SELF discharge due to POOR CARE OR INFECTION CONTROL issues

Alison Stevens made this Freedom of Information request to University Hospitals of Leicester NHS Trust

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

The request was refused by University Hospitals of Leicester NHS Trust.

Dear University Hospitals of Leicester NHS Trust,

Could you please answer the following questions with regards to this freedom of information request.
https://www.leicestermercury.co.uk/news/...

1, With regards to the headline above, can you please clarify if the Family of the Patient has used the UHL complaints procedure via PALS?
2, How many other similar incidents have happened within the Trust over the past 12 calendar months, where a Patient has discharged themselves due to poor medical care, and nursing care? please give separate statistics for each hospital within the Trust.
3. How many other complaints have the Trust received via relatives or Patients who have discharged themselves due to poor medical or nursing care, or where the ward was in a dirty state, or poor infection control standards? please give statistics separately for each hospital within the Trust? statistics should cover the past 12 calendar months.

Yours faithfully,

Alison Stevens

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

Corporate and Legal Affairs – Corporate and Committee Services

Our Reference: GB/FOI/37824

29 March 2018

Dear Ms Stevens

Request for Information

Thank you for your request for information, as received via email by University Hospitals of Leicester NHS Trust on 28 March 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,

Mrs 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.

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

Corporate and Legal Affairs – Corporate and Committee Services

Our Reference: GB/FOI/37824

27 April 2018

Dear Ms Stevens,

Request for Information

Thank you for your Freedom of Information Act (FOI) request, as received on 28 March 2018 and acknowledged on 29 March 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 2016/17 we treated 1,406,300 patients (that’s 3,852 patients each day) – 56,500 (or 4%) more patients than in 2015/16.

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:-

“PENSIONER CHECKS HIMSELF OUT OF LEICESTER ROYAL INFRIMARY BECAUSE OF ‘STENCH OF DEFACATION’ IN HIS ROOM”

1. With regards to the headline above, can you please clarify if the Family of the Patient has used the UHL complaints procedure via PALS?

2. How many other similar incidents have happened within the Trust over the past 12 calendar months, where a Patient has discharged themselves due to poor medical care, and nursing care? please give separate statistics for each hospital within the Trust.

3. How many other complaints have the Trust received via relatives or Patients who have discharged themselves due to poor medical or nursing care, or where the ward was in a dirty state, or poor infection control standards? please give statistics separately for each hospital within the Trust? statistics should cover the past 12 calendar months.

In response to question 3 of your request, I am advised by colleagues that, whilst all formal complaints relating to nursing care, medical care and infection control can be identified from the Trust’s electronic database, in order to ascertain which of these related to patients who had discharged themselves would require a manual review of 815 formal complaints for the period 1.4.17 – 31.3.18. Estimating 15 minutes to review each formal complaint, undertaking this work would take approximately 204 hours. As this significantly exceeds the ‘appropriate limit’ of 18 hours as provided for under the Freedom of Information Act 2000 (Section 12 refers), the Trust does not intend to undertake this work.

In response to question 1 of your request, as this seeks personal data in relation to another person, this information is exempt from disclosure under the Freedom of Information Act 2000 (Section 40(2) of the FOI Act 2000 refers).

Under the Trust’s (Section 16) duty to advise and assist, I am able to provide a response to question 2 of your request. I am advised by colleagues, who have interrogated the Trust’s incident reporting system utilising the ‘self-discharge’ code and have then manually reviewed the details of those cases identified to ascertain any self-discharges where medical or nursing care were specifically stated as the reason for that self-discharge, that there were two incidents of such at the LRI site and 1 incident of such at the Glenfield site for the period 1.4.17 – 31.3.18.

I hope that this response is satisfactory 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 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.

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