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IT Infrastructure, Digital Maturity and Technology Contracts

Dear Freedom of Information Team,

I am writing to make a request under the Freedom of Information Act
2000 as part of my data collection efforts for personal educational studies. Please treat this as a formal request for recorded information held by Gloucestershire Health and Care NHS FT

I am requesting information relating to your organisation’s IT infrastructure, digital maturity, staffing, contracts and technology spend. To assist in processing this request efficiently, I have structured it into clearly numbered sections below.

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SECTION 1 — IT BUDGET AND SPEND
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1.1 What is your organisation’s total annual IT / digital technology budget for the current financial year (or most recently completed financial year)? Please break this down into:
(a) Capital expenditure (CapEx)
(b) Operational expenditure (OpEx)

1.2 What proportion of your total organisational budget does IT / digital technology represent (as a percentage)?

1.3 Is there a separate cyber security budget? If so, what is its value?

1.4 Please provide the name(s) of any Commissioning Support Units
(CSUs) or managed service partners that manage IT expenditure on your behalf, if applicable.

──────────────────────────────────────
SECTION 2 — IT STAFFING
──────────────────────────────────────

2.1 How many whole-time equivalent (WTE) staff are directly employed in IT, digital or technology roles within your organisation?

2.2 Please provide a breakdown of IT staff by job role or band (e.g.
Agenda for Change band or equivalent). Specific names are not required.

2.3 Does your organisation have the following named roles in post?
(Please answer Yes / No / Vacant for each):
(a) Chief Information Officer (CIO) or equivalent
(b) Chief Digital Officer (CDO) or equivalent
(c) Chief Technology Officer (CTO) or equivalent
(d) Chief Information Security Officer (CISO) or equivalent
(e) IT Director / Head of IT
(f) Digital Transformation Lead or equivalent

2.4 How many IT staff are employed via third-party contractors or agency arrangements? What is the approximate annual spend on these arrangements?

──────────────────────────────────────
SECTION 3 — SERVER AND COMPUTE INFRASTRUCTURE ──────────────────────────────────────

3.1 Does your organisation operate on-premise server infrastructure? If yes:
(a) What is the approximate number of physical servers in operation?
(b) What server vendors / manufacturers does your organisation use (e.g. Dell, HPE, Lenovo, Cisco UCS)?
(c) What is the approximate age profile of your server estate (e.g. percentage under 3 years, 3–5 years, over 5 years old)?

3.2 Does your organisation use virtualisation technologies? If yes, which platform(s) (e.g. VMware, Microsoft Hyper-V, Nutanix)?

3.3 Does your organisation use hyperconverged infrastructure (HCI)?
If yes, which vendor(s)?

3.4 Does your organisation use cloud computing services (not including office 365)? If yes:
(a) Which cloud provider(s) do you use (e.g. AWS, Microsoft Azure, Google Cloud, other)?
(b) Approximately what proportion of your workloads are cloud-hosted vs on-premise?
(c) What is the approximate annual cloud spend?

──────────────────────────────────────
SECTION 4 — STORAGE INFRASTRUCTURE
──────────────────────────────────────

4.1 What storage platform(s) does your organisation use (e.g. NetApp, Dell EMC, Pure Storage, HPE, IBM)?

4.2 What is the approximate total usable storage capacity across your estate (in TB or PB)?

4.3 What is the approximate age of your primary storage estate?

──────────────────────────────────────
SECTION 5 — BACKUP, DISASTER RECOVERY AND BUSINESS CONTINUITY ──────────────────────────────────────

5.1 What backup software solution(s) does your organisation currently use (e.g. Veeam, Commvault, Veritas NetBackup, Cohesity, Rubrik, Zerto)?

5.2 What is your backup target infrastructure (e.g. on-premise disk, tape, cloud)?

5.3 Does your organisation have a documented Disaster Recovery (DR) plan? When was it last tested?

5.4 What is the current Recovery Point Objective (RPO) and Recovery Time Objective (RTO) for your critical clinical systems?

