Date: 13 June 2024
Ref: 2337-FOI
Dear Mrs Micklewright
Freedom Of Information – ECT, Serious Incident, Restraints, Seclusion, Medication Information - 2023 Information
Thank you for your enquiry. I am writing in response to your freedom of information request sent on 14/04/2024. Please accept my apologies for the slight delay in responding. For ease of reference, your request is set out below in bold and our response is in italics
Please provide Electro Convulsive Treatment (ECT) information under the FOI act to the following questions: -
Please supply patient’s information ECT leaflet-
Please see attached PDF:
ect_leaflet
Please supply patient ECT consent form
Please See attached PDF
ECT - CONSENT - RECORD - FORM
Please supply any ECT reports/investigations
There were none.
How many ECT in 2023?
268 sessions from January-December 2023
What proportion of patients were men/women?
25 females and 12 males
How old were they
|
age_category |
count |
|
10-19 |
0 |
|
20-29 |
6 |
|
30-39 |
1 |
|
40-49 |
3 |
|
50-59 |
5 |
|
60-69 |
12 |
|
70-79 |
6 |
|
80-89 |
4 |
What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
|
BMECategory |
Patients ECT |
|
BME |
3 |
|
Non-BME |
28 |
|
Not Known |
4 |
How many people covered by the equality act received ECT ?
Please refer to the above table
How many people were offered talking therapy prior to ECT ?
Only patients with treatment resistant moderate depression will have been offered talking therapy whereas there are no evidence based talking therapies for catatonia, severe mania or severe psychotic depression that are major indications for ECT usage.
How many were receiving ECT for the first time?
16 patients received ECT for the first time from January to December 2023
How many patients consented to ECT?
12 patients consented to ECT
How many ECT complaints were investigated outside the NHS and CCG?
None; we received no complaints.
How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
The ECT Clinic does not collate mortality data on patients who have left the service
How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
The ECT Clinic does not collate mortality data on patients who have left the service
How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
The ECT Clinic does not collate mortality data on patients who have left the service
How many patients have suffered complications during and after ECT and what were those complications?
The term complications is to be understood as something over and above expected side effects. By analogy, pain Is an expected side effect of abdominal surgery, but a perforated bowel would be a complication. No patients have suffered complications during or after ECT.
Have there been any formal complaints from patients/relatives about ECT?
None , We had no complaints
If so, what was their concerns?
How many patients report memory loss/loss of cognitive function?
The ECT Clinic does not collate this data.
.What tests are used to assess memory loss/loss of cognitive function?
Clinical evaluation
patient self-evaluation of memory using the Comprehensive Psychopathological Rating Scale (CPRS)
Montreal Cognitive Assessment
Mini Mental State Examination (MMSE).
Have MRI or CT scans been used before and after ECT?
No. There would be no clinical indication to perform CT or MRI scans before and after ECT.
If so, what was the conclusion?
Not Applicable
How does the Trust plan to prevent ECT in the future?
The Trust has no plans to “prevent” ECT, which is a treatment approved by NICE for use under specific circumstances that include as a lifesaving intervention.
Please provide restraints information under the FOI act to the following questions: -
Please supply any Restraints/investigation
Please see the attached PDF
How many RESTRAINTS in 2023?
2622 restraints in 2023
What proportion of patients were men/women?
49.2% of patients restrained were women, 50.8% of patients restrained were men
How Old where they?
|
Age |
2023 |
|
10-19 |
1675 |
|
20-29 |
359 |
|
30-39 |
226 |
|
40-49 |
68 |
|
50-59 |
107 |
|
60-69 |
103 |
|
70-79 |
81 |
|
80-89 |
3 |
What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
|
BMECategory |
Patients Restrained |
|
BME |
158 |
|
Non-BME |
151 |
|
Not Known |
2 |
How many people covered by the equality act were restrained?
Please refer to the above table
How many RESTRAINTS were investigated outside the NHS and CCG?
Zero
How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
Zero
How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
Zero
How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?
Zero
How many patients have suffered complications during and after RESTRAINTS and whatwere those complications?Have there been any formal complaints from patients/relatives about RESTRAINTS?
One
If so, what was their concerns?
Please see the attached PDF
Final Response 2337-FOI.pdf
Are counts of forced injections available?
551 incidents of rapid tranquilization under restraint.
