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Deaths and end of life care

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Dear Sirs,

I write in order to request the following information under and in terms of the Freedom of Information Act 2000:

1. Please provide the total number of deaths which occurred in England within 28 days of receiving a Covid-19 vaccine between 1 December 2020 and 10 May 2021;

2. Please provide the total number of deaths which occurred in England between 1 January 2020 and 10 May 2021 where the only underlying health condition of the deceased was Covid-19;

3. Please provide the total number of deaths which occurred in England between 1 December 2020 and 10 May 2021;

4. Please provide the total number of the deaths which occurred in England between 1 January 2020 and 10 May 2021;

5. Please provide the total number of deaths which occurred in England between 1 December 2018 and 10 May 2019;

6. Please indicate the number of doses of morphine administered in England between 1 January and 31 December 2019;

7. Please indicate the number of doses of morphine administered in England between 1 January and 31 December 2020;

8. Please indicate the number of doses of morphine administered in England between 1 January 2021 and 10 May 2021;

9. Please indicate the number of doses of midazolam administered in England between 1 January and 31 December 2019;

10. Please indicate the number of doses of midazolam administered in England between 1 January and 31 December 2020; and

11. Please indicate the number of doses of midazolam administered in England between 1 January 2021 and 10 May 2021.

I look forward to hearing from you within the timeframe established in the Freedom of Information Act 2000.

Yours faithfully,
Ian Clayton

CONTACTUS, England (NHS ENGLAND & NHS IMPROVEMENT - X24), NHS England

**THIS IS AN AUTOMATED RESPONSE**
 
Dear Customer,
 
Thank you for your email. We are currently receiving a higher than usual
volume of emails so it may take us a little longer to respond directly to
your email. In the meantime, you may find the following information
helpful.
 
Please note: our normal working hours are 08:00 to 18:00 from Monday to
Friday (excluding Bank Holidays). Emails received at the weekend will not
be reviewed until the next working day.
How can the Customer Contact Centre help me?
NHS England commissions or buys primary care services; for example, GPs,
dentists, opticians, and pharmacy services. We are also responsible for
prison healthcare, military health services, and some specialised
services. We can provide advice about accessing, giving feedback or making
a complaint about these services.
You may be able to find the answer you are looking for in our Frequently
Asked Questions<https://www.england.nhs.uk/contact-us/ho...>
and our website explains how to share feedback or make a
complaint.[1]https://www.england.nhs.uk/contact-us/co...
What if I have an enquiry or complaint about hospital care, NHS 111 or
out-of-hours GP services?
If your enquiry or complaint is about secondary care, this includes
hospitals, NHS 111, mental health services, out-of-hours services and
community services such as district nursing, you will need to contact the
organisation that provided the service. All hospitals have a Patient
Advice and Liaison Service (PALS)
[2]https://www.nhs.uk/common-health-questio...
. Alternatively, you can contact your local Clinical Commissioning Group
(CCG). You can find their contact details on the NHS
website[3]https://www.nhs.uk/Service-Search/Clinic...
Does the NHS England Customer Contact Centre provide medical advice?
No. Our advisors are not clinically trained and are unable to provide
medical advice. If you require emergency medical attention, dial 999 or
attend your local Accident and Emergency department if you are able to do
so.
If you require non-urgent medical advice please contact your GP, local
walk-in or urgent healthcare centre, or call NHS 111. Calls are free from
landlines and mobile phones.

How do I report a change of name or address?
You should report a change of name or address to your GP practice so they
can update their records. If your new address is outside the practice’s
catchment area you may be asked to register with a new GP practice.
You should also advise your dentist or optician of a change of name or
address as they keep their own records.

Where can I find further information about NHS England?
You can find information about NHS England and our work on our
website[4]https://www.england.nhs.uk/about/
How do you use my information?
NHS England’s privacy notice explains how we use, share and store your
personal information. You can find this on our
website.[5]https://www.england.nhs.uk/contact-us/pr...
NHS England Customer Contact Centre

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FOITEAMCRMMAILBOX (NHS ENGLAND & NHS IMPROVEMENT - X24), NHS England

Dear Ian Clayton,  

Thank you for your Freedom of Information (FOI) request dated 10 May 2021.

Your exact request was:

“I write in order to request the following information under and in terms
of the Freedom of Information Act 2000:
1.      Please provide the total number of deaths which occurred in
England within 28 days of receiving a Covid-19 vaccine between 1 December
2020 and 10 May 2021;
2.      Please provide the total number of deaths which occurred in
England between 1 January 2020 and 10 May 2021 where the only underlying
health condition of the deceased was Covid-19;
3.      Please provide the total number of deaths which occurred in
England between 1 December 2020 and 10 May 2021;
4.      Please provide the total number of the deaths which occurred in
England between 1 January 2020 and 10 May 2021;
5.      Please provide the total number of deaths which occurred in
England between 1 December 2018 and 10 May 2019;
6.      Please indicate the number of doses of morphine administered in
England between 1 January and 31 December 2019;
7.      Please indicate the number of doses of morphine administered in
England between 1 January and 31 December 2020;
8.      Please indicate the number of doses of morphine administered in
England between 1 January 2021 and 10 May 2021;
9.      Please indicate the number of doses of midazolam administered in
England between 1 January and 31 December 2019;
10.     Please indicate the number of doses of midazolam administered in
England between 1 January and 31 December 2020; and
11.     Please indicate the number of doses of midazolam administered in
England between 1 January 2021 and 10 May 2021.”