5.5 Does your organisation use an offsite or cloud-based backup solution? If yes, which provider?

──────────────────────────────────────
SECTION 6 — NETWORKING AND END-USER COMPUTING ──────────────────────────────────────

6.1 Who provides your Wide Area Network (WAN) and/or internet connectivity services?

6.2 What network equipment vendors does your organisation use (e.g.
Cisco, Juniper, Aruba, Palo Alto)?

6.3 What is the approximate number of end-user devices (laptops, desktops, tablets) in your organisation?

──────────────────────────────────────
SECTION 7 — SOFTWARE, LICENSING AND KEY CLINICAL SYSTEMS ──────────────────────────────────────

7.1 What is your current Electronic Patient Record (EPR) / Electronic Health Record (EHR) system? Please provide the vendor name and product.

7.2 What Patient Administration System (PAS) does your organisation use?

7.3 Does your organisation use a Picture Archiving and Communication System (PACS) / radiology imaging system? If yes, which vendor and product?

7.4 Does your organisation have a Microsoft Enterprise Agreement (or
equivalent) in place? When is this due for renewal?

7.5 What is the approximate annual spend on software licences across the organisation?

7.6 Please list any other significant enterprise IT contracts (by contract type / system category — e.g. HR, finance, workforce
management) with approximate annual values where held.

──────────────────────────────────────
SECTION 8 — WARRANTIES, CONTRACTS AND PROCUREMENT ──────────────────────────────────────

8.1 For your primary server, storage and network infrastructure, are vendor warranties and/or third-party maintenance contracts in place?
Please provide:
(a) The type of coverage (vendor warranty, third-party maintenance, or both)
(b) The name of the maintenance provider(s), if applicable
(c) Approximate contract expiry dates where held

8.2 What procurement frameworks does your organisation use for IT hardware and services (e.g. Crown Commercial Service, NHS Shared Business Services, G-Cloud, Tech Products 4)?

8.3 Are any significant IT contracts due for renewal within the next
24 months? Please provide contract category (not necessarily full commercial detail).

──────────────────────────────────────
SECTION 9 — DIGITAL MATURITY AND STRATEGY ──────────────────────────────────────

9.1 Has your organisation completed a Digital Maturity Assessment
(DMA) or equivalent framework in the last two years? If so:
(a) Which assessment framework was used (e.g. NHS England DMA, HIMSS EMRAM, Other)?
(b) What overall maturity score or rating was achieved?

9.2 Does your organisation have a current Digital / IT Strategy? If so, what is the publication or approval date?

9.3 Has your organisation achieved or is actively working towards any recognised digital accreditations (e.g. HIMSS Level, NHS Digital aspirant status, Cyber Essentials Plus)?

9.4 What are the top three stated digital priorities for your organisation in the current or next financial year?

──────────────────────────────────────
FORMAT AND CLARIFICATION
──────────────────────────────────────

I would be grateful to receive the response in electronic format (e.g.
Microsoft Word, PDF or Excel as appropriate). Where information is readily available in an existing published document, a reference or a link to that document would be acceptable.

If you need any clarification about the scope of this request, or if you believe that any element of it would exceed the appropriate limit under Section 12 of the Act, please contact me before the 20-working-day deadline so that I may prioritise or narrow the questions accordingly.

If any information requested is considered exempt, please specify the relevant exemption for each withheld item and confirm whether the public interest test has been considered.

Yours faithfully,

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Net Zero Staff and Consultant Spending

Dear Sir or Madam,

Under the Freedom of Information Act 2000, please provide the following recorded information.

From the financial year 2024/25, 2023/24, and 2022/23 figures:

1. Climate-related posts

a) The number of posts (headcount, and FTE where recorded) employed by the council with job titles that include any of the following terms:

Climate; Net Zero; Sustainability; Carbon; Emissions; Environmental Sustainability; Climate Change; Climate Action; Climate Policy; Climate Programme; Climate Project; Climate Data; Climate Reporting; Climate Adaptation; Climate Resilience; Energy and Climate; Sustainable Procurement; Green Finance; Green.

2. Cost of those posts

The total employment cost for the posts identified in Question 1, including salary and employer on-costs (e.g. pension and National Insurance), as recorded by the council.

3. External consultants

The total amount paid during the same financial year to external consultants, companies, or contractors where the expenditure is recorded under any cost centre, project code, budget line, or purchase description that includes one or more of the following terms:

Climate; Net Zero; Sustainability; Carbon; Emissions; Environmental Sustainability; Climate Change; Climate Action; Climate Policy; Climate Programme; Climate Project; Climate Data; Climate Reporting; Climate Adaptation; Climate Resilience; Energy and Climate; Sustainable Procurement; Green Finance; Green.

