SURREY 2023

Dear Wendy Micklewright,

 

Please find below.

 

Kind regards,

 

Freedom of Information Team

 

Questions:

Trust Response:

 

ECT (Electro-Convulsive Therapy)

1) Please provide (Electro-Convulsive Therapy) ECT Information under the Freedom of Information Act to the following questions:

 

 

Please supply Patient’s Information ECT Leaflet.

 

 

For details, please refer to the Surrey & Borders Partnership NHS Foundation Trust Electro Convulsive Therapy (ECT) Operational Policy, which included information provided to people accessing services: https://www.sabp.nhs.uk/aboutus/policies/clinical/ect

 

 

Please supply Patient ECT Consent Form.

 

 

Please supply any ECT Reports / Investigations.

 

 

For details relating to Organisation Patient Safety Incident Reports, please refer to:

https://www.england.nhs.uk/patient-safety/organisation-patient-safety-incident-reports/

and

https://report.nrls.nhs.uk/ExplorerTool/

 

 

How many ECT in 2023?

 

 

Surrey & Borders Partnership NHS Foundation Trust can confirm for the Calendar Year of 2023 that there were 546 ECT Treatments.

 

 

What Proportion of Patients were Men / Women?

 

 

This information is not held by Surrey and Borders Partnership NHS Foundation Trust.  Please refer to Note 1 at the bottom.

 

 

How old were they?

 

 

What Proportion of Patients were Classified People of the Global Majority or Racialised Communities ("POC / BAME")?

 

 

How many People covered by the Equality Act received ECT?

 

 

How many People were offered Talking Therapy prior to ECT?

 

 

How many were receiving ECT for the first time?

 

 

 

How many Patients consented to ECT?

 

 

As detailed in the Farnham Road Hospital Electro-Convulsive Therapy Operational Policy:

Section 9.4: “A Detained Patient with Capacity cannot be given ECT without their Consent.”

 

 

How many ECT Complaints were investigated outside the NHS and CCG?

 

 

This information is not held by Surrey and Borders Partnership NHS Foundation Trust.  Please refer to Note 1 at the bottom.

 

Surrey and Borders Partnership NHS Foundation Trust may not necessarily hold information or be informed in relation to Causes of Deaths outside of the Trust or where the Individual was not under their Duty of Care.

 

 

 

 

 

How many Patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?

 

 

How many Patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?

 

 

How many Patients died by Suicide within 6 months of receiving ECT (whether or not 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?

 

 

For details on Complaints, please refer to the Surrey and Borders Partnership NHS Foundation Trust Annual Reports.  These are accessible via the Trust Website at: https://www.sabp.nhs.uk/aboutus/strategies-and-reports

 

 

If so, what was their concerns?

 

 

How many Patients report Memory Loss / Loss of Cognitive Function?

 

 

This information is not held by Surrey and Borders Partnership NHS Foundation Trust.  Please refer to Note 1 at the bottom.

 

 

What Tests are used to assess Memory Loss / Loss of Cognitive Function?

 

 

For information, please refer to the Surrey and Borders Partnership NHS Foundation Trust Website:

https://www.sabp.nhs.uk/news/new-therapies-improve-lives-people-young-onset-dementia

 

https://www.sabp.nhs.uk/TIHM/about

 

 

Have MRI or CT Scans been used before and after ECT?

 

 

MRI and CT Scans would be subject to the individual medical condition of the individual and are not carried out by Surrey and Borders Partnership NHS Foundation Trust.

 

 

If so, what was the Conclusion?

 

 

How does the Trust plan to prevent ECT in the future?

 

 

This is subject to interpretation and does not fall under the Freedom of Information Act.

 

Restraints

2) Please provide Restraints Information under the Freedom of Information Act to the following questions:

 

 

Please supply any Restraints / Investigations.

 

 

Section 40 (2) (3A) Exemption: Personal Information

We are unable to release the request information as it constitutes third party person information and disclosure of the information to you will contravene with the principles of the Data Protection Act 2018.  In the circumstances, we consider this information exempt under Section 40 (2) (3A) of the Freedom of Information 2000. 

 

 

How many Restraints in 2023?

 

 

What Proportion of Patients were Men / Women?

 

 

Information would not be available without Reviewing the Health Records of Restrained Individuals to identify whether they had been Restrained previously or contacting NHS Organisations they had received services from prior to contact Surrey & Borders NHS Foundation Trust to identify whether they had been Restrained.  Please refer to Note 1 below.

 

 

 

 

 

How old were they?

 

 

What Proportion of Patients were Classified People of the Global Majority or Racialised Communities ("POC / BAME")?

 

 

How many People covered by the Equality Act were restrained?

 

 

How many Restraints were investigated outside the NHS and CCG?

 

 

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 held by Surrey and Borders Partnership NHS Foundation Trust.  Please refer to Note 1 below.

 

 

 

 

How many Patients died within 6 months after Restraints and what was the cause (whether or not Restraints was considered the cause)?

 

 

How many Patients died by Suicide within 6 months of receiving Restraints (whether or not Restraints was considered the cause)?

 

 

How many Patients have suffered complications during and after Restraints and what were those complications?

 

 

Have there been any Formal Complaints from

Patients / Relatives about Restraints?

 

 

For details, please refer to NHS England Organisation Patient Safety Incident Reports Website Page:

https://www.england.nhs.uk/patient-safety/organisation-patient-safety-incident-reports/

 

If so, what was their concerns?

