Discharging patients procedure

deanatelly made this Freedom of Information request to Oxleas NHS Foundation Trust

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The request was partially successful.

Dear Oxleas NHS Foundation Trust,

can you please tell me the policy and procedure that Oxleas nhs trust must adhere to when it discharges patients that have mental health problems and are awaiting therapy from the Oxleas NHS TRUST.

When a patient is terminated from the programme what procedure do you have to go through to drop a patient from potential care. should it go via a medical board or can a patient be excluded from therapy by a single locum that has not ever seen that patient or spoken to the individual.Also when an employee of oxleas nhs trust has had a formal complaint issued against them for neglegence, Are they allowed to coincide with other members of staff ie locums etc and tell false accounts of a patient.

thank you

Yours faithfully,

mr deanatelly

Ruth Lerew,

Dear Sir/Madam
 
Freedom of Information Request - FOI 756
 
Thank you for your request for information made under the Freedom of
Information Act.
 
I would be grateful if you could clarify what you mean by "can you please
tell me the policy and procedure that Oxleas NHS Trust must adhere to when
it discharges patients that have mental health problems and are awaiting
therapy from the Oxleas NHS TRUST".  e.g. Do you mean people on a waiting
list, an inpatient etc.
 
Can you please also clarify what you mean by "when a patient is terminated
from the programme what procedure do you have to go through to drop a
patient from potential care.  Should it go via a medical board or can a
patient be excluded from therapy by a single locum that has not ever seen
that patient or spoken to the individual".  I am unclear what you mean by
this and would be grateful for further clarification to enable me to
answer your request appropriately.
 
Can you please clarify what you mean by "when an employee of Oxleas NHS
Trust has had a formal complaint issued against them for negligence, are
they allowed to coincide with other members of staff ie locums etc and
tell false accounts of a patient".  I am uncertain what you mean by this
and in order to process your request, would seek further clarification
from you.
 
I look forward to receiving your clarification on the above points to
enable me to appropriately respond to your request.
 
Kind regards
 
 
 

 
 
 
Ruth Lerew
Information Governance Supervisor
Tel:         01322 299855
Email:     [1][email address]
Fax:        01322 299851
>>> deanatelly <[FOI #108385 email]> 06/03/2012
13:03 >>>
     Dear Oxleas NHS Foundation Trust,
    
     can you please tell me the policy and procedure that Oxleas nhs
     trust must adhere to when it discharges patients that have mental
     health problems and are awaiting therapy from the Oxleas NHS TRUST.
    
     When a patient is terminated from the programme what procedure do
     you have to go through to drop a patient from potential care.
     should it go via a medical board or can a patient be excluded from
     therapy by a single locum that has not ever seen that patient or
     spoken to the individual.Also when an employee of oxleas nhs trust
     has had a formal complaint issued against them for neglegence, Are
     they allowed to coincide with other members of staff ie locums etc
     and tell false accounts of a patient.
    
     thank you
    
     Yours faithfully,
    
     mr deanatelly
    
     -------------------------------------------------------------------
    
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Dear Ruth Lerew,

if a patient were on a waiting list for therapy and had submitted a formal complaint in regards to a member of staff assigned to helping him/her. can you tell me the procedure that oxleas should undergo to release that person from oxleas help and care. can one individual discharge that person from his/her awaiting therapy or should it be dealt with by a board and certainly not the person that the formal complaint was issued against. i hope this is a bit more clear

many thanks

Yours sincerely,

deanatelly

Ruth Lerew,

Dear Sir/Madam
 
Re:  Freedom of Information Act - FOI 756
 
Thank you for your email dated 13th March 2012 clarifying the information
you require under the Freedom of Information Act.
 
For the purposes of the Act, the Trust do not hold the information you
have requested.  If you have specific queries relating to care and
treatment that either you or someone you know have received then can I
suggest you contact our Patient Advice and Liaison Team.  They will be
able to discuss your concerns with you.  
 
Kind regards
 
 
 
 
Ruth Lerew
Information Governance Supervisor
Tel:         01322 299855
Email:     [1][email address]
Fax:        01322 299851

>>> deanatelly <[FOI #108385 email]> 13/03/2012
18:11 >>>
     Dear Ruth Lerew,
    
     if a patient were on a waiting list for therapy and had submitted a
     formal complaint in regards to a member of staff assigned to
     helping him/her. can you tell me the procedure that oxleas should
     undergo to release that person from oxleas help and care. can one
     individual discharge that person from his/her awaiting therapy or
     should it be dealt with by a board and certainly not the person
     that the formal complaint was issued against. i hope this is a bit
     more clear
    
     many thanks
    
     Yours sincerely,
    
     deanatelly
    
    

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name removed 23 Oct 2012 (Account suspended) left an annotation ()

16 March 2012

Hello.

