Hello,
Further to your recent request made under the Freedom of Information Act 2000, please see
detailed below and attached 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.
2.Please supply patient ECT consent form
Please see attached.
3.Please supply any ECT reports/investigations
Investigations are only carried out by the Investigation Team following a
Serious Incident.
4.How many ECT in 2022?
Num
Patients
Num
ECTs
ECTs in 2022 53 409
5.What proportion of patients were men/women?
Gender
Num
Patients
Num
ECTs
Female 34 252
Male 19 157
Grand Total 53 409
6.How old were they?
Age
Num
Patients
Num
ECTs
24 <5 7
25 <5 11
26 <5 1
33 <5 8
39 <5 3
45 <5 1
47 <5 10
49 <5 4
51 <5 9
54 <5 17
56 <5 6
57 <5 12
58 <5 14
59 <5 13
60 <5 14
61 <5 10
62 <5 7
64 <5 15
65 <5 46
66 <5 14
67 <5 11
68 <5 7
69 <5 18
70 <5 4
71 <5 8
72 <5 19
73 <5 2
74 <5 1
75 <5 29
76 <5 1
77 <5 25
78 <5 15
79 <5 12
80 <5 9
81 <5 17
85 <5 9
Grand Total 53 409
7.What proportion of patients were classified people of the global
majority or racialised communities ("POC / BAME")?
Ethnicity
Num
Patients
Num
ECTs
Unknown / Not Stated 3 20
White - Any other
background 2 23
White - British 48 366
Grand Total 53 409
8.How many were receiving ECT for the first time?
41.
9.How many patients consented to ECT?
I can neither confirm nor deny whether the information you have requested is held by
the Trust in its entirety. This is because the information requested is not held
centrally, but may be recorded in individual health records. In order to confirm
whether this information is held we would therefore have to individually access all
individual health records within the Trust and extract the information where it is
present. We therefore estimate that complying with your request is exempt under
section 12 of the FOI Act: cost of compliance is excessive. The section 12 exemption
applies when it is estimated a request will take in excess of 18 hours to complete. We
estimate that accessing and reviewing all individual health records and then
extracting relevant information would take longer than the 18 hours allowed for.
10.How many ECT complaints were investigated outside the NHS
and CCG?
We do not hold this information.
11.How many patients died during or 1 month after ECT and what
was the cause (whether or not ECT was considered the cause)?
I can neither confirm nor deny whether the information you have requested is held by
the Trust in its entirety. This is because the information requested is not held
centrally, but may be recorded in individual health records. In order to confirm
whether this information is held we would therefore have to individually access all
individual health records within the Trust and extract the information where it is
present. We therefore estimate that complying with your request is exempt under
section 12 of the FOI Act: cost of compliance is excessive. The section 12 exemption
applies when it is estimated a request will take in excess of 18 hours to complete. We
estimate that accessing and reviewing all individual health records and then
extracting relevant information would take longer than the 18 hours allowed for.
12.How many patients died within 6 months after ECT and what was
the cause (whether or not ECT was considered the cause)?
I can neither confirm nor deny whether the information you have requested is held by
the Trust in its entirety. This is because the information requested is not held
centrally, but may be recorded in individual health records. In order to confirm
whether this information is held we would therefore have to individually access all
individual health records within the Trust and extract the information where it is
present. We therefore estimate that complying with your request is exempt under
section 12 of the FOI Act: cost of compliance is excessive. The section 12 exemption
applies when it is estimated a request will take in excess of 18 hours to complete. We
estimate that accessing and reviewing all individual health records and then
extracting relevant information would take longer than the 18 hours allowed for.
13.How many patients died by suicide within 6 months of receiving
ECT (whether or not ECT was considered the cause)?
