nlft.Freedom.Information@nhs.net
Dear Wendy Micklewright
Please see below request response in email text format as requested:
Please provide Electro Convulsive Treatment (ECT) information under the FOI act to the following questions: -
1.Please supply patient’s information ECT leaflet
Response: Find Enclosed
2.Please supply patient ECT consent form
Response: Find Enclosed
3.Please supply any ECT reports/investigations
Response: None
4.How many ECT in 2024?
Response: 24
5.What proportion of patients were men/women?
Response: Men-10
Women 14
6.How old were they?
Response: All above 20 years of age
7.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
Response: NLFT does not hold that record.
8.How many people covered by the equality act - specific protected characteristics - excluding age + gender - received ECT ?
Response: NLFT does not hold that record.
9.How many people were offered talking therapy prior to ECT ?
Response: All
10.How many were receiving ECT for the first time?
Response: 11
11.How many patients consented to ECT?
Response: 13
12.How many ECT complaints were investigated outside the NHS ?
Response: None
13.How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
Response: None
14.How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
Response: None
15.How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
Response: None
16.How many patients have suffered complications during and after ECT and what were those complications?
Response: None
17.Have there been any formal complaints from patients/relatives about ECT?
Response: None
18.If so, what was their concerns?
Response: None
19.How many patients report memory loss/loss of cognitive function?
Response: None
20.What tests are used to assess memory loss/loss of cognitive function?
Response: ACEIII & MOCA
21.Have MRI or CT scans been used before and after ECT?
Response: None
22.If so, what was the conclusion?
Response: None
23.How does the Trust plan to prevent ECT in the future?
Response: None
Please provide restraints information under the FOI act to the following questions: -
1.Please supply any Restraints/investigations.
2.How many RESTRAINTS in 2024?
3.What proportion of patients were men/women?
4.How old were they?
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 - specific protected characteristics - excluding age + gender - were restrainted?
7.How many RESTRAINTS were investigated outside the NHS?
8.How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
9.How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
10.How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?
11.How many patients have suffered complications during and after RESTRAINTS and what were those complications?
12.Have there been any formal complaints from patients/relatives about RESTRAINTS?
13.If so, what was their concerns?
14.Are counts of forced injections available? if so how many people were forcible injected ?
15.How does the Trust plan to reduce restraints in the future?
16.How many of these restraints were face down restraints?
Response: (please see explanatory note below for Q1-Q16)
Please provide SECLUSION information under the FOI act to the following questions: -
1.Please supply any SECLUSION reports/investigations
2.How many SECLUSIONS in 2024?
3.What proportion of patients were men/women?
4.How old were they?
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 - specific protected characteristics - excluding age + gender - were secluded ?
7.How many SECLUSIONS were investigated outside the NHS?
8.How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
9.How many patients died within 6 months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
10.How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?
11.How many patients have suffered complications during and after SECLUSION and what were those complications?
12.Have there been any formal complaints from patients/relatives about SECLUSION?
13.If so, what was their concerns?
14.How does the Trust plan to reduce SECLUSIONS in the future?
Response: (please see explanatory note below for Q1-Q14)
Please provide MEDICATION ERRORS information under the FOI act to the following questions: -
1.Please supply any MEDICATION ERRORS reports/investigations
Response: (please see explanatory note below)
2.How many MEDICATION ERRORS in 2024?
Response: Across the partnership/ NLFT = 729 medication errors reported in 2024 (1st January 2024 -31st December 2024)
Ulysses = 472
Datix = 257
3.What proportion of patients were men/women?
Response: (please see explanatory note below)
4.How old were they?
Response: (please see explanatory note below)
5.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
Response: (please see explanatory note below)
6.How many people covered by the equality act - specific protected characteristics - excluding age + gender - endured medication errors ?
Response: (please see explanatory note below)
7.How many MEDICATION ERRORS were investigated outside the NHS ?
Response: (please see explanatory note below)
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)?
Response: (please see explanatory note below)
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)?
Response: (please see explanatory note below)
10.How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
Response: (please see explanatory note below)
11.How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
Response: (please see explanatory note below)
12.Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
Response: (please see explanatory note below)
13.If so, what was their concerns?
14.How does the Trust plan to prevent MEDICATION ERRORS in the future?
Response: Improving medicines safety is one of the key priorities for the trust. The trust has a medicines safety officer in post who chairs the Medicines Safety Group. This group is established to provide a robust governance framework to support safe use of medicines within the trust and across all healthcare pathways. The key aims of the group are;
· Work in collaboration with the wards and teams to change the culture around incident reporting, identify the common themes of medicine related incidents and take learning forward to change practice.
· To raise staff awareness of best practice in medicine use, of medication errors and their impact on patients.
· Encouraging services to have a robust system of documenting and reporting incidents within a ‘just culture’ that promotes openness and a commitment to learning from mistakes.
Our Response to all other Questions (EXPLANATORY NOTE):
I can confirm North London NHS Foundation Trust hold the information requested although it is not in a format from which this information can be easily retrieved. Therefore, the information you have requested is being withheld under the following exemption.
Section 12 - Exemption where cost of compliance exceeds appropriate limit
Section 1(1) does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit. The 'appropriate limit' is defined as £450 or 18 hours.
In determining whether to invoke the Section 12 exemption, (exemption where the cost of compliance exceeds appropriate limit), North London NHS Foundation Trust is entitled to take into account the costs it reasonably expects to incur in determining whether it holds the information, locating the
information or a document containing the information and extracting the information.
In order to answer your request, we have estimated it would take an individual officer an estimated minimum of 1 hour to answer each question.
Excluding the questions we have been able to answer below, as this information has previously been disclosed in previous FOI requests, this would leave 42 questions which staff would have to locate the information for.
Therefore: 1 hour x 42 questions = 42 hours The Trust has determined that producing the information you request would take over the appropriate limit, and therefore the exemption described in S.12 is applicable in this case.
Conditions of use
Any information supplied to you is free to use for your own purposes, including any non-commercial research you are doing and for the purposes of news reporting. Any other re-use, for example commercial publication and subscription charge, would require the permission of the Trust.
Our copyright and database right material is licensed for use and re-use under the Open Government Licence (OGL). You can view the licence online, or write to: Information Policy Team, The National Archives, Kew, Richmond, Surrey TW9 4DU
We hope you are satisfied with the way in which your request was handled, if not you may request an internal review by writing to the Information Governance Team at the address shown at the top of this letter or by email to: nlft.Freedom.Information@nhs.net within 40 days of this letter. When contacting the Trust please quote the above reference that is unique to your request.
Requests for an internal review should be made within 40 working days from the date of this response to nlft.Freedom.Information@nhs.net, please note we are not obligated to accept internal reviews after this date.
If you remain dissatisfied with the Trust’s response you may write to:
Information Commissioners Office
Wycliffe House
Water Lane
Wilmslow
Cheshire SK9 5AF
Kind regards
Kind regards,
Information Governance Team
North London NHS Foundation Trust
Information Governance Team, 3rd Floor, West Wing
St Pancras Hospital, 4 St Pancras Way
London, NW1 0PE