WEST LONDON 2020

Dear Mrs Micklewright,

Thank you for your Freedom of Information request (our ref 324). Please find below our response:

Please provide ECT information under the FOI act to the following questions: -

Please supply patient’s information ECT leaflet.

Response: Please find more information on our website: Electroconvulsive Therapy (westlondon.nhs.uk)

Please supply patient ECT consent form.

Response: Please refer to the attachment (file “ECT consent form 1 - revised sep 06.rtf”).

Please supply any ECT reports/investigations

Response: The Trust will not be disclosing the information under the FOI process on the grounds that the information requested constitutes personal data of which the applicant is the data subject and disclosure would be a breach of Data Protection Legislation. Therefore it is exempt under section 40(1) of Freedom of Information Act 2000.

Please find out more about section 40 on the link below:

https://www.legislation.gov.uk/ukpga/2000/36/section/40

How many ECT in 2020?

Response: 23 session, 21 patients

What proportion of patients were men/women?

Response: Men: Women 9:12

How old were they?

Response:

36	49	52	54	55	57	58	59	60	61	62	66	69	71	73	75	76	77	79	82
*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*

NB (*)The Trust considers that this information is exempted under Freedom of Information Act 2000, Section 40(2) (personal information) as disclosure of this level of detail could lead to the identification of individuals, which would be in breach of Data Protection legislation. Although I cannot confirm the exact figure, I can confirm that the number in each of these categories are less than five.the Trust’s position is that disclosure of this information could potentially identify the individuals involved, especially if combined with other data, and this would constitute a breach of Data Protection Legislation.

Low statistical values increase the likelihood of seemingly anonymised information being combined with other information to identify an individual.

What proportion of patients were classified BAME?

Response: 6

How many were receiving ECT for the first time?

Response: 13

How many patients consented to ECT?

Response: 13

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

Response: West London NHS Trust does not hold this information. You may refer to NHS England and the DCCG directly.

How many patients died during or * month after ECT and what was the cause

(whether or not ECT was considered the cause)?

Response: 0

How many patients died within 6 months after ECT and what was the cause

(whether or not ECT was considered the cause)?

Response: 0

How many patients died by suicide within 6 months of receiving ECT (whether

or not ECT was considered the cause)?

Response: 0

How many patients have suffered complications during and after ECT and

what were those complications?

Response: 0

Have there been any formal complaints from patients/relatives about ECT?

Response: 0

If so, what was their concerns?

Response: N/a

How many patients report memory loss/loss of cognitive function?

Response: *

NB (*)As the response to this is less than five, it is exempted from disclosure under section 40(2) of the Freedom of Information Act 2000 on the grounds that it is personal information.

What tests are used to assess memory loss/loss of cognitive function?

Response: MOCA MMSE

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

Response: No

If so what was the conclusion?

Response: N/a

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

Response: There is no plan to stop ECT

If you are dissatisfied with this response and wish to appeal then please let me know by writing to:

Information Governance Department

Trust Headquarters

1 Armstrong Way

Southall

UB2 4SD

Or alternatively, you can email: FOI@westlondon.nhs.uk

Any complaints will be dealt with through our Internal Review procedure. If you are still not satisfied following the Internal Review, you have a right to appeal to the Information Commissioner using the following contact details:

Information Commissioner's Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

Telephone: 01625 545 700

Thank you.

Kind regards,

FOI & SAR Officer
West London NHS Trust

Dear Mrs Micklewright,

Thank you for your Freedom of Information request (our ref 325). Please find below our response:

Please provide SERIOUS INCIDENT information under the FOI act to the following questions: -

1. Please supply any serious incident reports/investigations

Response: The Trust will not be disclosing this information on the grounds of cost as locating and extracting the information will exceed the cost limit. You may be aware that under Section 12 of the Freedom of Information Act 2000 a public authority is not obliged to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit. The appropriate limit for the NHS is £450 (based on £25 per person per hour to locate and extract the requested data. This represents the estimated cost of one person spending more than 18 hours as we have established that providing this information would require a manual audit of relevant records to be carried out.

2. How many SERIOUS INCIDENT REPORTS in 2020?

Response: 119

3. What proportion of patients were men/women?

Response: 85% Male vs 15% Female

4. How old were they?

Response:

Age 19	Ages 20-30	Ages 31-40	Ages 41-50	Ages 51 - 60	Ages 61-70	Over Age 71
*	21	54	18	17	5	*

*As the response to this is less than five, the Trust’s position is that disclosure of this information could potentially identify the individuals involved, especially if combined with other data, and this would constitute a breach of Data Protection Legislation. Therefore, this information is exempt from disclosure under section 40(2) of the Freedom of Information Act 2000 on the grounds that it is personal information.

5. What proportion of patients were classified BAME?

Response:19%

6. How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG?

7. How many patients died during or 1 month after SERIOUS INCIDENT REPORTS

and what was the cause (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?