Have you contacted the CARE QUALITY COMMISSION?
They are regulators of MUCH health and social care in England.

Also, have you contacted Monitor which regulates Foundation Trusts, which Oxleas is.

Have you contacted your Member of Parliament as he/she might be able to help.

Then there is ICAS which may be able to assist you.

And Rethink is a charity if it is a mental health issue.

And MIND likewise.

I hope this helps.

Best wishes

[name removed]

Dear Ruth Lerew,

hopefully this is the most simplist way of asking for information . I basically want to know how oxleas nhs trust works.

Firstly a person with a mental health issue is usually recommended to recieve your help and care/therapy etc by there GP or similar right. It i assume has to be done by a Medic of some type doesnt it. public cant just access oxleas help and therapy can they.

So my main question then please is once that person has been accepted by the teams at for instance stepping stones mental health center for them to try to get the mentally ill person the so required help and therapy they need.

Firstly how many of those patient mentally distressed/ill people have had there potential therapy and help stopped and Terminated BEFORE any therapy or treatment of any kind has started.

I only need to know the cases of it not being the patients choice to leave and no longer want the long awaited therapy.

I need to know the official legislation when it come to a person that has mental illness should be treated by the NHS medics etc.

i hope this is a clearer summary for you. perhaps a flow chart type of answer may be easiest to state each step needed in regards to health and care of a person.

Yours sincerely,

deanatelly

Ruth Lerew,

I am out of the office returning on 20th March 2012. If your email is urgent, please contact Diane Parsons on 01322 299856 or fax your query to 01322 299851.

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Pete Skinner,

Our ref: FOI 799 

 

 

Dear Deanatelly, 

 

Re. Request under the Freedom of Information Act 2000.

 

Thank you for your request for information regarding information on
services to patients which we received on 17th March 2012, we would
confirm we do have a "Waiting Times and Access Policy" which you may find
of interest in relation to your questions.

 

In relation to how many patients had their therapies stopped or how many
treatments were stopped by patients choice, can you please clarify what
the time frame period you are requesting.

 

Once we have received the above clarification we will be able to continue
to process your request.

 

Kind regards

 

Peter Skinner

Information Governance Officer

Tel: 01322 299 854

Fax: 01322 299 851

Email [1][email address]

Bracken House

Oxleas NHS Foundation Trust

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Dear Pete Skinner,

thank you for your reply, the last 12 months would be fine please.Also only from the stepping stones bromley health services would be great.

The waiting times and access policy that you stated does that include how patients that are suffering mental health problems are terminated from nhs trusts waiting lists for therapy too. as i really only needed to know if the trust has a guideline when dealing with patients and the refusal of there therapy. should it go through a medical board perhaps within the nhs centers or head office etc

Yours sincerely,

deanatelly

Diane Parsons,

3 Attachments

Dear Mr Deanatelly
 
Re.Request under the Freedom of Information Act 2000.
 
Further to  your email received into our Trust 21st March 2012 in reply to
my colleague Peter Skinner's email to you seeking clarification as to the
time period you refer, we would confirm the following.
 
You asked the question - How many patients had their therapies stopped or
how many treatments were stopped by patients choice for the last 12
months?
 
We would confirm For the purpose of the Freedom of Information Act 2000
this information is not held by our Trust. To compile this information
would require a manual trawl through all medical records and we consider
that this would exceed the cost limit.
 
You asked the question -  Does the Waiting times and access  policy
include how patients that are suffering  mental health problems are
terminated from NHS Trusts waiting lists for therapy too?
 
We would confirm that Oxleas NHS Foundation Trust would not terminate
people from waiting lists for therapy unless they asked to be taken off or
refused to attend. The only other circumstance might be if the person's
condition deteriorated and they needed a more intensive form of treatment
such as inpatient or forensic and they are then referred on to that
service.
 
 
You asked the question - Does the Trust have a guideline  when dealing
with patients and the refusal of the therapy, should it go through a
medical board perhaps with the NHS centre or head office?
 
