Hi Wendy,
Please see below, unfortunately we are unable to provide the text for the attached documents
Electro Convulsive Treatment (ECT)
1. Please supply patient’s information ECT leaflet
2. Please supply patient ECT consent form
3. Please supply any ECT reports/investigations
N/A
4. How many ECT in 2024?
80 patients = 1,171 treatments
5. What proportion of patients were men/women?
Please refer to ECTAS in Royal College Psychiatry website.
6. How old were they?
Please refer to ECTAS in Royal College Psychiatry website.
7. What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
Please refer to ECTAS in Royal College Psychiatry website.
8. How many people covered by the equality act - specific protected characteristics - excluding age + gender - received ECT ?
Please refer to ECTAS in Royal College Psychiatry website.
9. How many people were offered talking therapy prior to ECT?
Unknown
10. How many were receiving ECT for the first time?
Please refer to ECTAS in Royal College Psychiatry website.
11. How many patients consented to ECT?
Please refer to ECTAS in Royal College Psychiatry website.
12. How many ECT complaints were investigated outside the NHS?
Nil
13. How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
1 - unknown cause, unrelated
14. How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
Nil
15. How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
Nil
16. How many patients have suffered complications during and after ECT and what were those complications?
Nil
17. Have there been any formal complaints from patients/relatives about ECT?
Nil
18. If so, what was their concerns?
N/A
19. How many patients report memory loss/loss of cognitive function?
10 since Jan ‘24
20. What tests are used to assess memory loss/loss of cognitive function?
MMSE/MOCA
21. Have MRI or CT scans been used before and after ECT?
Yes, before
22. If so, what was the conclusion?
NAD
23. How does the Trust plan to prevent ECT in the future?
ECT is an effective treatment for some types of severe mental illness. It is usually considered when other treatment options, such as psychotherapy or medication, have not been successful or when someone is very unwell and needs urgent treatment.
ECT will usually be suggested if your condition:
is life-threatening and you need to get better quickly to save your life
is causing you immense suffering
has not responded to other treatments, such as medication and psychological therapy
has responded well to ECT in the past.
Restraints:
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 2024?
4326
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 - specific protected characteristics - excluding age + gender - were restrainted?
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?
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?
0
13. If so, what was their concerns?
N/A
14. Are counts of forced injections available? if so how many people were forcible injected ?
N/A
15. How does the Trust plan to reduce restraints in the future?
We are in the process of recruiting to 2 reducing restrictive practice lead roles. These individuals will support each ward to have a reducing restrictive practice plan that meets the needs of their individual ward. they will also identify trust wide actions that will support a reduction.
16. How many of these restraints were face down restraints?
383
SECLUSION:
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 2024?
380
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 - specific protected characteristics - excluding age + gender - 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?
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?
1
13. If so, what was their concerns?
Patient raised concerns about treatment during seclusion.
14. How does the Trust plan to reduce SECLUSIONS in the future?
We are in the process of recruiting to two reducing restrictive practice lead roles. These individuals will support each ward to have a reducing restrictive practice plan that meets the needs of their individual ward. they will also identify trust wide actions that will support a reduction.
MEDICATION ERRORS:
1. Please supply any MEDICATION ERRORS 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 MEDICATION ERRORS in 2024?
2711
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 - specific protected characteristics - excluding age + gender - endured medication errors?
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 MEDICATION ERRORS were investigated outside the NHS?
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
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 being 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 being 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 being 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 being exempt under Section 12 of the FOI Act 2000
12. Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
16 *We have defined Medication error as complaints that have mentioned medication as a concern.
13. If so, what was their concerns?
An element of the complaint was about the patient’s medication, patient did not receive her medication on time and aspirin was not distributed
Elements of the complaint were about medication – prescribing new medication
Elements of the complaint are about meds, IM injection given
Complaint about missing medication and monitoring
Complaint about being given medication
Lack of medication
Complaint about monitoring relating to medication
Conflicting guidance re medication
Delay in medication
14. How does the Trust plan to prevent MEDICATION ERRORS in the future?
The Trust has just been formed with different organisations that have so many different processes. The Trust in partnership with the Medicines Safety team and Medicines Management teams, is putting things in place to prevent medication errors in the future:
Multidisciplinary medication safety group with pharmacy, nursing, and medical professional groups and adequate representation from all divisions.
Engaging with staff across the workforce
Using Patient Safety Incident Response Framework (PSIRF) – to investigate incidents, extract learning and share across the Trust.
Just culture to encourage error reporting without blame, cusing on system improvements rather than individual fault.
Standardised processes across all sites (understandably, a few sites might have unique processes)— e.g. unified medication reconciliation procedures, discharge protocols, handover documentation, out-of-hours access to medicines and observation monitoring.
Applying QI methodology – particularly in relation to medicines administration
Supporting a case for an Electronic Prescribing and Medicine Administration (EPMA) system with built-in clinical decision support, allergy alerts, and dose range checking. Include mental health-specific modules for PRN protocols and depot tracking.
Regular training and competency assessments for all staff involved in the medication process with an overview for governance teams.
Targeted review, monitoring and audits of areas of particular concern
Kind regards,
|
Jen Yong Khor Information Governance & Cyber Security Assurance Team
|
||
|
0300 123 3919 |
||
|
hiowhealthcare.nhs.uk |
||
|
Highpoint Venue, Bursledon Road, Southampton, Hampshire SO19 8BR |
||