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RCP launches new accreditation service to raise standards for ECT

May 3, 2003 -

The Royal College of Psychiatrists is bidding to raise standards in the administration of ECT. Here, below, is a summary of the action to be taken, as displayed on the college's website.

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To coincide with the publication of the NICE guidance on the use of electroconvulsive therapy, the Royal College of Psychiatrists is launching a new ECT Accreditation Service (ECTAS) which aims to raise standards in the administration of electroconvulsive therapy.

ECTAS will do this by helping staff in ECT clinics demonstrate and improve the quality of their work through a process of self-review and a visit by an external team. This will take place over a period of 6 months and involve input from professionals and service users. Participating clinics that fulfil essential standards will be awarded an accreditation rating.

This new service will be managed by the College Research Unit, which has extensive experience of managing quality networks.

"The College has over many years campaigned to improve training and standards in the administration of ECT. ECTAS will work towards satisfying these standards in a supportive and multidisciplinary way. ECTAS welcomes the standards on the administration of ECT contained in the NICE guidance and the endorsement it gives to the College Handbook on ECT. ECTAS will incorporate the NICE standards into its appraisals of ECT clinics," said Professor Paul Lelliott, Director of the College's Research Unit.

Although the College fully supports NICE's commitment to establishing standards about how ECT is administered, its Special Committee on ECT submitted an appeal to NICE.

One of the grounds on which the committee did not agree with NICE, was that ECT should only be reserved for the treatment of severe depression. ECT is also indicated for moderately major depressive disorder and in patients who have previously responded well to the treatment.

This appeal was not, however, upheld by NICE. For further information on ECT, see the Scottish ECT Network.

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