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CAMHS/CYPS

Children’s Continence Service

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Continence care is a critical component of children’s health and wellbeing. National guidance, including the Children’s Continence Commissioning Guide and the Consensus Document for the Provision of Continence Containment Products to Children and Young People, highlights the importance of accessible, multidisciplinary services that meet assessed clinical need and promote independence.

Under the provisions of the Freedom of Information Act (FOIA), we would be most grateful if you could provide answers to the following questions regarding your Trust’s children’s continence and/or bladder and bowel services. We kindly request responses to the following questions:

1. Does your Trust currently provide a children’s continence and/or bladder and bowel service for individuals aged 0–19 years? (Yes/No) 

If yes, please provide: 
• The name of the service (if applicable). 
• The age range it covers. 
• The staff roles or disciplines included in the service (e.g. nurse, physiotherapist, occupational therapist). 
• The number of staff in each role, expressed as whole-time equivalent (WTE). 
• The service’s referral pathway (e.g. GP, school nurse, self-referral). 

2. Has your Trust closed, reduced, or restructured any part of its children’s continence and/or bladder and bowel service within the past three years (since October 2022)? (Yes/No) 

If yes, please provide: 
• The date of closure or reduction. 
• A brief description of what changed (e.g. staffing, eligibility criteria, service capacity). 

3. How many children and young people aged 0–19 are currently being supported by your adult continence service for pad provision? Please provide the number of individuals currently recorded in this category. 

4. What is the average waiting time (in weeks) for an initial assessment on the children’s continence service? Please provide the current number of children and young people (aged 0–19) on the waiting list for this service. 

5. Does your Trust follow the relevant NICE guidelines for continence care and management? Please indicate Yes or No for each 
• Children’s Continence Commissioning Guide: A handbook for the commissioning and running of children’s community continence services 
• Guidance for the provision of continence containment products to children and young people – A consensus document     

We appreciate your time and assistance in responding to this request and look forward to your reply within the statutory period.

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Paediatric Elective Care (RTT)

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Under the Freedom of Information Act 2000 I would like to request the following information.

Please provide two sets of waiting list data on paediatric elective care (RTT) (patients aged 0–17) for your Trust, disaggregated by:

1. Ethnicity (using NHS standard ethnicity categories), and
2. Indices of Multiple Deprivation (IMD) deciles or quintiles (based on patient postcode or other available proxy).

For each combination of ethnicity and IMD group, please provide the number of patients waiting in each of the following time bands:

1. Up to 18 weeks
2. 18 to 26 weeks
3. 26 to 40 weeks
4. 40 to 52 weeks
5. 52 weeks and over

Please provide this data monthly, from September 2021 to September 2025 (or the most recent available month), with each month reported separately.

If providing both ethnicity and IMD breakdowns would exceed the cost, please prioritise the ethnicity breakdown.

Please provide the data in spreadsheet format (e.g., Excel or CSV).

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CAAAS Waiting Lists

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Please can you answer the following (I have already FOI’d and I am happy to include this in the next FOI).

1. How are the waiting times for the CAAAS shared within the organisation?

2. What is the governance process from team to Board to ensure the Board is sighted on this issue?

3. I note your Trust risk register as reported in latest board figures is quite generic.

a. Is the CAAAS waiting list issue on the risk register?
b. What is it scored and what are the mitigating actions?

4. There was limited mention of CAAAS in any of your 2025 Board Papers (this links to my point above). There was a quote from a NED at the Go and See in May Board papers ‘the waiting list is impacted by several factors including the amalgamation of others’ waiting lists into CAAAS’.

a. What is the material impact?
b. What is the nature of the problem?
c. How is the service mitigating the impact?

5. How are you assuring yourself around actual or potential harm relating to the extremely extended waits in CAAAS?

6. Further to above if the waiting list is growing what is the organisation doing regarding mutual aid or outsourcing?

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Transitions between Children & Adult Community MH Services

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I am making this request under the Freedom of Information Act 2000.

I am a researcher working on research project about transitions between children’s and adults community mental health services.

I would like to request the following information:

1. Does your Trust have a policy on Transition between children and adult mental health services? Could you please share a copy of the policy or include a link if it is available online.

2. Does your Trust offer 0 to 25 pathway for mental health support and if it does, who is it offered to past the age of 18 (eg. all young people or specific groups/conditions)?

3. What are the mental health care pathways for those under the age of 18 and 18+ within your Trust. Please provide the list for both of these age groups?

