WEST LONDON 2021 + 2022
Thank you for your FOI request (our ref 147 & 260). Please find below our response to the ECT part of your request:
Please provide ECT information under the FOI act to the following questions: -
1.Please supply patient’s information ECT leaflet.
Response: Please find more information on our website: Electroconvulsive Therapy (westlondon.nhs.uk)
2.Please supply patient ECT consent form
Response: Please find attached the file “consent.doc”
3.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 and disclosure would be a breach of Data Protection Legislation. Therefore it is exempt under section 40(2) 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
4.How many ECT in 2021 & 2022?
2021 - Response: 169 treatments
2022 - Response: 297 treatments (some people have had more than one set of treatment sessions, the figure represents sessions, not individuals)
5.What proportion of patients were men/women?
2021 – Response: 10 men, 13 women
2022 - Response: 7 men, 25 women
6.How old were they?
2021
Range of men 25 yr to 87yr
Range of women 36 yr to 76 yr
2022
Range for men 31 yr to 87 yr
Range for women 36 yr to 81 yr
7.What proportion of patients were classified people of the global majority or racialised communities ("POC / BAME")?
2021 14 white 9 others
2022 17 white 15 others
8.How many were receiving ECT for the first time?
Response: 10 (this figure represents first sessions if they had further ECT that year/next year covered and/or we were aware that this was potentially the first time ever that they had ECT in their lives)
9.How many patients consented to ECT?
2021 14
2022 20
10.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 CCG directly.
11.How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
Response: zero
12.How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
Response: zero
13.How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
Response: zero
14.How many patients have suffered complications during and after ECT and what were those complications?
Response: none
15.Have there been any formal complaints from patients/relatives about ECT?
Response: none
16.If so, what was their concerns?
Response: N/A
17.How many patients report memory loss/loss of cognitive function?
Response: none
18.What tests are used to assess memory loss/loss of cognitive function?
Response: CPRS
19.Have MRI or CT scans been used before and after ECT?
Response: no
20.If so, what was the conclusion?
Response: no
21.How does the Trust plan to prevent ECT in the future?
Response: There is no plan to stop ECT
Thank you for your FOI request Ref: 147 & 260, please see the responses below to the serious incident part of your FOI request.
Please provide SERIOUS INCIDENT information under the FOI act to the following questions: -
1.Please supply any serious incident reports/investigations?
The Trust cannot share individual reports due to confidentiality concerns.
2.How many SERIOUS INCIDENT REPORTS in 2021 & 2022?
2021: 98 incidents declared
2022: 91 incidents declared
3.What proportion of patients were men/women?
2021: 21/98 Female (21%), 72/98 male (72%) remainder not applicable / no patient involved.
2022: 12/91 Female (13%), Male 69/91 (76%) remainder not applicable / no patient involved.
4.How old were they?
2021: 10/98 65 and over, 14/98 age 21 or under, 10/98 no age reported or not a patient related SI, 64/98 between 22 and 64
2022: */91 65 and over, */91 age 21 or under, 11/91 no age reported or not a patient related SI, 74/91 between 22 and 64
Less than 5 instances could potentially identify individuals - Section 40(2)
*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 people of the global majority or racialised communities ("POC / BAME")?
The ethnic makeup of the patients involved in these serious incidents is given below:
-
Row Labels
Asian or Asian British Bangladeshi
Asian or Asian British Indian
Asian or Asian British Other
Asian or Asian British Pakistani
Black or Black British - African
Black or Black British - Caribbean
Black or Black British -Other
Mixed - Other
Mixed - White & Black African
Mixed - White & Black Caribbean
Mixed - White Asian
Not Stated
Other Ethnic - Chinese
Other Ethnic - Other
White - British
White - Irish
White - Other
(blank)
Grand Total
2021
6
*
6
14
8
*
*
*
7
*
39
6
6
98
2022
7
*
*
7
5
*
*
*
16
*
*
34
7
*
91
Less than 5 instances could potentially identify individual - section 40 (2)
*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.
6.How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG?
None – Serious Incidents and the Serious Incident investigation framework pertain to investigations conducted in relation to NHS services and NHS funded patients.
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)?
We do not record this information as part of the Serious Incident review process and therefore are unable to provide this information within the limitations of the FOI policy.
Exempted under Section 12 (cost of compliance)
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.
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)?
We do not record this information as part of the Serious Incident review process and therefore are unable to provide this information within the limitations of the FOI policy.
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)?
We do not record this information as part of the Serious Incident review process and therefore are unable to provide this information within the limitations of the FOI policy.
10.How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?
We do not record this information as part of the Serious Incident review process and therefore are unable to provide this information within the limitations of the FOI policy.
11.Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?
There have been a total of 5 complaints received in relation to patients where there has been a Serious Incident investigation. None of these complaints related to the Serious incident investigation itself, but instead raised issues around care and treatment provided in relation to the patient who was the subject of the Serious incident investigation.
12.If so, what was their concerns?
Please see 11 above.
13.How does the Trust plan to prevent SERIOUS INCIDENTS in the future?
Each Serious Incident investigation includes an action plan which identifies the steps that the Trust plans to take to reduce the likelihood of similar incidents occurring in the future. The Trust also develops Trustwide action plans for addressing systemic issues alongside thematic reviews and Quality Improvement projects related to specific themes.
If you are dissatisfied with this response and wish to appeal then please let us know by writing to:
Information Governance
West London NHS Trust
Trust Headquarters
1 Armstrong Way
Southall
UB2 4SD
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,
Michelle
Michelle Benedetti
Information Governance Facilitator
West London Trust
1 Armstrong Way
Southall
Middlesex