ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAE
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uses oxevision - link to driveward type oxevision is used on Consent processes DPIA in place yes/no + lawful basis for processingCosts CQCFrom internet/other sources info from patients/campiagners and staff
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Berkshire Healthcare NHS Foundation Trustuse in learning disability seclusion and PICU seclusion https://drive.google.com/drive/folders/1vxa2G9wPZBEF2wK-c1Kt_0oJiLy1vsQglearning disability seclusion and PICU seclusionDon't seek consent DPIA currently under review so do not state (1st september will request in a month)https://www.whatdotheyknow.com/request/oxehealthoxevision_financial_inf?nocache=incoming-2404565#incoming-2404565 says cost £5k and £0 installation costs? last full financial yearBerkshire: on Oxehealth website but nothing about it in CQC report - most recent report published early 2020
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Black Country healthcare NHS trustgoing to start using oxevision (in patient bedrooms and bathrooms) https://drive.google.com/file/d/1_RF3-KjkpdotObIw04YHVl2XUfPJH8dm/view?usp=sharingplanning to impliment on older adult wards (mixed gender) and male and female acute wards following up for documents not provided yetawaiting response not mentioned in 2023 CQC report https://api.cqc.org.uk/public/v1/reports/afbb4155-999d-48e3-937f-b1580b08b123?20230518070104
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Central and North West London NHS Foundation Trusthttps://drive.google.com/drive/folders/1Yf3nBO3ygKt88Fe_w2hmi1DQw3nFiu2uPsychiatric Intensive Care Units, Health Based Places of Safety,
Older Adult Wards and seclusion rooms. The technology is not in
bathrooms.		consent not required however says may be turned off if patients objectyes, Oxehealth DPIA "We consider healthcare
and protection of law and order to be legitimate aims for this purpose."		https://docs.google.com/document/d/1cmmj3Ycn4qNI8hnvjE1zksi_IolqXQ4N/edit?usp=sharing&ouid=100473251469839669419&rtpof=true&sd=true£300k

Figures relating to the initial instillation costs of Oxevision equipment
£143k + £300k annual running costs

If calculations are correct: £1,098,140 spend since 2020 see trust's spend over 25k records https://drive.google.com/drive/folders/1O1Ai5M8gC6pH3MYg3KVvKTYzW_d7dfUO
see publications here: https://www.cnwl.nhs.uk/about/planning-performance-and-reports		Feb 2024 CQC Report. Oxevision mentioned in relation to death at place of safety at St Charles, death resulted from staff’s overreliance on Oxevision and used as placement of in patient checks. Also mentioned failure to carry out therapeutic observations appropriately resulting in serious incidents.
chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://api.cqc.org.uk/public/v1/reports/4195ba0b-4252-42db-bb5b-e5a6ea0eccfe?20240222010542
https://www.justiceinspectorates.gov.uk/hmiprisons/wp-content/uploads/sites/4/2023/11/Woodhill-web-2023.pdf

https://www.cnwl.nhs.uk/news/it-makes-me-feel-safe-impact-oxevision-according-cnwl-patients
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Coventry and Warwickshire Partnership NHS TrustYes (on oxevision website) confirmed via foi 14/7/23 used on 2 dementia wards https://drive.google.com/drive/folders/1noWJFx-vnWUmPO2m5B7gfSMuUWwZHlCX?usp=sharing2 dementia wards at nighttime only part of usual treatment - states patients can object. Doesn't discuss capacity to provide consent/understand system useyes, Personal data is processed under Article 6(1)(e) which
states that “processing is necessary for the performance of a
task carried out in the public interest or in the exercise of
official authority vested in the controller”.
