Freedom of Information Request – Ref: 064-2024
Thank you for your recent Freedom of Information request. Please find our response below.
You asked:
- Please supply patient’s information ECT leaflet
Our response:
We utilise the Royal College of Psychiatrists information leaflets that are publicly available here.
You asked:
- Please supply patient ECT consent form
Our response:
Please find within the following link: Revised ECT Care Pathway
You asked:
- Please supply any ECT reports/investigations
Our response:
Please find attached at the following link: ECT Half- year activity report Jan to June 2024
You asked:
- How many ECT in 2023?
Our response:
25
You asked:
- What proportion of patients were men/women?
Our response:
| Female | Male |
| 64% | 36% |
You asked:
- How old were they?
Our response:
| Age | Total |
| 15 – 25 | 0 |
| 26 – 44 | 6 |
| 45 – 59 | 3 |
| 60+ | 16 |
You asked:
- What proportion of patients were classified people of the global majority or racialised communities (“POC / BAME”)?
Our response:
| Classification | Proportion |
| BAME | 4% |
| Not known/not stated | 8% |
You asked:
- How many people covered by the equality act received ECT?
Our response:
We do not record or report in this way, therefore, we are unable to provide a figure.
You asked:
- How many people were offered talking therapy prior to ECT?
Our response:
We do not record or report in this way, therefore, we are unable to provide a figure.
You asked:
- How many were receiving ECT for the first time?
Our response:
We do not record or report in this way, therefore, we are unable to provide a figure.
You asked:
- How many patients consented to ECT?
Our response:
12
You asked:
- How many ECT complaints were investigated outside the NHS and CCG?
Our response:
0
You asked:
- How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
Our response:
0
You asked:
- How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
Our response:
| Number | Cause |
| 1 | metastasis of breast cancer |
You asked:
- How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
Our response:
0
You asked:
- How many patients have suffered complications during and after ECT and what were those complications?
Our response:
0
You asked:
- Have there been any formal complaints from patients/relatives about ECT?
Our response:
Yes
You asked:
- If so, what was their concerns?
Our response:
Delay in treatment
You asked:
- How many patients report memory loss/loss of cognitive function?
Our response:
0
You asked:
- What tests are used to assess memory loss/loss of cognitive function?
Our response:
Montreal Cognitive Assessment (MOCA)
You asked:
- Have MRI or CT scans been used before and after ECT?
Our response:
Yes, if there are any indicated need in line with the doctors advise.
You asked:
- If so, what was the conclusion?
Our response:
We do not record or report in this way, therefore, we are unable to provide conclusions.
You asked:
- How does the Trust plan to prevent ECT in the future?
Our response:
The Trust presently has no plans to prevent ECT in the future.
Section 2 – Please provide restraints information under the FOI act to the following questions: –
You asked:
- Please supply any Restraints/investigations
Our response:
Please find attached at the following link: FOI 064-2024 incident reports from Datix
You asked:
- How many Restraints in 2023
Our response:
2794
You asked:
- What proportion of patients were men/women?
Our response:
| Women | Men | Not known |
| 62.90% | 37.06% | 0.04% |
You asked:
- How old were they?
Our response:
We do not record or report in this way, therefore, we are unable to provide ages.
You asked:
- What proportion of patients were classified people of the global majority or racialised communities (“POC / BAME”)?
Our response:
| Classification | Proportion |
| BAME | 9.91% |
You asked:
- How many people covered by the equality act were restrained?
Our response:
We do not record or report in this way, therefore, we are unable to provide a number.
You asked:
- How many Restraints were investigated outside the NHS and CCG?
Our response:
We do not record or report in this way, therefore, we are unable to provide a number.
You asked:
- How many patients died during or 1 month after Restraints and what was the cause (whether or not Restraint was considered the cause)?
Our response:
0 during.
We do not know how many died of any cause 1 month after restraint as this is not tracked or reported on.
You asked:
- How many patients died within 6 months after Restraints and what was the cause (whether or not Restraints was considered the cause)?
Our response:
We do not record or report in this way, therefore, we are unable to provide a number.
You asked:
- How many patients died by suicide within 6 months of receiving Restraints (whether or not Restraints was considered the cause)?
Our response:
1
You asked:
- How many patients have suffered complications during and after Restraints and what were those complications?
Our response:
We do not record or report in this way, therefore, we are unable to provide a number.
You asked:
- Have there been any formal complaints from patients/relatives about Restraints?
Our response:
Yes
You asked:
- If so, what was their concerns?
Our response:
| Concern |
| staff using unnecessary force to hold down |
| Patient unhappy due to injury received |
| Lack of use of de-escalation techniques |
You asked:
- Are counts of forced injections available?
Our response:
Yes
You asked:
- How does the Trust plan to reduce restraints in the future?
Our response:
This trend has held at a low level, but the Trust’s ambition is to further reduce these figures, by:
The use of all restrictive practices is monitored via the Positive and Safe Sub group, who oversee the GHC Trust restrictive practice reduction action plan.
Delivery of training and use of specialist equipment.
Training in the prevention and safe management of distressed behaviours that may include violence and aggression or are of a self-injurious in nature.
