Dear Ms. Micklewright,

Further to your recent request made under the Freedom of Information Act 2000, please see detailed below the Trust’s response:

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

1. Please supply patient’s information ECT leaflet.

Please see attached.

1. Please supply patient ECT consent form.

Please see attached.

1. Please supply any ECT reports/investigations

     Investigations are only carried out by the Investigation Team following a Serious Incident.

1. How many ECT in 2020?

 
245

1. What proportion of patients were men/women?

Female – 133
Male - 112
 

1. How old were they?

 

Age	Number of ECT's
18	5
30	31
31	<5
45	<5
47	<5
48	<5
53	10
54	10
58	<5
59	11
63	17
65	8
66	11
67	5
69	10
72	22
73	<5
74	5
75	23
76	15
77	8
78	<5
80	11
81	<5
82	11
83	6
86	<5

 

1. What proportion of patients were classified BAME?

 

Ethnicity	Number of ECT's
Asian or Asian British - Indian	<5
Asian or Asian British - Pakistani	5
Not Stated	24
White - Any other background	7
White - British	206
Grand Total	245

 
 

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

 
Five.
 

1. How many patients consented to ECT?

 
We do not record this information. The only way of obtaining the information would be to manually check through all Patient records. Given that there are 245 patients which even at 5 minutes per client, would take 20 hours. The provision of this information is therefore exempt under Section 12 of the FOI act which states that this exemption will apply “where the cost of compliance is estimated to exceed the appropriate limit”. This is based on a cost limit of £450 with a calculation of £25 per hour.
 

1. 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)?
 
One. We do not have access to the cause of death.
 
12. How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
 
Four. We do not have access to the cause of death
 
13. How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
 
We do not record this information. The only way of obtaining the information would be to manually check through all Patient records. Given that there are 245 patients which even at 5 minutes per client, would take 20 hours. The provision of this information is therefore exempt under Section 12 of the FOI act which states that this exemption will apply “where the cost of compliance is estimated to exceed the appropriate limit”. This is based on a cost limit of £450 with a calculation of £25 per hour.
 
 
14. How many patients have suffered complications during and after ECT and what were those complications?
 
We do not record this information. The only way of obtaining the information would be to manually check through all Patient records. Given that there are 245 patients which even at 5 minutes per client, would take 20 hours. The provision of this information is therefore exempt under Section 12 of the FOI act which states that this exemption will apply “where the cost of compliance is estimated to exceed the appropriate limit”. This is based on a cost limit of £450 with a calculation of £25 per hour.
 
 
15. Have there been any formal complaints from patients/relatives about ECT?
 
            No.
 
16. If so, what was their concerns?
 
Not applicable.
17. How many patients report memory loss/loss of cognitive function?
 
We do not record this information. The only way of obtaining the information would be to manually check through all Patient records. Given that there are 245 patients which even at 5 minutes per client, would take 20 hours. The provision of this information is therefore exempt under Section 12 of the FOI act which states that this exemption will apply “where the cost of compliance is estimated to exceed the appropriate limit”. This is based on a cost limit of £450 with a calculation of £25 per hour.
 
 
18. What tests are used to assess memory loss/loss of cognitive function?
 
        Cognitive function tests are carried out 3 months and 6 months post treatment. 
19. Have MRI or CT scans been used before and after ECT?
 
     No, the request for MRI or CT scans would be carried out prior to referral for ECT.
 
20. If so what was the conclusion?
 
Not applicable
 
21. How does the Trust plan to prevent ECT in the future?
 
There are currently no plans to prevent ECT.
 
 
Please provide SERIOUS INCIDENT information under the FOI act to the following questions: -
 

1. Please supply any serious incident reports/investigations

 
I can confirm that the Trust holds the information requested, but in this case we will not be providing it to you as it is exempt from disclosure.
 
We will not be providing this information under both section 12 and section 40 (2) of the Freedom of Information Act.
 