• Special category personal data is processed under
Article 9(2)(h) which states that “processing is necessary
for the purposes of preventative or occupational medicine,
for the assessment of the working capacity of the employee,
medical diagnosis, the provision of health or social care or
treatment or the management of health or social care
systems and services on the basis of domestic law or
pursuant contract with a health professional and subject to
the conditions and safeguards”		If calculations are correct: between £665,836.88 to £766,780.88 since 2017 dpending on an odd figure from sept 2020 https://drive.google.com/drive/folders/1UENZxZr6VsGSXxrtBTShCsNoUhc4pAUl see publication scheme here: https://www.data.gov.uk/dataset/f43ded48-4123-44ce-bb87-e8eaf51d0923/spend-over-25000-for-coventry-and-warwickshire-partnership-nhs-trust2018 CQC report says: "The trust was in the process of introducing a system
for monitoring patients’ vital signs remotely by placing monitors in each bedroom on some of the
wards at the Caludon Centre." - interesting as process for seeking consent is unclear from FOI documents https://www.cqc.org.uk/provider/RYG/inspection-summary#mholderpeople also discusses oxevision as outstanding practice herehttps://www.cqc.org.uk/publications/themes-care/digital-care-assistant		https://www.covwarkpt.nhs.uk/download.cfm?doc=docm93jijm4n6384.pdf&ver=8676 https://www.oxehealth.com/news/outstanding-practice-oxehealth-cited-by-cqc
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Cumbria, Northumberland, Tyne and Wear NHS Foundation Trusthttps://drive.google.com/drive/folders/1CGt_nR7BGmcBsTWNz-CZjCw1Kk5Z8-Pt?usp=sharingPsychiatric Intensive Care Services, Adult Acute service, Adult Rehab Services, Secure services and CAMHS services, regional affective disorder services consent not not required, apparently currently reviewing their policies so haven't provided any further info about what happens if a patient doesn't want this to be used. yes, Consideration of other condition for processing, common
law duty of care, public interest. This processing will not
take place in reliance on consent, it will be relying on
public interest to satisfy common law, and conditions
under GDPR/DPA relating to patient safety, vital interests,
public interest.		£800,000 for 2022-2024 https://www.cntw.nhs.uk/content/uploads/2022/10/CNTW-Board-of-Directors-PUBLIC-Meeting-5-October-2022.pdf in foi response say £837,668 for annual licencing and £115,744 for installation costs https://docs.google.com/document/d/1n3dXfETO1U0X7XrwNu4im49ju72_Lua2/edit?usp=drive_link&ouid=100473251469839669419&rtpof=true&sd=truenot mentioned in 2022 report or 2020 CAMHS inspection though probably had oxevision at this time? https://api.cqc.org.uk/public/v1/reports/59d399e6-cf05-446a-919e-4eb55338594b?20230419070043https://digital-transformation.hee.nhs.uk/binaries/content/assets/digital-transformation/dart-ed/ai-roadmap-march-2022-edit.pdf Hayley Bolton, the ward manager at Longview Ward within Cumbria,
Northumberland, Tyne and Wear NHS Foundation Trust, was interviewed.
Longview ward is an acute admission ward for females over the age of 18
years, with a mental illness who require assessment and treatment in hospital.
It has a total capacity of 18 and the average length of stay is 33 days. Oxevision
was deployed in the Trust in February 2020. https://www.cntw.nhs.uk/content/uploads/2021/02/PUBLIC-Board-Papers-3-February-2021.pdf
reports used on Hopewood park hopsital. used in RADS service
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Derbyshire Healthcare NHS Foundation TrustYes (on oxevision website) but awaiting info awaiting response https://www.derbyshirehealthcareft.nhs.uk/application/files/9816/5589/7432/Quality_Account_2021-22.pdf Spend: https://www.contractsfinder.service.gov.uk/notice/955c8c01-9649-4e05-a129-64eaf1f9e744 12,000-30,000 here and £254,700 spend in Jan 2023 https://drive.google.com/drive/folders/1w17pAlsSQXqRz_J2FzkP-KcpHWwn9g6VThe trust had introduced handheld electronic devices to record patient observations and were piloting the recording of physical health observations on handheld devices such as oxyhealth. This would reduce disturbing patients as they slept. https://api.cqc.org.uk/public/v1/reports/b61e587a-e177-405c-86da-cc5b0bb344d5?20210114083129
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Devon Partnership NHS Trusthttps://drive.google.com/drive/folders/1y4DF1h-o-1G-w3lDRVGOB1rFEuVa5Xcz?usp=sharing2 seclusion rooms, forensic inpatient wardsshared consent form but policy says consent not required by patients can object? this is unclear? https://docs.google.com/document/d/1Ga9OFn9F7vTpk9hfgkKqZvVH_Cxq4DBQ/edityes, confusing as says they require consent but also that data is processed under legitimate interests https://drive.google.com/drive/folders/1y4DF1h-o-1G-w3lDRVGOB1rFEuVa5Xcz £29,280 for 3 years (including initial instalation fee and ongoign costs) https://drive.google.com/drive/folders/1IPZ-eTxIGkue9fiEhYoBdcIma1fVXO_22021 report mentions CCTV but doesn't mention oxevision also states "The trust must ensure that staff monitor patient’s physical health appropriately, including completing documentation
accurately, so that they can detect any signs of deterioration in their condition and take action in a timely manner.