How does the Trust plan to reduce restraints in the future?
The trust training is accredited with the Restraint Reduction Network and British Institute of Learning Disabilities (RR/BILD). The aim of the accredited programme is to protect people’s fundamental human rights and promote person centred, best interest and therapeutic approaches to supporting people when they are distressed Improve the quality of life of those being restrained and those supporting them
Please provide SECLUSION information under the FOI act to the following questions: -
Please supply any SECLUSION reports/investigations
How many SECLUSIONS in 2023?
334 seclusions in 2023
What proportion of patients were men/women?
30.8% of secluded patients were female, 69.2% were male.
How old were they?
|
Age |
2023 |
|
10-19 |
138 |
|
20-29 |
73 |
|
30-39 |
80 |
|
40-49 |
16 |
|
50-59 |
20 |
|
60-69 |
7 |
What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
|
BMECategory |
Patients Secluded |
|
BME |
69 |
|
Non-BME |
45 |
|
Not Known |
3 |
How many people covered by the Equality Act were secluded ?
Please refer to the table above
How many SECLUSIONS were investigated outside the NHS and CCG?
Zero
How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
Zero
How many patients died within 6 months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
Zero
How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?
Zero
How many patients have suffered complications during and after SECLUSION and what were those complications?
Zero
Have there been any formal complaints from patients/relatives about SECLUSION?
Zero
If so, what was their concerns?
How does the Trust plan to reduce SECLUSIONS in the future?
Please see the attached PDF
Restrictive Interventions Seclusion and Use Of Force Act Policy
Please provide MEDICATION ERRORS information under the FOI act to the following questions: -
Please supply any MEDICATION ERRORS reports/investigations
Please see attached PDF
Medicines incidents report Feb to Mar 2023
How many MEDICATION ERRORS in 2023?
491 medication incidents reported in 2023.
What proportion of patients were men/women?
|
Gender |
2023 |
|
Female |
185 |
|
Male |
157 |
|
Unknown |
149 |
How old were they?
|
Age |
2023 |
|
12-20 |
41 |
|
21-30 |
48 |
|
31-40 |
48 |
|
41-50 |
44 |
|
51-60 |
33 |
|
61-70 |
22 |
|
71-80 |
14 |
|
81-90 |
5 |
What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
|
BME |
2023 |
|
BME |
135 |
|
Non-BME |
160 |
|
Not Known |
196 |
How many people covered by the equality act endured medication errors ?
Please see above table
How many MEDICATION ERRORS were investigated outside the NHS and CCG?
We do not hold information in this way.
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)?
We do not hold information in this way
How many patients died within 6 months after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?
We do not hold information in this way.
How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
We do not hold information in this way.
How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
We do not hold information in this way.
Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
12
If so, what was their concerns?
|
Complaints Category |
2023 |
|
Drugs/medicines Not Available |
1 |
|
Failure To Prescribe |
1 |
|
Medication Error |
1 |
|
Medication Issues |
8 |
|
Prescribing |
1 |
How does the Trust plan to prevent MEDICATION ERRORS in the future?
By embedding Just Culture across the Trust
To learn from the incidents report and identify any systemic errors to minimise such errors from happening.
Utilising Trust monthly learning bulletin as a tool to spread learning and share incidents.
Updating policies and procedures to reflect learning from incidents.
I trust that this response satisfies your request. However, if you are not satisfied you may request an internal review of our response by emailing us at foi@swlstg.nhs.uk setting out your reasons. Please ensure that the reference number appearing in the subject line above is quoted to make it easier for the team to deal with further correspondence. Requests for an internal review should be made within 40 working days of receipt of our response.
In the event that you remain dissatisfied with the outcome of any appeal, you have the right to appeal to the Information Commissioner’s Office (ICO), although they will expect you to exhaust the Trust internal complaints policy before they will consider a case. For further details see www.ico.gov.uk
Yours sincerely
Philip Murray
Chief Finance and Performance Officer
Karen Hayward
Corporate Administrator
Teams: FOI-Requests@swlstg.nhs.uk
South West London and St George's Mental Health NHS Trust
Acacia East Wing
First Floor Digital Zone
Tolworth Hospital
Red Lion Road
Surbiton, Surrey
KT6 7QU
My working hours are 8:30-16:30 Mon-Friday