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Scottish ECT Accreditation Network Annual Report 2012

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Scottish ECT Accreditation Network Annual Report 2012 National Services Scotland Scottish ECT Accreditation Network Annual Report 2012 A summary of ECT in Scotland for 2011 SD SC TLAND Scottish ECT Accreditation Network Annual Report 2012; A summary of ECT in Scotland for 2011 © NHS National Services Scotland/Crown Copyright 2012 First published October 2009 Brief extracts from this publication may be reproduced provided the source is fully acknowledged. Proposals for reproduction of large extracts should be addressed to: ISD Scotland Publications Information Services Division NHS National Services Scotland Gyle Square 1 South Gyle Crescent Edinburgh EH12 9EB Tel: +44 (0)131-275-6233 Email: [email protected] Designed and typeset by: ISD Scotland Publications Translation Service If you would like this leaflet in a different language, large print or Braille (English only), or would like information on how it can be translated into your community language, please phone 0131 275 6665. Scottish ECT Accreditation Network Annual Report 2012; A summary of ECT in Scotland for 2011 Summary Hospital Activity Table 20111 Median Median Treatments Stimulations Hospital Patients Episodes Treatments Stimulations per Episode per Episode Ailsa & Crosshouse 35 48 445 478 10.5 11.0 Argyll & Bute * * 27 29 6.0 7.0 Carseview 17 20 195 216 10.0 10.5 Dunnikier * * 68 82 9.0 10.0 Forth Valley Royal2 * * 39 45 4.0 5.0 Hairmyres3 13 15 111 136 8.0 9.0 Huntlyburn, Borders General * 12 144 164 10.5 12.0 Inverclyde 13 13 118 126 8.0 9.0 Leverndale4 25 32 257 289 8.5 10.0 Midpark Hospital5 17 20 151 193 7.0 8.5 Murray Royal 13 14 107 122 7.5 8.5 New Craigs * * 79 90 12.0 12.0 Queen Margaret6 14 17 189 215 10.0 10.0 Royal Cornhill 63 77 556 798 6.0 9.0 Royal Edinburgh7 50 64 773 938 8.0 11.5 St John’s 20 24 197 228 8.0 8.5 Stobhill8 36 41 298 349 7.0 8.0 Susan Carnegie9 * * 62 75 7.0 9.5 Wishaw10 17 19 151 182 7.0 10.0 Total 370 451 3,967 4,755 8.0 9.5 Notes: * Indicates values that have been suppressed because of the potential risk of disclosure. 1. In order to prevent rates being skewed by continuation/maintenance episodes administered by hospitals, medians are presented in the above table. 2. New facility replacing Falkirk & District Royal Infirmary. 3. Includes patients from Udston Hospital. 4. Includes patients from Western Isles Hospital, Royal Alexandra Hospital, Dykebar Hospital and Southern General Hospital. 5. New facility replacing Crichton Royal Hospital. 6. Includes patients from Stratheden Hospital and Whyteman’s Brae Hospital (from November 2011 onwards). 7. Includes patients from Herdmanflat, Royal Victoria, Rosslynlee and Midlothian Community Hospitals. 8. Includes patients from Vale of Leven, Parkhead and Gartnavel Royal Hospitals. 9. New facility replacing Sunnyside Royal Hospital. 10. Includes patients from Monklands Hospital, Coathill Hospital, Beckford Lodge and Airbles Road Centre. i Scottish ECT Accreditation Network Annual Report 2012; A summary of ECT in Scotland for 2011 Contents Summary Hospital Activity Table 2011 .............................................................................................. i Foreword by Dr Denise Coia ...........................................................................................................iii Foreword by Dr Grace Fergusson ...................................................................................................iv Background ..................................................................................................................................... v Location of ECT Clinics in Scotland ................................................................................................vi Introduction ....................................................................................................................................vii Summary and Key Findings ..........................................................................................................viii Methods .....................................................................................................................................ix Section 1 Demographics.............................................................................................................. 1 Patients ...................................................................................................................................................... 1 Episodes .................................................................................................................................................... 3 Section 2 Consent and Legal Status ........................................................................................... 7 Section 3 Diagnosis and Indications for Treatment ................................................................... 11 Section 4 Treatment Details ...................................................................................................... 13 ASA score ................................................................................................................................................ 13 Side effects .............................................................................................................................................. 13 Anaesthetic induction agents ................................................................................................................... 14 Muscle relaxants ..................................................................................................................................... 15 Critical incidents ....................................................................................................................................... 15 Section 5 Outcomes .................................................................................................................. 16 Section 6 Service Users and Carers Reference Group ............................................................. 20 Section 7 Accreditation .............................................................................................................. 21 Methodology ............................................................................................................................................ 21 On the day of the visit .............................................................................................................................. 21 Conclusions ................................................................................................................................... 24 Contact Details .............................................................................................................................. 25 References ................................................................................................................................... 26 Appendix A ................................................................................................................................... 27 Management Committee Membership .................................................................................................... 27 Service Users and Carers Reference Group Membership ...................................................................... 27 Report Writing Group Membership ......................................................................................................... 27 Steering Group Membership ................................................................................................................... 27 Appendix B ................................................................................................................................... 28 Prescribing Hospitals ............................................................................................................................... 28 Treating Hospitals .................................................................................................................................... 30 ii Scottish ECT Accreditation Network Annual Report 2012; A summary of ECT in Scotland for 2011 Foreword by Dr Denise Coia The Scottish ECT Accreditation Network (SEAN) should be proud of its significant impact on improving the quality of Electroconvulsive Therapy treatment (ECT) in Scotland over the past few years. In this 4th report the network has firmly established its credentials of providing a National ECT accreditation system for Scotland that is unique and recognised internationally for its achievements. As Chair of Healthcare Improvement Scotland, an NHS Public Body, that promotes the continuous cycle of improvement from evidence to scrutiny and improvement, I am pleased to see that SEAN not only provides reassurance for the public regarding the safety and efficacy of ECT treatment but also seeks to improve services delivering this treatment. This report provides an excellent overview of Scottish services and makes some interesting observations. ECT services are available throughout Scotland and our thanks are due to staff, patients and carers from all these services for the time, enthusiastic participation and expertise they have contributed to the findings of this report. Information can encourage positive changes in the way we deliver services. SEAN, through the information gained from its audit data, shares good practice, examines variation and supports improvement and innovation in practice across Scotland. Importantly it also helps to improve the experience of care for patients receiving this treatment (which is largely reserved for individuals with
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