Treatment options for various mental health concerns

Jamie Smith made this Freedom of Information request to Barts Health 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 Barts Health NHS Trust.

Dear Barts Health NHS Trust,

I am writing to request the following information for the calendar
year between 1st January 2013 and 1st January 2014:

The total number of outpatients diagnosed with the following
conditions:

· Mild to moderate depression
· General anxiety disorder
· Stress

Furthermore, I would like receive information for:

The total number of the above for each condition who were
prescribed, issued or recommended the following as a result of
their condition:

· Referral to a specific individual or group therapy programme such
as cognitive behavioural therapy

· Prescription drugs (see below)

· Referral to a specific individual or group exercise programme
such as 12-week GP referral schemes

· Information and advice about getting active for mental wellbeing

Where the option to refer to one of the above was not available
(for example, if a specific exercise programme does not exist for
each condition’s pathway in the local area, please include this
acknowledgement).

Where more than one option was offered, please include ‘1’ entry
for each pathway offered (for example, where a patient
demonstrating anxiety disorder was offered both prescription drugs
and active lifestyle advice please include ‘1’ entry for each).

Where prescription drugs were offered, please specify which drug
was offered for each patient from the list below:

· Benzodiazepines
· Pregabalin
· Serotonin and noradrenaline reuptake inhibitors
· Selective serotonin reuptake inhibitors
· Valium
· Other antidepressants
· Other medication

I would appreciate if the information was set out in the following
format. For example:

· Number of outpatient appointments with the following conditions:

o Mild to moderate depression – 75 outpatients
o General anxiety disorder – 68 outpatients
o Stress – 92 outpatients

· Number of outpatients for each condition referred to a specific
individual or group therapy programme such as cognitive behavioural
therapy –

o Mild to moderate depression – 35 outpatients
o General anxiety disorder – 22 outpatients
o Stress – 38 outpatients

· Number outpatients for each condition offered the following
prescription drugs:

o Mild to moderate depression

§ Benzodiazepines – 2 outpatients
§ Pregabalin – 4 outpatients
§ Serotonin and noradrenaline reuptake inhibitors – 3 outpatients
§ Selective serotonin reuptake inhibitors - 0 outpatients
§ Valium – 14 outpatients
§ Other antidepressants - 8 outpatients
§ Other medication - 5 outpatients

o General anxiety disorder

§ Benzodiazepines – 0 outpatients
§ Pregabalin – 2 outpatients
§ Serotonin and noradrenaline reuptake inhibitors – 1 outpatients
§ Selective serotonin reuptake inhibitors - 0 outpatients
§ Valium – 9 outpatients
§ Other antidepressants - 7 outpatients
§ Other medication - 3 outpatients

o Stress

§ Benzodiazepines – 6 outpatients
§ Pregabalin – 7 outpatients
§ Serotonin and noradrenaline reuptake inhibitors – 10 outpatients
§ Selective serotonin reuptake inhibitors - 15 outpatients
§ Valium – 7 outpatients
§ Other antidepressants - 8 outpatients
§ Other medication - 5 outpatients

· Number of outpatients referred to a specific individual or group
exercise programme such as 12-week GP referral schemes

o Mild to moderate depression – 12 outpatients
o General anxiety disorder – 5 outpatients
o Stress – 7 outpatients

· Number of outpatients offered information and advice about
getting active for mental wellbeing

o Mild to moderate depression – 34 outpatients
o General anxiety disorder – 28 outpatients
o Stress – 37 outpatients

Yours faithfully,

Jamie Smith

FAO Mr Jamie Smith

Dear Mr Smith

Your Request for Information [FOI-155-14]

Thank you for your request for information.   Your request is being
considered under the Freedom of Information Act and you will receive a
response within the statutory timescale.

The Act defines a number of exemptions which may prevent the release of
the information you have requested. We will assess the material and if any
of the exemption categories apply then the information may not be
released. We will tell you if that is so.

If the information you request refers to a third party then they may be
consulted prior to a decision being taken on whether or not to release the
information to you. We will let you know if that is the case and give you
an indication of the timescale for providing the information.     There
may be a fee payable for the information you have requested. The fee must
be paid before the information is released. We will inform you if this is
the case.

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email [Barts Health NHS Trust request email]

If you have any queries then please contact us at [Barts Health NHS Trust request email]

If you are dissatisfied on how your request has been handled, you can
complain in writing to:  The Head of Information Governance, Barts Health
NHS Trust :   Email: [Barts Health NHS Trust request email]  

If, after we have addressed your complaint, you remain dissatisfied with
how we have responded, you are entitled to appeal to the Information
Commissioner (Tel: 01625 545 745). Details are shown at www.ico.org.uk

Yours sincerely,

PAMELA WOOD

Corporate Affairs, Barts Health NHS Trust

www.bartshealth.nhs.uk

Please see our Freedom of Information internet pages for guidance and
information

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FAO Mr Jamie Smith

 

Dear Mr Smith

 

Your Request for Information [FOI-155-14]

 

I am writing in response to your recent FOI request below. 

