Royal Stoke University Hospital
Ref: FOIA Reference 2018/021
Quality, Safety and Compliance Department
Date: 9th February 2018
Tel: 01782 676474
Lou Keeley firstname.lastname@example.org
Dear Mr Keeley
I am writing in response to your email dated 12th January 2018 (received into our office 15th January)
requesting information under the Freedom of Information Act (2000) regarding supervision services.
On 26th January 2018 we contacted you via email as we required a time period for question 6
On 31st January 2018 you contacted us via email with the following: “October, November, December 2017 please”
As of 1st November 2014 University Hospitals of North Midlands NHS Trust (UHNM) manages two
hospital sites – Royal Stoke University Hospital, and County Hospital (Stafford). Therefore the
response below is for the two sites combined from that date where appropriate.
Provide or attach your policy regarding one to one/specialling/bed watch/enhanced Care
services at your Trust?
Please see attached document.
Does the current system fulfil the requirements of the policy?
The Trust is in the process of undertaking a clinical audit into the impact of this Policy
Do you currently outsource any 1-1 care for patients displaying challenging behaviours
or have to rely on backfilling or security? Please state your current arrangements.
If 1:1 care is recognised we usually book additional bank staff. These staff will attend the ward
and enable the ward team to provide the 1:1 supervision. Security guards are not usually used
unless there is increased aggression or a request for police assistance has been required. The
security guards are in house. We have staff training in therapeutic handling which helps de-
If out-sourced which department or individuals would be responsible for deciding to call
additional staff onto site?
Not applicable as we do not out source for security guards.
Which department would be responsible for arranging the contract with the service
How often does the Trust require assistance with patients displaying challenging
We are unable to provide some of the information you require in the requested format as to
release this data could lead to the identification of the person(s) involved due to the low
numbers involved, and would breach the Trusts obligations under the Data Protection Act
1998. Accordingly, this aspect of your request is exempt from disclosure under the terms of
Section 40(2) of the Act. Personal information
. However as the Trust is committed to openness
and transparency we can band some of the numbers of patients displaying challenging
behaviours. Please see the figures below for patient abuse towards staff.
2017 /10 2017 /11 2017 /12
Physical abuse, assault or violence
Verbal abuse or disruption
Assault etc. with a weapon
0 less than less than
2017 /10 2017 /11 2017/ 12
Delayed attendance/assessment of RAID
19 less than
19 less than
What is the current average monthly spend on these services (last 3 months)?
We are not able to split this out as the spend is not for all one to one challenging behaviour.
What specific training do staff that are providing these services receive?
Staff at the Trust receives the following training:
MCA/DoLs ( Mental Capacity Act/Deprivation of Liberty Safeguards)
Who is the Trust Lead for these services, please provide contact details.
Helen Inwood: Deputy Chief Nurse. email@example.com
*Please note that any individuals identified do not give consent for their personal data to be processed
for the purposes of direct marketing.
Where the Trust owns the copyright in information provided, you may re-use the information in line
with the conditions set out in the Open Government Licence v3 which is available at http://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/
where information was
created by third parties, you should contact them directly for permission to re-use the information.
This letter confirms the completion of this request. A log of this request and a copy of this letter will be
held by the Trust.
If you have any queries related to the response provided please in the first instance contact my office.
Should you have a complaint about the response or the handling of your request, please also contact
my office to request a review of this. If having exhausted the Trust’s FOIA complaints process you are
still not satisfied, you are entitled to approach the Information Commissioner’s Office (ICO) and
request an assessment of the manner in which the Trust has managed your request.
The Information Commissioner may be contacted at:
Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF or via www.ico.org.uk.
If following review of the responses I can be of any further assistance please contact my secretary on
Leah Carlisle Deputy Head of Quality, Safety & Compliance