I can neither confirm nor deny whether the information you have requested is held by
the Trust in its entirety. This is because the information requested is not held
centrally, but may be recorded in individual health records. In order to confirm
whether this information is held we would therefore have to individually access all
individual health records within the Trust and extract the information where it is
present. We therefore estimate that complying with your request is exempt under
section 12 of the FOI Act: cost of compliance is excessive. The section 12 exemption
applies when it is estimated a request will take in excess of 18 hours to complete. We
estimate that accessing and reviewing all individual health records and then
extracting relevant information would take longer than the 18 hours allowed for.
14.How many patients have suffered complications during and after
ECT and what were those complications?
I can neither confirm nor deny whether the information you have requested is held by
the Trust in its entirety. This is because the information requested is not held
centrally, but may be recorded in individual health records. In order to confirm
whether this information is held we would therefore have to individually access all
individual health records within the Trust and extract the information where it is
present. We therefore estimate that complying with your request is exempt under
section 12 of the FOI Act: cost of compliance is excessive. The section 12 exemption
applies when it is estimated a request will take in excess of 18 hours to complete. We
estimate that accessing and reviewing all individual health records and then
extracting relevant information would take longer than the 18 hours allowed for.
15.Have there been any formal complaints from patients/relatives
about ECT?
None.
16.If so, what was their concerns?
Not applicable.
17.How many patients report memory loss/loss of cognitive
function?
I can neither confirm nor deny whether the information you have requested is held by
the Trust in its entirety. This is because the information requested is not held
centrally, but may be recorded in individual health records. In order to confirm
whether this information is held we would therefore have to individually access all
individual health records within the Trust and extract the information where it is
present. We therefore estimate that complying with your request is exempt under
section 12 of the FOI Act: cost of compliance is excessive. The section 12 exemption
applies when it is estimated a request will take in excess of 18 hours to complete. We
estimate that accessing and reviewing all individual health records and then
extracting relevant information would take longer than the 18 hours allowed for.
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.
2.How many SERIOUS INCIDENT REPORTS in 2022?
311.
3.What proportion of patients were men/women?
116 Female / 196 Male (2 or more patients can be involved in the same Serious
Incident Reported)
4.How old were they?
Age Total
0 <5
1 <5
10 <5
14 <5
15 <5
16 <5
18 9
19 <5
20 <5
21 <5
22 <5
24 <5
26 <5
27 <5
28 <5
30 <5
31 <5
32 <5
33 <5
34 5
35 <5
36 6
37 7
38 8
39 11
40 5
41 <5
42 8
43 <5
44 <5
45 7
46 <5
47 8
48 7
49 11
50 5
51 <5
52 9
53 6
54 7
55 11
56 <5
57 12
58 <5
59 <5
60 7
61 <5
62 <5
63 <5
64 <5
65 5
66 <5
67 <5
68 <5
69 <5
71 <5
72 <5
74 <5
75 <5
76 <5
77 <5
78 <5
79 <5
80 <5
81 <5
82 <5
83 <5
84 <5
85 5
86 <5
87 5
88 <5
89 <5
90 <5
91 5
92 <5
93 <5
94 <5
95 <5
96 <5
97 <5
Grand Total 312
5.What proportion of patients were classified people of the global
majority or racialised communities ("POC / BAME")?
We do not record this information.
6.How many SERIOUS INCIDENT REPORTS were investigated
outside the NHS and CCG?
We do not record this information.
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)?
We do not record this information. Serious Incidents are carried out after a
patient has died.
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)?
We do not record this information. Serious Incidents are carried out after a
patient has died.
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)?
I can neither confirm nor deny whether the information you have requested is held by
the Trust in its entirety. This is because the information requested is not held
centrally, but may be recorded in individual health records. In order to confirm
whether this information is held we would therefore have to individually access all
individual health records within the Trust and extract the information where it is
present. We therefore estimate that complying with your request is exempt under
section 12 of the FOI Act: cost of compliance is excessive. The section 12 exemption
applies when it is estimated a request will take in excess of 18 hours to complete. We
estimate that accessing and reviewing all individual health records and then
extracting relevant information would take longer than the 18 hours allowed for.
10.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. “Serious incidents” is not a complication.
