§ Mr. Tony LloydTo ask the Secretary of State for Social Services what is the total number of cases in which electro-convulsive therapy has been administered in each year since the treatment became available; what proportion of patients voluntarily submitted to electroconvulsive therapy treatment; and if he will make a statement.
§ Mrs. CurrieI am sorry I cannot give the hon. Member the information he seeks in the form requested, as no record is kept centrally of either the number of individual patients to whom electro-convulsive therapy was administered, or the circumstances of its administration.
The data held centrally are in the table which shows the number of courses of treatment and the total number of treatments by electro-convulsive therapy administered each year in special hospitals and National Health Service mental illness hospitals and units since statistics were collected in 1979. A patient may undergo more than one course of treatment during the year.
Electro-convulsive therapy treatments and courses: England 1979–80 Year Treatments Courses 1979 159,193 26,400 1980 160,277 25,441 1981 147,419 24,407 1982 139,307 22,578 1983 128,526 21,350 1984 125,357 19,850 1985 137,940 20,948 1986 129,757 19,308
§ Mr. Tony LloydTo ask the Secretary of State for Social Services what is the preparation procedure for the administration of electro-convulsive therapy to an involuntary patient.
567W
§ Mrs. CurrieThe clinical management of a detained patient prior to the administration of electro-convulsive therapy (ECT), as with any other patient, is a matter for the professional judgment of the medical and other staff directly involved in the patient's care.
§ Mr. Tony LloydTo ask the Secretary of State for Social Services if he will list in theOfficial Report those institutions which employ electro-convulsive therapy treatment; and if he will make a statement.
§ Mrs. CurrieThe table lists all the mental illness hospitals and units, in England, whose medical staff administered electro-convulsive therapy during 1986, the latest year for which figures are available, irrespective of whether the actual treatment was carried out at this site or another.
ECT-Mental illness hospitals and units in England 1986
Northern Regional Health Authority
- Winterton
- St. George's Morpeth
- St. Nicholas
- Cherry Knowle
- Garlands
- St. Mary's
- St. Luke's, Middlesbrough
- North Tees
- South Shields General
- Hartlepool General
- Durham County
- Newcastle General
- West Cumberland
- Brighton Clinic
- Royal Victoria Infirmary
- Darlington Memorial
- Furness General
Yorkshire Regional Health Authority
- High Royds
- Stanley Royd
- Clifton, Moorlands and Southfields
- De La Pole
- Scalebor Park
- Broadgate
- Naburn
- St. James', Leeds
- Lynfield Mount
- St. Luke's, Huddersfield
- Airedale General
- Pontefract General
- Bootham Park
- Halifax General
- St. Mary's, Scarborough
- Leeds General Infirmary
- Grimsby District General
- Scunthorpe General
- Norman House Day Units
Trent Regional Health Authority
- University, Nottingham
- The Pastures
- Middlewood
- St. John's, Lincoln
- Carlton Hayes
- Saxondale
- The Towers
- Kingsway
- Rauceby
- Mapperley
- Northern General Psychiatric Unit
- Loversall
- Rotherham District general
- Barnsley District general
- Doncaster Royal Infirmary
- Walton
- Kings Mill
- Whitleywood Clinic
- Leicester General
568 - St. Francis
- Bassetlaw District General
- Chesterfield and North Derby Royal Mental Health Unit
East Anglian Regional Health Authority
- Fulbourne
- St. Andrews
- St. Audry's
- Hellesdon
- St. Clements, Ipswich
- St. Nicholas
- New West Suffolk General
- West Norwich (Yare clinic)
- Heath Road Wing, Ipswich
- Fermoy Unit, Queen Elizabeth
- Peterborough District
- Hinchingbrooke
North West Thames Regional Health Authority
- Shenley
- St. Bernards Wing, Ealing
- Horton
- Napsbury
- Fairfield, Hitchen
- Hillend
- Northwick Park
- Barnet General
- Ashford
- Queen Elizabeth II
- West Middlesex
- Lister
- Bedford General
- Luton and Dunstable (Faringdon Wing)
- Shrodells Wing (Watford General)
- St. Mary's (Patterson Wing)
- Hillingdon
- Charing Cross (Fulham)
- St. Mary Abbotts
- Central Middlesex
- Wembley
- Gordon Hospital
- St. Charles Hospital
North East Thames Regional Health Authority
- Claybury
- Friern and Halliwick
- Warley
- Goodmayes
- Severalls
- Runwell
- London (St. Clements)
- Basildon
- Princess Alexandra
- German
- Chase Farm
- Whittington
- St. Luke's, Woodside
- Hackney
- Royal Free
- St. Anns General
- St. Pancras and University College
- London (Whitechapel)
- The Middlesex
- Whipps Cross
- St. Bartholomews
South East Thames Regional Health Authority
- Hither Green
- Bexley
- Cane Hill
- Tooting Bec
- Maidstone District
- St. Augustine's
- Hellingley
- Stone House
- Farnborough
- Guys
- All Saints Chatham
- Joyce Green
- Greenwich District
569 - Lady Chicester
- New Cross
- St. Thomas
- Dulwich (North Wing)
- Burmarsh Ward (William Harvey)
- Queen Charlotte's Eversfield
South West Thames Regional Health Authority
- Springfield
- Netherne and Fairdene
- Brookwood
- Long Grove
- Graylingwell
- Warlingham Park
- St. Francis
- Abraham Cowley (St. Peters)
- Epsom District
- Frimley Park
- Atkinson Morleys
- Kingston
- Queen Mary's Roehampton
- Crawley
- Sutton (Chiltern Wing)
- The Ridings (Southlands)
Wessex Regional Health Authority
- Basingstoke District (Park Prewett)
- Roundway
- St. James: Portsmouth
- Herrison
- Knowle
- The Old Manor
- Whitecroft
- Moorgreen
- St. Ann's, Poole
- Depatment of Psychiatrity (Royal S. Hants.)
