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Mental Health Services

Volume 492: debated on Friday 8 May 2009

To ask the Secretary of State for Health on how many occasions electro-convulsive therapy was administered to a mental health patient (a) in total and (b) as part of compulsory treatment in each of the last five years. (271724)

The data requested on occasions when electro-convulsive therapy (ECT) has been administered to a mental health patient in total are in the following table.

Total and average number of procedures for electro convulsive treatment per patient where the relevant operative procedure code (OPCS-4 code= A83) recorded in either main or in any of the secondary operative procedure fields 2003-04 to 2007-08, EnglandTotal ProceduresPatient countAverage procedures per patient2003-0412,7001,8147.02004-0510,8221,5157.12005-069,1731,2117.62006-078,8031,0698.22007-087,3398788.4 Source:Hospital Episode Statistics; Outpatients, The NHS Information Centre for health and social care

We do not have the data requested about ECT and compulsory treatment. However, patients who are detained under the Mental Health Act 1983 cannot generally be given ECT without their consent, unless it is authorised by a Second Opinion Appointed Doctor (SOAD). The following table shows the number of second opinion requests in England and Wales for ECT received in each calendar year followed by the percentage of those requests that resulted in the Second Opinion Appointed Doctor issuing a statutory certificate authorising ECT.

We do not know how many of these allocations were acted on.

2004

2005

2006

2007

2008

Number of requests for ECT second opinions

1,803

1,833

1,871

1,778

1,703

Percentage of requests where SOAD certified treatment

86

89

88

88

76

Source:

The Care Quality Commission