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Deaths caused by care in 2021/22

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Dear Sir/Madam,

With reference to the following reporting guidelines set out by NHS Improvement (see page 15, prescribed information 27.1 to 27.5, link here: https://www.england.nhs.uk/wp-content/up...)

 
1) Please tell me in the reporting period 2021/22 the number of deaths that occurred at your Trust for which a case record review or investigation has been carried out which the provider judges as a result of the review or investigation were more likely than not to have been due to problems in the care provided to the patient, with an explanation of the methods used to assess this.
 

NOTE: By 'more likely than not' caused by care, I mean given a score of 3 (probably avoidable), 2 (strong evidence of avoidability) or 1 (definitely avoidable) on the inpatient structured judgement reviews (SJR), as assessed using the Royal College of Physicians avoidability of death criteria. If you do not use this system, please ignore this note.

2) Please provide me with a brief overview of the FIRST FIVE incidents in 2021/22 identified in question 3 (i.e. cases of deaths that were more likely than not caused by problems in care), withholding any identifying information that would run into a Section 40 exemption.
 
3) Finally, can you please summarise what the Trust learnt and what actions have been taken as a result of the aforementioned cases/investigations.

Yours faithfully,

Mark Tovey

FOI - Freedom of Information, University Hospitals of Leicester NHS Trust

Corporate and Legal Affairs – Corporate and Committee Services

Our Reference: NP/FOI/45538

Tuesday 19th July 2022

Mark Tovey
[FOI #879665 email]

Dear Mr. Tovey,

Request for Information

Thank you for your request for information, as received by University Hospitals of Leicester NHS Trust on 18th June 2022.

Within UHL NHS Trust, Freedom of Information Act requests are managed centrally by the Corporate and Committee Services Team.

The Trust will endeavour to provide a response within the required 20 working-day deadline from receipt. I will, of course, keep you informed should this not prove possible for any reason. If we require any clarification on your request, we will contact you as soon as possible.

All requesters are advised that the Trust may make a charge for providing the information to them, to cover the cost of photocopying, postage and packaging etc – I confirm that where these costs are below £5.00 in total, no charge will be made. All requesters are also advised that there may also be a charge payable to cover costs of locating the information they have requested, as laid down in the Freedom of Information Act Regulations published by the Government in December 2004. Naturally, if such a charge is to be applied to your request, you will be informed as soon as possible.

Yours sincerely,

Ninakshi Patel
Corporate and Committee Services Officer
University Hospitals of Leicester NHS Trust
Information contained in emails may be subject to disclosure under the Freedom of Information Act 2000, and confidentiality cannot therefore be guaranteed. Please ensure that all emails are accurate and appropriate, and are retained / deleted in accordance with good practice and any policies of the Trust. If you are not the intended recipient of this email, please inform the sender, delete the email from your system and destroy any copies you may have made.

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Patel Ninakshi - Corporate and Committee Services Officer, University Hospitals of Leicester NHS Trust

1 Attachment

Corporate and Legal Affairs – Corporate and Committee Services

 

Our Reference: NP/FOI/45538

 

Thursday 18^th August 2022

 

 

Mark Tovey

[1][FOI #879665 email]

 

Dear Mr. Tovey,

 

Request for Information

 

Thank you for your Freedom of Information Act (FOI) request, which was
received by University Hospitals of Leicester NHS Trust on 18^th July 2022
and acknowledged on 19^th July 2022. I sincerely apologise for the delay
in getting the information to you.  For information, the University
Hospitals of Leicester NHS Trust is one of the largest and busiest NHS
teaching Trusts in the country.  We have nearly 17,000 staff working
across our three hospitals, the Leicester Royal Infirmary, Glenfield
Hospital and Leicester General Hospital, serving the 1.2 million residents
of Leicester, Leicestershire and Rutland, and a further two to three
million people from the rest of the UK who come to us for specialist
treatment.  Excluding Alliance activity, during 2019/20 we treated
1,483,800 patients – that’s 4,054 patients each day. Following
consultation with colleagues from the corporate nursing team, I confirm
that the University Hospitals of Leicester NHS Trust holds information
covered by your FOI request.   In your Freedom of Information Act request,
you asked for the following information and the Trust’s response is
provided following each section of your request below:-  

 

1) Please tell me in the reporting period 2021/22 the number
of deaths that occurred at your Trust for which a case record review or
investigation has been carried out which the provider judges as a result
of the review or investigation were more likely than not to have been due
to problems in the care provided to the patient, with an explanation of
the methods used to assess this.

 

NOTE: By 'more likely than not' caused by care, I mean given a score of 3
(probably avoidable), 2 (strong evidence of avoidability) or 1 (definitely
avoidable) on the inpatient structured judgement reviews (SJR), as
assessed using the Royal College of Physicians avoidability of death
criteria. If you do not use this system, please ignore this note.

 

 

2) Please provide me with a brief overview of the FIRST FIVE incidents in
2021/22 identified in question 3 (i.e. cases of deaths that were more
likely than not caused by problems in care), withholding any
identifying information that would run into a Section 40 exemption.

 

 

3) Finally, can you please summarise what the Trust learnt and what
actions have been taken as a result of the aforementioned
cases/investigations.

 

 

Please see attached the most recent  updated public trust board paper
which notes the number of “Never Events” occurred in 2020/21 and what the
trust has taken action on the investigations occurred.

 

I hope that this response is helpful and provides you with the information
requested (where available). If you require any further assistance please
do not hesitate to contact me.  If you are dissatisfied with the Trust’s
response, you can contact the Director of Corporate and Legal Affairs
([2][email address]) to request a copy of UHL’s Freedom of
Information Act complaints procedure.

 

We must advise you that where we have provided information we have done so
subject to the provisions of the Re-use of Public Sector Information
Regulations 2015.  Accordingly you must not re-use this information
without having the consent of the Trust.  Where the Trust is prepared to
provide its consent then it may levy a charge for doing so. Should you
wish to re-use documents provided then you must make your request in
writing stating your name and your address for correspondence together
with the document that you wish to re-use and the purpose for which the
information is to be re-used.

 

In the event that you remain dissatisfied with the way in which the Trust
has handled any complaint that you may wish to make, we would advise you
of your right to complain to the Information Commissioner at the
Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow,
Cheshire, SK9 5AF. Tel: 0303 123 1113, website: [3]www.ico.org.uk 

 

Yours sincerely,

 

 

Ninakshi Patel

Corporate and Committee Services Officer

University Hospitals of Leicester NHS Trust

Information contained in emails may be subject to disclosure under the
Freedom of Information Act 2000, and confidentiality cannot therefore be
guaranteed. Please ensure that all emails are accurate and appropriate,
and are retained / deleted in accordance with good practice and any
policies of the Trust. If you are not the intended recipient of this
email, please inform the sender, delete the email from your system and
destroy any copies you may have made.

 

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References

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1. mailto:[FOI #879665 email]
2. mailto:[email address]
3. http://www.ico.org.uk/

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