Hospital prescribing of Haloperidol in your NHS Health Board area

The request was successful.

Dear Western Isles NHS Board,
I am writing as part of a Freedom of Information request regarding statistical details of the prescribing of the antipsychotic medication generically called HALOPERIDOL. It may be that the all of the information that I request is already available through a publicly accessible database and if so could you please direct me to this.

The reason I write is that I am aware that Hospital Guidelines/Protocols for acute agitation, psychosis, behavioural or psychological disturbance generally seem to include Haloperidol as the first-line pharmacological treatment of choice, given either orally or intramuscularly. This week in the British Medical Journal the following paper has been published: “Change Page: “Don’t use antipsychotics routinely to treat agitation and aggression in people with dementia”
http://www.bmj.com/content/349/bmj.g6420
This refers to individuals who may be diagnosed with dementia, but I am aware that prescribing of Haloperidol, as part of Hospital Guidelines/Protocols is also part of management of Delirium.

I am ware that prescribing of Haloperidol is also routinely part of protocols in those aged under 65 for acute or chronic agitation, psychosis, behavioural or psychological disturbance.

Could you please answer the following questions as completely as possible:

1. For the last 5 years (2009 to 2013 inclusive) could you confirm the quantity of Haloperidol issued to cover all acute and community hospitals in your NHS Board area as per each strength:

ORAL TABLET HALOPERIDOL
0.5mg,
1.5mg,
5mg
10mg
20mg

ORAL LIQUID HALOPERIDOL
1mg/ml
2mg/ml

INJECTABLE HALOPERIDOL
5mg/ml

2. Can you supply any protocols/guidelines in place for your NHS Board area that include Haloperidol as part of a treatment pathway.

Can you confirm if you have a protocol for Delirium and if it includes recommendation of Haloperidol?

Can you confirm if you have a protocol for Dementia and if it includes Haloperidol as a treatment option for “BPSD” (Behavioural and Psychological Symptoms of Dementia)

Can you confirm when each protocol was first issued?

Can you confirm if Haloperidol is ever prescribed in those under 16 years of age?

I am grateful for your help.

Yours faithfully,

Peter J Gordon

FOI-requests (NHS WESTERN ISLES),

Dear Mr Gordon

Please accept this email as confirmation that NHS Western Isles has received your FOI request below.

Regards,
Tina

NHS Western Isles
37 South Beach Street
Stornoway
Isle of Lewis
HS1 2BB

[email address]
Tel: 01851 708031
Fax: 01851 702036
________________________________________
From: Peter J Gordon [[FOI #238864 email]]
Sent: 12 November 2014 06:51
To: FOI-requests (NHS WESTERN ISLES)
Subject: Freedom of Information request - Hospital prescribing of Haloperidol in your NHS Health Board area

Dear Western Isles NHS Board,
I am writing as part of a Freedom of Information request regarding statistical details of the prescribing of the antipsychotic medication generically called HALOPERIDOL. It may be that the all of the information that I request is already available through a publicly accessible database and if so could you please direct me to this.

The reason I write is that I am aware that Hospital Guidelines/Protocols for acute agitation, psychosis, behavioural or psychological disturbance generally seem to include Haloperidol as the first-line pharmacological treatment of choice, given either orally or intramuscularly. This week in the British Medical Journal the following paper has been published: “Change Page: “Don’t use antipsychotics routinely to treat agitation and aggression in people with dementia”
http://www.bmj.com/content/349/bmj.g6420
This refers to individuals who may be diagnosed with dementia, but I am aware that prescribing of Haloperidol, as part of Hospital Guidelines/Protocols is also part of management of Delirium.

I am ware that prescribing of Haloperidol is also routinely part of protocols in those aged under 65 for acute or chronic agitation, psychosis, behavioural or psychological disturbance.

Could you please answer the following questions as completely as possible:

1. For the last 5 years (2009 to 2013 inclusive) could you confirm the quantity of Haloperidol issued to cover all acute and community hospitals in your NHS Board area as per each strength:

ORAL TABLET HALOPERIDOL
0.5mg,
1.5mg,
5mg
10mg
20mg

ORAL LIQUID HALOPERIDOL
1mg/ml
2mg/ml

INJECTABLE HALOPERIDOL
5mg/ml

2. Can you supply any protocols/guidelines in place for your NHS Board area that include Haloperidol as part of a treatment pathway.

