FOI_0730_2022-23 – FOI Request Concerning – Human Rights Abuse
A. Please provide ECT information under the FOI act to the following questions: -
Please be advised, with regards to the questions below, relating to ECT; Solent NHS Trust does not provide ECT treatment and therefore the questions below are not applicable.
Please supply the patient’s information ECT leaflet.
Please supply the patient ECT consent form
Please supply any ECT reports/investigations
How many ECT in 2021?
What proportion of patients were men/women?
How old were they?
What proportion of patients were classified as people of the global majority of racialised communities ("POC / BAME")?
How many were receiving ECT for the first time?
How many patients consented to ECT?
How many ECT complaints were investigated outside the NHS and CCG?
How many patients died during or 1 month after ECT and what was the cause (whether ECT was considered the cause)?
How many patients died within 6 months after ECT and what was the cause (whether ECT was considered the cause)?
How many patients died by suicide within 6 months of receiving ECT (whether ECT was considered the cause)?
How many patients have suffered complications during and after ECT and what were those complications?
Have there been any formal complaints from patients/relatives about ECT?
If so, what were their concerns?
How many patients report memory loss/loss of cognitive function?
What tests are used to assess memory loss/loss of cognitive function?
Have MRI or CT scans been used before and after ECT?
If so, what was the conclusion?
How does the Trust plan to prevent ECT in the future?
B. Please provide SERIOUS INCIDENT information under the FOI act to the following questions:
Please supply any serious incident reports/investigations?
Please be advised that it would be disproportionate to supply all SI Reports; all reports would need to be reviewed for personally identifiable data and therefore would exceed the time allocated to respond to a request. Therefore, this part of the request is exempt under S12 of the FOI Act 2000.
How many SERIOUS INCIDENT REPORTS in 2021?
In the period from 1st January 2021 to 31st December 2021, Solent NHS Trust conducted
19 Serious Incident investigations into a wide variety of causes. There were no Serious Incident Investigations relating to ECT, Restraint, or Seclusion.
What proportion of patients were men/women?
This information is not recorded by the Trust, within our Serious Incident Reporting process.
How old were they?
This information is not recorded by the Trust, within our Serious Incident Reporting process.
What proportion of patients were classified as people of the global majority of racialised communities ("POC / BAME")?
This information is not recorded by the Trust, within our Serious Incident Reporting process.
How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG?
All Serious Incidents are investigated by the Trust
How many patients died during or 1 month after SERIOUS INCIDENT REPORTS and what was the cause (whether or not SERIOUS INCIDENT REPORTS were considered the cause)?
This information is not recorded within our serious incident reporting process and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How many patients died within 6 months after SERIOUS INCIDENT REPORTS and what was the cause (whether or not SERIOUS INCIDENT REPORTS were considered the cause)?
This information is not recorded within our serious incident reporting process and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How many patients died by suicide within 6 months of receiving SERIOUS INCIDENT REPORTS (whether or not SERIOUS INCIDENT REPORTS were considered the cause)?
This information is not recorded within our serious incident reporting process and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?
This information is not recorded within our serious incident reporting process and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?
There have been no formal complaints raised about any of the Serious Incident Reports completed in the period 1st January to 31st December 2021.
If so, what were their concerns?
N/A
How does the Trust plan to prevent SERIOUS INCIDENTS in the future?
The Trust uses all Serious Incident Reports to identify areas where lessons can be learned, and improvements made to the care and services provided to our patients. The learning and actions from the reports are shared internally across the Trust and with the relevant Clinical Commissioning Groups.
C. Please provide restraints information under the FOI act to the following questions: -
Please supply any Restraints/investigations?
Please refer to C.Q2 for the answer.
How many RESTRAINTS in 2021?
In the period from 1st January to 31st December 2021, there were 207 instances where restraint was used logged on the Trust’s incident reporting system, Ulysses.
What proportion of patients were men/women?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore being exempt under Section 12 of the FOI Act.
How old were they?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore being exempt under Section 12 of the FOI Act.
What proportion of patients were classified as people of the global majority or racialised communities ("POC / BAME")?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore being exempt under Section 12 of the FOI Act.
How many RESTRAINTS were investigated outside the NHS and CCG?
We don’t capture this information and therefore this question is not applicable.
How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How many patients have suffered complications during and after RESTRAINTS and what were those complications?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
Have there been any formal complaints from patients/relatives about RESTRAINTS?
There have been no formal Complaints raised about any incidents of restraint in the period 1st January to 31st December 2021
If so, what were their concerns?
N/A
Are counts of forced injections available?
N/A
How does the Trust plan to reduce restraints in the future?
Trust completes a monthly restraint and seclusion report which is discussed within the organisation. There is a use of the safety cross on Maple Ward where we also collect this data which can be seen at a glance. Trends are identified and as a team, we were together to make changes to improve practice. We are currently part of the mental health improvement program and are working on reducing restrictive practices. Policies are also being reviewed so they coincide with the Use of Force Act.
D. Please provide SECLUSION information under the FOI act to the following questions: -
Please supply any SECLUSION reports/investigations
Please refer to D.Q2 for the answer.
How many SECLUSIONS in 2021?
In the period from 1st January to 31st December 2021, there were 41 instances of seclusion logged on the Trusts incident reporting system, Ulysses.
What proportion of patients were men/women?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How old were they?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
What proportion of patients were classified as people of the global majority or racialised communities ("POC / BAME")?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How many SECLUSIONS were investigated outside the NHS and CCG?
We don’t capture this information and therefore this question is not applicable.
How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How many patients died within 6 months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How many patients have suffered complications during and after SECLUSION and what were those complications?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
Have there been any formal complaints from patients/relatives about SECLUSION?
There have been no formal Complaints raised about any incidents of seclusion in the period 1st January to 31st December 2021
If so, what were their concerns?
N/A
How does the Trust plan to reduce SECLUSIONS in the future?
We are working with teams to ensure that the least restrictive practice is currently being considered with regard to seclusion and other interventions that can be used before seclusion.
E. Please provide MEDICATION ERRORS information under the FOI act to the following questions: -
Please supply any MEDICATION ERRORS reports/investigations
Please refer to E.Q2 for the answer.
How many MEDICATION ERRORS in 2021?
In the period from 1st January to 31st December 2021, there were 691 Medication Errors logged on the Trusts incident reporting system, Ulysses.
What proportion of patients were men/women?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How old were they?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
What proportion of patients were classified as people of the global majority or racialised communities ("POC / BAME")?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How many MEDICATION ERRORS were investigated outside the NHS and CCG?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How many patients died during or 1 month after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS were considered the cause)?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How many patients died within 6 months after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS were considered the cause)?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS were considered the cause)?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
This information is not recorded centrally and would require a manual trawl of patient medical records. This is therefore exempt under Section 12 of the FOI Act.
Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
In the period from 1st January to 31st December 2021, Solent NHS Trust logged 3 formal complaints relating to Medication errors.
If so, what was their concerns?
Communication & unhappy with care provided
How does the Trust plan to prevent MEDICATION ERRORS in the future?
The Trust always seeks to learn from incidents and improve practice as a result, this is pursued and actioned through our Medicines Safety Group, Medicines Management Group and the Quality Improvement and Risk Committee. Solent NHS Trust is implementing an electronic prescribing system in 2022 to contribute to the improvement of medicine’s safety.