Finance

I am writing to you on behalf of the Health Service Journal (HSJ). I am submitting a request for information held by the trust under the Freedom of Information Act.

This has two parts. They are not dependent on one another. Please respond to the second part regardless of your answer to the first. Please provide this information to me an electronic format.

1. Please list the names of any wholly-owned subsidiaries (also known as SubCos) to the trust

2. In March 2025 Sir James Mackey the chief executive of NHS England told the wider NHS that trusts should normally be transferring support staff to wholly-owned subsidiary companies adding that all trusts will need to introduce or consider SubCos. It is my understanding that at that point NHS foundation trusts began looking into the possibility of setting up new SubCos or expanding the use of their current SubCo, if they have one or more already. To that end, please provide the following pieces of information:

a. The name of any management consultancy and/or professional services firms you engaged to provide advice and support following this announcement by Sir James in regard to setting up new or expanding the use of extant SubCos. For the avoidance of doubt, by professional services firms I mean companies (of any size) that provide advice and support in fields such as law, technical areas of expertise such as IT, audit, accountancy, IT, tax including VAT, etc.

b. The sum of money paid to those firms in the course of delivering the required service relating to setting up new or expanding the use of extant SubCos

c. The number of person hours of time that your trust staff put into scoping out possible actions the trust could make in response to Sir James’ announcement as cited above, including time spent working on compiling a business case for the creation of or expansion of SubCos.
Thank you for your assistance.

I would like to request a complete breakdown of all NHS spending and expenditure for the most recent full financial year. I am seeking a comprehensive account of how the entire NHS budget is allocated and spent, covering all categories and sub-categories of expenditure, including every item and contract where possible.

Specifically, I am requesting all spending information across the NHS, including but not limited to:

Staffing costs (all salaries, benefits, training, recruitment, agency staff, consultancy fees, etc.)
Hospital and primary care service expenditure
Administrative and management costs
Procurement and contracts (medical supplies, pharmaceuticals, PPE, IT, external services, etc.)
Capital projects (buildings, infrastructure, IT systems, digital programmes)
Payments to private providers, charities, and third-party organisations
Regional, trust-level, and other local allocations of funding
Research and development expenditure
Any other areas of expenditure not listed above
I request this information at the most detailed level available, including line-by-line or transaction-level data if such records exist, so that every pound spent can be accounted for.

If the complete dataset is too large to provide by email, please advise on the format in which it is held and how it can be accessed. My preference would be to receive the information electronically, ideally in an open format such as Excel or CSV.

Thank you for your assistance. I look forward to your response within the statutory timeframe.

To whom it may concern,

For the 6-month period ending 30th September 2025, can you please provide:

1. Total Framework Agency Spend for the below specialties:
– NHS 111 Health Advisors
– NHS 111 Clinical Advisors
– Nurse Assessors

2. Total Off Framework Agency Spend for the below specialties:
– NHS 111 Health Advisors
– NHS 111 Clinical Advisors
– Nurse Assessors

3. Total hours filled by Framework Agencies for the below specialties:
– NHS 111 Health Advisors
– NHS 111 Clinical Advisors
– Nurse Assessors

4. Total hours filled by Off Framework Agencies for the below specialties:
– NHS 111 Health Advisors
– NHS 111 Clinical Advisors
– Nurse Assessors

5. A list of all Framework Agencies utilised by the Trust for the below specialties and total number of shifts for each framework agency:
– NHS 111 Health Advisors
– NHS 111 Clinical Advisors
– Nurse Assessors

6. A list of all Off Framework Agencies utilised by the Trust for the below specialties and total number of shifts for each Off Framework agency:
– NHS 111 Health Advisors
– NHS 111 Clinical Advisors
– Nurse Assessors

7. The highest Framework Agency Charge Rate within your Trust for each of the below specialties:
– NHS 111 Health Advisors
– NHS 111 Clinical Advisors
– Nurse Assessors

8. The highest Off Framework Agency Charge Rate within your Trust for each of the below specialties:
– NHS 111 Health Advisors
– NHS 111 Clinical Advisors
– Nurse Assessors

9. A list of any agency (Framework and Off Framework) that have ongoing block booking arrangements for the below specialties within your Trust within the identified time frame (01.03.2025 – 30.09.2025):
– NHS 111 Health Advisors
– NHS 111 Clinical Advisors
– Nurse Assessors

Please can I request the below information:

In the period 1st May 2025 to 31st July 2025 please provide a breakdown of:
• Total trust spend with framework agencies for locum doctors

Please provide a further breakdown for locum doctors by:
• Spend per grade
• Spend per specialty
• Spend per agency name
 
In the period 1st May 2025 to 31st July 2025 please provide a breakdown of:
• Total trust spend with off-framework agencies for locums doctors

Please provide a further breakdown for locum doctors by:
• Spend per grade
• Spend per specialty
• Spend per agency name
 
In the period 1st May 2025 to 31st July 2025 please provide a breakdown of:
• Total trust spend with the internal trust bank or associated external provider for locum doctors

Please provide a further breakdown for locum doctors by:
• Spend per grade
• Spend per specialty
• Spend per internal or associated external provider

Please confirm your allocated budget for agency locum doctors for the period 1st May 2025 to 31st July 2025

Please confirm the name of the framework used for the supply of locum doctors in your trust.