(Regulation 12)." likely implimented after this time in 2022 from other documents seen
"The Director of Nursing and Professions briefed the QGAC on the progress of the Trust’s implementation of Oxevision in the seclusion facilities at Langdon Hospital, which had been delayed due to Wi-Fi issues but is now continuing. He provided assurance that the project had been considered and endorsed by the Ethics Committee and regular progress is discussed with the CQC." https://www.dpt.nhs.uk/download/oJs2vyYIQz https://www.whatdotheyknow.com/request/oxehealth_and_patient_surveillan
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East London NHS Foundation Trusthttps://drive.google.com/drive/folders/1WqXfhdnqQtZNXOmtCK1a22N3NQBHrLaqin seclusion rooms consent not required no details of if this will be turned off with request yes, The Legal basis for processing is Article 6 (c) Legal
obligation, read in conjuction with the Health and
Social Care act and Article 9 (2)(h).		https://drive.google.com/file/d/1QxSCKbjoPn5DMLgliHBhN9lNt69dZrhq/view?usp=sharing The annual licensing costs are £63,882.00 https://drive.google.com/drive/folders/1Lof3fYJudxeSDn7UGFJOSdsBh6WEe_ty total for the 2 years we have records for is £117,832response mentions oxevision in seclusion rooms "Specialist equipment enabled the staff to monitor patents’ vital signs without entering the clinic room." also mentioned CCTV in communal areas. https://api.cqc.org.uk/public/v1/reports/6b902c34-0991-4c4d-a9c7-4c167a95c308?20221129062700https://www.elft.nhs.uk/sites/default/files/2023-04/ANON%20Response%20-%20FOI%20DA4600.pdf uses Oxevision in seclusion rooms, posters are displayed in clinical areas
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Essex partnership NHS trust https://drive.google.com/drive/folders/1ysiF3JZKpOGDpYNQ5Kr5KS6YGbwDfwH_PICU, CAMHS, adult acute, adult assessment, place of safety, older adult functional: planning to roll out to secure services and dementia wards relies on "implicit consent"say they attached it but document not present? says rely on implicit consent but this is not lawful see documents here https://drive.google.com/drive/folders/1OvUAq0Nwox7Dy5nrthHGe6fG63KBZMT0 or all record here https://eput.nhs.uk/about-us/reports-and-accounts/transparency-of-transactions-expenditure-over-25k/ if calculations are correct, since 2020 EPUT have spent £1,976,023.20 with oxehealthmost recent CQC report mentions oxevision and concerns around patients not knowing they're being filmed, consent processes and being able to see patients undressed. https://api.cqc.org.uk/public/v1/reports/e1a936c9-d13f-47f5-ae5c-8bbb21010944?20230712070623https://www.nhsconfed.org/system/files/2023-05/Oxehealth.pdf https://eput.nhs.uk/news-events/posts/patient-safety-enhanced-as-eput-expands-use-of-innovative-technology-on-mental-health-wards/ https://www.oxehealth.com/news/oxehealth-eput-finalists-innovate-awards-2022Information on wall and admission pack. I 'withrew consent' multiple times. Was never actioned.