 

 

Are Counts of Forced Injections available?

 

 

How does the Trust plan to reduce Restraints in the future?

 

 

This is subject to interpretation and does not fall under the Freedom of Information Act.

 

Seclusion

3) Please provide Seclusion Information under the Freedom of Information Act to the following questions:

 

 

Please supply any Seclusion Reports / Investigations.

 

 

Section 40 (2) (3A) Exemption: Personal Information

We are unable to release the request information as it constitutes third party person information and disclosure of the information to you will contravene with the principles of the Data Protection Act 2018.  In the circumstances, we consider this information exempt under Section 40 (2) (3A) of the Freedom of Information 2000. 

 

 

How many Seclusions in 2023?

 

 

What Proportion of Patients were Men / Women?

 

 

Information would not be available without Reviewing the Health Records of Individuals who underwent Seclusion to identify:

- BAME Classification of Individuals

- Whether they had been Restrained previously

- Whether they had previous Episodes of Seclusion outside of Surrey & Borders Partnership NHS Foundation Trust.

 

Surrey & Borders Partnership NHS Foundation Trust may not necessarily hold information or be informed in relation to Causes of Deaths outside of the Trust or where the Individual was not under their Duty of Care.

 

 

 

 

 

How old were they?

 

 

What Proportion of Patients were Classified People of the Global Majority or Racialised Communities ("POC / BAME")?

 

 

How many people covered by the Equality Act were secluded?

 

 

How many Seclusions were investigated outside the NHS and CCG?

 

 

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 held by Surrey & Borders Partnership NHS Foundation Trust.  Please refer to Note 1 below.

 

 

 

 

How many Patients died within 6 months after Seclusion and what was the cause (whether or not Seclusion was considered the cause)?

 

 

How many Patients died by Suicide within 6 months of receiving Seclusion (whether or not Seclusion was considered the cause)?

 

 

How many Patients have suffered complications during and after Seclusion and what were those complications?

 

 

Have there been any Formal Complaints from Patients / Relatives about Seclusion?

 

 

For details on Incident Reporting, please refer to the Surrey and Borders Partnership NHS Foundation Trust Annual Reports.  These are accessible via the Trust Website at: https://www.sabp.nhs.uk/aboutus/strategies-and-reports

 

 

If so, what was their concerns?

 

 

How does the Trust plan to reduce Seclusions in the future?

 

 

For details, please refer to the NHS England Website on reducing long term segregation: https://www.england.nhs.uk/learning-disabilities/about/reducing-long-term-segregation/

 

 

Medication Errors

5) Please provide Medication Errors Information under the Freedom of Information Act to the following questions:

 

 

Please supply any Medication Errors Reports / Investigations.

 

 

Surrey and Borders Partnership NHS Foundation Trust are unable to release the request information as it constitutes third party person information and disclosure of the information to you will contravene with the principles of the Data Protection Act 2018.  In the circumstances, we consider this information exempt under Section (40) (2) (3A) of the Freedom of Information 2000.

 

 

How many Medication Errors in 2023?

 

 

Surrey & Borders Partnership NHS Foundation Trust can confirm 442 Incident Reports were made between 1 January 2023 and 31 December 2023.

 

 

What Proportion of Patients were Men / Women?

 

 

This information is not held by Surrey and Borders Partnership NHS Foundation Trust.  Please refer to Note 1 below.

 

 

 

 

 

 

How old were they?

 

 

What Proportion of patients were Classified People of the Global Majority or Racialised Communities ("POC / BAME")?

 

 

How many People covered by the Equality Act endured Medication Errors?

 

 

How many Medication Errors were investigated outside the NHS and CCG?

 

 

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 held by Surrey and Borders Partnership NHS Foundation Trust.  Please refer to Note 1 below.

 

 

 

 

How many Patients died within 6 months after Medication Errors and what was the cause (whether or not Medication Errors was considered the cause)?

 

 

How many Patients died by Suicide within 6 months of receiving Medication Errors (whether or not Medication Errors was considered the cause)?

 

 

How many Patients have suffered complications during and after Medication Errors and what were those complications?

 

 

Have there been any Formal Complaints from Patients / Relatives about Medication Errors?

 

 

For details on Incident Reporting, please refer to the Surrey and Borders Partnership NHS Foundation Trust Annual Reports.  These are accessible via the Trust Website at: https://www.sabp.nhs.uk/aboutus/strategies-and-reports

 

 

If so, what was their concerns?

 

 

How does the Trust plan to prevent Medication Errors in the future?

 

 

Please refer to the Surrey and Borders Partnership NHS Foundation Trust Website, for details of our Policies on Medicines: https://www.sabp.nhs.uk/aboutus/policies/clinical/medicines

 

 

Note 1:

The Freedom of Information Act 2000 (FOIA) does not require public authorities to create data in response to a request.  To provide this information the Trust would be required to review the individual medical incident record to review the individual’s medical record and if required, contact other Trusts to verify information regarding ECT, Serious Incidents, Restraints, Seclusion or Medication Errors.  We have estimated that to provide information specific to your request would take over 18 Hours, therefore Section 12 of the Freedom of Information Act would apply.  This section does not oblige a public authority to comply with a request for information if the authority estimated that the cost of complying with the request would exceed the appropriate limit of 18 hours, equating to £450.00.

01372216059

FOI@sabp.nhs.uk

Surrey and Borders Partnership NHS Foundation Trust