The only way of obtaining the information would be to manually check through all Serious Incident Reports and redact all personal information.  Given that there are 108 reports which even at 10 minutes per report, would take 18 hours. The provision of this information is therefore exempt under Section 12 of the FOI act which states that this exemption will apply “where the cost of compliance is estimated to exceed the appropriate limit”.  This is based on a cost limit of £450 with a calculation of £25 per hour.
 
We are not obliged, under section 40(2) of the Act, to provide information that is the personal information of another person if releasing would contravene any of the provisions in the Data Protection Act 1998 (DPA). In this instance we believe that the release of this information would contravene the first data protection principle and therefore section 40 (2) is engaged. The terms of this exemption in the Freedom of Information Act mean that we do not have to consider whether or not it would be in the public interest for you to have the information.
 

1. How many SERIOUS INCIDENT REPORTS in 2020?

 
108.
 

1. What proportion of patients were men/women?

 
          Female – 45 
          Male – 57
          Unknown - 6
 

1. How old were they?

 

Age	Number of SI's
13	<5
14	<5
17	6
19	<5
20	<5
21	<5
22	<5
23	<5
24	<5
25	<5
26	<5
27	<5
28	<5
29	<5
30	<5
31	<5
32	<5
33	<5
34	<5
35	<5
36	<5
37	<5
38	<5
39	<5
41	<5
42	<5
43	<5
44	<5
45	<5
46	<5
47	<5
49	<5
50	<5
51	<5
52	<5
53	<5
54	<5
55	<5
56	<5
57	<5
58	<5
59	<5
60	<5
61	<5
62	<5
63	<5
64	<5
67	<5
70	<5
71	<5
74	<5
76	<5
77	<5
78	<5
80	<5
81	<5
83	<5
84	<5
92	<5
Various	6
Grand Total	108

 
 

1. What proportion of patients were classified BAME?

 
We do not record this information.
 

1. How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG?

 
None.
 

1. 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)?

 
          We do not record this information. Serious Incidents are carried out after a patient has died.
 

1. 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)?

 
          We do not record this information. Serious Incidents are carried out after a patient has died.
 

1. How many patients died by suicide within 6 months of receiving SERIOUS INCIDENT REPORTS (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?

 
We do not record this information. The only way of obtaining the information would be to manually check through all Serious Incident Reports and redact all personal information.  Given that there are 108 reports which even at 10 minutes per report, would take 18 hours. The provision of this information is therefore exempt under Section 12 of the FOI act which states that this exemption will apply “where the cost of compliance is estimated to exceed the appropriate limit”.  This is based on a cost limit of £450 with a calculation of £25 per hour.
 
 

1. How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?

 
            We do not record this information. Serious Incidents are carried out after a patient has died.
 

1. Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?

 
Yes - 2
 

1. If so, what was their concerns?

 
            Complainants stated they were unhappy with care and treatment provided.
 

1. How does the Trust plan to prevent SERIOUS INCIDENTS in the future?

 
          Incident management underpins a basic part of the risk management framework for Midlands Partnership NHS Foundation Trust. It is important that incidents are reported and investigated in a consistent way and that lessons learnt are shared within the organisation to reduce the likelihood of similar incidents occurring within our services.
 
 
Please provide restraints information under the FOI act to the following questions: -
 

1. Please supply any Restraints/investigations

 
Investigations are only carried out by the Investigation Team following a Serious Incident.
 

1. How many RESTRAINTS in 2020?

 
1306.
 

1. What proportion of patients were men/women?

 
Female – 617
Male – 688
Not disclosed - 1
 

1. How old were they?

 

Age	Patients
14	5
17	5
18	97
19	56
20	12
21	9
22	20
23	11
24	16
25	64
26	16
27	6
28	47
29	12
30	25
31	24
32	<5
33	15
34	25
35	22
36	18
37	17
38	19
39	18
40	47
41	32
42	8
43	9
44	18
45	9
46	8
47	6
48	<5
49	13
50	6
51	7
52	19
53	5
54	50
55	50
56	12
57	9
58	35
59	18
60	24
61	16
62	44
63	42
64	26
65	15
66	6
67	17
68	<5
69	<5
70	5
71	27
72	17
73	7
74	16
75	21
76	<5
77	8
78	29
79	22
80	<5
81	14
82	<5
84	<5
87	<5
88	<5
91	5
92	<5
Grand Total	1306

