Investigations into the deaths of patients with a learning disability

The request was partially successful.

Dear NHS Greater Preston Clinical Commissioning Group,

Please would you provide the following information for your CCG:

1) the number of deaths of patients with a learning disability that occurred in the last three years (by years defined as 1/4/16 - 31/3/17, 1/4/17 - 31/3/18, 1/4/18 to present).

2) the number of independent investigations into the deaths of patients with a learning disability that you have commissioned in the last three years (defined as above)

3a) the number of deaths of patients with a learning disability that have resulted in an inquest in the last three years (defined as above)

3b) of those inquests the number that were an Article 2 inquest

I look forward to hearing from you,
Many thanks
Dr George Julian

Foi (NHS GREATER PRESTON CCG), NHS Greater Preston Clinical Commissioning Group

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Dear Dr Julian

Please find attached the response to your FOI request.

Kind regards

FOI Team
NHS Greater Preston & NHS Chorley and South Ribble Clinical Commissioning Groups
Chorley House l Lancashire Business Park l Centurion Way l Leyland l PR26 6TT
01772 214601/602

The customer care team is continually working to improve our service and your comments and opinions matter. We would greatly appreciate it if you could spare a few minutes to give us your feedback via a short survey which can be accessed online at; https://www.surveymonkey.co.uk/r/CCGCust.... If you require a copy of the survey in any other format, or wish to feedback verbally, please contact the customer care team on 01772 214601/602.

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Dear Helen,

Many thanks for responding so promptly to my FOI request. Can I just confirm that you are stating that the CCG does not hold any information in relation to the deaths of patients with a learning disability? It would seem surprising that you have no overview of this population given your role as commissioner of health services.

It might be that you hold information relating to the deaths of people identified as someone with a learning disability in GP registers? Would there be any information on deaths of people with learning disabilities in the Joint Strategic Needs Assessment (JSNA) that the CCG contributes to? Please could someone check and get back to me to confirm whether they really are not able to answer Question 1.

The Serious Incident Framework states the following in relation to Level 3 Independent Investigations:

'Although the regional team may offer support where it is necessary to do so, independent investigations, and the decision to commission independent investigations, should be managed locally by the commissioner of the care in which the incident occurred wherever possible. Local management and ownership of Serious Incidents is of fundamental importance to ensuring appropriate and timely action'.

Therefore I'm very surprised that the CCG is unable to answer Question 2. Surely a record would be kept as to whether an independent investigation had been commissioned by the CCG or not? I wouldn't like to assume that no investigations have been commissioned but would appreciate confirmation either way.

I'll take it from your earlier response that you do not collect the information requested in Question 3.

I hope someone will be able to confirm with relation to the other questions,
Many thanks
George

Foi (NHS GREATER PRESTON CCG), NHS Greater Preston Clinical Commissioning Group

Good morning Dr Julian

We will re-examine your request and respond as soon as possible,

Kind regards

FOI Team
NHS Greater Preston & NHS Chorley and South Ribble Clinical Commissioning Groups
Chorley House l Lancashire Business Park l Centurion Way l Leyland l PR26 6TT
01772 214601/602

The customer care team is continually working to improve our service and your comments and opinions matter. We would greatly appreciate it if you could spare a few minutes to give us your feedback via a short survey which can be accessed online at; https://www.surveymonkey.co.uk/r/CCGCust.... If you require a copy of the survey in any other format, or wish to feedback verbally, please contact the customer care team on 01772 214601/602.

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Dear Foi (NHS GREATER PRESTON CCG),

Thank you. I look forward to hearing from you again in due course,

Best wishes
George

Foi (NHS CHORLEY AND SOUTH RIBBLE CCG), NHS Greater Preston Clinical Commissioning Group

1 Attachment

Dear Dr Julian

Further to your email below, please find attached the amended response letter.

Apologies for the initial omission.

Kind regards

FOI Team
NHS Greater Preston & NHS Chorley and South Ribble Clinical Commissioning Groups
Chorley House l Lancashire Business Park l Centurion Way l Leyland l PR26 6TT
01772 214601/602

The customer care team is continually working to improve our service and your comments and opinions matter. We would greatly appreciate it if you could spare a few minutes to give us your feedback via a short survey which can be accessed online at; https://www.surveymonkey.co.uk/r/CCGCust.... If you require a copy of the survey in any other format, or wish to feedback verbally, please contact the customer care team on 01772 214601/602.

show quoted sections

Foi (NHS GREATER PRESTON CCG), NHS Greater Preston Clinical Commissioning Group

1 Attachment

Dear Dr Julian

Further to your email below, please find attached the amended response letter.

Apologies for the initial omission.

Kind regards

FOI Team
NHS Greater Preston & NHS Chorley and South Ribble Clinical Commissioning Groups Chorley House l Lancashire Business Park l Centurion Way l Leyland l PR26 6TT
01772 214601/602

The customer care team is continually working to improve our service and your comments and opinions matter. We would greatly appreciate it if you could spare a few minutes to give us your feedback via a short survey which can be accessed online at; https://www.surveymonkey.co.uk/r/CCGCust.... If you require a copy of the survey in any other format, or wish to feedback verbally, please contact the customer care team on 01772 214601/602.
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Dear Helen,

Many thanks for responding so promptly to my FOI request. Can I just confirm that you are stating that the CCG does not hold any information in relation to the deaths of patients with a learning disability? It would seem surprising that you have no overview of this population given your role as commissioner of health services.

It might be that you hold information relating to the deaths of people identified as someone with a learning disability in GP registers? Would there be any information on deaths of people with learning disabilities in the Joint Strategic Needs Assessment (JSNA) that the CCG contributes to? Please could someone check and get back to me to confirm whether they really are not able to answer Question 1.

The Serious Incident Framework states the following in relation to Level 3 Independent Investigations:

'Although the regional team may offer support where it is necessary to do so, independent investigations, and the decision to commission independent investigations, should be managed locally by the commissioner of the care in which the incident occurred wherever possible. Local management and ownership of Serious Incidents is of fundamental importance to ensuring appropriate and timely action'.

Therefore I'm very surprised that the CCG is unable to answer Question 2. Surely a record would be kept as to whether an independent investigation had been commissioned by the CCG or not? I wouldn't like to assume that no investigations have been commissioned but would appreciate confirmation either way.

I'll take it from your earlier response that you do not collect the information requested in Question 3.

I hope someone will be able to confirm with relation to the other questions, Many thanks George

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