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Wednesday 20 March 2019
Derbyshire Healthcare NHS Foundation Trust
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Derby Monitoring System for Self-Harm

Royal Derby Hospital

What is the project?

The Derby Monitoring system of Self-harm is an evaluation of services and is also part of the Multicentre Study of Self-harm in England research project. The monitoring system aims to improve understanding and care for people who self-harm. To do this we collect information about every attendance to the Royal Derby Hospital’s Emergency Department which is due to self-harm. Derbyshire Healthcare are the Data Controllers. 


What is Self-harm?

  • It is a non-fatal act

  • It is done intentionally

  • It includes both self-poisoning (e.g. overdoses) and self-injury (eg. cutting)
  • It includes suicide attempts 


Who collects the information?

Members of the hospital’s Liaison Team collect the information from hospital records and are responsible for it. The team members have been approved by Derbyshire Healthcare NHS Foundation Trust and so are bound by the Trust’s promise to keep information confidential and safe.

Derbyshire Healthcare NHS Foundation Trust and the Department of Health fund the monitoring.


What happens to the information collected? 

All the information collected is protected by strict guidelines governing service evaluation, research and the holding of personal information.  

We summarise the information we collect so that individuals cannot be identified. It  tells us important information such as:

  • How many people come to hospital after harming themselves

  • What happens to those people when they come to hospital

  • The arrangements made to help people once they leave hospital

  • How many people come to hospital more than once following self-harm


We also link the information we collect with Civil Registration data held by NHS Digital (www.digital.nhs.uk). This is done securely and in line with strict legal and ethical guidelines.


Your Information, Your Rights 

For further details about how your personal information is processed as part of the monitoring study visit: www.tinyurl.com/DerbyMCM

or how patient data is processed by Derbyshire Healthcare  NHS Foundation Trust in general visit: www.tinyurl.com/DerbyInfo


The Multicentre Study of Self-harm in England

Monitoring of self-harm attendances to hospital began in Oxford in 1976, in Derby in 1991 and in Manchester in 1997. 

In 2006 Derby joined up with researchers in Oxford and Manchester to create the Multicentre Study of Self-harm in England

The project is funded by the Department of Health and feeds into the National Suicide Prevention Strategy for England.


How are the project findings shared?

The findings from the Derby Monitoring system and the Multicentre Study of self-harm are summarised in written reports. These reports are published in health journals and given to interested parties such as local health services and the Department of Health.  

The information in the reports is summarised and anonymous, so no individual is identifiable from the data.  

A copy of these reports is available on request.


Mortality Follow-Up Privacy Notice

Derbyshire Healthcare NHS Foundation Trust collects data on everyone who presents to the Royal Derby Hospital emergency department following self-harm. We collect these data in order to monitor self-harm rates over time, and to investigate different aspects of self-harm behaviour in order to help improve patient care and policy.  

As part of our work we look at mortality in people who self-harm and to do this we securely share patient identifiable data with information services at NHS Digital. These data are linked to Civil Registration data, which can tell us whether the people we collect data on in Derby are still alive, if they have died, or if they have lost contact with the NHS - for example by leaving the country.

The monitoring of self-harm attendances in Derby complies with the Data Protection Act and NHS information governance procedures, and has a strong information security and management policy to ensure that any identifiable information we hold remains confidential and safe. Derbyshire Healthcare NHS Foundation Trust is the data controller. A limited amount of follow-up information is shared with similar self-harm monitoring projects based at the University of Oxford and the University of Manchester, as part of the Multicentre Study of Self-harm in England. We do share date of death and cause of death, but we do not share any, names, addresses, or date of birth for anyone we collect data on. Instead we use local study codes in our combined Multicentre Study data to link together data for each person.


Further information

If you have attended the emergency department at the Royal Derby Hospital for self-harm, and have any concerns about how your data is linked in the mortality follow-up, please get in touch. In addition, if you would like any more details about the nature and purpose of the local monitoring system or if you would like to opt out of either the Derby monitoring system or mortality follow up, please contact us:


By phone on 01332 623700 ext. 33681

By email via Jennifer.ness@nhs.net

Or, by post to The Centre for Self-harm and Suicide Prevention, Research and Development Centre, Derbyshire healthcare NHS Foundation Trust, Kingsway Hospital, DERBY, DE22 3LZ.


The Centre for Self-harm and Suicide Prevention research are unable to provide a treatment service or advice for those in crisis. If you are in crisis or feeling suicidal we urge you to seek help from your general practitioner, through a telephone helpline service such as Samaritans (UK telephone number 116 123 FREE from mobile/landline), or by discussing your problems with a friend or colleague. Befrienders Worldwide offers a comprehensive directory of crisis helplines worldwide. We are also not able to discuss individual cases.