Lothian NHS Board Waverley Gate 2-4 Waterloo Place EH1 3EG

Telephone: 0131 536 9000 www.nhslothian.scot.nhs.uk www.nhslothian.scot.nhs.uk

Date: 02/07/2020 Your Ref: Our Ref: 4461

Enquiries to : Richard Mutch Extension: 35687 Direct Line: 0131 465 5687 [email protected] [email protected]

Dear

FREEDOM OF INFORMATION – PATIENT FALLS

I write in response to your request for information in relation to patient falls within NHS Lothian.

Question:  I am looking for the total number of falls sorted by hospital from the last 5 years?

Answer: The table below shows the total patient falls recorded over the last 5 calendar years in hospitals across NHS Lothian broken down by Site. Please note some of the Sites are listed below as inpatient units rather than hospitals.

Site 2015 2016 2017 2018 2019 277 298 254 222 165 63 62 100 48 74 CAMHS ≤5 6 ≤5 ≤5 ≤5 Camus Tigh ≤5 10 ≤5 7 52 Hospital (Closed 2017) 9 ≤5 ≤5 ≤5 ≤5 Craigshill Care Facility 276 334 235 221 238 Community Hospital 291 198 237 216 322 Edington Hospital 40 27 49 22 24 Ellen's Glen House 186 201 210 233 199 Findlay House 99 95 164 214 229 71 64 47 84 50 Liberton 488 353 203 158 127 Community Hospital 336 306 380 384 264 Orchard Clinic 12 17 19 16 20 Primrose Lodge ≤5 ≤5 ≤5 ≤5 ≤5 Princess Alexandra Eye Pavilion 15 8 18 16 11 621 511 376 395 306 Royal Hospital for Sick Children 34 19 27 26 22 Royal Infirmary Little France 2158 2127 2244 2401 2208

Patient Falls - June 2020

Royal Victoria Hospital (Wards closed Sept 2015) 207 ≤5 ≤5 ≤5 ≤5 St John's Hospital 972 956 900 893 996 St Michael's Hospital 83 67 88 72 37 Tippethill House 162 212 154 163 173 2075 2092 2152 2254 2125

Question:  I am looking for the total number of falls sorted by ward from the last 2 years?

Answer: The table below shows the total patient falls recorded over the last 2 calendar years in hospitals across NHS Lothian broken down by Ward.

Ward 2018 2019 AAH Charles Bell Pavilion Ward 1 67 40 AAH Charles Bell Pavilion Ward 2 50 40 AAH Cunningham Unit ≤5 ≤5 AAH Dietitian ≤5 ≤5 AAH Flow Centre ≤5 ≤5 AAH Lanfine Service East Pavilion 41 31 AAH Physiotherapy ≤5 6 AAH Physiotherapy/Pain Management ≤5 ≤5 AAH Smart Building - Administration ≤5 ≤5 AAH Smart Building - Assistive Technologies ≤5 ≤5 AAH Smart Building - Orthotics 3 ≤5 AAH Smart Building - Prosthetics ≤5 ≤5 AAH Sutherland Ward 49 32 AAH The School ≤5 ≤5 AAH Woodlands House 0 ≤5 AAH Woodlands House (LEAP) ≤5 6 Aroma Cafe - Main Mall ≤5 ≤5 Belhaven Blossom House 7 13 Belhaven Holly Trees 19 60 Belhaven Ward 2 22 ≤5 CAM Inpatient Unit ≤5 ≤5 CAM Willowgrove ≤5 ≤5 Car Park ≤5 ≤5 CCF Maple Villa 221 238 CT Camus Tigh 7 52 Edington Ward 1 20 24 EGLEN Hawthorn (First) 129 90