The introduced the safety pod in all appropriate clinical areas.
Continuous improvement to ward environments and patient experience, including the introduction of activity co-ordinators.
Actively promote opportunities for patients to access leave in order to access out of hospital activities and to remain connected to life outside of the clinical setting.
Actively seeking to understand and to eliminate any restrictions that affect any group or class of patient (blanket restrictions).
Section 3 – Please provide Seclusion information under the FOI act to the following questions: –
You asked:
- Please supply any Seclusion reports/investigations.
Our response:
Please find attached with this response as datix incident reports.
You asked:
- How many Seclusions in 2023?
Our response:
3
You asked:
- What proportion of patients were men/women?
Our response:
| Category | Proportion |
| Men | 100% |
You asked:
- How old were they?
Our response:
| Age | Total |
| 15 – 25 | 2 |
| 26 – 44 | 0 |
| 45 – 59 | 0 |
| 60+ | 0 |
You asked:
- What proportion of patients were classified people of the global majority or racialised communities (“POC / BAME”)?
Our response:
| Classification | Proportion |
| BAME | 50% |
You asked:
- How many people covered by the Equality Act were secluded?
Our response:
2
You asked:
- How many Seclusions were investigated outside the NHS and CCG?
Our response:
We do not record or report in this way, therefore, we are unable to provide a number.
You asked:
- How many patients died during or 1 month after Seclusion and what was the cause (whether or not Seclusion was considered the cause)?
Our response:
0 during or 1 month after.
You asked:
- How many patients died within 6 months after Seclusion and what was the cause (whether or not Seclusion was considered the cause)?
Our response:
0
You asked:
- How many patients died by suicide within 6 months of receiving Seclusion (whether or not Seclusion was considered the cause)?
Our response:
0
You asked:
- How many patients have suffered complications during and after Seclusion and what were those complications?
Our response:
We do not record or report in this way, therefore, we are unable to provide a number.
You asked:
- Have there been any formal complaints from patients/relatives about Seclusion?
Our response:
No
You asked:
- If so, what was their concerns?
Our response:
N/A
You asked:
- How does the Trust plan to reduce Seclusion in the future?
Our response:
Incidents of Seclusion are monitored through the Positive and Safe group. The Trust reduces the incidence of Seclusion through promoting positive patient engagement.
Section 4 – Please provide Medication Errors information under the FOI act to the following questions:
You asked:
- Please supply any Medication Errors reports/investigations.
Our response:
Please find attached with this response as datix incident reports.
You asked:
- How many Medication Errors in 2023?
Our response:
766
You asked:
- What proportion of patients were men/women?
Our response:
| Women | Men | Not known |
| 55.58% | 43.89% | 0.53% |
You asked:
- How old were they?
Our response:
We do not record or report in this way, therefore, we are unable to provide a number.
You asked:
- What proportion of patients were classified people of the global majority or racialised communities (“POC / BAME”)?
Our response:
| Classification | Proportion |
| BAME | 5.20% |
You asked:
- How many people covered by the equality act endured medication errors?
Our response:
We do not record or report in this way, therefore, we are unable to provide a number.
You asked:
- How many Medication Errors were investigated outside the NHS and CCG?
Our response:
We do not record or report in this way, therefore, we are unable to provide a number.
You asked:
- 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)?
Our response:
0 during.
We do not know how many died of any cause 1 month after Medication Error as this is not tracked or reported on.
You asked:
- How many patients died within 6 months after Medication Errors and what was the cause (whether or not Medication Errors was considered the cause)?
Our response:
We do not know how many died of any cause 6 months after Medication Error as this is not tracked or reported on.
You asked:
- How many patients died by suicide within 6 months of receiving Medication Errors (whether or not Medication Errors was considered the cause)?
Our response:
0
You asked:
- How many patients have suffered complications during and after Medication Errors and what were those complications?
Our response:
We do not record or report in this way, therefore, we are unable to provide a number.
You asked:
- Have there been any formal complaints from patients/relatives about Medication Errors?
Our response:
Yes
You asked:
- If so, what was their concerns?
Our response:
| Concern |
| wrong dose |
| district nurse made a medication error |
| failure to report medication errors |
| medications were prescribed despite paradoxical reactions |
| more medication administered than was prescribed. |
You asked:
- How does the Trust plan to prevent Medication Errors in the future?
Our response:
The Trust has two policies aimed at preventing medication errors:
- Medication Error/ Incident Management Policy (CLP041); and,
- Managing Medication Policy (CLP034).
These are supported by standard operating procedures and the Trust’s incident reporting process.
Next steps:
Should you have any queries in relation to our response, please do not hesitate to contact us. If you are unhappy with the response you have received in relation to your request and wish to ask us to review our response, you should write to:
Louise Moss
Head of Legal Services / Associate Director of Corporate Governance
c/o Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth, GL3 4AW
E-mail: louise.moss@ghc.nhs.uk
If you are not content with the outcome of any review, you may apply directly to the Information Commissioner’s Office (ICO) for further advice/guidance. Generally, the ICO will not consider your case unless you have exhausted your enquiries with the Trust which should include considering the use of the Trust’s formal complaints procedure. The ICO can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.