11.Have there been any formal complaints from patients/relatives
about SERIOUS INCIDENT REPORTS?
None.
12.If so, what was their concerns?
Not applicable.
13.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 University 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.
2.How many RESTRAINTS in 2022?
2266.
3.What proportion of patients were men/women?
Row Labels
Sum of
Numerator
Female 1348
Male 918
Grand Total 2266
Female 59.49%
Male 40.51%
4.How old were they?
Age Count
12 <5
14 <5
15 <5
16 <5
17 57
18 286
19 68
20 53
21 77
22 8
23 8
24 16
25 11
26 34
27 46
28 6
29 16
30 43
31 69
32 57
33 57
34 29
35 30
36 18
37 22
38 41
39 26
40 26
41 89
42 39
43 27
44 5
45 5
46 5
47 20
48 43
49 10
50 <5
51 25
52 21
53 20
54 124
55 21
56 33
57 6
58 44
59 180
60 6
61 49
62 27
63 47
64 12
65 25
66 <5
67 15
68 <5
69 <5
70 15
71 11
72 26
73 <5
74 <5
75 21
76 9
77 46
78 5
79 20
80 29
81 9
82 21
84 13
85 <5
86 <5
87 <5
88 6
Grand Total 2266
5.What proportion of patients were classified people of the global
majority or racialised communities ("POC / BAME")?
Row Labels
Sum of
Numerator
Asian or Asian British ‐ Any other background 8 0.35%
Asian or Asian British ‐ Bangladeshi 5 0.22%
Asian or Asian British ‐ Indian 16 0.71%
Asian or Asian British ‐ Pakistani 21 0.93%
Black or Black British ‐ Any other background 1 0.04%
Black or Black British ‐ Caribbean 12 0.53%
Declined to classify 25 1.10%
Information not yet obtained 14 0.62%
Mixed ‐ Any other mixed background 17 0.75%
Other Ethnic Groups ‐ Any Other Group 10 0.44%
White ‐ Any other background 226 9.97%
White ‐ British 1797 79.30%
White ‐ Irish 43 1.90%
White & Asian 34 1.50%
White & Black Caribbean 37 1.63%
Grand Total 2266
6.How many RESTRAINTS were investigated outside the NHS and
CCG?
We do not hold this information.
7.How many patients died during or 1 month after RESTRAINTS
and what was the cause (whether or not RESTRAINTS was
considered the cause)?
I can neither confirm nor deny whether the information you have requested is held by
the Trust in its entirety. This is because the information requested is not held
centrally, but may be recorded in individual health records. In order to confirm
whether this information is held we would therefore have to individually access all
individual health records within the Trust and extract the information where it is
present. We therefore estimate that complying with your request is exempt under
section 12 of the FOI Act: cost of compliance is excessive. The section 12 exemption
applies when it is estimated a request will take in excess of 18 hours to complete. We
estimate that accessing and reviewing all individual health records and then
extracting relevant information would take longer than the 18 hours allowed for.
8.How many patients died within 6 months after RESTRAINTS and
what was the cause (whether or not RESTRAINTS was considered
the cause)?
I can neither confirm nor deny whether the information you have requested is held by
the Trust in its entirety. This is because the information requested is not held
centrally, but may be recorded in individual health records. In order to confirm
whether this information is held we would therefore have to individually access all
individual health records within the Trust and extract the information where it is
present. We therefore estimate that complying with your request is exempt under
section 12 of the FOI Act: cost of compliance is excessive. The section 12 exemption
applies when it is estimated a request will take in excess of 18 hours to complete. We
estimate that accessing and reviewing all individual health records and then
extracting relevant information would take longer than the 18 hours allowed for.
9.How many patients died by suicide within 6 months of receiving
RESTRAINTS (whether or not RESTRAINTS was considered the
cause)?
