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FOI 5277 Epilepsy

Seizure freedom project – Freedom of Information request questions

Q1 Please provide the name of your Trust

Heart of England NHS Foundation Trust

Q2 What type of adult epilepsy service do you provide?

Hospital outpatient clinic

Q3 Where do you provide your adult epilepsy clinics? Please list the clinic location postcodes:

On the three sites:

Birmingham  Heartlands Hospital (BHH) B9 5SS,  Good Hope Hospital (GHH) B75 7RR, and Solihull Hospital (SH) B91 2LJ

Does the adult epilepsy service provide access to:

Q4 Epilepsy diagnosis

Yes

Q5 On 31 March 2017, what was the average waiting time, in weeks, for a first epilepsy appointment?

7 weeks

Q6 A first seizure clinic

Yes

Q7 On 31 March 2017, what was the average waiting time, in weeks, for a first seizure clinic appointment?

4-5 weeks

Does the adult epilepsy service provide access to:

Q8 Medical treatment

Yes

Q9 Surgery

No

Q10 VNS

No

Q11 Transition clinic

Yes

Does the adult epilepsy service provide access to:

Q12 EEG

Yes

Q13 On 31 March 2017, what was the average waiting time, in weeks, for an EEG?

5-6 weeks

Q14 MRI

Yes

Q15 On 31 March 2017, what was the average waiting time, in weeks, for an MRI?

5-6 weeks

Does the adult epilepsy service provide access to:

Q16 Neuropsychology

No

Q17 On 31 March 2017, what was the average waiting time, in weeks, to start neuropsychology treatment?

Not applicable

Q18 Neuropsychiatry

No

Q19 On 31 March 2017, what was the average waiting time, in weeks, to start neuropsychiatry treatment?

Not applicable

Q20 Neurophysiology

Yes

Q21 Geriatrician

No

Q22 What type of paediatric epilepsy service do you provide?

Hospital

Outpatient clinic

Planned hospital

Inpatient

Q23 Where do you provide your paediatric epilepsy clinics? Please list the clinic location postcodes:

Birmingham Heartlands Hospital (BHH) B9 5SS, Good Hope Hospital (GHH) B75 7RR,

Does the paediatric epilepsy service provide access to:

Q24 Epilepsy diagnosis

Yes

Q25 On 31 March 2017, what was the average waiting time, in weeks, for a first epilepsy appointment?

5-6 weeks

Q26 First seizure clinic

At the BHH site: There is no first seizure clinic. They are seen in the general clinic and then referred to follow-up epilepsy clinic after establishing diagnosis and starting on treatment.

At the GHH site- there is a new epilepsy clinic.

Q27 On 31 March 2017, what was the average waiting time, in weeks, in weeks for a first seizure clinic appointment?

5-6 weeks

Does the paediatric epilepsy service provide access to:

Q28 Medical treatment

Yes

Q29 Surgery

No

Q30 VNS

No

Q31 Transition clinic

Yes

Does the paediatric epilepsy service provide access to:

Q32 EEG

Yes

Q33 On 31 March 2017, what was the average waiting time, in weeks, for an EEG?

5-6 weeks

Q34 MRI

Yes, but not for children less than 2 years needing general anesthesia

Q35 On 31 March 2017, what was the average waiting time, in weeks, for an MRI?

5-6 weeks

Does the paediatric epilepsy service provide access to:

Q36 Neuropsychology

No

Q37 On 31 March 2017, what was the average waiting time, in weeks, to start neuropsychology treatment?

Not applicable

Q38 Neuropsychiatry

No

Q39 On 31 March 2017, what was the average waiting time, in weeks, to start neuropsychiatry treatment?

Not applicable

Q40 Neurophysiology

Yes

On 31 March 2017, how many neurologists with epilepsy as a specialism* did you have in your Trust?

