Accidents/Complaints at Hospitals under Barts and the London NHS Trust

Shirley Magnitsky made this Freedom of Information request to Barts and The London NHS Trust

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

The request was successful.

Shirley Magnitsky

Dear Barts and The London NHS Trust,

Please could you provide the following;

1. Firstly month by month figures going back at least five years, the amount of accidents recorded by staff involving patients at each of your hospitals, The Royal London Hospital in Whitechapel, St Bartholomew's Hospital (Barts) in Smithfield in the City and also The London Chest Hospital in Bethnal Green. Please provide these figues in spreadsheet format preferably using Microsoft Excel. In each month please provide summaries of type ie; 11 falls, 2 wrong dosage applied, etc..

2. Please provide copies of each individual accident report carried out by staff for each instance above detailing the written statements of the accident, redacting any information, names etc that could be used to identify those individuals involved in the accident. Please provide these in searchable pdf format. Including all reference numbers etc

3. Please provide figures for individual complaints made against staff/policies/treatment whether or not linked to accidents made in part 1 of this request above. Again in spreadsheet format going back at least five years, showing figures for month by month of each hospital, and again showing summarized collective complaints in each month ie; 5 rudeness, 5 accusations of mistreatment etc

4. For 3 above please provide in searchable pdf format copies of and details of each individual complaint raised by members of the public against staff/policies/treatment etc please list details if any are connected to accidents

5. Please provide summarised details of each instance of any form of legal redress/claims etc, made by patients/relatives/friends/carers/carees regarding any form of treatment or contact with the hospital in question whether or not linked to previous accidents or complaints of any kind. Again show going back month by month at least five years.

Yours faithfully,

Shirley Magnitsky

Steers Martyn, Barts and The London NHS Trust

Thank you for your email to the Trust's FOI mailbox.

The FOI Officer is currently on leave so there will be a delay before
your request is formally acknowledged and allocated a reference number.

This is to confirm that your email has been received and will be dealt
with in due course.

show quoted sections

Shirley Magnitsky

Dear Steers Martyn,

You have confirmed receipt of the request but could you clarify the actual date, as the clock is already ticking and I would not like for yourselves to be in breach of the Act again.

I've just talked to the Information Commissioners Office who tell me that your own email to me confirms receipt of the request, and constitutes acceptance of the request. This was placed on the 19th July 2011 and a response should be sent no later than 20 working days from this date, therefore the 16th August 2011 is the latest date for a response.

Yours sincerely,

Shirley Magnitsky

Redfern Catherine, Barts and The London NHS Trust

Dear Ms Magnitsky

Request for Information [FOI/217/11]

Thank you for your request for information received on 19th July.


Please accept our apologies that we were unable to formally acknowledge
this request earlier, this was due to the FOI Officer being on leave.

Your request is being considered under the Freedom of Information Act
and you will receive a response within the statutory timescale.

The Act defines a number of exemptions which may prevent the release of
the information you have requested. We will assess the material and if
any of the exemption categories apply then the information may not be
released. We will tell you if that is so.

If the information you request refers to a third party then they may be
consulted prior to a decision being taken on whether or not to release
the information to you. We will let you know if that is the case and
give you an indication of the timescale for providing the information.

There may a fee payable for the information you have requested. The fee
must be paid before the information is released. We will inform you if
this is the case.

Information that we may provide in response to this Freedom of
Information Act request will be subject to copyright protection. You may
ask if you can re-use the information, perhaps for commercial purposes.
Without the necessary permission, you can breach our copyright. To
enquire about re-using Trust information, please write to us at the
above address or email [email address].

If you have any queries then please contact us at
[email address].
If you are dissatisfied on how your request has been handled, you can
complain in writing to:
Remi Ogbe, Information Governance Manager, Barts and The London NHS
Trust, 1st Floor, 9 Prescot Street, E1 8PR. Email:
[email address] <mailto:[email address]>

If, after we have addressed your complaint, you remain dissatisfied with
how we have responded, you are entitled to appeal to the Information
Commissioner (Tel: 01625 545 745). Details are shown at
www.informationcommissioner.gov.uk.