 

1. What proportion of patients were classified BAME?

Episodes	By Gender
Ethnicity	Female	Male	Not Stated	Grand Total
Asian or Asian British - Any other background	0.0%	0.9%	0.0%	0.9%
Asian or Asian British - Bangladeshi	0.1%	0.0%	0.0%	0.1%
Asian or Asian British - Indian	0.7%	0.3%	0.0%	1.0%
Asian or Asian British - Pakistani	0.0%	6.7%	0.0%	6.7%
Black or Black British - Any other background	0.1%	0.0%	0.0%	0.1%
Black or Black British - Caribbean	1.4%	0.2%	0.0%	1.6%
Mixed - Any other mixed background	1.5%	0.0%	0.0%	1.5%
Not Known	0.3%	0.4%	0.0%	0.7%
Not Stated	3.2%	4.7%	0.0%	7.9%
Other Ethnic Groups - Any Other Group	3.7%	0.8%	0.0%	4.4%
White - Any other background	1.7%	2.3%	0.1%	4.1%
White - British	34.5%	35.3%	0.0%	69.8%
White - Irish	0.2%	0.1%	0.0%	0.2%
White & Asian	0.0%	0.2%	0.0%	0.2%
White & Black African	0.0%	0.1%	0.0%	0.1%
White & Black Caribbean	0.0%	0.8%	0.0%	0.8%
Grand Total	47.2%	52.7%	0.1%	100.0%

 

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

 
None.
 

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

 
Three. We do not have access to the cause of death.
 
 

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

 
Eight. We do not have access to the cause of death.
 

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

 
None.
 

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

 
None.
 

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

 
No.
 

1. If so, what was their concerns?

 
Not applicable.
 

1. Are counts of forced injections available?

 
No.
 

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

Restraint is not a standard method of managing patients within the Trust. However, in rare and exceptional circumstances in order to protect the patient, other patients, staff and the general public it may be necessary to restrain patients.
 
Please provide SECLUSION information under the FOI act to the following questions: -
 

1. Please supply any SECLUSION reports/investigations

 
Investigations are only carried out by the Investigation Team following a Serious Incident
 
 

1. How many SECLUSIONS in 2020?

 
67
 

1. What proportion of patients were men/women?

 
Female – 27
Male - 40
 

1. How old were they?

 

Age	Patients
18	<5
21	<5
22	<5
24	<5
25	7
26	6
28	<5
29	<5
31	<5
32	<5
34	7
35	<5
37	<5
40	5
41	<5
42	<5
43	<5
44	<5
47	<5
50	<5
54	<5
55	<5
57	<5
58	<5
60	<5
64	<5
65	<5
66	<5
72	<5
Unknown	<5
Grand Total	67

 
 

1. What proportion of patients were classified BAME?

 

Ethnicity	Seclusion
Asian or Asian British - Any other background	6
Asian or Asian British - Pakistani	1
Black African - Black Or Black British	6
British - White	8
Not Stated / Unknown	12
Other White - White	1
White - Any other background	1
White - British	28
White & Asian - Mixed	1
White & Black Caribbean	3
Grand Total	67

 
 

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

 
None.
 

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

 
None.
 

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

 
None.
 

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

 
None.
 

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

 
None.
 

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

 
No.
 

1. If so, what was their concerns?

 
Not applicable.
 