8. How many patients died within 6 months after SERIOUS INCIDENT REPORTS

and what was the cause (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?

9. How many patients died by suicide within 6 months of receiving SERIOUS INCIDENT REPORTS (whether or not SERIOUS INCIDENT REPORTS was considered the cause)?

10. How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?

11. Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?

Response:None

12. If so, what was their concerns?

Response:N/A

13. How does the Trust plan to prevent SERIOUS INCIDENTS in the future?

Response:Please see:

1) By monitoring compliance with the implementation of the Trust A1 Learning from Incidents, Complaints and Claims Policy.

2) Scrutinising and challenging any investigations to ensure accuracy, robustness of process, identification of causal factors, emerging themes and the sustainability of recommended actions for improvement.

3) Overseeing all action level risks which reside on the Trust from adverse events.

4) Developing systems which ensure that actions emerging from incidents, complaints and claims reports are acted upon and monitored through to completion.

5) Providing appropriate assurances to the Trust that demonstrate robust processes exist for investigating, analysing and learning from incidents , complaints and qualitative and quantitative data with recommendations for action/consideration

Dear Mrs Micklewright,

Thank you for your Freedom of Information request (our ref 328). Please find below our response:

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

1. Please supply any MEDICATION ERRORS reports/investigations

2. How many MEDICATION ERRORS in 2020?

Response: 466

3. What proportion of patients were men/women?

Response: Female 153 – Male 306

4. How old were they?

Response:

Age Range	Count
10-19	*
20-29	45
30-39	74
40-49	81
50-59	59
60-69	17
70-79	22
80-89	18
90-99	*
100-109	*

5. What proportion of patients were classified BAME?

Response:

Service User Ethnicity	Total
D - White & Black Caribbean	*
E - White & Black African	*
GC - Black & White	*
H - Indian/British Indian	16
J - Pakistani/British Pakistani	5
K - Bangladeshi	*
L - Other Asian	*
LD - Asian - East African Asian	*
LH - Asian - British	*
LK - Asian Unspecified	*
M - Black or Black British - Caribbean	17
N - Black or Black British - African	11
P - Other Black	*
PA - Black Somali	*
PB - Black Mixed Origin	*
PD - Black British	11
S - Other Ethnic Group	11
ZZ_SL - Other Ethnic Groups - North African	*
Grand Total	98

6. How many MEDICATION ERRORS were investigated outside the NHS and CCG?

7. 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)?

8. How many patients died within 6 months after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?

9. How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?

10. How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?

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

Response: *

12. If so, what was their concerns?

Response: Medication provided to the patient affected their cognition

13. How does the Trust plan to prevent MEDICATION ERRORS in the future?

Response: All Medication incidents are reported on the trust incident reporting system which are viewed by the medicines management group. The medicines management group actively monitors and analyses all medicine incident reports, to identify themes across the Trust which require system reviews or change in processes to prevent or minimize medication errors and promote cross learning of good practice. Medicines Management training is provided to staff and continually updated to reflect new guidance.

19th Jan 2021

Dear Mrs Micklewright,

Thank you for your Freedom of Information request (our ref 327). Please find below our response:

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

Please supply any SECLUSION reports/investigations

How many SECLUSIONS in 2020?

Response: 1600

What proportion of patients were men/women?

Response: Female 28% & male 72%

How old were they?

Response:

Age of pts	Number of pts
16	*
18	25
19	42
20	58
21	31
22	162
23	66
24	88
25	59
26	55
27	24
28	67
29	44
30	40
31	23
32	37
33	15
34	29
35	60
36	63
37	30
38	35
39	12
40	51
41	*
42	25
43	14
44	27
45	41
46	11
47	25
48	40
49	18
50	19
51	23
52	21
53	13
54	17
55	14
56	9
57	5
58	39
59	20
60	*
61	*
62	*
63	82
66	*
67	*
70	*
71	6
Total	1600

What proportion of patients were classified BAME?

Response: 70%

How many SECLUSIONS were investigated outside the NHS and CCG?

Response: We are unable to provide this information as these organisations are third parties and we do not have access to their information.

How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)

Response: *

How many patients died within 6 months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause

Response: *

How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?

Response: 0

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?

Response: *

If so, what was their concerns?

Response: *

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

Response:

If you are dissatisfied with this response and wish to appeal then please let me know by writing to:

Information Governance Department

Trust Headquarters

1 Armstrong Way

Southall

UB2 4SD

Or alternatively, you can email: FOI@westlondon.nhs.uk

Information Commissioner's Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

Telephone: 01625 545 700

Thank you.

Kind regards

Nahida Rahman

Senior Information Governance Facilitator

West London NHS Trust

36	49	52	54	55	57	58	59	60	61	62	66	69	71	73	75	76	77	79	82
*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*

36	49	52	54	55	57	58	59	60	61	62	66	69	71	73	75	76	77	79	82
*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*

36	49	52	54	55	57	58	59	60	61	62	66	69	71	73	75	76	77	79	82
*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*