Information on the use of Electro Convulsive Therapy (ECT) is not currently collected in the format requested by the Deputy. The 2002 and 2003 Reports of the Inspector of Mental Hospitals provide information on the prescription of ECT. In 2002, the number of patients prescribed ECT was 1,021 and in 2003 this figure had reduced to 749. These figures do not differentiate between voluntary and involuntary patients or the number of sessions per patient. Section 59 of the Mental Health Act 2001 which provides for the administration of ECT was commenced on the 1 November, 2006 and rules in relation to the use of ECT were issued by the Mental Health Commission in November 2006. The rules require an ECT register to be completed for each involuntary patient at the conclusion of a programme of ECT and a copy placed in the patient's clinical file. This register must be made accessible to the Inspector of Mental Health Services and the Mental Health Commission upon request. If an involuntary patient is unable or unwilling to give consent, the Mental Health Act 2001 requires the authorisation of a second consultant psychiatrist. The Mental Health Commission rules also outline requirements in relation to consent and information. The administration of ECT without consent must be recorded in the patient's clinical file and a copy sent to the Mental Health Commission.