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

 
Seclusion is not a standard method of managing patients within the Trust. However, in rare and exceptional circumstances in order to protect other patients, staff and the general public it may be necessary to seclude patients. Seclusion is only used for patients detained under the Mental Health Act and is only used when patients display highly and severely disturbed behaviour
 
Please provide MEDICATION ERRORS information under the FOI act to the following questions: -
 

1. Please supply any MEDICATION ERRORS reports/investigations

 
Investigations are only carried out by the Investigation Team following a Serious Incident
 

1. How many MEDICATION ERRORS in 2020?

 
          516 Medication related incidents
 

1. What proportion of patients were men/women?

 
          Female – 210
          Male – 226
          Unknown/Not stated – 80
 

1. How old were they?

 

Age	Patients
6	<5
7	<5
11	<5
15	<5
16	<5
17	<5
18	<5
19	10
20	<5
21	<5
22	<5
23	<5
24	7
25	9
26	6
27	8
28	9
29	14
30	13
31	14
32	9
33	7
34	<5
35	9
36	16
37	11
38	6
39	13
40	16
41	9
42	10
43	<5
44	<5
45	5
46	<5
47	<5
48	7
49	<5
50	11
51	7
52	14
53	22
54	12
55	18
56	5
57	6
58	14
59	<5
60	8
61	5
62	9
63	5
64	5
65	5
66	<5
67	<5
68	<5
69	<5
70	<5
71	<5
72	<5
73	<5
74	<5
76	6
77	<5
78	10
79	5
80	5
81	<5
82	<5
83	<5
84	<5
85	<5
86	<5
Unknown/Not Stated	57
Grand Total	516

 

1. What proportion of patients were classified BAME?

 

Ethnicity	Medication Incidents
Asian or Asian British - Any other background	5
Asian or Asian British - Indian	1
Asian or Asian British - Pakistani	8
Black African - Black Or Black British	5
Black Carribbean - Black Or Black British	2
Black or Black British - Caribbean	6
British - White	49
Mixed - Any other mixed background	2
Not Stated / Unknown	187
Other Ethnic Groups - Any Other Group	4
Other White - White	4
White - Any other background	6
White - British	232
White - Irish	2
White & Black Caribbean	3
Grand Total	516

 
 

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

 
None.
 

1. 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)?

 
None.
 

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

 
None.
 

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

 
None.
 

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

 
None.
 

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

 
None.  
 

1. If so, what was their concerns?

 
Not applicable.
 

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

 
Staff MUST follow the basic principles of safe administration of medication as listed below at ALL times:
RIGHT PATIENT - Ask patient to confirm their name - Check name of patient on administration record
RIGHT MEDICATION - Check name on medication label corresponds with MARs chart
RIGHT DOSE - Check dose on medication label corresponds with MARs chart
RIGHT TIME - Check the frequency of medication - Check medication is been given/taken at the correct time - Confirm when last dose was given
RIGHT ROUTE - Confirm that patient can take/ receive medication by specified route
RIGHT DOCUMENTATION - Record signature, and any relevant information after giving specified medication - Observe patient taking medication - Document time of administration and any relevant information in care record
RIGHT CONSENT - Ensure that you have gained patient consent to administer medication
RIGHT EDUCATION - All staff involved in the administration of medication must have received appropriate medicines management training
 
We would be grateful if you could take a minute to fill out our Freedom of Information Customer Satisfaction Survey (attached) and let us know about your experience.
Please contact me (Aled Evans) in the first instance if you have any queries or questions regarding the Trust's response.  However, if you have any complaints about the handling of your enquiry, please contact:

Ms Lian Stibbs, Head of Information Governance and Records Access Management, Midlands Partnership Foundation Trust, Trust Headquarters St George's Hospital Corporation Street Stafford, ST16 3SR
Email: lian.stibbs@mpft.nhs.uk

You also have a right of appeal to the Information Commissioner at:

Information Commissioner's Office
Wycliffe House
Water Lane
Wilmslow
Cheshire
SK9 5AF
Telephone: 01625 545700
Website: www.informationcommissioner.gov.uk
PLEASE NOTE: As of 1^st June 2018 South Staffordshire and Shropshire Healthcare NHS Foundation Trust has merged with Staffordshire and Stoke-on-Trent Partnership NHS Trust to become Midlands Partnership Foundation Trust.
Yours sincerely
 
Aled Evans
 
FOI Officer
Midlands Partnership Foundation Trust
Trust HQ, St George’s Hospital
Corporation Street
Stafford
ST16 3AG
Tel: 01785 221104 Extension: 7128998
DD: 01785 301314 Extension: 301314
Email: FOI@mpft.nhs.uk