Treatment options for various mental health concerns

Jamie Smith made this Freedom of Information request to Barking, Havering and Redbridge University Hospitals NHS Trust

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

Dear Barking, Havering and Redbridge University Hospitals 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

FREEDOM Information (RF4) BHR Hospitals,

2 Attachments

Dear Jamie Smith,
 
Further to your email dated 28^th March 2014, having liaised with both the
Information Services and Outpatient Departments I can advise of the
following.
 
Between 1st January 2013 and 1st January 2014:
 
The total number of outpatients diagnosed with Mild to moderate
depression, General anxiety disorder, Stress
 
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 please
include this acknowledgement.
 
Where more than one option was offered, please include ‘1’ entry for each
pathway offered.
 
Where prescription drugs were offered, please specify which drug was
offered for each patient from the list; Benzodiazepines, Pregabalin,
Serotonin and noradrenaline reuptake inhibitors, Selective serotonin
reuptake inhibitors, Valium, Other antidepressants, Other medication
 
We are unable to provide the majority of the information you have
requested as this is not readily held, and to obtain the level of
information would entail accessing the patients’ medical records. Such a
manual exercise is estimated to exceed the £450 compliance limit, and as
such under Section 12 of the Act we are not obliged to provide the
information to you. We can however comply with our duty to confirm or deny
whether we hold the information, by confirming we do hold data from which
the requested information may be collated.
 
The only results we can obtain from our clinical system refers to mild to
moderate depression as the other conditions are not coded in Outpatients.
In addition unfortunately we cannot guarantee that the coding of these
procedures will always be completely accurate, the relevant medical
records would need to be accessed for accuracy.
 
Mild to moderate depression - 2 patients
 
We apologise we are unable to assist you, and can advise if you have a
complaint as to the handling or outcome of your request, please write to
the following, including your FOI request reference number:
Matthew Hopkins - Chief Executive
Trust Offices, 1^st Floor Neutral Zone
Queen’s Hospital
Rom Valley Way
Romford
Essex RM7 0AG
 
Under Section 50 of the Freedom of Information Act 2000, you also have the
right to apply to the Information Commissioner, Wycliffe House, Water
Lane, Wilmslow, Cheshire, SK9 5AF for a decision notice, should you be
unsatisfied with the NHS Trust’s response to your complaint letter.
 
The NHS Trust values feedback from our applicants regarding their
satisfaction with the FOI response and the service they receive, as such
we would appreciate you taking a few minutes to complete and return the
attached questionnaire.
 
Yours sincerely,
 
Susan Bateman
Data Protection Officer/Freedom of Information Lead (Information
Governance Team)
Information Management & Technology Directorate
 
 
Queen’s Hospital
Data Centre, Ground Floor Orange Zone
Rom Valley Way
Romford
Essex,  RM7 0AG
 
Email:                    [1][Barking, Havering and Redbridge University Hospitals NHS Trust request email]
Telephone:           01708 435000 Ext: 3681
 
 
 

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