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

How many DNR requests are rejected

We're waiting for Elisa Mitchell to read recent responses and update the status.

Dear University Hospitals of Leicester NHS Trust,

I would like to find out the following:

How many DNR orders were overturned between the years 2007-2012 that led to the attempted resuscitation of a patient (whether that was successful or not)?

How many DNR orders were overturned between the years 2012-2017 that led to the attempted resuscitation of a patient (whether that was successful or not)?

How does your Trust receive DNR Orders from patients?

Yours faithfully,

Elisa Mitchell

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

1 Attachment

Our Reference: GB/FOI/40344

 

8 November 2018

 

Elisa Mitchell

[1][FOI #530631 email]

 

Dear Ms Mitchell,

 

Request for Information

 

Thank you for your request for information, as received via email by
University Hospitals of Leicester NHS Trust on 6 November 2018.  Within
UHL NHS Trust, Freedom of Information Act requests are managed centrally
by the Corporate and Committee Services Team, and I confirm that your
request is now being handled under the Freedom of Information Act 2000.

 

The Trust will endeavour to provide a response within the required 20
working-day deadline.  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,

[2]Description: Description: Description: Description: Description:
Description: Description: Description: Description: Description:
Description: Description: Description: Description: Description:
Description: Description: Description: Description: Description:
Description: Description: Description: hello-my-name-is-logo-web-small

Luke Saunders

Litigation, Corporate and Committee Services

University Hospitals of Leicester NHS Trust

 

*  Belgrave House, Leicester General Hospital, LE5 4PW

(  0116 258 8932/8610

8   [3][email address]

 

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.

 

--------------------------------------------------------------------------

 

show quoted sections

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

Corporate and Legal Affairs - Corporate and Committee Services

22 November 2018

Dear Ms Mitchell,

I write in relation to your Freedom of Information request submitted on 6 November 2018 in order to request, on behalf of colleagues within the Trust's Clinical Skills / Resuscitation Team, further clarification please on the type(s) of situation you are referring to by use of the term 'over-turned'. This will then assist colleagues in identifying any information held by the Trust which is relevant to your request.

I would advise you that upon receipt of this clarification, the Trust will continue to progress your FoI request within the statutory timeframe, making an allowance for the time elapsed between the Trust's original request for clarification and its receipt.

Many thanks.

Yours sincerely,

Gill Belton
Corporate and Committee Services Officer
Belgrave House, Leicester General Hospital site
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.

show quoted sections

Dear Gill,

Thank you for your response.

In terms of 'over-turned' I was looking at cases where a patient has had a DNR order in place but has that over looked by a doctor in attempt to save the patients life.

Yours sincerely,

Elisa Mitchell

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

1 Attachment

  • Attachment

    DNACPR Do Not Attempt Cardiopulmonary Resuscitation 16 Years and Above UHL Policy.pdf

    578K Download View as HTML

Corporate and Legal Affairs – Corporate and Committee Services

Our Reference: GB/FOI/40344

6 December 2018

Dear Ms Mitchell,

Request for Information

Thank you for your Freedom of Information Act (FOI) request, as received on 6 November 2018 and acknowledged on 8 November 2018 (and for the clarification you provided dated 27 November 2018, in response to my request of 22 November 2018). For information, the University Hospitals of Leicester NHS Trust is one of the largest and busiest NHS teaching Trusts in the country incorporating the Leicester Royal Infirmary, Glenfield and Leicester General Hospitals. Our three hospitals have around 15,000 staff serving around 1.2 million people across Leicester, Leicestershire and Rutland, and a further two to three million people from the rest of the UK who come to us for treatment from one of our specialist services. During 2017/18 we treated 1,410,500 patients - that’s 3,864 patients each day.

Following consultation with colleagues from the Corporate Medical Directorate, 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 below following your request:-

• How many DNR orders were overturned between the years 2007-2012 that led to the attempted resuscitation of a patient (whether that was successful or not)?

• How many DNR orders were overturned between the years 2012-2017 that led to the attempted resuscitation of a patient (whether that was successful or not)?

(You kindly clarified in an email dated 27 November 2018, in response to my email of 22 November 2018, that by ‘overturned’ you were looking at cases where a patient has had a DNR order in place but has that overlooked by a doctor in an attempt to save the patient’s life).

• How does your Trust receive DNR Orders from patients?

I am advised by colleagues that the Trust only holds data potentially relevant to your request from 2016 onwards and does not hold data relating to the years 2007 – 2015 inclusive. During the three calendar years of 2016, 2017 and 2018 (to-date), a total of 2,691 ‘2222’ calls were made, of which 1005 were identifiable as cardiac arrests. In order to provide a response to questions 1 and 2 of your request, colleagues would need to undertake a manual review of 1005 sets of case notes in order to determine if there were any cases relevant to your request. Estimating approximately 20-30 minutes to review each set of case notes, it would take approximately 335 hours – 502 hours to undertake this work. As this very significantly exceeds the ‘appropriate limit’ of 18 hours as provided for under the Freedom of Information Act (Section 12 refers) and in reliance upon Section 12, the Trust does not intend to undertake this work.

However, under the Trust’s Section 16 duty to advise and assist, I am able to provide a response to your third question within the 18-hour appropriate limit, as follows:-

How does your Trust receive DNR Orders from patients?

Sections 6.10 (b), (c) and (d) of the attached current UHL ‘Do Not Attempt Cardiopulmonary Resuscitation Policy (16 years and above)’ stipulates the process by which the Trust receiving teams should review a patient arriving with a DNACPR order.

I am sorry that it has not been possible for the Trust to provide all of the information requested for the reason outlined above. 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 on Tel. No. 0116 258 8615 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 2005. 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.

Yours sincerely,

Gill Belton
Corporate and Committee Services Officer
Belgrave House, Leicester General Hospital site
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.

show quoted sections

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

Looking for an EU Authority?

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

AskTheEU.org