- Seymour Clinic
- Royal United Bath
Oxford Regional Health Authority
- St. Marys (Martin Roth Unit)
- St. John's, Stone
- St. Crispin
- Fairmile
- Littlemore
- Warneford
- Wexham Park
- Tindal General
- Wycombe District
- Kettering and District
- Horton General (The Elms)
- Milton Keynes
- Stoke Mandeville
South Western Regional Health Authority
- Exe Vale
- St. Lawrence's, Bodmin
- Horton Road and Coney Hill
- Tone Vale
- Glenside
- Mendip and Meare Manor
- Moorhaven and the Gables
- Barrow
- North Devon District
- Yeovil District
- Bristol District
- Royal Cornwall (City)
- Lexham Lodge Day
- Gloucester House Day
- Langdon
West Midlands Regional Health Authority
- St. Matthews
- St. Edwards
- All Saints
- Highcroft
- Central, Warwick
- St. George's, Stafford
- Royal Shrewsbury (Shelton)
- Rubery Hill
570 - Barnsley Hall
- Hollymoor
- Walsgrave
- New Cross
- Burton Road
- Worcester Royal (Newtown Branch)
- John Connolly
- City General, Stoke
- Midland Nerve
- Kidderminster General
- Department of Geriatric Medicine (Dudley Road)
- George Elliot
Mersey Regional Health Authority
- Winwick
- Rainhill
- West Cheshire
- Parkside
- Sefton General
- Greaves Hall
- Whiston
- Walton, Liverpool
- Leighton
- Fazakerley
- Royal Liverpool
- Arrowe Park
- Clatterbridge
North Western Regional Health Authority
- Prestwich
- Whittingham
- Lancaster Moor and Ridge Lea
- North Manchester General
- Withington
- Bolton General
- Stepping Hill
- Oldham and District General
- Billinge
- Burnley General
- Bridgewater
- Tameside General (Hyde ESMI)
- Fairfield General
- Victoria
- Brich Hill
- Queens Park
- Ormskirk and District General
- Leigh Infirmary
- Rossendale General
- Wesham Park
- Royal Preston (Avondale Unit)
- Ribbleton
- Hope
- York House
- Gaskell House
- Eaves Lane
- Cheadle Royal
Special Health Authorities
- Bethlem Royal and Maudsley
- National Hospitals for Nervous Diseases
Special Hospitals
- Rampton
- Broadmoor
§ Mr. Tony LloydTo ask the Secretary of State for Social Services if he has any plans to take steps to increase the level of staff provision available to undertake electro-convulsive therapy treatment.
§ Mrs. CurrieThe allocation of staff to the administration of electro-convulsive therapy (ECT) is a matter for the professional judgment of those responsible for the clinical management of the patient concerned.
§ Mr. Tony LloydTo ask the Secretary of Stale for Social Services if he has any plans to change the
procedures under which electro-convulsive therapy treatment is administered.
571W
§ Mrs. CurrieThe clinical procedure for the administration of electro-convulsive therapy (ECT) is a matter for the professional judgment of those staff with direct responsibility for patient care.
There are no plans at present to change the legal requirements governing the administration of ECT to patients detained under the Mental Health Act 1983. A code of practice for the guidance of professionals involved in the treatment of mental disorder is in preparation, as required by section 118 of the Act, and this will cover procedures for the administration of ECT.
§ Mr. Tony LloydTo ask the Secretary of State for Social Services what is the average time between a recommendation of electro-convulsive therapy treatment by an involuntary patient's consultant, the agreement of an independent consultant under the Mental Health Act 1983, and the beginning of treatment.
§ Mrs. CurrieThis information is not collected centrally, although the Mental Health Act Commission does arrange for the independent "approved" doctor to provide a second opinion within two working days of receiving the request for that opinion from the detained patient's consultant.
§ Mr. Tony LloydTo ask the Secretary of State for Social Services in how many cases the recommendation of electro-convulsive therapy treatment on an involuntary patient by that patient's consultant was overruled by the Mental Health Act Commission, in each of the last five years.
§ Mrs. CurrieThis information is not readily available, and could only be obtained at disproportionate cost. However, the second biennial report (1985–1987) of the Mental Health Act Commission (section 7) contains statistical information collected by the commission relating to "Consent to Treatment and Second Opinions" which the hon. Member may find of interest. A copy of this report is in the Library.
§ Mr. Tony LloydTo ask the Secretary of State for Social Services what guidelines his Department issues on the circumstances in which a person who expresses his wish not to receive electro-convulsive therapy treatment may have that wish overruled.
§ Mrs. CurrieOther than in cases of emergency and in the case of patients detained under the Mental Health Act 1983, ECT cannot be given to patients without their consent. The Act provides that treatment can be given without the patient's consent where a second medical opinion from an independent, approved doctor (obtained through the Mental Health Act Commission) is obtained to the effect that the treatment is necessary and should be given. Before providing this second opinion, the independent doctor must consult two other persons who have been professionally involved with the patient's treatment; one a nurse, and the other neither a nurse nor a doctor.