Friendship group affiliated to HVN

Hi Wendy,

 

We would not normally do this, as the standard procedure is to release FOI as a pdf, however as an exception, please find below the FOI_1650:

 

Please provide Electro Convulsive Treatment (ECT) information under the FOI act to the following questions:

Please be advised, with regards to the questions below, Solent NHS Trust does not provide Electro Convulsive Treatment and therefore are unable to answer these questions.

 

1. Please supply patient’s information ECT leaflet
2. Please supply patient ECT consent form
3. Please supply any ECT reports/investigations
4. How many ECT in 2023?
5. What proportion of patients were men/women?
6. How old were they?
7. What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
8. How many people covered by the equality act received ECT ?
9. How many people were offered talking therapy prior to ECT ?
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 and CCG?
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?
18. If so, what was their concerns?
19. How many patients report memory loss/loss of cognitive function?
20. What tests are used to assess memory loss/loss of cognitive function?
21. Have MRI or CT scans been used before and after ECT?
22. If so, what was the conclusion?
23. How does the Trust plan to prevent ECT in the future?

 

Please provide restraints information under the FOI act to the following questions:

 

1. Please supply any Restraints/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

 

2. How many RESTRAINTS in 2023?

There were 373 incidents in 2023 where restraint was used.

 

3. 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 2000

 

4. 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 2000

 

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

Adult Mental Health inpatient - 31.74%

 

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

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 2000

 

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

We don’t capture this information and therefore this question is not applicable

 

8. 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 being exempt under Section 12 of the FOI Act 2000

 

9. 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 being exempt under Section 12 of the FOI Act 2000

 

10. 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 being exempt under Section 12 of the FOI Act 2000

 

11. 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 being exempt under Section 12 of the FOI Act 2000

 

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

2 Complaints were recorded from patients/relatives about restraint during the year 2023.

 

13. If so, what was their concerns?

             One complaint related to the use of restraints in administering medication, the other complaint related to the complainant wanting to know why they had been restrained.

 

14. Are counts of forced injections available?

122

 

15. How does the Trust plan to reduce restraints in the future?

The 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.

 

Please provide SECLUSION information under the FOI act to the following questions:

 

1. Please supply any SECLUSION 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

 

2. How many SECLUSIONS in 2023?

There were 34 incidents where seclusion was used in 2023.

 

3. 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 2000

 

4. 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 2000

 

5. What proportion of patients were classified 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 2000

 

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

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 2000

 

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

We don’t capture this information and therefore this question is not applicable

 

8. 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 being exempt under Section 12 of the FOI Act 2000

 

9. 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 being exempt under Section 12 of the FOI Act 2000

 

10. 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 being exempt under Section 12 of the FOI Act 2000

 

11. 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 being exempt under Section 12 of the FOI Act 2000

 

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

This information is not recorded as we currently don’t have a category/theme for ‘seclusion’ this would mean a manual trawl into all Mental Health complaints received during 2023. This is therefore exempt under Section 12 of the FOI Act 2000

 

13. If so, what was their concerns?

N/A

 

14. 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.

 

Please provide MEDICATION ERRORS information under the FOI act to the following questions:

1. Please supply any MEDICATION ERRORS reports/investigations

No complaints were received relating to medication errors during 2023.

 

2. How many MEDICATION ERRORS in 2023?

There were 760 medication incidents in 2023.

 

3. 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 2000

 

4. 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 2000

 

5. What proportion of patients were classified 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 2000

 

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

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 2000

 

7. 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 2000

 

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)?

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 2000

 

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)?

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 2000

 

10. How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS 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 2000

 

11. 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 2000

 

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

No complaints were received relating to medication errors during 2023.

 

13. If so, what was their concerns?

N/A

 

14. 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 has implemented an electronic prescribing system across inpatient areas to contribute to the improvement of medicine’s safety which has already resulted in a reduction in medication safety incidents. We will continue to monitor this trend and take appropriate actions from any learning identified

 

Kind regards

 

Marika

 

Solent NHS Trust Trust Headquarters Highpoint Venue Bursledon Rd Southampton Hampshire SO19 8BR

Information Governance Team   Team: 0300 123 3919   E-mail: InformationGovernanceTeam@solent.nhs.uk Email: SNHS.SolentIGTeam@nhs.net