Please provide the following information-
1. The trust’s total planned CIP/efficiency savings for 2025-26 (£)
2. What a) % proportion and b) value of CIPs are not identified, at the date of this request being received?
3. The CIP/efficiency plan for 2025-26 as a % of operating expenses (as reported to NHS England).
4. Total planned ‘recurrent’ and ‘non recurrent’ CIP/efficiency savings for 2025-2026
5. Total CIPs/efficiencies for 2025-26 broken down to ‘pay’, ‘non-pay’ and ‘income’, in £

Please treat this as a freedom of information request.
Please provide:
1. Total planned capital spend in 2025-26
2. Planned research spend in 2025-26.

Please consider the following as a request under the Freedom of Information Act (2000).

Please provide the following:

1. For each of the following financial years (24/25, 23/24, 22/23, 21/22, 20/21):

a) The number of financial overpayments made to staff
b) number of financial underpayments made to staff.
c) The respectively amounts of overpayments in GDP
d) the respective amounts of underpayments in GDP

2. And then the number of times bailiffs or any other debt enforcement agency was brought in to pursue trust staff in order to recover overpayments.

Please provide this for each of the following financial years (24/25, 23/24, 22/23, 21/22, 20/21):

*If financial year is not possible, please provide instead by calendar year / any other format in which you hold your data

I wish to make a freedom of information request and would be grateful if you could supply the following information within twenty working days.

The number of individuals who should have paid for secondary healthcare, but have not, who were referred to the Home Office, broken down by year for 2018 – 2024. Please set out the current total outstanding balance due to your trust by debtors who have not paid for secondary healthcare.

I am an academia from UCL and I am now doing a research project regrading finance in NHS. I would like to request annual report and financial statements of your trust for year 2021-2022 and 2024-2025 which are not available on your website.

Please can you provide me with the Agency Spend, split between the 3 individual staff groups below :

1. Agency Registered Nurses (all specialities e.g. adult nursing, children’s nursing, community, mental health, midwives, etc) – April 2025
2. Agency Health Care Support Workers – April 2025
3. Agency Doctors – April 2025

I am writing to you under the Freedom of Information Act 2000 to request the following information from your organisation. Please may you provide me with an answer to the following:

FOI NHS estate capital investment plan questions

1. What are your Trust’s capital investment priorities over the next five years?

2. How much capital funding has the Trust been allocated for estates development this financial year (2025/26), or (where unknown) how much is the Trust expecting to be allocated?

3. Are there any confirmed or proposed capital investment projects at your Trust relating to new healthcare facilities, such as new hospital buildings, Community Diagnostic Centres (CDCs), surgical hubs, new wards, theatres, pathology labs, or aseptic units? If so, please provide details, including the nature of these plans, current stage of planning, whether a construction partner has yet been contracted, project scopes, estimated costs, timelines, and contact details for the project’s Senior Responsible Officer (where available).

4. If there are any current OPEN procurement opportunities (e.g. expressions of interest or opportunity notices) related to construction projects at your Trust, please provide links to the tender notices where available, and contact details for the relevant department or individual(s) responsible for these projects?

5. Who within the Trust is responsible for overseeing estates development and capital projects (e.g. Director of Estates)? Please provide name and contact details where possible.

1. Contact Centre

a. Do you have a customer/ citizen facing contact centre?

b. Do you employ and manage your own agents, or do you outsource to a third party? If you outsource who to?

c. How many contact centre agents do you have?

d. Do agents work from home? Or just your offices?

e. Please confirm the manufacturer of your contact centre system(s) that are currently in place?

f. When is your contract renewal date?

g. Who maintains your contact centre system(s)?

2. CRM

a. Do you use a CRM in the contact centre? What platform is used?

b. Do you use the same CRM for the rest of the organisation? What platform is used?

c. Do you use a knowledge base / knowledge management platform? What platform is used?

3. AI & Automation

a. Does your organisation have a customer or citizen facing chatbot? If so, who provides this chatbot technology?

b. Does your organisation utilise RPA technology? If so which RPA technology provider do you use?

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?