Clinical Harm Review Policy

Reference: 25-26062

Date response sent: 04/06/2025

Details of enquiry

I would like for you to provide the following information:

1. Your Trust’s Clinical Harm Review policy
2. The number of individual Clinical Harm Reviews completed in calendar year 2024 broken down by month
3. The number of which were categorised as Low/Moderate/Severe broken down by month
4. The number of patients currently on waiting lists that have waited longer than 18 weeks for initial treatment following referral (18 week RTT breaches)
5. The number of patients currently on waiting lists that have waited longer than 52 weeks for initial treatment following referral (52 week RTT breaches)

For requests 4 and 5 I would like the most up to date and complete information you can provide.

Response sent

The Tavistock and Portman NHS Foundation Trust is a small specialist NHS mental health trust with a focus on training and education, as well as providing a full range of mental health services and therapies for children and their families, young people and adults.

We provide outpatient, and mainly psychological services via talking therapies. We do not provide acute services, nor inpatient patient services, nor detention facilities, and do not have an A&E department

1. Your Trust’s Clinical Harm Review policy

The Trust has a Clinical Harm Review Framework (attached), there is no policy..

2. The number of individual Clinical Harm Reviews completed in calendar year 2024 broken down by month

Nil.  Whilst the new Clinical Harm Review Framework was ratified in October 2024, the subsequent development and launch of the related digital forms took until March 2025.

3. The number of which were categorised as Low/Moderate/Severe broken down by month

Nil – See our response to Question 2 above

4. The number of patients currently on waiting lists that have waited longer than 18 weeks for initial treatment following referral (18 week RTT breaches)

2,638 patients, as of 23^rd May 2025

See both graphics below for further detail.

It should be noted that these figures are predominantly weighted to the Adult Gender service which has approximately 16,500 patients waiting (see GIC website for exact latest figure  Gender identity clinic – Tavistock and Portman)

5. The number of patients currently on waiting lists that have waited longer than 52 weeks for initial treatment following referral (52 week RTT breaches)

1,764 patients, as of 23^rd May 2025.

See Question 4 above and the graphics and narrative there for further information.