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Hertfordshire Partnership universityhttps://drive.google.com/drive/folders/1XhZ2y_y_gXwriLFHyC9UCdbcXz6g00h8136 suiteno consent process yes, Article 6 e (“necessary for the

performance of a task carried
out in the public interest

Prevention and detection of crime.
Apprehension of offenders.

Data Protection Act 2018
Schedule 2, Part 1, Paragraph 2.
£37,980 spend in 2019-2020 not mentioned, last inspection 2019, possibly before it was used there
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Kent and Medway NHS and Social Care Partnership Trusthttps://drive.google.com/drive/folders/13HOwvL1dKeCKsjUt0nj8lyNHwp07CoIIin 2 seclusion rooms "do not require consent"say yes but didn't provide KMPT can confirm that a Data Protection Impact Assessment for Oxehealth/Oxevision has been
completed.		£37,200 for 3 year contract https://drive.google.com/drive/folders/13HOwvL1dKeCKsjUt0nj8lyNHwp07CoIIjust states: "The vital signs of patients in seclusion on
Willow suite were monitored remotely.
" no further details https://api.cqc.org.uk/public/v1/reports/42144b0c-64be-4221-bb0f-0227f1464c1b?20221129062700		https://www.kmpt.nhs.uk/media/3997/pn020-oxehealth.pdf
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Lancashire and south cumbria https://drive.google.com/drive/folders/1Yz0XnD1e-jo7YG8ML_Zd2p2kWdhvVvYJon 3 dementia wardshave flow chart which appears to suggest patients are required to consent for system to be used - or will require a capacity assessment yes, request consent or provide list of other basis refused response but records indicate a spend of £326,250 in April 2022 https://drive.google.com/drive/folders/1Yz0XnD1e-jo7YG8ML_Zd2p2kWdhvVvYJnot mentioned in 2021 review of older adult wards but says physical obs completely regularly? Possibly before oxevision introduced https://api.cqc.org.uk/public/v1/reports/ef331496-d747-41ac-807d-e6182cf567f2?20221129062700
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Leicestershire Partnership NHS Trusthttps://drive.google.com/file/d/1Qe3KUtCYyJT0GLRJ63LgS078-D1lrdg4/view?usp=drive_link have technology but not yet using, going to start?in 2 seclusion rooms don't require consent, patients can object but this will be discussed at MDTsay This is not yet available as the system is not ready for deployment.£292,500 listed here for June 2022 https://drive.google.com/drive/folders/1OuskeoIsDwVT56PyEEso91VmJL-G0sPx in foi say "The annual service cost is £210,000 + VAT.
2. The total installation cost was £33,750 + VAT."		not yet implimented? not mentioned in last cqc report. Also not mentioned in january 2024 inspection. https://api.cqc.org.uk/public/v1/reports/c83868c0-79bc-44c1-9c99-b850ca0e28b7?20221128135156https://www.leicspart.nhs.uk/wp-content/uploads/2023/01/Paper-Lii-2022-Qtr3-SUTG-Highlight-Report-Amended-version-V3.pdf
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Midlands partnershiphttps://drive.google.com/drive/folders/1lWxZcUCg1hXpScIOXUUpkOqZ_8izVuG3acute ward, 2 older adult wards and PICU + 2 seclusion rooms on PICU and secure forensic DPIA says no consent required, poicy is draft format and din't include info on consent but trust website discusses how it may be reviewed if patients object rather than saying consent is sought https://www.mpft.nhs.uk/about-us/digital/digital-systems/oxevisionyes, public task 6(1)(e) + 9(2)(h) health and social care purpose https://drive.google.com/drive/folders/1lWxZcUCg1hXpScIOXUUpkOqZ_8izVuG3 £33k per ward per year. £142,000 set up costs

See here for actual spend: https://drive.google.com/drive/folders/1K7tazb0MMosECWbEQvBvovyBNNz_zRk8 since 2020 £450,960 also see contract here https://www.contractsfinder.service.gov.uk/notice/fe64dee2-18c5-43f5-ac6e-5aaaeb951c1e 		not mntioned in CQC report from 2023 though likely had the technology at this time? https://api.cqc.org.uk/public/v1/reports/f844c009-158b-4ece-b656-965d50cc310d?20230519070319Uses oxevision: https://www.mpft.nhs.uk/about-us/mpftv/what-oxevision-and-why-do-we-use-it
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North East London NHS Foundation Trusthttps://drive.google.com/drive/folders/1C4wMU_o1m-eReTxFyp-Bbd0MvOgheLcWseclusion rooms (no number provided?) and planning to expand to all wards didn't provide operational policy need to request consent process and DPIAsaid they had attached but hasn't been attached? following up.annual spend: 350,000, initial installation was £61,750 https://www.whatdotheyknow.com/request/oxehealthoxevision_and_use_of_vi_16?nocache=incoming-2404809#incoming-2404809