Yours sincerely,
Catherine Redfern
Corporate Services
Barts and The London NHS Trust

show quoted sections

Redfern Catherine, Barts and The London NHS Trust

Dear Ms Magnitsky,

Thank you for your request for information.

In order to progress your queries I need to request some clarification
from you. Until I receive this clarification, I am unable to progress
the request.

You have used the term 'accidents' throughout your request and given a
couple of examples i.e. falls or wrong dosage.
In the NHS we generally use the term 'incidents'. This term covers a
very wide range of scenarios including (for example) falls, medication
errors, thefts, allegations of inappropriate behaviour, information
governance breaches, faulty equipment and so on.

NHS staff are encouraged to report any incident as this is considerd
good practice. Incidents can range from a member of staff spilling a cup
of coffee on the floor to more serious unexpected outcomes. They are
categorised by severity as well as type on our system.

From the examples you gave I am unclear as to whether you are seeking
information on all incidents or only on incidents which could be thought
of as 'accidents' e.g. falls. Could you kindly clarify? If the latter
please note that we do not use the term 'accidents' in our logging
system and so I would send you a list of our incident reporting
categories and ask you to select those you are interested in.

I look forward to hearing from you.

Sincerely,

Catherine Redfern
Corporate Services
Barts and The London NHS Trust

show quoted sections

Shirley Magnitsky

Dear Redfern Catherine,

Your last email to me has spurned further numerous questions in my mind, for instance I cannot believe you would have a system in place that would require a member of your NHS staff to fill out a report about an'incident' such as the "spilling of coffee on the floor" in the same way that an 'incident' in theory could be responsible for the death of a patient. This seems ludicrous, but i suppose its your system.

Now that you have clarified how this information is held on your system ie; by severity and by type, I can now clarify my side.

I would like all the information I have already requested in the format I've requested but now substituting the word "Accident" in my original request with "Incident" where required. I would like to receive the data I requested on all "Incidents", now listed by Type first and then by Severity.

Yours sincerely,

Shirley Magnitsky

Redfern Catherine, Barts and The London NHS Trust

Dear Ms Magnitsky,

Thank you for this clarification. The request is being taken forward on
that basis.

You can find out more about NHS patient safety incident reporting here:
http://www.nrls.npsa.nhs.uk/report-a-pat...

We do find that it is more practical and efficient to have a single
incident reporting system rather than several different ones. This
encourages staff to report incidents as it is easier for them to
remember one reporting system rather than several, and also makes it
easier for the Trust to monitor statistics and patterns. If we had
several systems it would be much more difficult and time consuming. It
is quite common for NHS Trusts to manage incidents in this way. As I
explained, once logged, incidents are categorised by type and severity
and then delegated and actioned accordingly. I hope this is helpful.

Sincerely,

Catherine Redfern
Corporate Services
Barts and The London NHS Trust

show quoted sections

Redfern Catherine, Barts and The London NHS Trust

2 Attachments

Dear Ms Magnitsky,

Thank you for your request for information.

Please see responses to your queries below.

Please note that issues to do with incidents, complaints and other
performance, safety and quality issues are regularly reported to the
Trust Board in routine quality and safety reports. These can be accessed
on our website at the following address:
http://www.bartsandthelondon.nhs.uk/abou...

1. Firstly month by month figures going back at least five years,
the amount of incidents recorded by staff involving patients at
each of your hospitals, The Royal London Hospital in Whitechapel,
St Bartholomew's Hospital (Barts) in Smithfield in the City and
also The London Chest Hospital in Bethnal Green. Please provide
these figues in spreadsheet format preferably using Microsoft
Excel. In each month please provide summaries of type ie; 11 falls,
2 wrong dosage applied, etc. and Severity
I would like to receive the data I requested on all "Incidents",
now listed by Type
first and then by Severity.

Please see spreadsheet [to follow in seperate email due to file size]
containing the information you requested. Please note for context that
there are approximately 960,921 patient attendances at the Trust's
hospitals each year. You can see our Annual Report for further details,
on our website:
http://www.bartsandthelondon.nhs.uk/abou...
annual-review-highlights/.

