Tavistock suicides and gender dysphoria internal audit
Dear Tavistock and Portman NHS Foundation Trust,
The Department of Health & Social Care published “Review of suicides and gender dysphoria at the Tavistock and Portman NHS Foundation Trust: independent report” on 19 July 2024. The article states that you conduct an internal audit.
Please send me:
(1) correspondence, discussion, agenda, minutes showing the circumstances that prompted the Trust to conduct the audit
(2) information about the extent of the audit
(3) information about the depth of the audit
(4) information about the methodology of the audit
(5) information identifying the external stakeholders (organisations, service providers, chartered accountants etc) involved in the audit
(6) the key dates (data cutoff, progress milestone, etc.) of the audit
Yours faithfully,
E A Lee
Thank you for contacting the Tavistock and Portman NHS Foundation Trust.
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The Tavistock and Portman NHS Foundation Trust is a small specialist
mental health trust which provides mainly outpatient psychological
services only. The Trust is not a hospital and does not provide acute
services nor inpatient wards. If the information you have requested is not
be applicable to this Trust, you are able to withdraw your request using
the email address [1][Tavistock and Portman NHS Foundation Trust request email]
Please visit our website for more information about our work: [2]The
Tavistock and Portman NHS Foundation Trust
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Please visit our website for more information about our work: [3]The
Tavistock and Portman NHS Foundation Trust
Freedom of Information Team
Tavistock and Portman NHS Foundation Trust
Tavistock Centre
120 Belsize Lane
London NW3 5BA
[4]https://tavistockandportman.nhs.uk
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1. mailto:[Tavistock and Portman NHS Foundation Trust request email]
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4. https://tavistockandportman.nhs.uk/
Dear E A Lea
Your request for information, as detailed in your email below, has been
handled under the Freedom of Information Act 2000 (FOIA). Please find
below our response:
(1) correspondence, discussion, agenda, minutes showing the
circumstances that prompted the Trust to conduct the audit
The work to which you refer, as stated by Prof Appleby in his Review of
Suicides and Gender Dysphoria at the Tavistock and Portman NHS Foundation
Trust, was a mortality audit, - undertaken by a clinician, in line with
good clinical practice, to consider learning from deaths.
(2) information about the extent of the audit
As stated above. This was a mortality audit looking at GIDS deaths
2018-23, as referenced in Prof Appleby’s report, conducted in line with
good clinical practice and to support learning.
(3) The information about the depth of the audit
The audit was a case notes review of the electronic patient record of
deceased individuals.
(4) information about the methodology of the audit
As stated above. Case notes review of electronic patient records
(5) information identifying the external stakeholders (organisations,
service providers, chartered accountants etc) involved in the audit
This was an internal clinical audit. Findings were shared with relevant
external stakeholders.
(6) the key dates (data cutoff, progress milestone, etc.) of the audit
Please see above.
Please note that information provided under FOIA relates to information
held by this Trust at the date on which the request was made.
We trust that you are satisfied with this response. If you are
dissatisfied then please write to us at [1][Tavistock and Portman NHS Foundation Trust request email] within
40 working days, quoting the reference details in the header of this
email, and explaining the reason for your dissatisfaction. The Trust would
then appoint a senior manager, not previously involved in this case, to
conduct an internal review of our original response and advise you of
their findings, within 20 working days, which would include either a
revised response, or a rationale for upholding the original response.
Yours sincerely,
Freedom of Information Team,
Tavistock and Portman
NHS Foundation Trust
Tavistock Centre
120 Belsize Lane
London NW3 5BA
[2]www.tavi-port.org
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From: E A Lee <[3][FOI #1153111 email]>
Sent: Tuesday, July 30, 2024 8:10 PM
To: Freedom of Information Requests <[4][Tavistock and Portman NHS Foundation Trust request email]>
Subject: Freedom of Information request - Tavistock suicides and gender
dysphoria internal audit
Dear Tavistock and Portman NHS Foundation Trust,
The Department of Health & Social Care published “Review of suicides and
gender dysphoria at the Tavistock and Portman NHS Foundation Trust:
independent report” on 19 July 2024. The article states that you conduct
an internal audit.