see here: spend since 2021 was £761,750 https://drive.google.com/drive/folders/19q_uSznQ01i-27PunvwT0sx67NjPBLmh		mentioned in report "Whilst a physical health monitoring system which helped staff to detect any deterioration in
patients’ was installed, staff still took manual physical health observations." also discusses CCTV and body worn cameras https://api.cqc.org.uk/public/v1/reports/05c29c68-b130-4381-85d1-72d68c5c6b69?20221129062700
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North Staffordshire Combined Healthcare NHS Trusthttps://drive.google.com/drive/folders/1UD-QWajKhzSwue3RbT5FETvLXIUUeuR1older adult ward and PICUneed to request info +EIAnot yet provided, need to follow up Contract value listed here as between £363,999 to £364,000 https://www.contractsfinder.service.gov.uk/Notice/e3ae4292-e1d4-48b4-8eff-83c716699ac5 and spend of £122,822.40 in July 2022 https://drive.google.com/drive/folders/1UD-QWajKhzSwue3RbT5FETvLXIUUeuR1
last inspection 2018. no mention of oxevision but lists improving physical health monitoring as a reccomendation https://api.cqc.org.uk/public/v1/reports/30b4e17f-5a34-47bf-9222-8873d15a7500?20210117194415But Oxevision is mentioned in a report by the coucil, possibly as being used in other settings eg care homes?
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Oxford Health NHS Foundation Trusthttps://drive.google.com/drive/folders/19DWegu14Ga7z9NqlDlLjPWe-VNDdkH6GYes (on oxevision website) confirmed via foi 20/7/23 The Trust deploy the Oxevision vision system over Forensic, Adult, Older Adult and
CAMHS mental health inpatient settings.		unclear, patient leaflet suggests patients can object - further request neededsaid, The Trust has conducted a DPIA prior to implementation and is reviewing the DPIA as part of a wider project about use of the technology. The Trust, however, is unable to disclose the DPIA in full and relies on section 43(2) of the Freedom of Information Act (2000), likely commercial prejudice. the Trust has provided the risk assessment and mitigation from the DPIA. refused https://www.whatdotheyknow.com/request/oxehealthoxevision_and_use_of_vi_15?nocache=incoming-2401127#incoming-2401127

Here https://drive.google.com/drive/folders/1VIV7vgggrwSB7uFFDOygXkIWKowAOXk- £453,540 spend since 2021		2018 inspection says • "Vaughan Thomas ward was participating in a research project to study the benefits of a specially designed unit to
monitor (installed at the junction between wall and ceiling) patient movement and bodily processes whilst in their
bedroom. The project was scheduled to last to three years in Vaughan Thomas ward and one ward in a high secure
hospital. The aim was to develop a workable system that allowed staff to remotely monitor patient night-time safety
without having to disturb the patient whilst asleep. The monitoring unit was able to detect the patient’s heartbeat
and respiration rate, plus their movements within the bedroom. The phases of the project were to be implemented
out with the full agreement of the patients who occupied the six bedrooms being used." not sure if final sentence is a typo? but other report says "The CCTV screen for
the Kestrel ward seclusion room was located in a high position and so was visible to other patients using the intensive
care area of the ward at that time" this could be oxevision? "The location of the CCTV screen for the Kestrel ward seclusion room did not safeguard the privacy and dignity of the
room’s occupant. The screen was located in a high position and could be visible to other patients using the intensive
care area of the ward at that time. Staff used the CCTV screen, to view a patient whilst they used the en suite facilities
within the seclusion room." https://api.cqc.org.uk/public/v1/reports/19cffb8d-7a76-40ac-9493-c1482ce76bbf?20210114230316
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Pennine Care NHS Foundation Trusthttps://drive.google.com/drive/folders/1hqYlQ6a8YSh2uOd3B8hOWBZUkuDb-Dpsusing on CAMHS seclusion, rehab/high support seclusion and 136 suites says consent is not required and not to ask for consent if intending to use the system anyway... have oxehealth marked DPIA, We consider healthcare and protection of law and
