Serious incidents and deaths of patients with a learning disability

Roedd y cais yn rhannol lwyddiannus.

Dear Salisbury NHS Foundation Trust,

Please could you provide the following information:

1a) total number of deaths that have occurred at the Trust in each of the the last five years (please provide data broken down by year)
1b) the number of these deaths that were classified as unexpected

2a) total number of deaths that have been referred to the Coroner by the Trust in each of the last five years
2b) of these, the number of deaths of patients with a learning disability referred to the Coroner

3a) total number of deaths of patients with a learning disability that have occurred at the Trust in each of the last five years (please provide total number and indicate whether they were inpatients at the time of their deaths)
3b) of these, the number of these deaths of patients with a learning disability that were classified as unexpected

4a) total number of deaths at the Trust reported as an incident on the National Reporting and Learning System (NRLS) in each of the last five years
4b) total number of deaths at the Trust reported on Strategic Executive Information System (STEIS) in each of the last five years
4c) if possible, please indicate the number of these that relate to patients with a learning disability

5a) total number of initial 72-hour reviews into deaths (as defined by the NHS Serious Incident Framework) in each of the last five years
5b) total number of investigations into deaths (as defined by the NHS SI Framework) in each of the last five years - please provide data broken down by severity, Level 1 internal investigations, Level 2 comprehensive internal investigations, Level 3 independent investigations. Please also indicate whether the numbers refer to investigations opened or completed.

Many thanks for your time.

Yours faithfully,
Dr George Julian

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[1]Freedom of Information Act 2000.

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[3]Salisbury NHS Foundation Trust

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Freedom Of Information, Salisbury NHS Foundation Trust

 

Salisbury NHS Foundation Trust
Salisbury District Hospital
Department of Information Technology
Salisbury
Wiltshire
SP2 8BJ

[1]www.salisbury.nhs.uk

28^th February 2017

Reference No: FOI_3522
Dear Dr George Julian
Regarding your request for information that we received on the 1^st February
2017. We hope this information is satisfactory and meets your intended
request requirements. Should this information not answer your questions,
please contact us using the email address at the bottom of this email, or
you can write to us using the address above.
 
Question No. 1
Total number of deaths that have occurred at the Trust in each of the the
last five years (please provide data broken down by year).
 
Answer No. 1
The following number of deaths have occurred at the Trust in each of the
last five years:

2012 = 877
2013 = 888
2014 = 767
2015 = 862
2016 = 828
 
 
Question No. 2
The number of these deaths that were classified as unexpected.
 
Answer No. 2
This Trust does not classify deaths as unexpected. For deaths that are
reviewed, an assessment of avoidability is used:
> No evidence of avoidability
> Slight evidence of avoidability
> Possibly avoidable, but not very likely, less than 50/50
> Probably avoidable, more than 50/50
> Strong evidence of avoidability
> Definitely avoidable
 
 
Question No. 3
Total number of deaths that have been referred to the Coroner by the Trust
in each of the last five years.
 
Answer No. 3
The Trust does not collect this information.
 
 
Question No. 4
Of these, the number of deaths of patients with a learning disability
referred to the Coroner.
 
Answer No. 4
The trust does not collect this information.
 
 
Question No. 5
Total number of deaths of patients with a learning disability that have
occurred at the Trust in each of the last five years (please provide total
number and indicate whether they were inpatients at the time of their
deaths).
 
Answer No. 5
The following number of deaths of patients with a learning disability have
occurred at the Trust in each of the last five years:

2012 = 0
2013 = 0
2014 = <5
2015 = 0
2016 = <5
 
 
Question No. 6
Of these, the number of these deaths of patients with a learning disability
that were classified as unexpected.
 
Answer No. 6
Not applicable as per response to question 2.
 
 
Question No. 7
Total number of deaths at the Trust reported as an incident on the National
Reporting and Learning System (NRLS) in each of the last five years.
 
Answer No. 7
The following numbers of incidents were reported on the trust risk
management system and categorised as catastrophic. These were then exported
to the NRLS. These are recorded per calendar years:
2012 - 0
2013 - 0
2014 - <5
2015 - 5
2016 - 5
 
 
Question No. 8
Total number of deaths at the Trust reported on Strategic Executive
Information System (STEIS) in each of the last five years.
 
Answer No. 8
As per response to question 7. These were reported on STEIS.

2012 - 0
2013 - 0
2014 - <5
2015 - 5
2016 - 5
 
 
Question No. 9
If possible, please indicate the number of these that relate to patients
with a learning disability.
 
Answer No. 9
We do not hold this data within Datix.
 
 
Question No. 10
Total number of initial 72-hour reviews into deaths (as defined by the NHS
Serious Incident Framework) in each of the last five years.
 
Answer No. 10
72 hour report completed and sent to CCG as part of NHS SI Framework for all
cases reported on STEIS.
 
 
Question No. 11
Total number of investigations into deaths (as defined by the NHS SI
Framework) in each of the last five years - please provide data broken down
by severity, Level 1 internal investigations, Level 2 comprehensive internal
investigations, Level 3 independent investigations. Please also indicate
whether the numbers refer to investigations opened or completed.
 
Answer No. 11
Level 2 comprehensive investigations completed for all incidents that are
reported on STEIS.
 
 
Yours sincerely

Information Governance Team
If you have any questions regarding this response, please contact us at
[2][Salisbury NHS Foundation Trust request email]
Visit the Freedom of Information website at
[3]http://www.ico.gov.uk/what_we_cover/free...

 

References

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