Midlands Partnership University NHS Foundation Trust 2024

Hi,

I have had to copy each section individually as otherwise it does not format properly copying from the pdf as there are so many sections and questions. Please note all of this was included in the original attachment. It would have been safe to open as it came from a nhs account that you approached for the data.

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 2024?

5.What proportion of patients were men/women?

Female – 33

Male - 16

6.How old were they?

Age	Grand Total
20-29	<5
30-39	<5
40-49	6
50-59	<5
60-69	21
70-79	14
80-89	<5
Grand Total	49

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

Ethnicity	Grand Total
Asian or Asian British - Pakistani	<5
Not Stated (Declined to provide a response)	<5
White - British	46
White - Irish	<5
Grand Total	49

8.How many people covered by the equality act - specific protected characteristics - excluding age + gender - 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?

11.How many patients consented to ECT?

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

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)?

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

16.How many patients have suffered complications during and after ECT and what were those complications?

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?

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 2024?

1776

3.What proportion of patients were men/women?

Female – 789

Male - 987

4.How old were they?

Age	Grand Total
Aged 10-19		86
Aged 20-29		405
Aged 30-39		282
Aged 40-49		217
Aged 50-59		129
Aged 60-69		362
Aged 70-79		232
Aged 80-89		63
Grand Total		1776

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

Ethnicity	Grand Total
Asian or Asian British - Any other background		12
Asian or Asian British - Indian		45
Asian or Asian British - Pakistani		90
Black or Black British - African		43
Black or Black British - Any other background		18
Information not yet obtained		17
Mixed - Any other mixed background		13
Not Stated (Declined to provide a response)		58
Other Ethnic Groups - Any Other Group		42
White - Any other background		70
White - British		1336
White - Irish		<5
White & Asian		14
White & Black Caribbean		15
Grand Total		1776

6.How many people covered by the equality act - specific protected characteristics - excluding age + gender - were restrainted?

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 RESTRAINTS were investigated outside the NHS?

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? if so how many people were forcible injected ?

186

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.

16.How many of these restraints were face down restraints?

159

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 2024?

200

3.What proportion of patients were men/women?

Female – 41

Male - 159

4.How old were they?

Age	Grand Total
Aged 10-19	6
Aged 20-29	59
Aged 30-39	56
Aged 40-49	60
Aged 50-59	12
Aged 60-69	7
Grand Total	200

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

Ethnicity	Grand Total
Asian or Asian British - Any other background	<5
Asian or Asian British - Indian	8
Asian or Asian British - Pakistani	10
Black or Black British - African	<5
Black or Black British - Any other background	<5
Information not yet obtained	<5
Mixed - Any other mixed background	<5
Other Ethnic Groups - Any Other Group	5
White - Any other background	8
White - British	144
White & Asian	<5
White & Black Caribbean	9
Grand Total	200

6.How many people covered by the equality act - specific protected characteristics - excluding age + gender - 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?

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)?

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 SECLUSION and what was the cause (whether or not SECLUSION 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 SECLUSION (whether or not SECLUSION 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 SECLUSION 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 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 2024?

1833

3.What proportion of patients were men/women?

Female – 857

Male - 914

4.How old were they?

Age	Count
<12 months	5
1	<5
2	<5
4	5
5	<5
6	<5
8	<5
9	<5
10	<5
11	10
12	<5
13	8
14	5
15	6
16	<5
17	<5
18	11
19	8
20	12
21	7
22	7
23	8
24	9
25	<5
26	19
27	16
28	12
29	24
30	6
31	20
32	24
33	25
34	18
35	20
36	10
37	26
38	9
39	18
40	17
41	28
42	41
43	16
44	24
45	27
46	23
47	12
48	23
49	29
50	21
51	18
52	11
53	15
54	13
55	27
56	16
57	20
58	19
59	19
60	35
61	17
62	14
63	20
64	21
65	14
66	18
67	21
68	20
69	24
70	21
71	20
72	21
73	31
74	24
75	33
76	34
77	30
78	23
79	28
80	46
81	40
82	22
83	42
84	42
85	40
86	40
87	39
88	38
89	30
90	35
91	31
92	14
93	13
94	15
95	6
96	9
97	<5
99	<5
100	<5
101	<5
102	<5
103	<5
106	<5
Unable to give info	53

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

Ethnicity	Count of Incident Number
Asian Or Asian British - Any Other Asian	<5
Asian or Asian British - Indian	<5
Asian or Asian British - Pakistani	6
Black African - Black Or Black British	<5
Black Caribbean - Black Or Black British	<5
Black or Black British - Any other background	<5
British - White	722
Indian - Asian Or Asian British	13
Irish - White	<5
Not Known	996
Other Asian - Asian Or Asian British	6
Other Black - Black Or Black British	9
Other Ethnic Category - Other Ethnic	6
Other Ethnic Groups - Any Other Group	<5
Other Mixed - Mixed	<5
Other White - White	20
Pakistani - Asian Or Asian British	14
White - Any other background	<5
White & Asian - Mixed	<5
White & Black Caribbean - Mixed	5
White-English/Welsh/Scottish/Northern Irish	5
Grand Total	1833

6.How many people covered by the equality act - specific protected characteristics - excluding age + gender - 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 ?

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?

Not applicable.

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