order to be legitimate aims for this purpose. It will not always be necessary to obtain an individual’s
consent to a course of action that affects their privacy, for example, if the system is used in the
normal course of treatment. In line with the Mental Capacity Act it may be that an advocate or the
subject’s clinical team are able to provide appropriate consents in situations where consent is
deemed necessary. We recommend our Partner places signage notifying data subjects of the use of
the technology.		awaiting info https://www.whatdotheyknow.com/request/oxehealthoxevision_and_use_of_vi_14#outgoing-1502026 via publication scheme https://drive.google.com/drive/folders/1xKviXmigMl_QFo3pPVG-Cri-K81BOjjJ £151,016.40mention of patients not being infomred CCTV is used in 'health based place of safety'. only says seclusion room had clear view for observation - however report from 2019 and trust website has page about oxevision from 2021https://www.penninecare.nhs.uk/oxevision-faqs
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Rotherham Doncaster and South Humber NHS Foundation Trusthttps://drive.google.com/drive/folders/13GBEnHcGloi8xAgE0HLUoxn1zL8GzdbTadult mental health, older adult mental health and seclusion not requiring consentArticle 6(1)(e) Public Task - the processing is necessary to perform a task in the public interest or
for official functions and the task or function has a clear basis in law Article 9(2)(h) processing is
necessary for the purposes of preventative or occupational medicine, for the assessment of the
working capacity of the employee, medical diagnosis, the provision of health or social care or
treatment or the management of health or social care systems and services		from publication scheme see here: https://drive.google.com/drive/folders/1HZOIYuwVGcuIWnrhY7FbE1uL3bdnMUKj since 2021 if calculations are correct £1,204,584does mention no en suite toilets in seclusion rooms - unclear is this remains the case last cqc inspection was 2019 and they appear to ahve introduced oxevision since then https://www.rdash.nhs.uk/wp-content/uploads/2021/12/2-Oxehealth-AMH-SOP-v1.1.pdf https://syics.co.uk/news/latest/partners-news-high-tech-sensors-enhance-patient-wellbeing-and-safety?newsID=https://northlincolnshire.moderngov.co.uk/documents/g3572/Public%20reports%20pack%2020th-Jul-2022%2014.00%20Health%20Scrutiny%20Panel.pdf?T=10
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South London and Maudsley NHS Foundation Trusthttps://drive.google.com/drive/folders/111H9UmzZutGlOZ3-bhynf-v610_ZqREcPICU seclusion room unclear, link to this document https://static1.squarespace.com/static/5bbb8206af4683ee4fa3c43f/t/633c2f3c0b0bed16e6bceea2/1664888637552/NMHLDNDF_VBPMS_Working+Group+Report+1.0_29.9.22+%281%29.pdf when asked second time said Patients were informed of the use of oxevision during community meetings and during these meetings, agreed to participate. On this basis, consent forms are not
held by the Trust. but that is a confusing response?		use oxehealth DPIA (though dated 2018) We are aware that
recording people can impact their privacy. It is important that any potential infringement on an
individual’s privacy be in pursuit of a legitimate aim and be proportionate. We consider healthcare
and protection of law and order to be legitimate aims for this purpose. It will not always be necessary
to obtain an individual’s consent to a course of action that affects their privacy, for example, if the
system is used in the normal course of treatment. In line with the Mental Capacity Act it may be that
an advocate or the subject’s clinical team are able to provide appropriate consents in situations
where consent is deemed necessary.		approx £7,000 for last year https://www.whatdotheyknow.com/request/1011181/response/2406190/attach/2/Response%20Letter%20Tom%20Frost%20230831.pdf?cookie_passthrough=1report mentions oxevision system "The only seclusion room on ES1 Ward allowed clear observation and two-way communication. It had a monitoring
system in place to monitor vital signs whilst patients were asleep, in addition to a camera to monitor patients. It
included safe bedding, toilet and washing facilities and a clock for patients to see, and two-way communication system.