This should include, but not be limited to, expenditure coded to professional services, consultancy, advisory services, or specialist support.

If the council does not record expenditure in this way, please provide the closest equivalent recorded information held (for example, totals by relevant cost centre or project).

If any information requested is not held, please state this clearly. If figures are held only in aggregated form, please provide the aggregated figures. Estimates derived from recorded financial information are acceptable.

If complying with this request would exceed the cost limit under Section 12 of the Freedom of Information Act, please provide advice and assistance under Section 16 as to how the request may be refined.

Please provide the information requested above in the following table format, where held:
Financial Year
Job Title
Staff Costs including on-costs (£)
Headcount
Consultant Spend

Yours faithfully,

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Consultancy spend

Dear FOI Team,

I am writing to make an open government request for all the information to which I am entitled under the FOI Act 2000.

1. How much did your organisation spend on management consultants in the most recent financial year 2024-25 and if available 2025-26?

2. How much did your organisation spend on management consultants in each of the four categories below in the most recent financial year 2024-25 and if available 2025-26?

A) Strategy and transformation* – encompassing long-term direction-setting, service reconfiguration, operational and programme/project management.

B) Digital and technology* – IT strategy, system implementations (such as EPRs), data analytics, and cyber security.

C) Finance and efficiency – covering cost improvement, financial recovery, procurement, supply chain, and productivity analysis.

D) People and organisation – workforce planning, leadership and culture, HR redesign, governance, and regulatory compliance.

*If the cost of providing the data will exceed FOI limits, then please just address Digital and Technology and Strategy and Transformation categories

3. How much did your organisations spend on interim digital staffing in the most recent financial year 2024-25 and if available 2025-26?

Thank you for your time.

Yours faithfully,

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Adults with Learning Disabilities

Dear Sir/Madam,

Under the Freedom of Information Act, I am requesting information regarding supported living and residential care services for adults with a primary support need of learning disabilities (LD).

Long term care is provided to clients on an ongoing basis and has been allocated on the basis of eligibility criteria / policies (i.e. an assessment of need has taken place) and are subject to regular review. Please refer to the following link for further clarification, if needed (https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2024/salt-data-return-2023-2024-guidance/lts001a).

Supported living may also be called Supported accommodation or Supported housing and is a housing scheme where housing, support and care services are provided to help people with disabilities live as independently as possible in the community.

Total placements is the total number of active funded placements in that period, included those carried over from previous years.

New placements are those newly commissioned in that period only, ie not carried over from a previous year.

Please respond using the attached excel template.

For financial year FY26, please provide the full year figure as at the date of your response. For financial year FY27, please provide a forecast or budgeted number of placements if available.

1. Residential Care: Please provide the total number of adults (aged 18-64) with a primary support need of LD in long-term residential care funded by the TRUST, in the following periods, broken down by the following weekly fee bands: £3,000 to £4,999 per week; £5,000 to £6,999 per week; £7,000 or more per week
•Financial year 2021/22 (FY22)
•Financial year 2022/23 (FY23)
•Financial year 2023/24 (FY24)
•Financial year 2024/25 (FY25)
•Financial year 2025/26 (FY26) – Year to Date
•Financial year 2026/27 (FY27) – budgeted / forecast

2. Residential Care: Please provide the number of new placements made for adults (aged 18-64) with a primary support need of LD in long-term residential care funded by the TRUST in the following periods, broken down by the same weekly fee bands: £3,000 to £4,999 per week; £5,000 to £6,999 per week; £7,000 or more per week
•Financial year 2021/22 (FY22)
•Financial year 2022/23 (FY23)
•Financial year 2023/24 (FY24)
•Financial year 2024/25 (FY25)
•Financial year 2025/26 (FY26) – Year to Date
•Financial year 2026/27 (FY27) – budgeted / forecast

