Finance

1. What was the Trust’s total insourcing spending for the last three financial years (ending March)?
2. What was the Trust’s total insourcing spending on a) ophthalmology b) gastroenterology c) dermatology d) ENT for the last three financial years (ending March)?
3. What was the Trust’s total insourcing spending on a) 18 Week Support b) Medinet c) HBS UK (Healthcare Business Solutions UK)

Q1. What is your total budget and total spend for mental health support to babies, children and young people aged 0-25 for each of the last five years (2018/19; 2019/20; 2020/21; 2021/22; 2023/24).
Please break down these figures into your spending and budget for the following three categories:
Q1. What is your total budget and total spend for each of the last five years (2018/19; 2019/20; 2020/21; 2021/22; 2023/24) for specialist services which we define as including, but not limited to; inpatient care, crisis and risk support (including day hospitals, home treatment teams and very specialist services), and specialist secondary care CAMHS. If Gloucestershire Health & Care NHS Foundation Trust provides other specialist services not listed, please list and include budget and spending figures. If you hold this data, please list figures broken down by type of specialist service.
Q3. What is your total budget and total spend for each of the last five years (2018/19; 2019/20; 2020/21; 2021/22; 2023/24) for Community CAMHS which we define as NHS services delivered in the community, outside of specialist services (as defined above). If you hold this data, please list the types of service you provide under community CAMHS in Gloucestershire Health & Care NHS Foundation Trust and list budget and spending figures broken down by each service.
Q4. What is your total budget and total spend for each of the last five years (2018/19; 2019/20; 2020/21; 2021/22; 2023/24) on non-specialist services which we define as services delivered outside of NHS community mental health settings (formerly Tier 3) and inpatient settings (formerly Tier 4) – for children and young people. Within this definition we exclude signposting services and services that only provide referrals. If you hold this data, please list spending figures broken down by type of specialist service. This may include, but is not limited to, the following:
• Social prescribing 
• Bereavement services 
• Peer support  
• Mental Health Support Teams 
• School counsellors, mentors, or pastoral or key support workers 
• Educational psychologists 
• Youth groups 
• Wellbeing cafes or mental health drop-in services 
• Youth information, advice and counselling services (YIACS)
• Early support and mental health hubs
• Advice line for mental health issues 
• Support for parents who have children with poor mental health (please specify early years, 5-11, 12-18, 18 plus, if you hold the data).
• Targeted service(s) for LGBTQ+ children and young people; children and young people from minority ethnic / racialised communities; children in care and care leavers; for other underserved children and young people (please list).
• Targeted service(s) for children and young people on waiting lists for access to NHS mental health services (formerly tier 3) 
• Art or music therapy 
• Online support service / app 
• Occupational therapy 
• Specific services or approaches for underserved groups including minority ethnic children and young people, LGBT+ children and young people, children and young people with Special Educational Needs and Disabilities, young people at risk of criminal exploitation, etc.

Q# Question Your answer
1 Did you use an external VAT/ tax advisor? (If no, please disregard all other questions for this financial year) Yes/ No
2 What was the FY spend on VAT/ tax advice (£)
3 What was the name of the primary VAT/ tax advice supplier?
4 Was this advice procured on a contract or an ad hoc basis?
If the answer to Q. 4 is ‘ad hoc’ please go directly to Q. 6. If the answer to Q. 4 is ‘contract’, then:
5a What was the contract start date?
5b What was/ is the contract end date?
5c Which framework agreement was used for contract procurement?
6 What support/advice was included in the contract (e.g. VAT, Corporation tax, National Insurance)?

For the financial year 2022/ 2023:

Q# Question Your answer
1 Did you use an external VAT/ tax advisor? (If no, please disregard all other questions for this financial year) Yes/ No
2 What was the FY spend on VAT/ tax advice (£)
3 What was the name of the primary VAT/ tax advice supplier?
4 Was this advice procured on a contract or an ad hoc basis?
If the answer to Q. 4 is ‘ad hoc’ please go directly to Q. 6. If the answer to Q. 4 is ‘contract’, then:
5a What was the contract start date?
5b What was/ is the contract end date?
5c Which framework agreement was used for contract procurement?
6 What support/advice was included in the contract (e.g. VAT, Corporation tax, National Insurance)?

For the financial year 2023/ 2024:

Q# Question Your answer
1 Did you use an external VAT/ tax advisor? (If no, please disregard all other questions for this financial year) Yes/ No
2 What was the FY spend on VAT/ tax advice (£)
3 What was the name of the primary VAT/ tax advice supplier?
4 Was this advice procured on a contract or an ad hoc basis?
If the answer to Q. 4 is ‘ad hoc’ please go directly to Q. 6. If the answer to Q. 4 is ‘contract’, then:
5a What was the contract start date?
5b What was/ is the contract end date?
5c Which framework agreement was used for contract procurement?
6 What support/advice was included in the contract (e.g. VAT, Corporation tax, National Insurance)?

Year to date for financial year 2024/2025:

Q# Question Your answer
1 Are you using an external VAT/ tax advisor? (If no, please disregard all other questions for this financial year) Yes/ No
2 What is your forecast FY spend on VAT/ tax advice (£)
3 What is the name of the primary VAT/ tax advice supplier?
4 Are these advice service(s) procured on a contract or ad hoc basis?
If the answer to Q. 4 is ‘ad hoc’ please go directly to Q. 6. If the answer to Q. 4 is ‘contract’, then:
5a What was the contract start date?
5b What was/ is the contract end date?
5c Is there an option to extend the contract? Yes/ No
5d If already expired, do you plan to procure a new contract? Yes/ No
5e Which framework agreement was used for contract procurement?
6 What support/advice is included in the contract?