4. Please provide information in the table below on the total number of 17 year olds with an active referral to community children’s mental health services and the number of 17 year olds who accessed treatment (treatment means 2 or more contacts with services) within your Trust’s community children and young people mental health services in the following periods of time

a)1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c)1 April 2023 to 31 March 2024 d)1 April 2024 to 31 March 2025

Total number of 17 year olds with active referral due to children and young people mental health services

Total number of 17 y.o who accessed treatment from children and young people mental health services

5. Of the 17 year olds who accessed treatment (treatment means 2 or more contacts with services) within your Trust’s community children and young people mental health services how many were: discharged back to GP; recorded as completed treatment; referred to adult mental health services; and continued treatment with children mental health services upon reaching the age of 18 in the following periods of time: 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 2025. Please provide information in the table below.

1 April 2021- to 31 March 2022 1 April 2022 to 31 March 2023 1 April 2023 to 31 March 2024 1 April 2024 to 31 March 2025

number of children age 17 discharged back to GP
number of children age 17 recorded as completed treatment
number of children age 17 referred to adult mental health services
number of children age 17 continuing treatment with children mental health services upon reaching the age of 18

6. Please provide information in the table below on the total number of 18 year olds with active referral to community adults mental health services within your trust in the following periods of time

a) 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 2025

Total number of 18 year olds with active referral

7. How many of young people age 18 with active referral to community adults mental health services within your trust had referral source recorded as ‘children and young people mental health services’ in the following periods of time a) 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 2025. Please provide information in the table below

a)1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c)1 April 2023 to 31 March 2024 d)1 April 2024 to 31 March 2025

Total number of 18 year olds with active referral by referral source ‘children and young people mental health services’

8. Of young people age 18 who had active referral to adult mental health services within your Trust by referral source ‘children and young people mental health services’ how many accessed treatment (2 or more contacts with services) within community adult mental health services in your trust in the following periods of time

a)1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c)1 April 2023 to 31 March 2024 d)1 April 2024 to 31 March 2025

Total number of 18 year olds referred from ‘children and young people mental health services’ who accessed treatment within community adult mental health services

9. For young people age 18 who accessed treatment from adult mental health services within your Trust and whose referral source was ‘children and young people mental health services’ what was the median wait in days; the longest wait in days; and the shortest wait in days from referral to second contact in the following periods of time

a) 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 20

Median wait in days from referral to second contact for 18 year olds who accessed services and whose referral came from children and young people mental health services

Longest wait in days from referral to second contact for 18 year olds who accessed services and whose referral came from children and young people mental health services

Shortest wait in days from referral to second contact for 18 year olds who accessed services and whose referral came from children and young people mental health services

10. Does your trust record information on the sources of referrals to children and young people mental health services and adult mental health services? If yes, what are the sources of referrals listed in both cases.

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Referrals of Young People and Homeless Support Accommodation

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I am writing to request information under the Freedom of Information Act 2000. I am an undergraduate student conducting research for my major study project, researching access to NHS Mental Health Services for young people experiencing homelessness.
Specifically, I am requesting anonymised data regarding service users who meet the following criteria:

1. Age range: 18 to 24 years.
2. Accommodation status: Those identified as living in homeless supported accommodation targeted at 16–24 year olds, such as (but not limited to):

• YMCA supported housing
• Depaul supported housing
• Foyer projects
• Similar supported accommodation schemes for homeless young people.
3. Time period: From 1 January 2020 to the most recent available data.

For clarity, when searching your records, relevant terms might include “homeless”, “supported housing”, “supported accommodation”, “foyer”, “YMCA”, “Depaul”, or similar categories your Trust may use to classify accommodation status.

I would be grateful if the information could include the following, presented in aggregate/anonymised form:

• The number of individuals aged 18–24 each year since 2020 who were identified as living in homeless supported accommodation (as defined above).
• If available, a breakdown by year (2020, 2021, 2022, 2023, 2024, and 2025 to date).

I am not seeking any personal or identifiable information. I only require anonymised, aggregated data.

If it is not possible to provide the information in full due to cost or other limitations, please provide as much of the requested information as possible within the cost limits of the Act.

Please confirm receipt of this request and let me know if clarification is required. I would prefer to receive the data in electronic format (e.g., Excel or CSV) if possible.

Thank you for your assistance.

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Paediatric Neurodiversity Assessment Waiting Times

This request specifically concerns a child aged 14 who has been referred for neurodevelopmental assessment.
I would be grateful if you could confirm:
1.    The current average waiting time for children referred and accepted for neurodiversity testing.
2.    The referral date (month and year) of the most recent cohort currently being invited to attend their initial assessment.
3.    Whether the Trust maintains separate waiting lists or pathways for different age groups (e.g. under-16s vs adults).
4.    Any projected changes to waiting times or service capacity for paediatric neurodiversity assessments in the next 6–12 months.
If available, please include any internal guidance, reports, or service planning documents used to manage or forecast waiting list progression.
I would prefer to receive the information electronically. If any part of this request is unclear or would incur a cost, please let me know so I can refine it.