It also had some artwork visible to patients using it. However, its location in the middle of the ward, was problematic,
and staff had to be creative in ensuring the privacy and dignity of patients using it and enabling them to access garden
space. This was recorded on the Southwark directorate risk register." https://api.cqc.org.uk/public/v1/reports/388b0f12-e3dc-4417-be5f-becdd0379cc6?20221129062700		possibly just using in seclusion
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South West London and St George's Mental Health NHS Trusthttps://drive.google.com/drive/folders/1bg4OxzMhOuyPaXCN3q6a3mmXY3F5z57jwithin 8 seclusion rooms Forensic Services, Adult Acute Services and CAMHS servicesDPIA doesn't rely on consent for data sharing yes, use oxehealth's one (though dated 2017) Conditions 4 [“processing is necessary in order to protect the vital interests of the data subject”] and
6(1) [“processing is necessary for the purposes of legitimate interests pursued by the data controller”]
are both met in the case of this project
b) Conditions 3(a) [“processing is necessary in order to protect the vital interests of the data subject where
consent cannot be given by the subject”] and 8(1) [“the processing is necessary for medical purposes
and is undertaken by a person who in the circumstances owes a duty of confidentiality which is
equivalent to that which would arise if that person were a health professional.		refused foi response https://www.whatdotheyknow.com/request/oxehealthoxevision_in_mental_hea_2#incoming-2387631 but here publication scheme shows £292,230 since 2020 https://drive.google.com/drive/folders/1hh1MyChOSmBDkipzqCfVfZQ5e00OYsZDrefernces a new electronic system but this sounds more like a recording/documentatino system than oxevision. last inspections in 2018, trust started using oxevision in 2020
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Surrey and Borders Partnership NHS Foundation TrustYes (on oxevision website) https://drive.google.com/drive/folders/1IAS8FaCnd8dbJI9n1-qHnh_EJtDDSpnCin older adult wards and 136 suites. previously using in adult wards but unit is currently being rebuilt? https://www.sabp.nhs.uk/news-archive-hidden-public/tragic-deaths-lead-significant-changes-and-new-technology-abraham-cowley-unit also use in 2 'health based place of safety' which is sometimes used for children including those under 12 (if under 12 technology is switched off)part of 'standard treatment' says patients can object but this is not actioned until MDT discussionyes but embedded in file, need to check confusing publications but here identified £1,890,000 contract value https://drive.google.com/drive/folders/1R0r3mA3AaPIrJfk4aAuGjWJKeTXpa0vklast report from 2020 - likely before oxevision used
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Tees, Esk and Wear Valleys NHS Trusthttps://drive.google.com/drive/folders/1t2OHXgqjSeU-dK3kLuhWtI2k4S1jxqHPseclusion and rooms: secure, PICU, acute adult, older adult wards used as part of normal practice, doesn't seek consent yes, say 6(2)(h) and 6(1)(d) and for special category 9(2)(h) and 9(2)(c)refused foi response https://www.whatdotheyknow.com/request/oxehealthoxevision_and_in_mental#incoming-2404820 but see here 2023 plan mentions £522,000 spend https://www.tewv.nhs.uk/content/uploads/2023/06/2023-06-15-Public-CoG-Agenda-and-papers-for-webv2.pdf and publication records here show spend of £1,232,200 since 20212021 report mentions digital care assisatnt "The trust had commenced installation of a ‘digital care assistant’, which detects movement in bedroom and seclusion
rooms through the measurement of patient’s vital signs and sends alerts to staff where any risks to patients are
identified." also references CQC observing an incident of abuse towards a patient by staff on CCTV, unclear if this is oxevision or CCTV https://api.cqc.org.uk/public/v1/reports/39d313da-63b8-4a46-a423-11f1958c89b0?20221129062700		https://www.tewv.nhs.uk/about/publications/independent-investigation-camhs-west-lane-hospital/defintely using oxevision (in patient bedrooms) not allowed to decline to have it in use