Can you confirm if you have a protocol for Delirium and if it includes recommendation of Haloperidol?

Can you confirm if you have a protocol for Dementia and if it includes Haloperidol as a treatment option for “BPSD” (Behavioural and Psychological Symptoms of Dementia)

Can you confirm when each protocol was first issued?

Can you confirm if Haloperidol is ever prescribed in those under 16 years of age?

I am grateful for your help.

Yours faithfully,

Peter J Gordon

-------------------------------------------------------------------

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[FOI #238864 email]

Is [NHS Western Isles request email] the wrong address for Freedom of Information requests to Western Isles NHS Board? If so, please contact us using this form:
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show quoted sections

FOI-requests (NHS WESTERN ISLES),

3 Attachments

Please find attached NHS Western Isles response to your FOI request below.
Regards,
Tina

NHS Western Isles
37 South Beach Street
Stornoway
Isle of Lewis
HS1 2BB

[email address]
Tel: 01851 708031
Fax: 01851 702036
________________________________________
From: Peter J Gordon [[FOI #238864 email]]
Sent: 12 November 2014 06:51
To: FOI-requests (NHS WESTERN ISLES)
Subject: Freedom of Information request - Hospital prescribing of Haloperidol in your NHS Health Board area

Dear Western Isles NHS Board,
I am writing as part of a Freedom of Information request regarding statistical details of the prescribing of the antipsychotic medication generically called HALOPERIDOL. It may be that the all of the information that I request is already available through a publicly accessible database and if so could you please direct me to this.

The reason I write is that I am aware that Hospital Guidelines/Protocols for acute agitation, psychosis, behavioural or psychological disturbance generally seem to include Haloperidol as the first-line pharmacological treatment of choice, given either orally or intramuscularly. This week in the British Medical Journal the following paper has been published: “Change Page: “Don’t use antipsychotics routinely to treat agitation and aggression in people with dementia”
http://www.bmj.com/content/349/bmj.g6420
This refers to individuals who may be diagnosed with dementia, but I am aware that prescribing of Haloperidol, as part of Hospital Guidelines/Protocols is also part of management of Delirium.

I am ware that prescribing of Haloperidol is also routinely part of protocols in those aged under 65 for acute or chronic agitation, psychosis, behavioural or psychological disturbance.

Could you please answer the following questions as completely as possible:

1. For the last 5 years (2009 to 2013 inclusive) could you confirm the quantity of Haloperidol issued to cover all acute and community hospitals in your NHS Board area as per each strength:

ORAL TABLET HALOPERIDOL
0.5mg,
1.5mg,
5mg
10mg
20mg

ORAL LIQUID HALOPERIDOL
1mg/ml
2mg/ml

INJECTABLE HALOPERIDOL
5mg/ml

2. Can you supply any protocols/guidelines in place for your NHS Board area that include Haloperidol as part of a treatment pathway.

Can you confirm if you have a protocol for Delirium and if it includes recommendation of Haloperidol?

Can you confirm if you have a protocol for Dementia and if it includes Haloperidol as a treatment option for “BPSD” (Behavioural and Psychological Symptoms of Dementia)

Can you confirm when each protocol was first issued?

Can you confirm if Haloperidol is ever prescribed in those under 16 years of age?

I am grateful for your help.

Yours faithfully,

Peter J Gordon

-------------------------------------------------------------------

Please use this email address for all replies to this request:
[FOI #238864 email]

Is [NHS Western Isles request email] the wrong address for Freedom of Information requests to Western Isles NHS Board? If so, please contact us using this form:
https://www.whatdotheyknow.com/change_re...

Disclaimer: This message and any reply that you make will be published on the internet. Our privacy and copyright policies:
https://www.whatdotheyknow.com/help/offi...

If you find this service useful as an FOI officer, please ask your web manager to link to us from your organisation's FOI page.

show quoted sections

Dear NHS WESTERN ISLES,
Many thanks for your helpful reply of 3rd December 2014

Yours sincerely,
Peter J Gordon