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Freedom of Information - HWHCT-140
Our ref HWHCT-140
05 August 2022
FOI request:
1. The current wait time for an undiagnosed child (under the age of 18) to see a psychiatrist for ADHD after being referred from a GP on the NHS.
a. Please can you also provide the average wait time for each of the last five years, if doing so won’t push this request over the cost limit.
2. The current wait time for an undiagnosed adult to see a psychiatrist for ADHD after being referred from a GP on the NHS.
a. Please can you also provide the average wait time for each of the last five years, if doing so won’t push this request over the cost limit.
3. The number of children (under the age of 18) with an ADHD diagnosis. Please provide the total and (if available) a breakdown by gender.
a. Please can you also provide this same information for each of the last five years, if doing so won’t push this request over the cost limit.
4. The number of adults (over the aged of 18 with an ADHD diagnosis. Please provide the total and (if available) a breakdown by gender.
a. Please can you also provide this same information for each of the last five years, if doing so won’t push this request over the cost limit.
5. How many adult assessments were done in the last year. Please provide the total and (if available) a breakdown by gender.
a. Please can you also provide this same information for each of the prior five years, if doing so won’t push this request over the cost limit.
6. How many children assessments were done in the last year. Please provide the total and (if available) a breakdown by gender.
a. Please can you also provide this same information for each of the prior five years, if doing so won’t push this request over the cost limit.
7. In the last year how many adult ADHD assessment referrals have been rejected. Please provide the total and (if available) a breakdown by gender.
a. Please can you also provide this same information for each of the prior five years, if doing so won’t push this request over the cost limit.
8. In the last year how many children ADHD assessment referrals have been rejected. Please provide the total and (if available) a breakdown by gender.
a. Please can you also provide this same information for each of the prior five years, if doing so won’t push this request over the cost limit.
9. In the last year how many adults with an ADHD diagnosis had a death recorded as suicide. Please provide the total and (if available) a breakdown by gender.
a. Please can you also provide this same information for each of the prior five years, if doing so won’t push this request over the cost limit.
10. In the last year how many children with an ADHD diagnosis had a death recorded as suicide. Please provide the total and (if available) a breakdown by gender.
a. Please can you also provide this same information for each of the prior five years, if doing so won’t push this request over the cost limit.
11. In the last year how many adults on the waiting list for an ADHD diagnosis had a death recorded as suicide. Please provide the total and (if available) a breakdown by gender.
a. Please can you also provide this same information for each of the prior five years, if doing so won’t push this request over the cost limit.
12. In the last year how many children on the waiting list for an ADHD diagnosis had a death recorded as suicide. Please provide the total and (if available) a breakdown by gender.
a. Please can you also provide this same information for each of the prior five years, if doing so won’t push this request over the cost limit.
Trust response:
The Adult ADHD service commenced as a separate service in 2020.
- Not all Children and Young People CYP ‘see’ a psychiatrist as part of our pathway, though a psychiatrist is involved in every MDT Meeting (Multi-Disciplinary Team) where a diagnosis of ADHD is discussed. We cannot reliably provide this information as we do not collate the information required electronically and a manual search of individual patient records would be required. This would exceed the appropriate cost limit under section 12(1) of the Freedom of Information Act 2000.
Section 12 - Exemption where cost of compliance exceeds appropriate limit. Section 12 of the Act makes provision for public authorities to refuse requests for information where the cost of dealing with them would exceed the appropriate limit, which for local authorities is set at £450. This represents the estimated cost of one person spending 2.5 working days in determining whether the department holds the information, locating, retrieving and extracting the information. We estimate that it will take us in excess of 2.5 working days to determine appropriate material and locate, retrieve, and extract the information in reference to your request. Therefore, your request will not be processed
- Currently the waiting list is showing an average of 7 months for patients who have not yet been seen as at the census date. This is based on a patient not having a 1st Face to Face/Video Consultation and is based on all waiting patients and cannot split down to whether they have been diagnosed or are undiagnosed.
- We are unable to identify this from our electronic reporting. We have recently introduced SNOMED Diagnosis and should be able to do access this going forward)
a.As above
4. Our computer systems are not able to measure this accurately. However, the service have provided a latest position around open referrals, out of 1462 patients, 323 have a diagnosis of ADHD and approx. 44 have a new diagnosis of ADHD.
5. This is based on the 1st contact within a year whether face to face or via a video call. This might not necessarily mean a diagnosis has been provided or treatment given as this would most likely happen on the second appointment.
See table below:
|
Gender |
2020 |
2021 |
2022 |
Total |
|
Female |
79 |
454 |
415 |
948 |
|
Male |
109 |
421 |
331 |
861 |
|
Not Known |
1 |
1 |
||
|
Not Specified |
3 |
1 |
4 |
|
|
Grand Total |
188 |
879 |
747 |
181 |
6. We do not record/hold this information
- As above
7. See the table below:
|
Rejected |
Column Labels |
|||
|
Gender |
2020 |
2021 |
2022 |
Total |
|
Female |
4 |
18 |
5 |
27 |
|
Male |
3 |
12 |
6 |
21 |
|
Grand Total |
7 |
30 |
11 |
48 |
8.Information is not held. We cannot provide this information as we do not record reason for referral/rejection
9. Information is not held. We cannot provide this information as we do not record this.
- As above
10.We are unable to clearly identify this from our electronic reporting. We have recently introduced SNOMED Diagnosis and we should be able to do access this going forward) Collating the information required cannot therefore be done electronically and a manual search of individual patient records would be required. This would exceed the appropriate cost limit under section 12(1) of the Freedom of Information Act 2000.
Section 12 – Exemption where cost of compliance exceeds appropriate limit. Section 12 of the Act makes provision for public authorities to refuse requests for information where the cost of dealing with them would exceed the appropriate limit, which for local authorities is set at £450. This represents the estimated cost of one person spending 2.5 working days in determining whether the department holds the information, locating, retrieving and extracting the information. We estimate that it will take us in excess of 2.5 working days to determine appropriate material and locate, retrieve and extract the information in reference to your request. Therefore, your request will not be processed further.
11. We cannot go back retrospectively to locate this. Waiting times are taken as a snapshot and we currently do not show a waiting list in our monthly reporting.
12. 0
- 0
Please be aware that although this information is accurate at the time it is provided, it may not be in the future and should not be relied upon.