MIDLANDS 2023

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 Electro Convulsive Treatment (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 2023?

5.What proportion of patients were men/women?

Gender
Male			8
Female			14
Total			22

6.How old were they?

Age			count
29			<5
30			<5
31			<5
33			<5
34			<5
35			<5
41			<5
46			<5
55			<5
56			<5
59			<5
63			<5
65			<5
66			<5
68			<5
70			<5
71			<5
74			<5
78			<5
79			<5
Total			22

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

One.

8.How many people covered by the equality act received 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 heldcentrally, 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 people were offered talking therapy prior to ECT ?

We do not record this information.

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

15.

11.How many patients consented to ECT?

12.How many ECT complaints were investigated outside the NHS and CCG?

We do 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)?

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.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.

16.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.

17.Have there been any formal complaints from patients/relatives about ECT?

No.

18.If so, what was their concerns?

Not applicable.

19.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.

20.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.

21.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.

22.If so, what was the conclusion?

Not applicable.

23.How does the Trust plan to prevent ECT in the future?

There are currently no plans to prevent ECT.

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 2023?

2371

3.What proportion of patients were men/women?

Gender	Total
Female	1569
Male	800
Not Specified	2
Grand Total	2371

4.How old were they?

Age	Total
0-17	24
18-29	483
30-39	337
40-49	272
50-59	639
60-69	195
70+	421

Grand Total	2371

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

Ethnicity	Total
Asian or Asian British - Any other background	11
Asian or Asian British - Bangladeshi	8
Asian or Asian British - Indian	28
Asian or Asian British - Pakistani	33
Black or Black British - African	8
Black or Black British - Any other background	14
Black or Black British - Caribbean	8
Chinese	<5
Mixed - Any other mixed background	18
Other Ethnic Groups - Any Other Group	46
Grand Total	176

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

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

We do 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)?

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 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.

10.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.

11.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.

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

No.

13.If so, what was their concerns?

Not applicable.

14.Are counts of forced injections available?

142.

15.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 2023?

111.

3.What proportion of patients were men/women?

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.

4.How old were they?

Age	Total
0-17	<5
18-29	29
30-39	43
40-49	12
50-59	21
60-69	<5
70+	<5

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

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.

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

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.

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

We do not hold this information.

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

None.

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

One patient, cause of death unknown.

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

None.

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

None.

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

No.

13.If so, what was their concerns?

Not applicable.

14.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 2023?

1230

3.What proportion of patients were men/women?

Female 548 / Male 570 / Other 6 / Unknown 106 (2 or more patients can be involved in one reported medication incident)

4.How old were they?

Age	Count of Incident
0	6
2	<5
5	<5
6	<5
7	<5
8	<5
9	<5
10	<5
11	<5
12	<5
13	7
14	6
15	<5
16	<5
17	<5
18	<5
19	9
20	6
21	5
22	6
23	<5
24	10
25	<5
26	5
27	5
28	5
29	16
30	12
31	24
32	24
33	14
34	10
35	15
36	11
37	20
38	13
39	18
40	12
41	16
42	10
43	21
44	14
45	29
46	8
47	9
48	10
49	12
50	13
51	14
52	16
53	22
54	16
55	28
56	14
57	17
58	12
59	12
60	24
61	7
62	10
63	16
64	14
65	8
66	9
67	10
68	20
69	9
70	10
71	10
72	11
73	13
74	24
75	22
76	30
77	12
78	17
79	16
80	20
81	19
82	16
83	18
84	25
85	28
86	24
87	19
88	18
89	15
90	17
91	16
92	8
93	9
94	16
95	<5
96	<5
97	5
98	<5
Unknown	77
Grand Total	1230

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

6.How many people covered by the equality act endured medication errors ?

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.

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

We do not hold this information.

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)?

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 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.

10.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.

11.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.

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

No.

13.If so, what was their concerns?

None.

14.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 Stoke-on-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