NHS England holds some of this information.

In regard to Question 1:

NHS England does not hold information in relation to your request.

NHS England holds information in respect of deaths of patients who have
died in hospitals in England and had tested positive for COVID-19 or where
COVID-19 was mentioned on the death certificate. This information is
published on our website at:

[1]https://www.england.nhs.uk/statistics/st...

NHS England does not collect or hold any other information about COVID-19
deaths or deaths of individuals who have received a COVID-19 vaccination.

It may assist you, however if we explain that any adverse effects
(including possible deaths) related to the COVID-19 vaccines are collected
via the Medicines and Healthcare products Regulatory Agency’s (MHRA)
Yellow Card reporting scheme. The Yellow Card scheme is responsible for
collating and monitoring reports about adverse reactions or safety
concerns relating to the Covid-19 vaccines.

The MHRA publishes a summary of findings from the Yellow Card scheme which
can be accessed at the below link:

[2]https://www.gov.uk/government/publicatio...

Further information in relation to your request may therefore be held by
the MHRA. As such you may wish to redirect your request to the MHRA. You
can find their contact information at the below link:

[3]https://www.gov.uk/guidance/contact-mhra

In regard to Question 2:

NHS England holds some information in relation to your request.

NHS England holds information in respect of deaths of patients who have
died in hospitals in England and had tested positive for COVID-19 or where
COVID-19 was mentioned on the death certificate.

We are, however, withholding this information under s21 of the FOI Act
(Information accessible by other means) as the information is already in
the public domain. This information is published on our website at:

[4]https://www.england.nhs.uk/statistics/st...

The daily statistical publication contains:
 

* COVID-19 deaths by region
* COVID-19 deaths by region: Cases where COVID-19 is mentioned on the
death certificate and no positive COVID-19 test result was received
* COVID-19 deaths by age band
* COVID-19 deaths by NHS Trust

The weekly published summary contains:
 

* COVID-19 deaths by ethnicity
* COVID-19 deaths by age and gender
* COVID-19 deaths by age group and pre-existing condition
* COVID-19 deaths by type of pre-existing condition

Please note that NHS England does not hold data for any individual sites,
units or facilities within each trust.

As detailed in the notes which accompany the statistics, the figures do
not include deaths outside hospital, for example in care homes or in the
community, and are for England only. NHS England does not hold information
in relation to deaths outside of hospitals.

Please note that the above figures do not state whether or not COVID-19
was the single cause of death. NHS England only collects data with respect
to deaths of patients who have died in hospitals in England and had tested
positive for COVID-19 in the 28 days prior to their death, or where
COVID-19 was mentioned on their death certificate. For further information
on this methodology of reporting please see:

* [5]https://www.gov.uk/government/news/new-u...

NHS England does not collect or hold any other information about COVID
deaths.

The Office for National Statistics (ONS) collect death certificate data
which contains the cause of death for all deaths registered in England.
 This is available at:

[6]https://www.ons.gov.uk/peoplepopulationa...

Public Health England (PHE) and the ONS also publish data on COVID-19
deaths in all settings in the UK by Local Authority at the below links:
[7]https://coronavirus.data.gov.uk/
[8]https://www.ons.gov.uk/peoplepopulationa...

In regard to Questions 3-5, NHS England does not hold this information.
This information may be held by the Office for National Statistics (ONS).
As such you may wish to contact them directly. You can contact the ONS via
their website:

[9]https://www.ons.gov.uk/

In regard to Questions 6-11, NHS England does not hold this information.

This information may be held by individual NHS Trusts. As such, you may
wish to redirect your enquiry to Trust(s) directly. You can find [10]Trust
contact information on the NHS.uk website.

Further information may also be held by the NHS Business Services
Authority (NHSBSA). This information may be held by NHS Prescription
Services, which is hosted by NHS Business Services Authority (NHSBSA).
[11]FOI requests to NHSBSA can be made through their website.
 
We hope this information is helpful. However, if you are dissatisfied, you
have the right to ask for an internal review. This should be requested in
writing within two months of the date of this letter. Your correspondence
should be labelled “Internal Review” and should outline your concerns
and/or the area(s) you would like the review to consider. Internal Review
requests should be sent to:

NHS England
PO Box 16738
REDDITCH
B97 9PT

Email: [12][NHS England request email]

Please quote the reference number FOI - 2105-1455077 in any future
communications.

If you are not content with the outcome of the internal review, you have
the right to apply directly to the Information Commissioner for a
decision. The Information Commissioner’s Office (ICO) can be contacted at
the following weblink:
 
[13]https://ico.org.uk/global/contact-us/

Please note there is no charge for making an appeal.

Please be aware that in line with the Information Commissioner’s directive
on the disclosure of information under the FOI Act, your request will be
anonymised and published on our website as part of our disclosure log.

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows: PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [14][NHS England request email].

Yours sincerely,

Freedom of Information
Communications Team
Office of the Chairs, Chief Executive Officer and Chief Operating Officer

NHS England
PO Box 16738
REDDITCH
B97 9PT

Tel: 0300 311 22 33
Email: [15][NHS England request email]
 

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We don't know whether the most recent response to this request contains information or not – if you are Ian Clayton please sign in and let everyone know.