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FOI Request

Disclosure ID
FOI 02617
Request Date
August 1, 2018
Subject
A&E Mental Health
Description

I write under the terms of the Freedom of Information Act 2000 to request the following information.

By ‘treated/seen’, requester means when the patient has been treated in entirety and discharged, so the measure of time from arrival to departure (which has a target of 4 hours).

  1. For each individual calendar year in the period 2014 through to 2018 (Year to Date) inclusive, please breakdown how many children aged 15 and under attending the hospital’s A&E department for mental health related issues, were treated/seen by a doctor within four hours, and how many waited longer than four hours to be treated.  If possible, please give a breakdown of how long those waiting four+ hours were waiting, e.g. six, seven hours etc.
  2. For each individual calendar year in the period 2014 through to 2018 (Year to Date) inclusive please breakdown how many children aged 16 and 17, attending the hospital’s A&E department for mental health related issues, were treated/seen by a doctor within four hours, and how many waited longer than four hours to be treated.  If possible, please give a breakdown of how long those waiting four+ hours were waiting, e.g. six, seven hours etc.
  3. For each individual calendar year in the period 2014 through to 2018 (Year to Date) inclusive, please breakdown how many adults aged 18 and over, attending the hospital’s A&E department for mental health related issues, were treated/seen by a doctor within four hours, and how many waited longer than four hours to be treated.  If possible, please give a breakdown of how long those waiting four+ hours were waiting, e.g. six, seven hours etc.
  4. For each individual calendar year in the period 2014 through to 2018 (Year to Date) inclusive, please detail the longest period of time an individual with a diagnosed mental health condition spent in A&E.

 

Response
Q1 2014 2015 2016 2017 2018 – Jan – Jul
Age 5-15 Total 175 151 160 161 108
Age 5-15 Non Breached 157 133 130 132 83
Age 5-15 Breached 18 18 30 29 25
<60 minutes 5 5 15 18 14
<120 minutes 7 9 6 5 6
<240minutes 6 4 9 6 4
>480 0 0 0 0 1
Q2 2014 2015 2016 2017 2018 – Jan – Jul
Age 16-17 Total 165 218 156 193 137
Age 16-17 Non Breached 150 183 97 87 37
Age 16-17 Breached 15 35 59 106 100
<60 minutes 2 5 10 15 12
<120 minutes 2 7 10 18 19
<240minutes 7 10 13 20 12
<360 2 4 9 18 14
<480 2 7 13 16 13
>480 0 2 4 19 30
Q3 2014 2015 2016 2017 2018 – Jan – Jul
Age 18+ Total 3036 3250 3314 3317 1758
Age 18+ Non Breached 2738 2698 2146 1550 500
Age 18+ Breached 298 552 1168 1767 1258
<60 minutes 57 68 145 179 130
<120 minutes 46 88 206 209 129
<240minutes 86 154 294 414 244
<360 54 115 201 294 178
<480 52 112 213 306 153
>480 3 15 109 365 424
Q4 2014 2015 2016 2017 2018 – Jan – Jul
Longest time in A&E minutes 854 1091 1413 5227* 8112*
hours 14 18 24 87 135
days 0.6 0.8 1.0 3.6 5.6

 

*Please note from 2017 onwards, the Observation ward was amalgamated with A&E, as such our electronic systems continue to record the patient as being held on A&E, when previously they would have been transferred becoming an inpatient on the Observation Ward. This is the reason for the jump in number for 2017 onwards.

Also please note our systems record Mental Health patients in A&E with presenting complaints of:

Behaving strangely
Mental illness
Overdose and poisoning
Self-harm

And Discriminators of:

Altered conscious level
Disruptive
High lethality
High risk of further self-harm
High risk of harm to others
High risk of self-harm
Marked distress
Moderate lethality
Moderate risk of further self-harm
Moderate risk of harm to others
Moderate risk of self-harm
Significant psychiatric history
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