Serious incidents and deaths of patients with a learning disability

George Julian 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 partially successful.

Dear University Hospitals of Leicester NHS Trust,

Please could you provide the following information:

1a) total number of deaths that have occurred at the Trust in each of the the last five years (please provide data broken down by year)
1b) the number of these deaths that were classified as unexpected

2a) total number of deaths that have been referred to the Coroner by the Trust in each of the last five years
2b) of these, the number of deaths of patients with a learning disability referred to the Coroner

3a) total number of deaths of patients with a learning disability that have occurred at the Trust in each of the last five years (please provide total number and indicate whether they were inpatients at the time of their deaths)
3b) of these, the number of these deaths of patients with a learning disability that were classified as unexpected

4a) total number of deaths at the Trust reported as an incident on the National Reporting and Learning System (NRLS) in each of the last five years
4b) total number of deaths at the Trust reported on Strategic Executive Information System (STEIS) in each of the last five years
4c) if possible, please indicate the number of these that relate to patients with a learning disability

5a) total number of initial 72-hour reviews into deaths (as defined by the NHS Serious Incident Framework) in each of the last five years
5b) total number of investigations into deaths (as defined by the NHS SI Framework) in each of the last five years - please provide data broken down by severity, Level 1 internal investigations, Level 2 comprehensive internal investigations, Level 3 independent investigations. Please also indicate whether the numbers refer to investigations opened or completed.

Many thanks for your time.

Yours faithfully,
Dr George Julian

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

Corporate and Legal Affairs – Trust Administration

 

Our Reference: HS/FOI/31643

 

31 January 2017

 

 

Dr George Julian

[1][FOI #385474 email]  

 

 

Dear Dr Julian

 

Request for Information

 

Thank you for your request for information, as received by University
Hospitals of Leicester NHS Trust on 30 January 2017.   Within UHL NHS
Trust, Freedom of Information Act requests are managed centrally by the
Trust Administration Team. 

 

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,

 

 

Helen Stokes

Senior Trust Administrator

University Hospitals of Leicester NHS Trust

Tel: 0116 258 8590

 

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

1 Attachment

Corporate and Legal Affairs – Trust Administration

 

Our Reference: HS/FOI/31643

 

27 February 2017

 

Dr George Julian

[1][FOI #385474 email]

 

Dear Dr Julian

 

Request for Information

 

Thank you for your Freedom of Information Act (FOI) request, as received
by the Trust on 30 January 2017 and acknowledged on 31 January 2017.  For
information, the University Hospitals of Leicester NHS Trust is one of the
largest and busiest NHS teaching Trusts in the country incorporating
Leicester General Hospital, Glenfield Hospital and Leicester Royal
Infirmary.  Our three hospitals have around 14,000 staff serving around
one 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 the specialist services we provide.  During 2015-16 we treated
1,577,200 patients (that’s 4,321 patients per day) – 347,700 more than in
2014-15.

 

Following consultation with colleagues in the Corporate Medical, HR and
Operations teams, I confirm that the University Hospitals of Leicester NHS
Trust holds information covered by some elements of your FOI request. 
Your FOI request is set out below in bold, followed by the Trust’s
response. 

 

Please could you provide the following information:

 

1a) total number of deaths that have occurred at the Trust in each of the
last five years (please provide data broken down by year)

 

1b) the number of these deaths that were classified as unexpected

 

2a) total number of deaths that have been referred to the Coroner by the
Trust in each of the last five years

 

2b) of these, the number of deaths of patients with a learning disability
referred to the Coroner

This information is not held by the Trust.

 

3a) total number of deaths of patients with a learning disability that
have occurred at the Trust in each of the last five years (please provide
total number and indicate whether they were inpatients at the time of
their deaths)

3b) of these, the number of these deaths of patients with a learning
disability that were classified as unexpected

 

4a) total number of deaths at the Trust reported as an incident on the
National Reporting and Learning System (NRLS) in each of the last five
years

 

4b) total number of deaths at the Trust reported on Strategic Executive
Information System (STEIS) in each of the last five years

4c) if possible, please indicate the number of these that relate to
patients with a learning disability

 

5a) total number of initial 72-hour reviews into deaths (as defined by the
NHS Serious Incident Framework) in each of the last five years

5b) total number of investigations into deaths (as defined by the NHS SI
Framework) in each of the last five years - please provide data broken
down by severity, Level 1 internal investigations, Level 2 comprehensive
internal investigations, Level 3 independent investigations. Please also
indicate whether the numbers refer to investigations opened or completed.

 

Please see table below for responses to points 4a, 4b, 4c, 5a and 5b.

 

 

 

I am advised that not all of the information requested above is held
centrally.  The only way to obtain the information on the number of deaths
of patients with a learning disability over the last 5 years would be to
undertake a manual casenote review of all deaths for that period, to
ascertain which if any related to a patient with learning disabilities.
Based on the number of deaths overall and the time required to undertake a
manual casenote review of each, it is estimated that it would take at
least 14,000 hours to locate extract and collate the information requested
by you.  This significantly exceeds the 18-hour appropriate limit provided
for under the Freedom of Information Act 2000, and in line with section 12
of that Act the Trust will not therefore be progressing your request
further.  It may be that if you were able to refine your request, there
might be information which could be provided to you within the 18-hour
appropriate limit.

 

Under the Trust’s duty to advise and assist requesters, information is
provided above in response to points 4a, 4b, 4c, 5a and 5b.  The Trust
does not hold the information requested in point 2b.

 

I hope that this information is helpful. 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,

 

 

 

Helen Stokes

Senior Trust Administrator

University Hospitals of Leicester NHS Trust

Tel: 0116 258 8590

 

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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