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A re-audit of ECT training and practice

Surrey Oaklands NHS Trust, 23 High Street, Leatherhead, Surrey KT22 8AB;

Martin Lee, Consultant Psychiatrist

St Helier NHS Trust, 36–38 High Street, Carshalton, Surrey SM5 3AG;

Jose King, Research Psychologist^*

Henderson Hospital, 2 Homeland Drive, Brighton Road, Sutton, Surrey SM2 5LT

Correspondence: ^* Correspondence

Aims and methods A re-audit of the current practice of electroconvulsive therapy (ECT) was carried out over a period of five months using the new guidelines produced by the Royal College of Psychiatrists. The areas audited included obtaining consent from the patients, information recording, training and supervision of the junior doctors and the practical aspects of ECT administration, including dose titration.

Results An improvement in the training and supervision of junior doctors was seen since the last audit but shortcomings were identified in areas of pre- and post-ECT preparation, information recording and correct use of stimulus-dosing policy.

Clinical implications Recommendations include the need to improve clinical practice and recording of information.