Patient Falls - June 2020

EGLEN Thistle (Ground) 104 109 ELCH Dental Service ≤5 ≤5 ELCH Evening District Nurse Team ≤5 ≤5 ELCH Hospital TO Home ≤5 ≤5 ELCH Occupational Therapy ≤5 ≤5 ELCH Outpatient Department ≤5 ≤5 ELCH Physiotherapy 10 ≤5 ELCH Ward 1 - East Fortune House 31 29 ELCH Ward 2 - Oak Tree (Mental Health) ≤5 15 ELCH Ward 3 73 110 ELCH Ward 4 - East Lothian Step Down Unit 98 154 ELCH Ward 5 ≤5 ≤5 ELCH X-ray ≤5 ≤5 FH Fillieside 100 97 FH Prospect Bank 114 132 Herdmanflat - Hopetoun Community Base ≤5 ≤5 Herdmanflat District Nurse Team ≤5 ≤5 Herdmanflat Lammerlaw Ward 79 49 Herdmanflat Physiotherapy Dept ≤5 ≤5 LIB Day Hospital ≤5 ≤5 LIB Outpatients Department ≤5 ≤5 LIB Ward 01 33 36 LIB Ward 02 34 35 LIB Ward 03 23 14 LIB Ward 04 57 38 LIB Ward 05 ≤5 ≤5 LIB Ward 08 ≤5 ≤5 MCH Complex Care ≤5 ≤5 MCH Edenview 55 73 MCH Estates Department ≤5 ≤5 MCH Glenlee 100 73 MCH Loanesk 37 29 MCH Physiotherapy Department ≤5 ≤5 MCH Rossbank 192 85 MCH X-Ray Department ≤5 ≤5 ORC Cedar Ward ≤5 ≤5 ORC Hawthorn Ward 10 ≤5 ORC Reception ≤5 ≤5 ORC Redwood 6 ≤5 PAEP Diabetic Retinal Screening ≤5 ≤5 PAEP Level 3 ≤5 ≤5

Patient Falls - June 2020

PAEP Outpatient Department ≤5 ≤5 PAEP Visual Field Service ≤5 ≤5 PAEP Ward E2 15 6 PL Primrose Lodge ≤5 ≤5 REH Balcarres - Male ≤5 ≤5 REH Blackford 6 ≤5 REH Braids ≤5 ≤5 REH Canaan Ward (Formerly Ward 14) 46 45 REH Carnethy House ≤5 ≤5 REH Comiston 21 18 REH Craiglea ≤5 ≤5 REH Craiglockhart 7 ≤5 REH Eden Ward - Female 44 47 REH Fairmile (Formerly Canaan Ward) 57 50 REH Glenlomond (37 Morningside Pk) ≤5 ≤5 REH Harlaw 30 24 REH Hive ≤5 ≤5 REH Islay Centre Barra Wing ≤5 ≤5 REH Islay Centre Harris Unit ≤5 ≤5 REH Islay Centre Rum Wing ≤5 ≤5 REH Jordan Ward ≤5 ≤5 REH Meadows - Female 9 ≤5 REH Merchiston ≤5 ≤5 REH Myreside ≤5 ≤5 REH North Wing ≤5 ≤5 REH Occupational Therapy ≤5 ≤5 REH Pentland 55 36 REH Physiotherapy Department ≤5 ≤5 REH Rapid Response Team ≤5 ≤5 REH Ritson Clinic (APS) 24 7 REH Robert Fergusson National Brain Injury Unit 28 18 REH Ward 05 - Hermitage 13 ≤5 REH William Fraser Centre Culzean 7 ≤5 REH William Fraser Centre Rannochmore ≤5 6 REH William Fraser Centre Strathaird 7 16 RHSC Children's Critical Care ≤5 ≤5 RHSC Orthopaedics ≤5 ≤5 RHSC OT Team - Special Schools ≤5 ≤5 RHSC Outreach ≤5 ≤5 RHSC Physiotherapy Department ≤5 ≤5 RHSC PT Team - Acute ≤5 ≤5