It is important to note that incidents are not always the result of an
error - for example, an incident may be reported on the basis of an
unexpected outcome which needs further investigation. The investigation
of incidents provides an important source of learning to understand any
potential system failures or changes that can be made to prevent an
incident being repeated. As I explained, staff are encouraged to report
all incidents even where 'no harm' occurred, as this helps the Trust
learn, improve and take action to try to prevent similar incidents from
happening in future.

Key themes for incidents and incident reporting are reported to the
Trust Board in the monthly Quality and Clinical Performance Exception
Reports as explained above. These reports contain summary descriptions
of notable inciddents and actions the Trust is taking.

Please note that in the spreadsheet, in the 'Incident Type' colum,
'CLINIC' indicates a clinical incident, and 'NONCL' a non-clinical
incident.

2. Please provide copies of each individual incident report carried
out by staff for each instance above detailing the written
statements of the incident, redacting any information, names etc
that could be used to identify those individuals involved in the
incident. Please provide these in searchable pdf format. Including
all reference numbers etc

I regret to inform you that it would not be possible to provide this
information without breaching the confidentiality of the individuals
involved. Even if the names were redacted/deleted, the information in
the incident reports is so specific that patients and staff members
could be identified from it, as the reports give dates, locations, and
detailed circumstances of each incident. Therefore, this information is
exempt from disclosure in accordance with s.40(2) of the FOI Act because
it is personal data and to disclose it even in redacted form would
breach the Data Protection Act.

In addition, due to the number of incident reports, it is certain that
the workload involved in extracting this information from our database
and from the manual forms in our Trust Records Centre would exceed the
'appropriate limit' as set out in fees regulations in accordance with
the Act. Therefore, we would also apply s.12 (fees exemption) to this
information. I am unable to suggest a way to narrow down the scope of
the request, since the issue about confidentiality would still apply.

I am sorry that we are unable to help you on this occasion but I hope
the explanation of our reasons is clear and helpful.

3. Please provide figures for individual complaints made against
staff/policies/treatment whether or not linked to incidents made in
part 1 of this request above. Again in spreadsheet format going
back at least five years, showing figures for month by month of
each hospital, and again showing summarized collective complaints
in each month ie; 5 rudeness, 5 accusations of mistreatment etc

Please see attached excel document. As you specified complaints relating
to staff/policies or treatment we have selected those complaints
categories which most closely matched those areas.

4. For 3 above please provide in searchable pdf format copies of
and details of each individual complaint raised by members of the
public against staff/policies/treatment etc please list details if
any are connected to incidents

I regret to inform you that it would not be possible to provide this
information without breaching the confidentiality of the individuals
involved. Each complaint letter contains personal details of patients or
other individuals and they have not consented to the disclosure of the
contents of their letter into the public domain. Therefore, this
information is exempt from disclosure in accordance with s.40(2) of the
FOI Act because it is personal data and to disclose it even in redacted
form would breach the Data Protection Act.

It may help to know that general issues to do with complaints are
routinely reported to the Trust Board as outlined above.

5. Please provide summarised details of each instance of any form
of legal redress/claims etc, made by
patients/relatives/friends/carers/carees regarding any form of
treatment or contact with the hospital in question whether or not
linked to previous incidents or complaints of any kind. Again show
going back month by month at least five years.

Please see attached spreadsheet detailing the information you have
requested.

If you have any queries then please contact us at
[email address].

If you are dissatisfied on how your request has been handled, you can
complain in writing to:
Remi Ogbe, Information Governance Manager, Barts and The London NHS
Trust, 1st Floor, 9 Prescot Street, E1 8PR. Email:
[email address] <mailto:[email address]>

If, after we have addressed your complaint, you remain dissatisfied with
how we have responded, you are entitled to appeal to the Information
Commissioner (Tel: 01625 545 745). Details are shown at
www.informationcommissioner.gov.uk.

Yours sincerely,
Catherine Redfern
Corporate Services
Barts and The London NHS Trust

show quoted sections

Redfern Catherine, Barts and The London NHS Trust

1 Attachment

Dear Ms Magnitsky,

Further to my email just now please find attached as promised the
spreadsheet containing the answers to question 1.

Sincerely,

Catherine Redfern
Corporate Services
Barts and The London NHS Trust

Looking for an EU Authority?

You can request documents directly from EU Institutions at our sister site AskTheEU.org . Find out more .

AskTheEU.org