Q41 Number of people

1

Q42 Total number of epilepsy sessions per week

0.8

Q43 Full time equivalent

0.8 PA

*An epilepsy specialist is defined as a consultant with expertise in epilepsy as demonstrated by training and continuing education in epilepsy, peer review of practice and regular audit of diagnosis. Epilepsy must be a significant part of their clinical workload (equivalent to at least one session a week)

On 31 March 2017, how many paediatricians with epilepsy as a specialism* did you have in your Trust?

Q44 Number of people

02

Q45 Number of epilepsy sessions per week

02

Q46 Full time equivalent

2

*An epilepsy specialist is defined as a consultant with expertise in epilepsy as demonstrated by training and continuing education in epilepsy, peer review of practice and regular audit of diagnosis. Epilepsy must be a significant part of their clinical workload (equivalent to at least one session a week)

On 31 March 2017, how many adult neurologists (including sub specialists) did you have in your Trust?

Q47 Number of people

1

Q48 Number of epilepsy sessions per week

0.8

Q49 Full time equivalent

0.8 PA

On 31 March 2017, how many adult epilepsy specialist nurses did you have in your Trust?

Q50 Number of people

0

Q51 Full time equivalent

0

On 31 March 2017, how many paediatric neurologists (including sub specialists) did you have in your Trust?

Q52 Number of people

0

Q53 Number of epilepsy sessions per week

0

Q54 Full time equivalent

0

On 31 March 2017, how many paediatric epilepsy specialist nurses did you have in your Trust?

Q55 Number of people

2

Q56 Full time equivalent

0.7

On 31 March 2017, how many learning disability epilepsy specialist nurses did you have in your Trust?

Q57 Number of people

None

Q58 Full time equivalent

Not applicable

On 31 March 2017, how many unfilled or vacant posts did you have?

Q59 Neurologists with epilepsy as a specialism*

0

Q60 Paediatricians with epilepsy as a specialism*

0

Q61 Neurologists

0

Q62 Epilepsy specialist nurses 1

(Currently recruiting)

*An epilepsy specialist is defined as a consultant with expertise in epilepsy as demonstrated by training and continuing education in epilepsy, peer review of practice and regular audit of diagnosis. Epilepsy must be a significant part of their clinical workload (equivalent to at least one session a week)

We want epilepsy patients to have easy access to an epilepsy specialist and to be able to contact their local ESN directly.

Q63 Could you please provide the best number to contact your adult epilepsy specialist nurse or epilepsy service? (If there is one)

None

Q64 Can patients use these details to contact the service?

Not applicable

Yes No

Q65 Could you please provide the best number to contact your paediatric epilepsy specialist nurse or epilepsy service? (if there is one)

07968403234

Q66 Can patients use these details to contact the service?

Yes (predominantly for BHH and SHH)

Q67 Do you routinely offer annual reviews for your epilepsy patients?

Yes

Q68 Do you routinely offer care plans to your epilepsy patients?

Yes

Q69 What does the care plan look like?

Letter to GP, copied to patient

Discussion of goals with patient

Please can you provide examples of the above?

We do not have generic examples, each letter would be individual to the patient

Please send to:

Freepost RTGS-LEYK-XGCK, Epilepsy Action, New Anstey House, Gate Way Drive, Leeds, LS19 7XY or email poconnor@epilepsy.org.uk

Q70 Can your patients access structured self-management education programmes?

No

What is the name of the face-to-face programme?

Not applicable

What is the name of the online programme?

Not applicable

Other – please specify:

Q71 What percentage of patients achieve seizure freedom 12 months after referral to your service?

50-60%

Q72 What percentage of patients achieved seizure freedom during 2013/2014?

As above

Q73 What percentage of patients achieved seizure freedom during 2014/2015?

As above

We may wish to contact you about your responses to this survey. Please tell us how we can do this.

Q74 Your name

Mostafa Awad

Q75 Your telephone number

01214243475

Q76 Your email address

mostafa.awadh@heartofengland.nhs.uk

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