Patient Falls - June 2020

RHSC PT Team - East & Midlothian Community ≤5 ≤5 RHSC Special Nursing Medical ≤5 ≤5 RHSC Ward 01 ≤5 ≤5 RHSC Ward 02 ≤5 ≤5 RHSC Ward 03 ≤5 ≤5 RHSC Ward 04 ≤5 ≤5 RHSC Ward 06 ≤5 ≤5 RHSC Ward 07 ≤5 ≤5 RIE Acute Medical Unit 105 121 RIE Acute Medical Unit (PAA) ≤5 ≤5 RIE Acute Medical Unit (Toxicology Bay 6) 9 11 RIE Anne Rowling Clinic ≤5 ≤5 RIE Assisted Conception Unit ≤5 ≤5 RIE Cardiology Cardiac Cath Lab ≤5 ≤5 RIE Day Surgery Unit (DSU) ≤5 8 RIE ECG Dept ≤5 ≤5 RIE Emergency Department 19 20 RIE Endoscopy Suite ≤5 ≤5 RIE Fetal Medicine Unit ≤5 ≤5 RIE Labour Suite ≤5 ≤5 RIE Lothian Birth Centre ≤5 ≤5 RIE Medical Day Case ≤5 ≤5 RIE Minor Injuries Unit ≤5 ≤5 RIE Mortuary ≤5 ≤5 RIE Obstetric Triage and Assessment ≤5 ≤5 RIE Occupational Therapy ≤5 ≤5 RIE OPD 2 ≤5 ≤5 RIE OPD 3 ≤5 ≤5 RIE OPD 4 - Dialysis 12 13 RIE OPD 4 - Vascular ≤5 ≤5 RIE OPD 5 ≤5 ≤5 RIE OPD 6 ≤5 ≤5 RIE OPD/Gynaecology Triage ≤5 ≤5 RIE Orthopaedic Supported Discharge Service ≤5 ≤5 RIE Orthotics Department ≤5 ≤5 RIE Radiology A&E X-ray ≤5 ≤5 RIE Radiology CRIC ≤5 ≤5 RIE Radiology CT Department ≤5 ≤5 RIE Radiology Main Department ≤5 ≤5 RIE Radiology MRI Department ≤5 ≤5 RIE Radiology Orthopaedic X-ray ≤5 ≤5

Patient Falls - June 2020

RIE Radiology Ultrasound ≤5 ≤5 RIE Respiratory Function Lab ≤5 ≤5 RIE Sleep Medicine ≤5 ≤5 RIE Stroke Unit (201) 62 74 RIE Surgical Observation Unit ≤5 ≤5 RIE Theatre 02 ≤5 ≤5 RIE Theatre 09 ≤5 ≤5 RIE Theatre 17 ≤5 ≤5 RIE Theatre 21 ≤5 ≤5 RIE Vascular Laboratory (OPD3) ≤5 ≤5 RIE Ward 101 101 90 RIE Ward 102 33 24 RIE Ward 103 65 72 RIE Ward 104 253 190 RIE Ward 105 109 73 RIE Ward 106 30 26 RIE Ward 107 57 51 RIE Ward 108 106 126 RIE Ward 109 66 63 RIE Ward 111 ≤5 ≤5 RIE Ward 112 ≤5 ≤5 RIE Ward 114 8 6 RIE Ward 116 ≤5 ≤5 RIE Ward 118 ≤5 9 RIE Ward 120 112 109 RIE Ward 202 253 213 RIE Ward 203 MOE 148 149 RIE Ward 204 71 70 RIE Ward 204ax 20 ≤5 RIE Ward 205 134 116 RIE Ward 206 - Renal 71 61 RIE Ward 206 - Transplant 39 29 RIE Ward 207 173 139 RIE Ward 208 116 155 RIE Ward 209 78 56 RIE Ward 210 13 16 RIE Ward 211 ≤5 ≤5 RIE Ward 215 25 11 RIE Ward 220 46 50 RVH Grounds ≤5 ≤5 StJ A&E 8 15