Please send me:
(1) correspondence, discussion, agenda, minutes showing the circumstances
that prompted the Trust to conduct the audit
(2) information about the extent of the audit
(3) information about the depth of the audit
(4) information about the methodology of the audit
(5) information identifying the external stakeholders (organisations,
service providers, chartered accountants etc) involved in the audit
(6) the key dates (data cutoff, progress milestone, etc.) of the audit
Yours faithfully,
E A Lee
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2. http://www.tavi-port.org/
http://www.tavi-port.org/
3. mailto:[FOI #1153111 email]
4. mailto:[Tavistock and Portman NHS Foundation Trust request email]
5. mailto:[FOI #1153111 email]
6. mailto:[Tavistock and Portman NHS Foundation Trust request email]
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Dear Freedom of Information Requests,
Thank you for your prompt response, which provided some of the requested information.
I consider requests (2) through (5) to be fulfilled.
However, regarding requests (1) and (6), could you please clarify whether Prof Appleby's review prompted the Trust to conduct the audit? If it did, please provide the relevant dates. If it did not, please supply documents that show what prompted the audit instead.
Regards,
E A Lee
====
Your response:
(1) correspondence, discussion, agenda, minutes showing the
circumstances that prompted the Trust to conduct the audit
The work to which you refer, as stated by Prof Appleby in his Review of
Suicides and Gender Dysphoria at the Tavistock and Portman NHS Foundation
Trust, was a mortality audit, - undertaken by a clinician, in line with
good clinical practice, to consider learning from deaths.
(2) information about the extent of the audit
As stated above. This was a mortality audit looking at GIDS deaths
2018-23, as referenced in Prof Appleby’s report, conducted in line with
good clinical practice and to support learning.
(3) The information about the depth of the audit
The audit was a case notes review of the electronic patient record of
deceased individuals.
(4) information about the methodology of the audit
As stated above. Case notes review of electronic patient records
(5) information identifying the external stakeholders (organisations,
service providers, chartered accountants etc) involved in the audit
This was an internal clinical audit. Findings were shared with relevant
external stakeholders.
(6) the key dates (data cutoff, progress milestone, etc.) of the audit
Please see above.
Thank you for contacting the Tavistock and Portman NHS Foundation Trust.
This is an automated acknowledgement, and serves to confirm to you that
our FOI team have received your email.
If you are requesting information under the Freedom of Information Act or
the Environmental Information Regulations, you will receive a written
response within 20 working days*, counting the first working day* after
the request is received as the first day.
If your message concerns an existing request for information, we will
respond accordingly.
If your message concerns another matter, your message will be passed to
the relevant team for processing
The Tavistock and Portman NHS Foundation Trust is a small specialist
mental health trust which provides mainly outpatient psychological
services only. The Trust is not a hospital and does not provide acute
services nor inpatient wards. If the information you have requested is not
be applicable to this Trust, you are able to withdraw your request using
the email address [1][Tavistock and Portman NHS Foundation Trust request email]
Please visit our website for more information about our work: [2]The
Tavistock and Portman NHS Foundation Trust
* Working days referenced above, means any day other than a Saturday,
Sunday, or public holidays and bank holidays.
Please visit our website for more information about our work: [3]The
Tavistock and Portman NHS Foundation Trust
Freedom of Information Team
Tavistock and Portman NHS Foundation Trust
Tavistock Centre
120 Belsize Lane
London NW3 5BA
[4]https://tavistockandportman.nhs.uk
P Please consider the environment before printing this e-mail
References
Visible links
1. mailto:[Tavistock and Portman NHS Foundation Trust request email]
2. https://tavistockandportman.nhs.uk/
3. https://tavistockandportman.nhs.uk/
4. https://tavistockandportman.nhs.uk/
Dear E A Lee
We appreciate you following up our response to your request for
information, as detailed in the email trail below. This has continued to
be handled under the Freedom of Information Act 2000 (FOIA).