3. Supported Living: Please provide the total number of adults (aged 18-64) with a primary support need of LD in long-term supported living funded by the TRUST, in the following periods, broken down by the following weekly fee bands: £3,000 to £4,999 per week; £5,000 to £6,999 per week; £7,000 or more per week
•Financial year 2021/22 (FY22)
•Financial year 2022/23 (FY23)
•Financial year 2023/24 (FY24)
•Financial year 2024/25 (FY25)
•Financial year 2025/26 (FY26) – Year to Date
•Financial year 2026/27 (FY27) – budgeted / forecast

4. Supported Living: Please provide the number of new placements made for adults (aged 18-64) with a primary support need of LD in long-term supported living funded by the TRUST in the following periods, broken down by the same weekly fee bands: £3,000 to £4,999 per week; £5,000 to £6,999 per week; £7,000 or more per week
•Financial year 2021/22 (FY22)
•Financial year 2022/23 (FY23)
•Financial year 2023/24 (FY24)
•Financial year 2024/25 (FY25)
•Financial year 2025/26 (FY26) – Year to Date
•Financial year 2026/27 (FY27) – budgeted / forecast

Please do let me know if there is any clarity that I can provide.

Kind regards,

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Locum AHP/HSS – Staffing/Spend

Good Morning,
Please can you provide the below information:
From 1st January 2026 to 31st March 2026 please provide a breakdown of:
• Total trust spend with framework agencies for locum AHP/HSS staffing.
Please provide a further breakdown for locum AHP/HSS staffing by:
• Spend per band
• Spend per specialty
• Spend per agency name
In the period 1st January 2026 to 31st March 2026 please provide a breakdown of:
• Total trust spend with off-framework agencies for locum AHP/HSS staffing.
Please provide a further breakdown for locum AHP/HSS staffing by:
• Spend per band
• Spend per specialty
• Spend per agency name
In the period 1st January 2026 to 31st March 2026 please provide a breakdown of:
• Total trust spend with the internal trust bank or associated external provider for locum AHP/HSS staffing
Please provide a further breakdown for locum AHP/HSS staffing by:
• Spend per grade
• Spend per specialty
• Spend per internal or associated external provider
Please confirm your allocated budget for agency locum AHP/HSS staffing for the period 1st January 2026 to 31st March 2026
Please confirm the framework you utilise for AHP/HSS agency staff.
Appreciate your help with this request in advance.
Kind regards,

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Medical / Surgical Equipment

Hello,

This is a Freedom of Information request regarding the procurement of items.

For the past three years for which full data is available, could you please provide procurement data including cost and number of units for the following items purchased by the Trust:

1. Scissors, including surgical and disposable and single-use versions.

2. Forceps, including artery or tissue forceps.

3. Surgical clamps.

4. Basic hollowware, including gallipots, kidney dishes, instrument trays and bowls.

5. Single-use tourniquets.

6. Harmonic shears.

For each item category, please provide for each year:

a) Total number of units procured
b) Total spend (£)
c) Where recorded in procurement systems, whether the items were designated as single-use/disposable.

Additionally, for the same three financial years, please provide:

Total number of the following mobility aids procured: Crutches Walking frames Walking sticks

And for each of the above mobility aids:

a) Total annual spend (£)
b) If recorded centrally, the number of units refurbished or reissued through reuse schemes

If providing the above data in full would exceed the appropriate cost limit under Section 12 of the Act, please provide the data for the most recent year only. If any clarification is required, please let me know. Yours faithfully,

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Nursing Spend

Good afternoon,
Please can you provide the below information:
In the period 1st January 2026 to 31st March 2026 please provide a breakdown of:
• Total trust spend with framework agencies for locum nurses
Please provide a further breakdown for locum nurses by:
• Spend per band
• Spend per specialty
• Spend per agency name
In the period 1st January 2026 to 31st March 2026 please provide a breakdown of:
• Total trust spend with off framework agencies for locum nurses
Please provide a further breakdown for locum nurses by:
• Spend per band
• Spend per specialty
• Spend per agency name
In the period 1st January 2026 to 31st March 2026 please provide a breakdown of:
• Total trust spend with the internal trust bank or associated external provider for locum nurses
Please provide a further breakdown for locum nurses by:
• Spend per band
• Spend per specialty
• Spend per agency name
Please confirm the total number of nursing shifts booked during this period for all agency nursing only, no bank staff nursing to be included (1st January 2026 to 31st March 2026)
Please confirm the total number of nursing shifts booked above NHSE capped rates during this period for all agency nursing only, no bank staff nursing to be included (1st January 2026 to 31st March 2026)
Please confirm the framework you utilise for nursing agency staff.
Kind regards