Patient Falls - June 2020

StJ Ambulatory Care Unit ≤5 ≤5 StJ Children's Ward ≤5 ≤5 StJ Day Surgery Centre 8 ≤5 StJ Discharge Lounge ≤5 ≤5 StJ Endoscopy ≤5 ≤5 StJ Hooper Hand Unit ≤5 ≤5 StJ ITU+HDU ≤5 ≤5 StJ Labour Suite ≤5 ≤5 StJ Medical Admissions Unit 85 111 StJ Observation Unit 17 12 StJ Occupational Therapy Dept ≤5 ≤5 StJ Oncology Unit ≤5 ≤5 StJ OPD 1 - Diabetes ≤5 ≤5 StJ OPD 1 - Ophthalmology ≤5 ≤5 StJ OPD 2 ≤5 ≤5 StJ OPD 3 - Obs & Gynae ≤5 ≤5 StJ OPD 4 ≤5 ≤5 StJ Pentland Court ≤5 ≤5 StJ Perinatal Unit ≤5 ≤5 StJ Physio Department ≤5 8 StJ Podiatry ≤5 ≤5 StJ Radiology A&E X-Ray ≤5 ≤5 StJ Radiology CT ≤5 ≤5 StJ Radiology Main X-Ray ≤5 ≤5 StJ Radiology MRI Dept ≤5 ≤5 StJ Radiology Ultrasound ≤5 ≤5 StJ Rapid Elderly Assessment and Care Team (REACT Hub) ≤5 ≤5 StJ Regional Eating Disorder Unit ≤5 ≤5 StJ Renal Unit ≤5 ≤5 StJ Stroke Unit 74 71 StJ Theatre 12 ≤5 ≤5 StJ Wallace Burns Unit ≤5 8 StJ Ward 01 (IPCU) ≤5 ≤5 StJ Ward 03 53 90 StJ Ward 08 69 86 StJ Ward 09 100 95 StJ Ward 11 Maternity ≤5 ≤5 StJ Ward 12 Gynae 22 35 StJ Ward 14 135 138 StJ Ward 15 - Haematology Day Bed Area ≤5 ≤5 StJ Ward 17 8 ≤5

Patient Falls - June 2020

StJ Ward 18 Plastic Surgery 51 67 StJ Ward 19A (ENT) 24 27 StJ Ward 21 79 81 StJ Ward 22 (PAA) ≤5 6 StJ Ward 25 (Med) 114 107 StJ Winter Bed Ward ≤5 ≤5 STMH St Michael's Hospital 72 37 THH Baillie Wing 69 84 THH Roseberry Wing 94 89 Vacant Grounds ≤5 ≤5 WGH Assessment & Rehabilitation Centre ≤5 ≤5 WGH Cancer Assessment Unit ≤5 ≤5 WGH Colorectal Admin ≤5 ≤5 WGH Day of Surgery Area ≤5 ≤5 WGH DCN Outpatients ≤5 ≤5 WGH DCN Specialist Nurses ≤5 ≤5 WGH DCO Foyer ≤5 ≤5 WGH Dialysis Satellite Unit ≤5 ≤5 WGH Domestic Services Department ≤5 ≤5 WGH ECG Dept ≤5 ≤5 WGH Grounds ≤5 ≤5 WGH Main Outpatient Dept ≤5 ≤5 WGH Main Theatre ≤5 ≤5 WGH Medical Admissions Unit (MAU) 142 98 WGH Medical Physics Dept ≤5 ≤5 WGH Minor Injuries Clinic ≤5 ≤5 WGH Occupational Therapy ≤5 ≤5 WGH Oncology Outpatient Clinic ≤5 ≤5 WGH Radiology CT/MR Main ≤5 ≤5 WGH Radiology DCN X-Ray ≤5 ≤5 WGH Radiology Main X-Ray ≤5 ≤5 WGH Radiotherapy Treatment ≤5 ≤5 WGH Respiratory Function Lab ≤5 ≤5 WGH Respiratory Offices ≤5 ≤5 WGH Stroke Unit 141 105 WGH Surgical Assessment Unit ≤5 ≤5 WGH Therapy Dept, ADB ≤5 ≤5 WGH Ward 03 8 ≤5 WGH Ward 04 70 47 WGH Ward 06 12 12 WGH Ward 08 34 17