Please find below a more detailed explanation of our responses to your
first and last questions:
1. Q1: correspondence, discussion, agenda, minutes showing the
circumstances that prompted the Trust to conduct the audit
Trust’s Original Response: The work to which you refer, as stated by Prof
Appleby in his Review of Suicides and Gender Dysphoria at the Tavistock
and Portman NHS Foundation Trust, was a mortality audit, - undertaken by a
clinician, in line with good clinical practice, to consider learning from
deaths
Trust’s Revised response: The mortality audit was agreed at local level,
no formal meetings were required to ratify this decision, as it forms part
of normal clinical practice.
The Trust routinely conducts a mortality review for every death of a
patient.
A senior clinician expressed a wish to review a case series of deaths
within GIDS and undertook a mortality audit, which forms the basis of Dr
Louis Appleby’s report.
The Trust follows clinical guidance and reports published over last
several years, in relation to learning from deaths , eg National Quality
Board 2017, CQC Review- Learning Candour and Accountability 2016, NHS
Patient Safety Strategy 2019.
(6) Q6: the key dates (data cutoff, progress milestone, etc.) of the
audit
Original response: Please see above.
Trust’s Revised Response: This audit was presented around 2021 and
covered deaths from 2018 to 2021.
The output was presented in November 2021.
This was a case series, ie a review of deaths, occurring within a given
period, 2018-2021, and completion of the case series review was November
2021
Please note that information provided under FOIA relates to information
held by this Trust at the date on which the request was made.
We trust that you are satisfied with this revised response. If you are
dissatisfied then please write to us at [1][Tavistock and Portman NHS
Foundation Trust request email] within 40 working days, quoting the
reference details in the header of this email, and explaining the reason
for your dissatisfaction. The Trust would then appoint a senior manager,
not previously involved in this case, to conduct an internal review of our
original response and advise you of their findings, within 20 working
days, which would include either a revised response, or a rationale for
upholding the original response.
Yours sincerely,
Freedom of Information Team,
Tavistock and Portman
NHS Foundation Trust
Tavistock Centre
120 Belsize Lane
London NW3 5BA
[2]www.tavi-port.org
P Please consider the environment before printing this e-mail
From: E A Lee <[FOI #1153111 email]>
Sent: Monday, August 12, 2024 8:41 PM
To: Freedom of Information Requests <[Tavistock and Portman NHS Foundation
Trust request email]>
Subject: Re: RESPONSE TO YOUR REQUEST: FOI 24-25184 GIDS Suicides & Gender
Dysphoria Internal Audit. (EL)
Dear Freedom of Information Requests,
Thank you for your prompt response, which provided some of the requested
information.
I consider requests (2) through (5) to be fulfilled.
However, regarding requests (1) and (6), could you please clarify whether
Prof Appleby's review prompted the Trust to conduct the audit? If it did,
please provide the relevant dates. If it did not, please supply documents
that show what prompted the audit instead.
Regards,
E A Lee
====
Your response:
(1) correspondence, discussion, agenda, minutes showing the
circumstances that prompted the Trust to conduct the audit
The work to which you refer, as stated by Prof Appleby in his Review of
Suicides and Gender Dysphoria at the Tavistock and Portman NHS Foundation
Trust, was a mortality audit, - undertaken by a clinician, in line with
good clinical practice, to consider learning from deaths.
(2) information about the extent of the audit
As stated above. This was a mortality audit looking at GIDS deaths
2018-23, as referenced in Prof Appleby’s report, conducted in line with
good clinical practice and to support learning.
(3) The information about the depth of the audit
The audit was a case notes review of the electronic patient record of
deceased individuals.
(4) information about the methodology of the audit
As stated above. Case notes review of electronic patient records
(5) information identifying the external stakeholders (organisations,
service providers, chartered accountants etc) involved in the audit
This was an internal clinical audit. Findings were shared with relevant
external stakeholders.
(6) the key dates (data cutoff, progress milestone, etc.) of the audit
Please see above.
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