MIDLANDS DATA 2021

Good Afternoon,

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

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 2021?

245

5.What proportion of patients were men/women?

Female – 133

Male - 112

6.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

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

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

9.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.

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)?

12.How many 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?

None.

16.If so, what was their concerns?

Not applicable.

17.How many patients report memory loss/loss of cognitive function?

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 2021?

224

3.What proportion of patients were men/women?

Male 135, Female 86, Not stated 3

4.How old were they?

Age	No of Incidents
Unknown	6
17	<5
19	<5
20	<5
21	<5
22	<5
23	<5
24	<5
25	<5
26	<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
40	9
41	8
42	<5
43	7
44	5
45	<5
46	<5
47	5
48	<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
62	<5
63	5
64	<5
65	<5
66	<5
67	<5
68	<5
69	<5
71	<5
72	<5
73	<5
74	<5
75	<5
76	<5
77	<5
78	<5
79	<5
81	<5
82	<5
83	8
84	<5
85	<5
86	<5
87	<5
88	<5
89	<5
90	<5
91	<5
92	<5
95	<5
96	<5
Grand Total	224

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 hold 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)?

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 224 patients which even at 5 minutes per client, 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.

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?

No.

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 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 2021?

1105

3.What proportion of patients were men/women?

Female	557	50.41%
Male	548	49.59%
Grand Total	1105

4.How old were they?

10	<5
13	6
14	<5
15	12
16	8
17	16
18	72
19	13
20	37
21	<5
22	14
23	15
24	6
25	11
26	25
27	20
28	<5
29	28
30	15
31	56
32	33
33	5
34	24
35	13
36	<5
37	6
38	17
39	30
40	16
41	24
42	17
43	11
44	7
45	<5
46	10
47	5
48	<5
49	5
50	30
51	35
52	19
53	31
54	16
55	24
56	9
57	<5
58	14
59	8
60	9
61	21
62	12
63	12
64	32
65	32
66	31
67	13
69	<5
70	<5
71	10
72	8
73	8
74	22
75	10
76	<5
77	<5
78	<5
79	5
80	14
82	7
83	<5
84	7
85	27
86	<5
87	18
88	<5
89	<5
Grand Total	1105

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

Asian or Asian British - Any other background	<5	0.18%
Asian or Asian British - Indian	<5	0.09%
Asian or Asian British - Pakistani	23	2.08%
Black or Black British - African	13	1.18%
Black or Black British - Any other background	<5	0.09%
Black or Black British - Caribbean	14	1.27%
Chinese	<5	0.09%
Mixed - Any other mixed background	8	0.72%
Not Known	14	1.27%
Not Stated	26	2.35%
Other Ethnic Groups - Any Other Group	9	0.81%
White - Any other background	99	8.96%
White - British	876	79.28%
White - Irish	<5	0.09%
White & Asian	6	0.54%
White & Black Caribbean	11	1.00%
Grand Total	1105	100.00%

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)?

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 1,105 patients which even at 1 minutes per client, 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.

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?

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 2021?

3.What proportion of patients were men/women?

Male 36, Female 15, Other 1.

4.How old were they?

Age	Number
15	<5
16	<5
18	<5
22	<5
23	<5
25	<5
26	<5
27	<5
28	<5
29	<5
30	<5
31	<5
32	<5
34	<5
38	<5
39	<5
41	<5
42	<5
44	<5
48	<5
51	<5
52	<5
54	<5
55	8
60	<5
69	<5
83	<5
Grand Total	52

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

10%

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?

No.

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 2021?

1001

3.What proportion of patients were men/women?

Female 479, Male 431, Other 3, Unknown/Not Stated 88

4.How old were they?

Age	Incidents
6	<5
7	<5
8	<5
9	<5
10	<5
11	<5
12	<5
13	<5
14	5
15	<5
16	<5
17	7
18	7
19	<5
20	7
21	7
22	<5
23	6
24	5
25	<5
26	5
27	10
28	<5
29	7
30	9
31	13
32	13
33	11
34	5
35	5
36	10
37	<5
38	15
39	13
40	10
41	14
42	7
43	8
44	9
45	7
46	5
47	6
48	13
49	<5
50	8
51	9
52	11
53	11
54	9
55	16
56	13
57	8
58	11
59	10
60	10
61	14
62	5
63	10
64	6
65	8
66	11
67	<5
68	10
69	12
70	5
71	12
72	10
73	22
74	13
75	18
76	12
77	12
78	24
79	19
80	18
81	40
82	18
83	30
84	21
85	21
86	26
87	19
88	27
89	7
90	15
91	12
92	5
93	8
94	<5
95	<5
97	<5
Unknown	102
Grand Total	1001

5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")? 4%

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)?

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 1001 patients which even at 2 minutes per client, would take 33 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.

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?

One.

12.If so, what was their concerns?

Omission of anti-nausea medication

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 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