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Bounty Packs

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I am writing to make a request under the freedom of information act 2000. I write to request information about the Trust’s relationship with the company that produces Bounty packs, which are handed out to expectant / new parents accessing NHS maternity services, and specifically to ask:

– Whether the Trust currently allows, or previously allowed, Bounty representatives on its wards, and if so, when this began / ended;
– Whether the Trust currently distributes or allows the distribution of Bounty packs to expectant parents and / or new mothers, and if so, which Bounty packs are distributed, how (e.g. by midwives / by Bounty representatives), and the approximate number of packs supplied by Bounty to the Trust each year;
– Whether the Trust has any financial relationship involving the payment or receipt of funding or support from Bounty UK or its affiliates / partners (Bounty Group Ltd, Joy Memories Inc) in relation to the distribution of Bounty packs or other services from Bounty, and if so, what such payment/support relates to, when such payments/support began, the total £ value received to date and the £ value of any current contract;
– Copies of any contracts, agreements or memorandums of understanding with Bounty (or its parent company or affiliates, including Bounty Group Ltd, Bounty UK Ltd, or Joy Memories Inc.) in relation to the distribution of Bounty packs or other services from Bounty;
– Whether the trust has received any assurances from Bounty in relation to data protection, and if so, the nature of these assurances;
– Whether the Trust has ever received any complaints about Bounty UK and if so, the numbers and nature of complaints over the period received.

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ADHD Assessments and Diagnoses in School-Aged Children. 

Under the Freedom of Information Act 2000, I request the following information relating to ADHD assessments and diagnoses in school-aged children.

The number of school-aged children assessed for ADHD symptoms in 2019/2020?
The number of school-aged children assessed for ADHD symptoms in 2020/2021?
The number of school-aged children assessed for ADHD symptoms in 2021/2022?
The number of school-aged children assessed for ADHD symptoms in 2022/2023?
The number of school-aged children assessed for ADHD symptoms in 2023/2024?
The number of school-aged children assessed for ADHD symptoms in 2024/2025?

The number of school-aged children diagnosed with ADHD in 2019/2020?
The number of school-aged children diagnosed with ADHD in 2020/2021?
The number of school-aged children diagnosed with ADHD in 2021/2022?
The number of school-aged children diagnosed with ADHD in 2023/2024?
The number of school-aged children diagnosed with ADHD in 2024/2025?

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Children and Young People Mental Health Services Waiting Times

For the 12 months between January 2024 to December 2024:

1. The number of children and young people (adolescents) who were referred to your mental health services?
2. The number of children and young people (adolescents) who were referred to your mental health services and are still waiting for first contact?
3. The number of children and young people (adolescents) who were referred to your mental health services and are still waiting for the second contact [assessment appointment]?
4. How many of those children and young people (adolescents) had their referral closed before accessing support?
5. How many urgent contacts to CAMHS did you receive due to an emergency situation while a child or adolescent is waiting for first contact from your mental health services?
6. Please can you provide the longest wait time from referral to first appointment?
7. Please can you provide a breakdown of the numbers of those children and young people (adolescents) referred to your mental health services who identify as male, female, transgender or undisclosed gender?
8. Please can you provide a breakdown of the numbers of those children and young people (adolescents) referred to your mental health services for ‘reaching crisis’?

For the 12 months between January 2023 to December 2023:
1. The number of children and young people (adolescents) who were referred to your mental health services?
2. The number of children and young people (adolescents) who were referred to your mental health services and are still waiting for first contact?
3. The number of children and young people (adolescents) who were referred to your mental health services and are still waiting for second contact [assessment appointment]?
4. How many of those children and young people (adolescents) had their referral closed before accessing support?
5. How many urgent contacts to CAMHS did you receive due to an emergency situation while a child or adolescent is waiting for first contact from your mental health services?
6. Please can you provide the longest the longest wait time from referral to first appointment?
7. Please can you provide a breakdown of the numbers of those children and young people (adolescents) referred to your mental health services who identify as male, female, transgender or undisclosed gender?
8. Please can you provide a breakdown of the numbers of those children and young people (adolescents) referred to your mental health services for ‘reaching crisis’?

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164-2024

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1. In the calendar year 2023 (1 Jan 2023-31 Dec 2023) please provide the total number of new diagnoses your trust has made for a personality disorder in a patient under 18 years of age.

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