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Non-British patients

Dear FOI Team,

I am writing to obtain information about the number of non-British citizens treated by your trust. Please include the following for the previous 3 financial years (2022-23, 2023-24 and 2024-25) :

• The total number of non-British citizens treated in the previous 3 financial years.
• The total cost of treating those patients
• The total amount recovered from those patients
• The total number of adults treated who did not have a NHS number in the previous 3 financial years
• The total cost of treating those patients
• The total amount recovered from those patients

If it is not possible to provide the information requested due to the information exceeding the cost of compliance limits identified in Section 12, please provide advice and assistance, under the Section 16 obligations of the Act, as to how I can refine my request.
If you have any queries please do not hesitate to contact me.

Best wishes,

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Impact of NHS Financial Requirements

Freedom of Information Act Request: Impact of NHS financial requirements
SECTION ONE: financial breakeven requirements
From 2025-26, NHS England’s financial framework requires NHS trusts to meet a statutory breakeven duty. Where possible, trusts must avoid in-year deficits and recover prior deficits.
Request (section one):
1. Please provide the trust’s in-year deficit or surplus for 2024–25, and its estimated in-year deficit or surplus for 2025–26, 2026–27 and 2027–28. (Where the trust plans to break even, please confirm this. Where a deficit or surplus is projected, please state the estimated value.)
SECTION TWO: efficiency, productivity and cost-reduction requirements
NHS England has set mandatory efficiency measures, including: reducing organisational cost base by at least 1%; delivering around 4% productivity improvement; reducing corporate service spending to pre-pandemic levels; and reducing reliance on temporary and agency staffing.
Request (section two):
2a. Workforce reductions and permanently deleted posts
Please provide the total number of job cuts, redundancies or post reductions that the trust has identified, planned or already implemented as a result of its breakeven duty and associated financial planning. If possible, please provide this information by financial year: 2025–26, 2026–27 and 2027–28.
This should include job cuts or redundancies, and posts that have already been permanently deleted whether or not this resulted in redundancy.
Where possible, and within statutory cost limits, please break this information down by staff group, for example: clinical staff, non-clinical staff, corporate / administrative staff
Please express figures in full-time equivalent (FTE). Where only headcount figures are held, please provide these instead and indicate this.
2b. Method of workforce reduction and post deletion
Where possible, please provide a breakdown of how the workforce reductions and permanent post deletions described in section 2a are being or will be achieved, for example through: compulsory redundancies, voluntary redundancies, non-renewal of fixed-term contracts, natural wastage, vacancy controls or recruitment freezes.
Where data is held, please break this information down by staff group (clinical/non-clinical/corporate, or equivalent categories used by the trust) and by financial year (2025–26, 2026–27, 2027–28).
SECTION THREE: planned service reductions
Breakeven planning may involve changes to service delivery, including reductions, reconfiguration or cessation of services.
Request (section three):
3. Please outline any services, departments or functions that the trust has identified for reduction, reconfiguration or closure as part of its breakeven duty and medium-term financial plan, and indicate in which financial year(s) these changes are planned (2025–26, 2026–27 and/or 2027–28).
I would be grateful if you could treat this request under the Freedom of Information Act 2000. If any part of the request is unclear or likely to exceed the statutory cost limit, please advise how it may be refined. I look forward to your response within 20 working days.
Kindest regards,

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Agency Spend – General and Specialist Nurses

To whom it may concern,

For the 6-month period ending 1st January 2026, can you please provide:

1. Total Framework Agency Spend for both general and specialist nurses.
*Specialist Nurses: Any Nursing Role that is not a general nurse.

2. Total Off Framework Agency Spend for both general and specialist nurses.
*Specialist Nurses: Any Nursing Role that is not a general nurse.

3. Total hours filled by Framework Agencies for both general and specialist nurses and a breakdown of hours for each specialty.
*Specialist Nurses: Any Nursing Role that is not a general nurse.

4. Total hours filled by Off Framework Agencies for both general and specialist nurses and a breakdown of hours for each specialty.
*Specialist Nurses: Any Nursing Role that is not a general nurse.