I can neither confirm nor deny whether the information you have requested is held by
the Trust in its entirety. This is because the information requested is not held
centrally, but may be recorded in individual health records. In order to confirm
whether this information is held we would therefore have to individually access all
individual health records within the Trust and extract the information where it is
present. We therefore estimate that complying with your request is exempt under
section 12 of the FOI Act: cost of compliance is excessive. The section 12 exemption
applies when it is estimated a request will take in excess of 18 hours to complete. We
estimate that accessing and reviewing all individual health records and then
extracting relevant information would take longer than the 18 hours allowed for.
10.How many patients have suffered complications during and after
RESTRAINTS and what were those complications?
I can neither confirm nor deny whether the information you have requested is held by
the Trust in its entirety. This is because the information requested is not held
centrally, but may be recorded in individual health records. In order to confirm
whether this information is held we would therefore have to individually access all
individual health records within the Trust and extract the information where it is
present. We therefore estimate that complying with your request is exempt under
section 12 of the FOI Act: cost of compliance is excessive. The section 12 exemption
applies when it is estimated a request will take in excess of 18 hours to complete. We
estimate that accessing and reviewing all individual health records and then
extracting relevant information would take longer than the 18 hours allowed for.
11.Have there been any formal complaints from patients/relatives
about RESTRAINTS?
No.
12.If so, what was their concerns?
Not applicable.
13.Are counts of forced injections available?
No. We do not recognise the term ‘forced injections’ and therefore cannot
answer this question.
14.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
2.How many SECLUSIONS in 2022?
71.
3.What proportion of patients were men/women?
Male 50 / Female 21
4.How old were they?
Age Count of Incident
Number
16 <5
17 <5
19 <5
20 <5
21 <5
23 <5
26 <5
27 <5
29 <5
30 <5
31 <5
32 <5
33 5
34 <5
36 <5
38 <5
39 <5
40 <5
41 <5
42 <5
45 <5
46 <5
48 <5
51 <5
53 <5
54 <5
56 6
61 <5
63 <5
65 <5
66 <5
Grand Total 71
5.What proportion of patients were classified people of the global
majority or racialised communities ("POC / BAME")?
7%
6.How many SECLUSIONS were investigated outside the NHS and
CCG?
We do not hold this information.
7.How many patients died during or 1 month after SECLUSION and
what was the cause (whether or not SECLUSION was considered
the cause)?
None.
8.How many patients died within 6 months after SECLUSION and
what was the cause (whether or not SECLUSION was considered
the cause)?
None.
9.How many patients died by suicide within 6 months of receiving
SECLUSION (whether or not SECLUSION was considered the
cause)?
None.
10.How many patients have suffered complications during and after
SECLUSION and what were those complications?
None.
11.Have there been any formal complaints from patients/relatives
about SECLUSION?
None.
12.If so, what was their concerns?
Not applicable.
13.How does the Trust plan to reduce SECLUSIONS 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
2.How many MEDICATION ERRORS in 2022?
1249.
3.What proportion of patients were men/women?
Female 599 / Male 550 / Other 1 / Unknown 145 (2 or more patients can be
involved in one reported medication incident).
4.How old were they?
Age Count of Incident
Number
0 <5
1 <5
2 <5
4 <5
5 <5
6 <5
7 <5
8 <5
9 <5
10 <5
11 <5
12 <5
13 17
14 19
15 14
16 <5
17 <5
18 12
19 <5
20 5
21 8
22 <5
23 7
24 6
25 10
26 10
27 18
28 11
29 12
30 18
31 26
32 12
33 18
34 10
35 7
36 7
37 12
38 20
39 9
40 16
41 17
42 15
43 16
44 16
45 17
46 6
47 10
48 16
49 <5
50 7
51 12
52 14
53 18
54 14
55 11
56 17
57 13
58 9
59 14
60 7
61 12
62 9
63 12
64 11
65 9
66 6
67 12
68 11
69 14
70 14
71 14
72 18
73 16
74 11
75 26
76 17
77 19
78 19
79 14
80 23
81 20
82 23
83 22
84 31
85 28
86 27
87 17
88 17
89 13
90 15
91 15
92 7
93 11
94 <5
95 5
96 <5
97 <5
98 <5
100 <5
unknown 142
Grand
Total
1295
5.What proportion of patients were classified people of the global
majority or racialised communities ("POC / BAME")?
