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Copy of Trust Policy

Discharge of Patients who have not Engaged and/or have not Attended Appointments

Dear Sir,

FOI Discharge of patients who have not engaged and/or have not attended appointments

1) Please disclose all versions of your policies on the management and discharge of patients who do not attend appointments (DNAs) and/or who disengage from care for the period 2022-2026 YTD

2) The trust previously disclosed to another FOI requestor that it discharged a total of 27,497 patients in the period 2019 to 2024 because they did not attend appointments or did not engage with care.

This is a link to the previous FOI request and trust response:

https://www.whatdotheyknow.com/request/discharges_from_mental_health_se_20

Please disclose:

a) Whether the trust audits if such discharges for non-attendance/non-engagement to check if they are safe and in compliance with trust policies

If so, please disclose a copy of the clinical audit protocol and the results of any clinical audits undertaken in the last two years

b) Whether the trust reviews whether such discharges for non-attendance/non-engagement are ever followed by near misses or serious incidents?

If so, please disclose the policy or procedures governing this work, and the results of any such reviews undertaken in the last two years

c) If the data is held centrally and can be provided within FOIA limits, has inappropriate discharge of destabilising and disengaging patients been identified as a factor in serious incidents (completed suicide and homicide) in the last two years?

Yours,

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SAR / Information Sharing Policy

Dear FOI team,

Under the FOI Act, please can you provide the following:

1. A copy of your Trusts SAR Policy and Information Sharing Policy
2. Copies of SOPs or documents used for training and guidance to your SAR staff (or the staff that processes SARs on behalf of the Trust) e.g. reviewing for third party material, recognising a SAR etc.
3. The number of WTE employed in your SAR teams, including A4C banding
4. The structure for SAR team
5. Compliance rate for the following calendar years: 22, 23, 24, 25(thus far)

Thank you

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Paternity Leave Policies and Data

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Dear Gloucestershire Health and Care NHS Foundation Trust,

I would please like to know:

1) Your parental leave policies, including paternity leave and pay and maternity leave and pay. If you have different policies for medical and non-medical staff, please include all different policies.

2) In the last three years for which you have data, how many staff members were eligible for paternity leave?

3) In the last three years for which you have data, how many staff members took paternity leave, and for how many weeks on average?

4) In the last three years for which you have data, what was the average salary for staff who were eligible for paternity leave? (If it is not possible to provide this, please provide the average salary for all the trust’s staff instead)

For queries 2 – 4, please provide separate data for medical and non-medical staff, but if this is not possible, please provide combined data for both instead.
If you are unable to answer all of these questions, please prioritise answering them in order.

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Advanced Decision to Refuse Treatment / Lasting Power of Attorney

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Freedom of Information Request

1. Do you have a policy (or policies) which outlines the responsibilities of health and care professionals and the Trust towards a patient who has an Advance Decision to Refuse Treatment (ADRT) or Lasting Power of Attorney (LPA) for Health and Welfare?

This document might include:

– how an ADRT/LPA should be used in decisions about a person’s treatment,

– what to do if there are doubts about the validity and/or applicability of the document,

– how to involve Health and Welfare Attorneys when making treatment decisions

– how or when decisions will be referred to the Court of Protection

If yes, please share a copy with us in any available format.

2. In the event that a patient or family member, or someone using the Trust’s services has a concern about the implementation of an Advance Decision to Refuse Treatment (ADRT) or a Lasting Power of Attorney (LPA) for Health and Welfare, does the Trust/Health Board have a documented process or course of action that would be provided to the person to allow them to resolve their concerns?

If yes, please share a copy with us.

If this information is covered within a policy you have included in the response above, please leave blank.

3. Do you have a named individual who is responsible for overseeing the Trust’s compliance with the Mental Capacity Act 2005?

If yes, please share their contact details.

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249-2024

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1. Has the trust received written advice or guidance from NHS England setting out how to comply with the NHS sexual safety charter? Please answer yes or no.
1.1 If yes, please set out what advice or guidance NHS England provided, or provide a copy of it.

2. Point 10 of the NHS sexual safety charter states: “We will capture and share data on prevalence and staff experience transparently.” If you answered yes to question 1, has NHS England provided written advice or guidance as to how the trust should record the prevalence of unwanted, inappropriate and/or harmful sexual behaviour in order to comply with point 10 of the charter? Please answer yes or no.

2.1 If yes, please set out what advice or guidance NHS England has provided, or provide a copy of it. Specifically, please clarify whether this guidance prescribes what sexual harm data the trust should record, and how to record it? For example, does it stipulate that the trusts should record specific categories of sexual harm, such as patient-on-staff or staff-on-patient incidents? If so, please provide details.

3. If the trust has received no guidance from NHS England as to how to record the prevalence of unwanted, inappropriate and/or harmful sexual behaviour, how does the trust currently record these incidents?

3.1 Does the trust record and centrally collate all types of sexual safety incidents? Please answer yes or no.

3.2. Which of the following categories of incidents does the trust record and centrally collate. Please answer yes or no:

• Patient-on-staff incidents
• Staff-on-staff incidents
• Patient-on-patient incidents
• Staff-on-staff incidents
• Visitor-on-staff incidents
• Visitor-on-patient incidents
• Patient-on-visitor incidents
• Staff-on-visitor incidents

3.3 Does the trust record any other categories of incidents, such as incidents perpetrated by members of the public? If so, please provide details of these categories.

4. Is the trust fully compliant with all 10 points of the sexual safety charter?

4.1. If yes, when did the trust become fully compliant?

4.2 If no, what points of the charter has the trust yet to comply with; and when does the trust expect to become fully compliant with the charter?

5. Has the trust’s compliance with the charter been assessed or audited by NHS England? Please answer yes or no.

5.1 If yes, what were the findings of that assessment or audit? Was the trust deemed to be fully compliant, partially compliant or not compliant?

5.2 If yes, when was the assessment or audit carried out and when did the trust receive its findings?

6. Has the trust undertaken any internal audits or assessments of its compliance with the sexual safety charter? Please answer yes or no.

6.1 If yes, what were the findings or this assessment or audit?

6.2 If no, does the trust have plans to conduct an audit or assessment of compliance?

6.3 If you answered yes to 6.2, when does the trust plan to conduct this assessment or audit of compliance?

7. Does the trust keep centralised records of child abuse committed on the trust premises? Please answer yes or no

8. Which incident and risk reporting system does the trust use to record sexual unwanted, inappropriate and/or harmful sexual behaviour? (For example, Datix or Ulysses.)

9. Has the trust appointed a domestic abuse and sexual violence (DASV) lead? Please answer yes or no.

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