5. A list of all Framework Agencies utilised by the Trust for both general and specialist nurses.
*Specialist Nurses: Any Nursing Role that is not a general nurse.

6. A list of all Off Framework Agencies utilised by the Trust for both general and specialist nurses and total number of shifts for each Off Framework agency:
*Specialist Nurses: Any Nursing Role that is not a general nurse.

7. The highest Framework Agency Charge Rate within your Trust for both general and specialist nurses.
*Specialist Nurses: Any Nursing Role that is not a general nurse.

8. The highest Off Framework Agency Charge Rate within your Trust for both general and specialist nurses.
*Specialist Nurses: Any Nursing Role that is not a general nurse

9. A list of any agency (Framework and Off Framework) that have ongoing block booking arrangements for both general and specialist within your Trust within the identified time frame (01.06.2025 – 01.01.2026):
*Specialist Nurses: Any Nursing Role that is not a general nurse

Yours Sincerely,

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Translation and Interpretation Costs by Language in 2024

Dear Gloucestershire Health and Care NHS Foundation Trust,

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

From January 2024 to December 2024, the total expenditure on translation and interpretation services, broken down by language these services were provided in (specifying the target language for each).

Best wishes,

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Locum / AHP / HSS Spend

Good Morning,

Please can you provide the below information:

From 1st October 2025 to 31st December please provide a breakdown of:
• Total trust spend with framework agencies for locum AHP/HSS staffing.

Please provide a further breakdown for locum AHP/HSS staffing by:
• Spend per band
• Spend per specialty
• Spend per agency name

In the period 1st October 2025 to 31st December please provide a breakdown of:
• Total trust spend with off-framework agencies for locum AHP/HSS staffing.

Please provide a further breakdown for locum AHP/HSS staffing by:
• Spend per band
• Spend per specialty
• Spend per agency name

In the period 1st October 2025 to 31st December please provide a breakdown of:
• Total trust spend with the internal trust bank or associated external provider for locum AHP/HSS staffing

Please provide a further breakdown for locum AHP/HSS staffing by:
• Spend per grade
• Spend per specialty
• Spend per internal or associated external provider

Please confirm your allocated budget for agency locum AHP/HSS staffing for the period 1st October 2025 to 31st December

Please confirm the framework you utilise for AHP/HSS agency staff.

Appreciate your help with this request in advance.

Kind regards,

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Insourcing Spend

Please can I request the below information on the utilisation of Insourcing for the following period 01/07/2025-30/09/2025

Total spend during the period for insourcing

Total spend during the period for Insourcing for the below specialties:

1. Neurology
2. Neurophysiology
3. Dermatology
4. Gastroenterology
5. Endoscopy
6. Cardiology
7. Respiratory
8. Orthodontics
9. Dental
10. OMFS
11. ENT
12. Rheumatology
13. Gynaecology
14. Ophthalmology
15. Surgery- including all subspecialties

Please break the spend down by insourcing company

Please confirm if there was a budget and how much budget for insourcing for the specialties outlined during the same period

What was the service type relating to the specialties outlined, for example, outpatient, diagnostic or theatres.

Was it a fully managed service or Team provision for each specialty outlined

Please can you confirm the Frameworks utilised for each specialty

Please confirm any direct awards or mini competitions which are being utilised for each specialty

Total procedures/tests/patients seen completed by insourcing companies for the specialties outlined during the same period

Example:

Total spend Specialty Specialty spend Insourcing provider Insourcing provider spend Budget Service type Fully managed service Team provision Framework utilised Direct award Mini comp Total procedures

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Wholly-Owned Subsidiaries – SubCos

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.

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Interpreting Service Request Spend June 2024 to June 2025

I am writing to request the following information under the Freedom of Information act.

• Volume of requests for F2F interpreting for spoken languages last 12 months (July 2024 to June 2025)

• Spend on F2F interpreting for spoken languages last 12 months (July 2024 to June 2025)

• Volume of requests for BSL interpreting last 12 months (July 2024 to June 2025)

• Spend on BSL interpreting last 12 months (July 2024 to June 2025)

• Volume of requests for telephone interpreting for spoken languages last 12 months (July 2024 to June 2025)

• Spend on telephone interpreting for spoken languages last 12 months (July 2024 to June 2025)

• Volume of requests for video interpreting for spoken languages last 12 months (July 2024 to June 2025)

• Spend on video interpreting for spoken languages last 12 months (July 2024 to June 2025)

• What are the top 10 languages requested in the last 12 months (July 2024 to June 2025)

• Are you currently engaged in a contract with a language service agency/multiple agencies?

