Lothian NHS Board Waverley Gate 2-4 Waterloo Place Edinburgh EH1 3EG Telephone: 0131 536 9000 www.nhslothian.scot.nhs.uk www.nhslothian.scot.nhs.uk Date: 12/07/2018 Your Ref: Our Ref: 2709 Enquiries to : Richard Mutch Extension: 35687 Direct Line: 0131 465 5687 [email protected] Dear FREEDOM OF INFORMATION – MENTAL HEALTH INCIDENTS I write in response to your request for information in relation to mental health incidents within NHS Lothian. I have been provided with information to help answer your request by the Quality Improvement Team, Workforce Planning Department and Analytical Services Department of NHS Lothian. Question: 1. How often have physical restraints been used in health facilities in each of the past four years. I would like this information in the following format • NAME OF FACILITY YEAR 1 YEAR 2 YEAR 3 YEAR 3 Eg Central Hospital 10 5 9 14 Answer: 2014/15 2015/16 2016/18 2017/18 Civic Centre ≤5 ≤5 0 ≤5 Craigshill Care Facility 147 219 43 32 Ellen's Glen House 0 0 ≤5 0 Herdmanflat Hospital 50 10 ≤5 ≤5 Midlothian Community Hospital 65 62 39 60 St Johns 101 149 123 166 Tippethill House 6 7 ≤5 ≤5 CAMHS 205 114 76 137 Findlay House 0 ≤5 13 0 FME Service 0 0 0 ≤5 Orchard Clinic 78 81 112 101 Royal Edinburgh Hospital 546 649 700 563 Royal Infirmary Little France ≤5 ≤5 0 0 The Esk Centre 0 0 ≤5 0 Mental health incidents - July 2018 Cambridge Street House ≤5 0 ≤5 ≤5 Craigroyston Health Clinic 0 0 ≤5 0 Ellen's Glen House 21 22 67 33 Ferryfield House ≤5 15 17 34 Findlay House 9 57 208 113 Total 1,235 1,390 1,410 1,249 Question: 2. How often were police called to respond to an incident that involved the use of physical restraint in each of the past four years. I would like this information in the following format • NAME OF FACILITY YEAR 1 YEAR 2 YEAR 3 YEAR 3 Eg Central Hospital 10 5 9 14 Answer: 2014/15 2015/16 2016/17 2017/18 Civic Centre ≤5 0 0 ≤5 Craigshill Care Facility ≤5 7 ≤5 0 Herdmanflat Hospital ≤5 0 0 0 Midlothian Community Hospital ≤5 0 0 0 St Johns 9 16 ≤5 9 CAMHS 13 17 ≤5 8 FME Service 0 0 0 ≤5 Orchard Clinic ≤5 ≤5 ≤5 ≤5 Royal Edinburgh Hospital 76 67 85 47 Royal Infirmary Little France ≤5 ≤5 0 0 The Esk Centre 0 0 ≤5 0 Cambridge Street House ≤5 0 ≤5 0 Craigroyston Health Clinic 0 0 ≤5 0 Ellen's Glen House 0 0 0 ≤5 Findlay House 0 0 6 ≤5 Total 110 109 106 72 Question: 3. Number of people in locked/secure wards in each of the past four years. Please provide a numerical figure of the number of individuals in beds in wards or facilities that are secured. I would like this information in the following format Mental health incidents - July 2018 Answer: Ward 2014/15 2015/16 2016/17 2017/18 REH - Blackford (IPCU) 97 101 92 115 REH - Orchard Clinic - Cedar 19 23 20 16 REH - Orchard Clinic - 15 14 15 14 Hawthorn REH - Orchard Clinic - Redwood 42 41 44 51 Ward 1 SJH IPCU 113 133 94 107 Question: 4. Please provide the average length of time that individuals spent in secure/locked wards or facilities in each of the past four years. • NAME OF FACILITY YEAR 1 YEAR 2 YEAR 3 YEAR 3 Eg Central Hospital 10 5 9 14 Answer: Ward 2014/15 2015/16 2016/17 2017/18 REH - Blackford (IPCU) 44.5 39.1 38.8 29.2 REH - Orchard Clinic - Cedar 268.2 220.8 253.9 316.6 REH - Orchard Clinic - 263.8 287.1 257.7 274.9 Hawthorn REH - Orchard Clinic - Redwood 130.6 122.0 105.2 88.1 Ward 1 SJH IPCU 32.6 25.4 33.4 25.9 Question: 5. Please provide the longest length of time an individual has spent in a locked ward in each health facility in the area. Please provide this information in the following format • NAME OF FACILITY YEAR 1 YEAR 2 YEAR 3 YEAR 3 Eg Central Hospital 10 5 9 14 Also, please provide any context for this case – the reason for admission, the reason for the length of stay – but without breaching data protection. Answer: Ward 2014/15 2015/16 2016/17 2017/18 REH - Blackford (IPCU) 365 366 365 213 REH - Orchard Clinic - Cedar 365 366 365 365 REH - Orchard Clinic - 365 366 365 365 Hawthorn Mental health incidents - July 2018 REH - Orchard Clinic - Redwood 365 366 365 321 Ward 1 SJH IPCU 342 348 365 203 It is not possible to provide individual case context as this would make individuals identifiable. This information is considered exempt under Section 38(1)(b) of the freedom of Information (Scotland) Act 2002. Question: 6. Please provide the total number of mental health nurses employed by the health board in each of the past five years. • NAME OF FACILITY YEAR 1 YEAR 2 YEAR 3 YEAR 3 Eg Central Hospital 10 5 9 14 Answer: Headcount – March Location of Service Delivery 2018 East & Midlothian ≤5 Astley Ainslie Hospital ≤5 Lothian’s & Edinburgh ≤5 NHS Scotland ≤5 Western General Hospital ≤5 South East Scotland ≤5 Royal Infirmary Of Edinburgh 6 Pan Lothian 6 St John’s Hospital 27 East Lothian Community 65 Midlothian Community 74 West Lothian Community 164 Edinburgh Community 283 Royal Edinburgh Hospital 356 Total 997 We cannot provide a breakdown by site for previous years, but have provided a total headcount below. Year Headcount March 2018 997 March 2017 1,031 March 2016 1,053 March 2015 1,093 Mental health incidents - July 2018 To protect the identity of the individuals involved any figure of 5 or less has not been shown in the tables 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 (Scotland) Act i.e. to provide it would breach the 7 th Principle of the Data Protection Act 1998. 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. 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 .