 

I would advise you that, as Barts Health NHS Trust is an acute hospital
trust,  we do not have dedicated out-patient clinics for patients whose
primary diagnosis is a mental illness, neither do we routinely prescribe
any of the drugs in question.   However, it is clearly possible that we
might treat out-patients with a mental illness for other acute reasons and
that, in such instances, we might continue to prescribe their mental
health-related medicines.  

 

In the calendar year 2013 the Trust treated 1,460,926 out-patients and I
regret that the time that would be expended in identifying the numbers of
these patients who had a mental illness and in analysing our Pharmacy
database for details of drugs prescribed for conditions other than their
primary presenting illness would exceed the "appropriate limit" as defined
within the Freedom of Information and Data Protection (Appropriate Limit
and Fees) Regulations 2004  (the regulations);   for this reason, and in
accordance with Section 12 of the FOI Act I regret that we are unable to
comply with this element of your FOI request in its present format.   
However,  please let us know if you have any further queries or if we can
assist you further within the limits of the FOI regulations.     

 

If you are dissatisfied on how your request has been handled, you can
complain in writing to: The Head of Information Governance, Barts Health
NHS Trust Email;  [1][email address]

Postal address:  The Head of Information Governance

                                Barts Health NHS Trust,

                                 Lower Ground Floor

                                 9 Prescot Street,

                                 Aldgate, 

                                 London E1 8PR

 

If, after we have addressed your complaint, you remain dissatisfied with
how we have responded,  you are entitled to appeal to the Information
Commissioner  (Tel 01625 545 745)   details are shown at [2]www.ico.org.uk

 

Yours sincerely,

 

PAMELA WOOD

 

Corporate Records 

Barts Health NHS Trust

 

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Original Message-----

From: Jamie Smith [[3]mailto:[FOI #204222 email]]

Sent: 28 March 2014 15:31

To: FOI

Subject: [FOI-155-14] Freedom of Information request - Treatment options
for various mental health concerns

 

Dear Barts Health NHS Trust,

 

I am writing to request the following information for the calendar year
between 1st January 2013 and 1st January 2014:

 

The total number of outpatients diagnosed with the following

 

conditions:

 

· Mild to moderate depression

 

· General anxiety disorder

 

· Stress

 

Furthermore, I would like receive information for:

 

The total number of the above for each condition who were prescribed,
issued or recommended the following as a result of their condition:

 

· Referral to a specific individual or group therapy programme such as
cognitive behavioural therapy

- Prescription drugs (see below)

· Referral to a specific individual or group exercise programme such as
12-week GP referral schemes

· Information and advice about getting active for mental wellbeing

 

Where the option to refer to one of the above was not available (for
example, if a specific exercise programme does not exist for each
condition's pathway in the local area, please include this
acknowledgement).

 

Where more than one option was offered, please include '1' entry for each
pathway offered (for example, where a patient demonstrating anxiety
disorder was offered both prescription drugs and active lifestyle advice
please include '1' entry for each).

Where prescription drugs were offered, please specify which drug was
offered for each patient from the list below:

 

· Benzodiazepines

 

· Pregabalin

 

· Serotonin and noradrenaline reuptake inhibitors · Selective serotonin
reuptake inhibitors · Valium · Other antidepressants · Other medication

 

I would appreciate if the information was set out in the following format.
For example:

 

· Number of outpatient appointments with the following conditions:

 

o Mild to moderate depression - 75 outpatients o General anxiety disorder
- 68 outpatients o Stress - 92 outpatients

 

- Number of outpatients for each condition referred to a specific
individual or group therapy programme such as cognitive behavioural
therapy -

 

o Mild to moderate depression - 35 outpatients o General anxiety disorder
- 22 outpatients o Stress - 38 outpatients

- Number outpatients for each condition offered the following prescription
drugs:

 

o Mild to moderate depression

 

§ Benzodiazepines - 2 outpatients

 

§ Pregabalin - 4 outpatients

 

§ Serotonin and noradrenaline reuptake inhibitors - 3 outpatients §
Selective serotonin reuptake inhibitors - 0 outpatients § Valium - 14
outpatients § Other antidepressants - 8 outpatients § Other medication - 5
outpatients

 

o General anxiety disorder

 

§ Benzodiazepines - 0 outpatients

 

§ Pregabalin - 2 outpatients

 

§ Serotonin and noradrenaline reuptake inhibitors - 1 outpatients §
Selective serotonin reuptake inhibitors - 0 outpatients § Valium - 9
outpatients § Other antidepressants - 7 outpatients § Other medication - 3
outpatients

 

o Stress

 

§ Benzodiazepines - 6 outpatients

 

§ Pregabalin - 7 outpatients

 

§ Serotonin and noradrenaline reuptake inhibitors - 10 outpatients §
Selective serotonin reuptake inhibitors - 15 outpatients § Valium - 7
outpatients § Other antidepressants - 8 outpatients § Other medication - 5
outpatients

- Number of outpatients referred to a specific individual or group
exercise programme such as 12-week GP referral schemes

 

o Mild to moderate depression - 12 outpatients o General anxiety disorder
- 5 outpatients o Stress - 7 outpatients

 

· Number of outpatients offered information and advice about getting
active for mental wellbeing

 

o Mild to moderate depression - 34 outpatients o General anxiety disorder
- 28 outpatients o Stress - 37 outpatients

 

 

Yours faithfully,

Jamie Smith

 

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