• What is the name of those agencies?

• If a contract for language services/interpreting is in place, what date does this end on?

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NHS Budget and Spending Breakdown

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.

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NHS 111 Spend

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

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Agency Doctor Spend

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.

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Trusts Spend on Legal Cases – 2020 to 2025

I would like to request the following information from under the Freedom of Information Act 2000:

1. The amount of money spent by the trust on legal cases (or law firms) defending it against whistleblowers, against claims of workplace discrimination, and defending it in employment disputes in the last five financial years.

Please can the data be broken down by each year for the last five financial years (2020/21, 2021/22, 2022/23, 2023/24, 2024/25).

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Cost Improvement Plans

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 £

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Fraud / Irregularity Metrics

I am kindly requesting the information below, and If any element risks exceeding the FOI cost limit (£450), or contains disclosable personal data, please let me know which parts could be modified or removed to bring the request within the limit. I am happy to accept redacted or summarised information where necessary.

For the years 2017-2022, please provide:

i) Annual trust-level totals:

1. Referrals to the NHS Counter Fraud Authority (count)
2. Number of suspected fraud incidents
3. Number of proven fraud incidents (disciplinary or criminal)
4. £ value lost (total)
5. £ value recovered (total)

Or:

i) For each period (monthly is preferred; quarterly is acceptable), please provide:

1. Cases opened (count)
2. Cases closed (count)
3. Closure outcomes – counts by category:
[No fraud/irregularity, Management/disciplinary action, Civil recovery pursued Referred for criminal investigation/prosecution, Criminal sanction obtained] 4. Referrals to the NHS Counter Fraud Authority (count) 5. Estimated financial loss/exposure recognised in the period (£) 5. £ value recovered (total)

ii) Case-level details (each incident):

1. Date discovered (DD/MM/YY)
2. Discovery method (audit, whistle-blower, analytics, other) 3. Fraud type (procurement, payroll, patient, drug, cyber, other) 4. £ value lost / exposure 5. £ recovered to date

iii) Payment practice signal

Better Payment Practice Code: percentage of invoices paid later than 30 days, by month.

I would be grateful if the information was supplied in CSV format with the organisational code and financial year.

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NHS Trust Payroll Over/Underpayments

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

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Secondary Healthcare

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.

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Information on Late Payment

We request under FOIA that you provide, (preferably in Microsoft Excel or an equivalent machine-readable format) the following information in respect of suppliers which were not paid in within 30 days for the period starting 1 April 2019 to the date of this request:
1. Supplier Name
2. Invoice Date
3. Gross Invoice Value
4. Payment Date
5. Late Payment Compensation or Interest Paid (if any)

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Annual Report and Financial Statements

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.

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Translation and Interpretation Costs

Under the Freedom of Information Act 2000 I would like to request the following information from your organisation:
How much was spent on translation and interpretation costs over the last five financial years (2020/2021, 2021/2022, 2022/23, 2023/24, 2024/25)? Please could this data be broken down into a total sum over the five years and also broken down by each financial year.
Please can a separate list of the top five languages incurring the highest cost in the financial year 2024/25 also be included, with how much was spent on each language.

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Agency Spend

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

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NHS Trust Estates Capital Investment plans

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.

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Contact Centre/CRM

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?

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Agency spend for doctors

In the period 1st November 2024 to 31st January 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 November 2024 to 31st January 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 November 2024 to 31st January 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 November 2024 to 31st January 2025

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

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FOI 275-2024

• What Finance ERP system do you use
• When does you contract end with your current Finance System ERP
• What is the yearly cost of your Finance ERP (SaaS)
• Is your finance system based on site or in the cloud.

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241-2024

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)

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205-2024

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.

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157-2024

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)?

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?

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180-2024

I am interested to understand how you ensure more efficient financial and HR performance management of your Trust. Could you let me know if you use any particular software to support the financial and HR activities/tasks in the table below.

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