4.5%
6.How many MEDICATION ERRORS were investigated outside the
NHS and CCG?
We do not hold this information
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)?
I can neither confirm nor deny whether the information you have requested is held by
the Trust in its entirety. This is because the information requested is not held
centrally, but may be recorded in individual health records. In order to confirm
whether this information is held we would therefore have to individually access all
individual health records within the Trust and extract the information where it is
present. We therefore estimate that complying with your request is exempt under
section 12 of the FOI Act: cost of compliance is excessive. The section 12 exemption
applies when it is estimated a request will take in excess of 18 hours to complete. We
estimate that accessing and reviewing all individual health records and then
extracting relevant information would take longer than the 18 hours allowed for.
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)?
I can neither confirm nor deny whether the information you have requested is held by
the Trust in its entirety. This is because the information requested is not held
centrally, but may be recorded in individual health records. In order to confirm
whether this information is held we would therefore have to individually access all
individual health records within the Trust and extract the information where it is
present. We therefore estimate that complying with your request is exempt under
section 12 of the FOI Act: cost of compliance is excessive. The section 12 exemption
applies when it is estimated a request will take in excess of 18 hours to complete. We
estimate that accessing and reviewing all individual health records and then
extracting relevant information would take longer than the 18 hours allowed for.
9.How many patients died by suicide within 6 months of receiving
MEDICATION ERRORS (whether or not MEDICATION ERRORS was
considered the cause)?
I can neither confirm nor deny whether the information you have requested is held by
the Trust in its entirety. This is because the information requested is not held
centrally, but may be recorded in individual health records. In order to confirm
whether this information is held we would therefore have to individually access all
individual health records within the Trust and extract the information where it is
present. We therefore estimate that complying with your request is exempt under
section 12 of the FOI Act: cost of compliance is excessive. The section 12 exemption
applies when it is estimated a request will take in excess of 18 hours to complete. We
estimate that accessing and reviewing all individual health records and then
extracting relevant information would take longer than the 18 hours allowed for.
10.How many patients have suffered complications during and after
MEDICATION ERRORS and what were those complications?
I can neither confirm nor deny whether the information you have requested is held by
the Trust in its entirety. This is because the information requested is not held
centrally, but may be recorded in individual health records. In order to confirm
whether this information is held we would therefore have to individually access all
individual health records within the Trust and extract the information where it is
present. We therefore estimate that complying with your request is exempt under
section 12 of the FOI Act: cost of compliance is excessive. The section 12 exemption
applies when it is estimated a request will take in excess of 18 hours to complete. We
estimate that accessing and reviewing all individual health records and then
extracting relevant information would take longer than the 18 hours allowed for.
11.Have there been any formal complaints from patients/relatives
about MEDICATION ERRORS?
None.
12.If so, what was their concerns?
Not applicable.
13.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:
Head of Information Governance and Records Access Management, Midlands
Partnership Foundation Trust, Trust Headquarters St George's Hospital Corporation
Street Stafford, ST16 3SR
Email: foi@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 1st June 2018 South Staffordshire and Shropshire
Healthcare NHS Foundation Trust has merged with Staffordshire and Stokeon-
Trent Partnership NHS Trust to become Midlands Partnership Foundation
Trust.
Yours sincerely
Aled Evans
FOI Officer
Midlands Partnership University NHS Foundation Trust
Trust HQ
St George’s Hospital
Corporation Street
Stafford
ST16 3AG
Tel: 01785 221104 Ext 7128998
MS Teams: 01785 301314 Extension: 301314
Email: FOI@mpft.nhs.uk
www.mpft.nhs.uk @mpftnhs mpftnhs mpftnhs