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West London NHS Trusthttps://drive.google.com/drive/folders/1cS0v9aJ3RtKWRfMVuqt8FmdGdpGGv7ppUsed in high secure services Boradmoor, all bedrooms, seclusion rooms and seclusion suites on patient FAQ says no option to opt out - implies consent not saught says was completed but didn't provide?refused response https://www.whatdotheyknow.com/request/oxevisionoxehealth_financial_inf#incoming-2401400 but if calculations are correct from publication scheme then spend of £930,504.82 since 2021 https://drive.google.com/drive/folders/1IjkApHrVE4qRSNOYGPtnxPvV5sXUr5WAbrief mention of oxevision "Whilst
this was a clinical matter, the security team were involved in initial patient consultations because they did not want
patients to confuse the vital signs monitoring with CCTV and think that the hospital was reneging on its promise not to
have CCTV in bedrooms and bathrooms." and says "Specialist equipment enabled the staff to
monitor patients’ vital signs without entering the room." "The trust had installed a remote monitoring system which could be used, when appropriate, to monitor patients’ vital
signs. For example, after rapid tranquilisation had been administered. Due to the risks associated with the hospital
patients, from their presentation or on account of the complexity of their medicines regimes, there was no opt out
option for patients. However, the trust was keeping this under review. Patients we spoke with said it helped to keep
them safe and limited night-time disturbance." "A remote system to monitor people’s vital signs had been installed in every bedroom and seclusion rooms throughout
the hospital. This provided a contact-free, vision-based monitoring and management system. Each ward had an
electronic tablet used by staff to monitor vital signs without entering the patient’s bedroom or seclusion room. This
helped to keep both staff and patients safe when patients were distressed and it meant staff could check on them whilst
they slept without disturbing them. Patients were well informed about the system in place and involved in evaluating its
use.
" https://api.cqc.org.uk/public/v1/reports/93bda6aa-8f50-48b7-8997-b4375a27fdbb?20221128140550		Confirmation it is used in Broadmoor but not yet confirmed if used in less secure settings
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Private wards
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Prioriy Cheadle Royal Hospital have previously used CareProtect on low secure CAMHS + adult wards at least - unclear if still using the system
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Active care group (previously Huntercombe)Priority: To install Oxehealth patient safety technology in our mental health hospital settings. Rationale: Oxehealth technology enables our colleagues to receive real-time patient physical health data, alerting them to any significant deteriorations and allowing them to track sleep data while maintaining patient dignity and confidentiality. What we will focus on in 2022-23: We will set up an implementation governance structure, by creating an Implementation Steering Group (chaired by the CMO), with three subgroups reporting in (clinical engagement, installation, and a benefits realisation subgroup). We aim to have this technology fully installed and implemented initially in our adult mental health hospitals (Holybourne and Kings Norton). Our progress in 2022-23: We have established the use of Oxehealth camera technology (“Oxevision”) in two of our mental health hospitals, to improve patient safety. The system helps staff visually confirm a patient is safe - and measure their pulse and breathing rate without disturbing their sleep. This will be further evaluated in 2023-24 https://activecaregroup.co.uk/wp-content/uploads/2023/06/ACG_QualityAccounts_2022-23.pdf
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