022
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)? Q7-9 Currently the way we capture data around this does not make providing this information easily then we anticipate this would take 2-3 hours work.
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)? Q7-9 Currently the way we capture data around this does not make providing this information easily then we anticipate this would take 2-3 hours work..
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)? Q7-9 Currently the way we capture data around this does not make providing this information easily then we anticipate this would take 2-3 hours work.
10.How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications? We do not have this data to hand nor the permission to review each patients clinical record to consider if they had a complication. Tthen we anticipate this would take 2-3 hours work.
11.Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS? Zero for 2022
12.If so, what was their concerns? N/A
13.How does the Trust plan to prevent SERIOUS INCIDENTS in the future? The Trust is currently transitioning to the Patient Safety Incident Response Plan (PSIRF), which will be LPFT’s approach to developing and maintaining effective systems and processes for responding to patient safety incidents for the purpose of learning and improving patient safety.
Please provide restraints information under the FOI act to the following questions: -
1.Please supply any Restraints/investigations?
HR, Clinical Teams, PALs
2.How many RESTRAINTS in 2022?
1711
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 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?
Yes
14.How does the Trust plan to reduce restraints in the future?
The Trust has the following in place:
- The PMVA Team sits in the management line of the Director of Nursing.
- PMVA Team Work Programme.
- PMVA Working Group to which all clinicians are invited, including senior management.
- Restrictive Practice Hub which provides oversight of the many restrictive Practice Reduction projects underway in our clinical areas.
- Seclusion Review Panel which reviews all seclusions within 2 weeks of their occurrence.
- Restraint Review Panel which reviews a random selection of restraints for review on a monthly basis.
- PMVA Inpatient Links who are newly set up to complement the in-reach from the PMVA Team.
- BILD ACT certified training with all its quality assurance processes.
- Staff training compliance monitoring.
- PMVA Links who have designated areas of responsibility.
- PMVA Team inclusion at all related strategy meetings, MDTs, lessons learnt, incident reflection, CCTV monitoring where appropriate.
- PMVA Team support of clinical team reflective practice.
- PMVA Team support of clinical team for individualised care planning where PMVA may be required.
- Reporting structure to PSEC with exceptions reported to Quality Committee.
- Monthly scrutiny of all incidents reported via Datix – trends and themes identified.
- Inclusion in the regional Mental Health Safety Improvement Project for restrictive practice reduction.
All of the above have a focus on restrictive practice reduction throughout. The above list is not exhaustive.
Please provide SECLUSION information under the FOI act to the following questions: -
1.Please supply any SECLUSION reports/investigations
HR, Clinical Teams, PALs
2.How many SECLUSIONS in 2022?
121
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 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 reduce SECLUSIONS in the future?
See number 14 in restraint section.
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 2022?
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 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?