Statutory Reportiing Duties of Pharmacy and Clinical Errors

The request was successful.

Dear Maria Kane (CEO - fomer CEO of BEH MH Trust),

Is it a direct edict from yourself or senior management team to over ride statutory reporting duties (as defined in NHS Constitution) in respect of Pharmacy Dispensing errors and Clinical Prescription errors to the General Pharmaceutical Council and on the NRLS (register of patient safety compromises).

Given my own experience and client recent experiences at the North Middlesex and the continual under staffing of general pharmacy at the North Middlesex "Hospital" kindly enlighten us with the following answers:

1. First quarter of 2019 (Jan to March) - how many incidents were reported to the GPC and NRLS respectively?

2. Second quarter of 2019 (April to June) - how many incidents were reported to the GPC and NRLS respectively?

3. Do you report all pharmacy dispensing/prescription incidents that have occurred in 2019 as you are statutory obliged to do?

4. in 2018 - how many incidents were reported to the GPC and NRLS?

5. Do you agree the increasing pharmacy issues (or at least those perceived and witnessed by patients) is due to the continuing understaffing of the pharmacy?

Yours sincerely,

philip courtney

freedomofinformation (NORTH MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST), North Middlesex University Hospital NHS Trust

Dear Mr Courtney

acknowledge your request for information.

Your request is being considered and a response will be sent to you as soon as possible. I cannot confirm whether the Trust holds this information at present.

If you have any queries or concerns, please contact me at the above address.

Further information is available from:

The Information Commissioner's Office
Wycliffe House
Water Lane
Wilmslow
Cheshire
SK9 5AF
www.ico.gov.uk

Yours sincerely

Anne Appadoo
Head of Information Governance & Data Protection Officer
North Middlesex University Hospital NHS Trust

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Dear Ms. Appadoo (NORTH MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST),

I look forward to the requested information and will be happy to facilitate guiding the NM to both understand it statutory information recording duties, an area that is lacking in many departments!

To that end we will be requesting further information about the management of Complaints (not Maria Kane's speciality), and issues around area of data and record management Subject Access Requests. The latter seems to be a considerable problem in completing for the NM - and especially when relating to records keep in separate hospital units.

I have always found the post involving "Governance" to be an oxymoron. A post that is supposed to do with ensuring the conformity to regulations and statutory obligations of an organization, more often than not, seems to be a role dedicated to how to avoid, manipulate or hide lack of conformity. Herts Valley CCG and many other NHS Trusts, like commercial care homes (TLC Group) are prime consistent examples.

The North Middlesex Hospital has been a constant source of distress, worry and pain to so many, much like BEH MT Trust. Its not getting any better under Maria Kane -the pay and recruitment of will be subject to another FOI).

In the meantime - do some Governance and sort out the SAR and Complaint office - try getting capable salaried staff!

A disgusted welfare advocate in Enfield,

philip courtney

freedomofinformation (NORTH MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST), North Middlesex University Hospital NHS Trust

Dear Mr Courtney

Thank you for your request for information under the Freedom of Information Act 2000. Please see below for the response to your enquiries.

1. First quarter of 2019 (Jan to March) - 125 incidents reported internally. How many incidents were reported to the GPC and NRLS respectively? - See 3 below

2. Second quarter of 2019 (April to June) - 108 incidents reported internally. How many incidents were reported to the GPC and NRLS respectively? - See 3 below

3. Do you report all pharmacy dispensing/prescription incidents that have occurred in 2019 as you are statutory obliged to do? Yes.

All incidents are reported internally using the Trust electronic incident reporting system; the reported incidents relate to a variety of themes related to medicines management e.g. medication administration errors, prescribing or dispensing errors. Incidents are not routinely reported to the GPhC. The incidents feed into the NLRS Database as well as being the subject of internal scrutiny by the Risk and Governance Team.

4. In 2018 - The total number of incidents reported internally during 2018 was 488 . How many incidents were reported to the GPC and NRLS? See 3 above.

5. Do you agree the increasing pharmacy issues (or at least those perceived and witnessed by patients) is due to the continuing understaffing of the pharmacy?
The number of patients attending the hospital has significantly increased over time and continues to do so. There is much work being done to review ways of working, the workload and current staffing levels. This is undertaken by the Pharmacy Workload Strategy Group - the aim being that the Pharmacy Department will have enough staff in the right areas to deliver a safe and effective pharmacy service.

I refer to your further email dated 05 September 2019.
If you would kindly clarify the information you wish to request under the Freedom of Information Act, I shall of course process your request accordingly.

If you require any further information, please contact me via this email address.

I should advise that if you are not satisfied with the above response you may, under the Trust's complaints procedure, write to the Chief Executive requesting an internal review. The address to write to is:

The Chief Executive,
Trust Head Quarters
Admin Block
Sterling Way,
N18 1QX

Email [email address] requesting an internal review.

If you remain dissatisfied with the Trust’s decision following your complaint, you may write to the Information Commissioner for a decision under Section 50 of the Freedom of Information Act. The Information Commissioner can be contacted at:

Information Commissioner's Office
Wycliffe House
Water Lane
Wilmslow
Cheshire
SK9 5AF.
Telephone: 01625 545700
www.informationcommissioner.gov.uk

Yours sincerely

Anne Appadoo
Head of Information Governance & Data Protection Officer
North Middlesex University Hospital NHS Trust

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Dear Ms Appadoo,

It would be pointless writing to your CEO - Maria Kane and the complaints team (Andrew Perry) - an abuse of public funds - as clearly demonstrated in the consider unlawful and inaccurate complaint reply received concerning the vary dubious treatment provided by Dr. Jonathan Ainsworth at the Alexander Pringle Centre.

I am very curious about how Complaints are handled at the beleaguered North Middlesex, considering the high level of local disregard and excessive long standing number of civil litigation cases - in addition of my own neighbours recent experiences (one dead - one was almost dead - plus a bit more!).

I am also curious about how SAR are handled and whether it is acceptable when they are mishandled and how many that Mr. Perry best reply is "make a complaint" - although in the complaint reply it refers to information failed to provided in a SAR request and includes admission of GDPR errors!

I wonder how many others experience this lack of duty of candour and transparency from the sloppy boffins behind desks in the North Middlesex "Hospital".

Maria Kane when head of BEH Mental Health Trust was not best known for handling service complaints (as the SIlver Street Community MHT remains a testament to that statement!). But hey, unless you kills few babies or a few hundred older adults CEO of NHS Trusts are immune - but like successive Haringey Directors of Social Services.

I will of course raise FOI about Complaints Team, SARS issues and Civil Litigation whilst also openly exploring the circumstances of the deliberate dubious actions of Dr. Jonathan Ainsworth (Consultant) and Specialist Clinical Nurse Sascha Auweiler.

You will note that currently an example in the failing of duty of care by the above is that I have no NHS HIV treatment or access of provided HIV medication.

Yours sincerely,

philip Courtney..

PS .. pharmacy is still a mess!!