Patient Falls - June 2020

WGH Ward 08/08U - Bone Marrow Transplant 8 ≤5 WGH Ward 08U 7 13 WGH Ward 11 85 57 WGH Ward 15 54 20 WGH Ward 20 ICU 10 ≤5 WGH Ward 22 7 ≤5 WGH Ward 23 36 36 WGH Ward 24 24 17 WGH Ward 25 32 58 WGH Ward 26 88 65 WGH Ward 27 103 130 WGH Ward 31 (DCN 1) 24 30 WGH Ward 32 (DCN 2) 58 71 WGH Ward 33 (DCN 3) 68 38 WGH Ward 42 26 70 WGH Ward 43 37 46 WGH Ward 43B OPAT ≤5 ≤5 WGH Ward 51 160 119 WGH Ward 52 16 24 WGH Ward 53 23 24 WGH Ward 54 51 73 WGH Ward 55 72 92 WGH Ward 56 43 49 WGH Ward 57 12 6 WGH Ward 58 ≤5 7 WGH Ward 70 149 162 WGH Ward 71 99 62 WGH Ward 71 - Haematology ≤5 ≤5 WGH Ward 72 123 115 WGH Ward 73 130 202 WGH Ward 74 229 181 WGH Ward 75 32 29 WGH/RVB Physiotherapy Services ≤5 ≤5 Total 8046 7647

To protect the identity of the individuals involved any figure of 5 or less has not been shown in the table above. Since we do not have their consent to release this data from their records, the information is exempt under section 38(1)(b) of the Freedom of Information () Act i.e. to provide it would breach the General Data Protection Regulation (2016).

Question:

Patient Falls - June 2020

 I would also like to request all email addresses for ward managers and falls leads/groups within the trust?

Answer: NHS Lothian has a policy of not releasing the names and details of staff below a senior level, this is viewed as exempt under Section 38(1)(b) of the Freedom of Information (Scotland) Act 2002 – personal information.

Available detail can be found via the following link – https://services.nhslothian.scot/fallspreventionandmanagement/Pages/Falls-Coordinators.aspx

Question:  On average how much does falls cost the trust per year?

Answer: This level of detail is not recorded in any specific or extractable format. Under the Freedom of Information Act NHS Lothian is not required to create new records to enable it to respond to your enquiry. This information is not collated or held in aggregate form and it would be necessary to review all case files relating to patients over the period you have requested to assemble the information you seek. Even if NHS Lothian did this – and there would be significant cost implications in doing so – it would be unable to respond in full to your request. The information requested is therefore exempt under section 12.1 – Cost.

I hope the information provided helps with your request.

If you are unhappy with our response to your request, you do have the right to request us to review it. Your request should be made within 40 working days of receipt of this letter, and we will reply within 20 working days of receipt. If our decision is unchanged following a review and you remain dissatisfied with this, you then have the right to make a formal complaint to the Scottish Information Commissioner within 6 months of receipt of our review response. You can do this by using the Scottish Information Commissioner’s Office online appeals service at www.itspublicknowledge.info/Appeal. If you remain dissatisfied with the Commissioner’s response you then have the option to appeal to the Court of Session on a point of law.

If you require a review of our decision to be carried out, please write to the FOI Reviewer at the address at the head of this letter. The review will be undertaken by a Reviewer who was not involved in the original decision-making process.

Patient Falls - June 2020

FOI responses (subject to redaction of personal information) may appear on NHS Lothian’s Freedom of Information website at: http://www.nhslothian.scot.nhs.uk/YourRights/FOI/Pages/default.aspx

Yours sincerely

PROFESSOR ALEX MCMAHON Executive Director, Nursing, Midwifery and AHPs Executive Lead for REAS and Prison Healthcare Cc: Chief Executive