We would confirm If a therapy is refused it would be for a clinical reason
either because the person does not meet the criteria for services or it is
considered that treatment would not be clinically appropriate. The person
would be able to use our complaints procedure in that case. For your
information please find attached our leaflets " Something wrong how to
complain and Patient Advice and Liaison Service"
 
Also for your interest I have attached  our leaflet "Introducing the
Liaison and Intake team, Stepping Stones" which provides details of the
service provided at Stepping Stones and what you can expect to happen.
 
Kind regards
 
 
 
 
Diane Parsons
Information Governance Officer
Tel:01322 299856
Email:[Oxleas NHS Foundation Trust request email]
Fax:01322 299851

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Dear Diane Parsons,

thank you for your reply, unfortunately though the leaflets that you attached did not display correctly and held no information other than various addresses. also i dont seem to be able to see the literature on the Waiting times and access policy which was mentioned by Pete Skinner. Also my initial question is still a little vague in the answers that i have recieved.To clafify did you say that oxleas NHS Foundation would not terminate a patient that is on a waiting list for therapy, Unless they decided to terminate there therapy or if they did not attend the therapy session.

So in reality according to NHS Rules a patient should not have his therapy terminated by any Dr Or Member of staff Unless the terms you stated hat been breached.

If a formal complaint had been made from a patient in regards for there current treatment or help from a oxleas staff member.Should that give the complainee a right to pass on bogus information and lies to Doctors working for oxleas.So as they can disreguard there formal complaint issued against them by getting the complainaint terminated from NHS care and treatment without having there so required therapy.
Yours sincerely,

deanatelly

Diane Parsons,

Dear Sir/madam
 
Re.Request under the Freedom of Information Act 2000.
 
Thank you for your email below, received into our Trust 7th April 2012 in
reply to my email to you of 27th March 2012 with regards to your request
for information under the Freedom of Information Act 2000.
 
You have advised that you were unable to view the  information that I
attached in response to your request.  To assist you I am able to forward
to you hard copies of the information that I provided to
you electronically,  should you wish to proceed please advise me of your
postal address.
 
Your email of the 7th April 2012 also seeks clarification with regards
to our reply to your question regarding waiting times and the termination
of people from waiting lists.
 
Our reply to you stated :-
 
"We would confirm that Oxleas NHS Foundation Trust would not terminate
people from waiting lists for therapy unless they asked to be taken off or
refused to attend. The only other circumstance might be if the person's
condition deteriorated and they needed a more intensive form of treatment
such as inpatient or forensic and they are then referred on to that
service".
 
Specific concerns regarding treatment raised by clients should be raised
as a formal complaint,which may lead to a more satisfactory understanding
of the issues involved.
 
You refer to our Waiting Times and Access Policy and the fact that  you
were unable to see this document. I would  confirm that although my
colleague advised you that the Trust hold this policy, you did not request
a copy of this policy.
 
Should you require a copy of this policy please submit your request  to
our Trust  for processing under the Freedom of Information Act 2000.
 
Lastly you have made two statements regarding NHS rules and  complaints
procedures. Should you wish to request  information regarding these
issues  could we please ask you to formulate your questions in a clear and
concise format.
 
 
 
Kind regards
 

 
 
Diane Parsons
Information Governance Officer
Tel:01322 299856
Email:[Oxleas NHS Foundation Trust request email]
Fax:01322 299851
>>> deanatelly <[FOI #108385 email]> 07/04/2012
12:48 >>>
     Dear Diane Parsons,
    
     thank you for your reply, unfortunately though the leaflets that
     you attached did not display correctly and held no information
     other than various addresses. also i dont seem to be able to see
     the literature on the Waiting times and access policy which was
     mentioned by Pete Skinner. Also my initial question is still a
     little vague in the answers that i have recieved.To clafify did you
     say that oxleas NHS Foundation would not terminate a patient that
     is on a waiting list for therapy, Unless they decided to terminate
     there therapy or if they did not attend the therapy session.
    
     So in reality according to NHS Rules a patient should not have his
     therapy terminated by any Dr Or Member of staff Unless the terms
     you stated hat been breached.
    
     If a formal complaint had been made from a patient in regards for
     there current treatment or help from a oxleas staff member.Should
     that give the complainee a right to pass on bogus information and
     lies to Doctors working for oxleas.So as they can disreguard there
     formal complaint issued against them by getting the complainaint
     terminated from NHS care and treatment without having there so
     required therapy.
     Yours sincerely,
    
     deanatelly
    
    

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